于秋燕, 耿兴义, 李战, 孙芳, 李敏, 李伟. 济南市甲型H1N1流感感染状况人群血清学调查情况分析[J]. 疾病监测, 2011, 26(12): 958-961.
引用本文: 于秋燕, 耿兴义, 李战, 孙芳, 李敏, 李伟. 济南市甲型H1N1流感感染状况人群血清学调查情况分析[J]. 疾病监测, 2011, 26(12): 958-961.
YU Qiu-yan, GENG Xing-yi, LI Zhan, SUN Fang, LI Min, LI Wei. Serological survey of infection of influenza A (H1N1) virus in population in Ji'nan[J]. Disease Surveillance, 2011, 26(12): 958-961.
Citation: YU Qiu-yan, GENG Xing-yi, LI Zhan, SUN Fang, LI Min, LI Wei. Serological survey of infection of influenza A (H1N1) virus in population in Ji'nan[J]. Disease Surveillance, 2011, 26(12): 958-961.

济南市甲型H1N1流感感染状况人群血清学调查情况分析

Serological survey of infection of influenza A (H1N1) virus in population in Ji'nan

  • 摘要: 目的 通过对济南市城区不同人群甲型H1N1流感血清学抗体水平调查,了解济南市甲型H1N1流感病毒感染状况,研究甲型H1N1流感流行规律,为制定流感大流行应对策略提供可靠的科学依据。 方法 采用多阶段分层随机抽样方法,在济南市3个主城区的适量社区分5个年龄组随机抽取调查对象,对抽中的人群进行问卷调查并采集血清,用血凝抑制试验测定甲型H1N1流感抗体。 结果 分别于2010年1、3和8月,在济南市主城区进行的3次甲型H1N1流感感染状况横断面调查,人群抗体阳性率分别是34.67%、32.82%、34.67%。5~24岁年龄组是甲型H1N1流感抗体阳性率最高的人群,阳性率在40%以上;职业分布中学生血清抗体阳性率最高;男女血清抗体阳性率无差别。住校者血清抗体阳性率高于非住校者。接种过季节性流感疫苗与未接种者血清抗体阳性率没有差别,但接种过甲型H1N1流感疫苗者血清抗体阳性率远高于未接种者。 结论 济南市主城区有超过30%的人群感染了甲型H1N1流感,特别是学生及托幼机构人群的感染率达到了40%以上。60岁以上人群感染率也达到了20%以上。甲型H1N1流感流行没有出现专家预测的第2波或第3波流行。

     

    Abstract: Objective To understand the infection status of influenza A (H1N1) virus and the epidemic pattern of influenza A (H1N1) in Ji'nan by the serum antibody detection in the selected population in Ji'nan and provide scientific evidence for influenza pandemic response. Methods The questionnaire survey and blood sample collection were conducted in the people in 5 age groups sleeted in 3 urban districts by stratified random sampling and hemagglutination inhibition test was performed to detect antibodies to influenza A (H1N1) virus. Results Three infection status surveys were conducted in January, March and August in 2010. The antibody positive rate was 34.67%, 32.82% and 34.67% respectively The antibody level to influenza A (H1N1) virus was highest in people aged 5-24 years with the positive rate of40%. The middle school students had the highest antibody level. There was no significant difference on the positive rate between males and females. The antibody level in resident students was higher than non-resident students. There was no significant difference on the positive rate between the people received seasonal influenza vaccination and those didnt received the vaccination, but the positive rate in people who received A (H1N1) vaccine was higher than those didnt received the vaccine. Conclusion Over 30% of the people in urban districts in Ji'nan were infected with influenza A (H1N1) virus, but the infection rate was over 40% in school and child care settings and the infection rate was 20% in people aged 60 years. No second or third epidemic occurred as previously predicted.

     

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