摘要
[目的]通过对2008~2011年山东省肾综合征出血热疫情分析,了解现阶段山东省HFRS流行规律,为防治制定策略。[方法]采用Excel和Epidata 8对山东省各地2008~2011年HFRS发病和死亡时间、病例构成变化及对疫情的影响进行分析;采用间接免疫荧光检测鼠肺汉坦病毒抗原。[结果]自2008年起山东省HFRS进入第五个流行周期,疫情东移倾向进一步明确,病例分布呈现既分散又相对集中的特点,发病以鲁东南丘陵地区和胶莱平原部分地区为主,鲁西北平原和鲁中南山区呈下降趋势;2008~2011年山东省HFRS发病以农民为主,占发病例数的83.20%,男女之比2.79∶1;以25~65岁年龄组发病较多;汉坦病毒(HV)宿主室内外均以褐家鼠和小家鼠为主,春季和秋季HV抗原阳性率分别为2.06%和1.89%。[结论]应继续采取防鼠灭鼠、预防接种和健康教育为主的防治对策,抓好重点地区HFRS防治。
[Objective]By analysis of hemorrhagic fever with renal syndrome in Shandong province,2008-2011,to understand the law of HFRS epidemic in Shandong province at this stage,so as to develop strategies for the prevention and treatment.[Methods]Excel and Epidata 8 were used to analyze the HFRS incidence and time of death,case changes in the composition and the impact on the epidemic in Shandong province,2008-2011.IFA were used to detect HV antigen in Muose lungs[Results]Since 2008,HFRS entered its fifth cycle in Shandong province,the eastward tendency of epidemic was further clarified,the distribution of cases showed both the characteristics of dispersed and relatively concentrated,the incidence was mainly in the hilly areas in Southeastern Shandong and some areas of the Jiaolai plains,and declined in Northwestern Shandong Plains and the hilly areas in Central Southern Shandong;the incidence of HFRS was mainly among farmers in Shandong province,2008-2011,accounting for 83.20%,thef male to female ratio was 2.79∶1;most in the 25-65 age group.Hantavirus(HV) indoor and outdoor hosts were mainly Rattus norvegicus and Mus musculus,in spring and autumn,the HV antigen positive rate was 2.06% and 1.89% respectively in spring and autumn.[Conclusion]Countermeasures should be continued such as rodent control,immunization and health education,HFRS control should be focused on key areas.
出处
《预防医学论坛》
2012年第2期107-109,共3页
Preventive Medicine Tribune
关键词
肾综合征出血热
防鼠灭鼠
预防接种
流行趋势
Hemorrhagic fever with renal syndrome
Rodent control
Immunization
Epid emic Trend