中国媒介生物学及控制杂志

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青岛市肾综合征出血热监测点10年监测分析

邱波;苏航;李平   

  1. 山东省青岛市疾病预防控制中心传染病防治科 青岛266033
  • 出版日期:2006-12-20 发布日期:2006-12-20

Epidemiological Analysis on Haemorrhagic Fever with Renal Syndrome at Surveillance Spots During Recent 10 Years in Qingdao

QIU Bo; SU Hang; LI Ping   

  1. Qingdao Municipal Centers for Disease Control and Prevention, Qingdao 266033, China
  • Online:2006-12-20 Published:2006-12-20

摘要: 目的 掌握青岛市肾综合征出血热(HFRS)监测点的流行病学特征,指导防治工作。方法 对HFRS监测点进行系统监测、分析。结果10年来,胶南、胶州和即墨市3个监测点年均发病率分别为12.91/10万、9.51/10万和8.30/10万,平均为10.09/10万;病死率分别为5.93%、1.96%和0.91%,平均3.21%。年内发病呈双峰型。胶南市以姬鼠型为主,胶州、即墨市的家鼠型和姬鼠型发病数接近。农民占83.66%,20~50岁组占83.28%,男女之比为2.58∶1。宿主动物平均密度为1.88%,居民区主要鼠种为褐家鼠和小家鼠,分别占52.25%和41.28%;野外优势鼠种为黑线姬鼠,占50.27%。检出带病毒鼠5种,带病毒率为4.66%。结论 青岛市HFRS监测点是家鼠型和野鼠型的混合型疫区,发病率和病死率较高。

关键词: 肾综合征出血热, 监测点

Abstract: Objective To master the characteristics of haemorrhagic fever with renal syndrome(HFRS) at surveillance spots to guide its control and prevention. Methods Surveillance of HFRS was systematically performed and analyzed. Results During the past 10 years,the average incidence rate of HFRS in Jiaonan,Jiaozhou and Jimo were 12.91/100 000,9.51/100 000 and 8.30/100 000 respectively,the mean was 10.09/100 000.Case fatality rate were 5.93,1.96 and 0.91 respectively,the mean was 3.21.Two seasonal peaks emerged regularly every year. The main type in Jiaonan was of Apodemus-type,but in Jiaozhou and Jimo the number of Apodemus-type cases was close to that of Rattus-type.Of all cases,farmers accounted for 83.66,20-50 age group accounted for 83.28.The ratio of male to female was 2.58∶1 . Rodent capture rate was 1.88.The main species in residential areas was Rattus norvegicus and Mus musculus,the predominant species in fields was Apodemus agrarius. Five species of rodents were found to carry hantavirus antigen.Virus antigen-carrying rate was 4.66.Main reservoir hosts were Rattus norvegicus,Mus musculusand Apodemus agrarius. Conclusion The HFRS focuses of surveillance spots in Qingdao belonged to the mixed-type. The incidence rates and case fatality rates were relatively high.