中国媒介生物学及控制杂志

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河南省黄河流域稻田型钩端螺旋体病流行特征及流行趋势分析

张彦平1; 王守振1; 李林村1; 郭万申1; 孟淑霞2; 刘尚军2; 李洪亮3; 师文俊3   

  1. 1.河南省卫生防疫站 郑州 450003;2.新乡市卫生防疫站;3.原阳县卫生防疫站
  • 出版日期:1996-12-20 发布日期:1996-12-20

Analysis of Epidemic Feature of Leptespirosis in Northern Bank of Huanghe River in Henan Province

Zhang Yan-ping;Wang Shou-zhen;Li Lin-cun et al   

  1. Henan Provincal Health and Anti-Epidemic Station,Zhengzhou,450003
  • Online:1996-12-20 Published:1996-12-20

摘要: 河南省黄河流域为钩端螺旋体病的低发疫区。1992年以来,黄河北岸广大稻田区发生本病流行。其主要表现为:1.流行形式为稻田型;流行期为4~11月,流行高峰在8月份;临床表现复杂,以流感伤寒型为主,黄疸出血型及肺大出血型比例较高。2.疑似病例及健康人隐性感染的血清群均以黄疸出血群为主,其它有波摩拿群、秋季群等。当地优势鼠种为黑线姬鼠,其带菌率夏季为16.67%,秋季为27.27%,携带菌群主要为黄疸出血群,与人间主要流行菌群一致。3.原阳县为流行的中心地区,其流行强度明显高于毗邻的其他发病县。4.易感人群普遍接种相应型别钩体疫苗,开展以灭鼠为主的爱国卫生运动,进行疾病防治的宣传等综和防治措施,可有效地预防本病流行,降低发病率,1994年以后发病呈下降趋势。

关键词: 钩端螺旋体病, 稻田型, 黄河流域

Abstract: Since 1992, outbreak of leptespirosis continuously occured in northern bank of Huanghe river in Henan province, The main epidemic characteristics were: 1. The major epidemic form was rice fieled type.The cases occured from July to November, and the epidemic peak period was in August. The incidence rate of the adult groups(>15 years) was signicantly higher than that of the young people(<15 years),and 97.5% cases were peasants. 2. 112 sera samples were examined by MA test,and the posi tive rate was 48. 15%. Of these positives, 75. 92% was icterohaemorrhagiae serogroups and 14. 82% was autumnalis serogroups.The possible infectious source of leptespirosis was Apodemus agrarius, and seven leptespira interrogans serovar icterohaemorrhagiae were isolated.3. The vaccine could reduce the morbidity of leptespirosis.