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为探讨龙泉市肾综合征出血热(HFRS)地理分布及相关因素对该病发生发展的影响,对该市1991~1995年HFRS疫情结合有关资料进行统计分析。结果表明:该市HFRS五年的年均发病率为34.67/10万;所辖43个乡镇中有31个可判为疫区;暴露人口215811人,占总人口数的80.56%;HFRS病例分布呈高度散发,1户2例极少;但乡镇间分布有明显聚集性;发病率与海拔高度、林地面积呈负相关、与耕地面积呈正相关;干冷气候发病数明显增加;HFRS疫源地在复杂的地形条件下以平均每年1.2~2.2公里的速度向外周蔓延扩展。结论认为:龙泉市属以黑线姬鼠为主要传染源的混合型HFRS高强度流行疫区;地理、气候因素对HFRS的发病有明显的影响。
To investigate the geographic distribution of hemorrhagic fever with renal syndrome (HFRS) in Longquan City and the related factors on the occurrence and development of the disease, statistical analysis was conducted on the related data of HFRS epidemic in the city from 1991 to 1995. The results showed that the average annual incidence of HFRS in five years in the city was 34.67 / 100000; 31 out of 43 townships under the jurisdiction of the city were liable to be epidemic areas; 215,811 people were exposed, accounting for 80.56% of the total population, . The distribution of HFRS cases was highly distributed, with 2 cases in one household being rare. However, there was a clear aggregation between towns. The incidence rate was negatively correlated with altitude, forest area, and cultivated land area. The incidence of dry-cold weather increased significantly. HFRS The foci spread to the periphery at an average speed of 1.2-2.2 km per year under complex topographical conditions. The conclusion is that: Longquan City is a mixed HFRS epidemic area with Apodemus agrarius as the main source of infection; Geographical and climatic factors have a significant impact on the incidence of HFRS.