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目的了解清远市狂犬病流行病学特征,探讨预防控制策略。方法收集2006-2010年清远市狂犬病个案调查及疫情报告资料进行统计分析。结果 2006-2010年清远市共报告狂犬病280例,年发病率介于1.24/10万～2.11/10万之间,病死率100%,发病率呈逐年上升趋势;疫情以清远北部农村地区较为严重,10月为全年发病最高峰,≥50岁人群报告发病占52.14%,职业以农民和学生为主;90.09%的病例由犬伤引起,59.05%的病例未对伤口进行任何处理,93.53%的病例未注射狂犬病疫苗。结论近年来清远市狂犬病疫情由较偏远的县(市)向市内中心区域迅速扩散,农村是重点防控地区,加强宣传教育以及落实狂犬病综合防制措施是今后的工作重点。
Objective To understand the epidemiological characteristics of rabies in Qingyuan City and to explore the strategy of prevention and control. Methods A case-control survey of rabies cases in Qingyuan City from 2006 to 2010 and epidemic situation reports were collected for statistical analysis. Results A total of 280 rabies cases were reported in Qingyuan from 2006 to 2010. The annual incidence rate was between 1.24 / 100,000 and 2.11 / 100,000. The case fatality rate was 100%. The incidence rate showed an upward trend year by year. The epidemic situation was more serious in the northern rural areas of Qingyuan , The highest incidence peak was in October, the incidence was 52.14% in ≥50 years of age, occupations were mainly farmers and students, 90.09% cases were caused by dog wounds, 59.05% cases did not deal with wounds, 93.53% Of the cases were not vaccinated against rabies. Conclusions In recent years, the epidemic situation of rabies in Qingyuan City has rapidly spread from the remote county (city) to the downtown area. Rural areas are the key prevention and control areas. Strengthening the publicity and education as well as implementing comprehensive prevention and control measures for rabies are the focus of the work in the future.