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目的了解广西钩端螺旋体病流行病学特征,为有效预防与控制钩端螺旋体病的发生和流行提供科学依据。方法采用描述性流行病学方法对2000~2006年广西钩端螺旋体病疫情报告及其相关资料进行分析。结果2000~2006年广西钩端螺旋休病共报告病例1 006例,死亡64例,病死率为6.36%,平均发病率为0.30/10万。7~9月为流行季节,发病入数占全部病例的77.23%,8月是发病高峰。职业分布以农民和学生为主,发病人数占全部病例的94.23%。病例男性多于女性,男女性别比为2.25:1。流行的主要菌群是黄疸出血群,主要流行形式是稻田型。结论采取包括传染源控制与管理、健康教育及按种菌苗等综合性防控措施是防治本病的关键。
Objective To understand the epidemiological characteristics of leptospirosis in Guangxi and provide a scientific basis for the effective prevention and control of the occurrence and prevalence of leptospirosis. Methods Descriptive epidemiological methods were used to analyze the epidemic situation of leptospirosis in Guangxi from 2000 to 2006 and related data. Results A total of 1 006 cases were reported in the study. The mortality rate was 6.36%. The average incidence rate was 0.30 / 100,000. July to September for the popular season, the incidence accounted for 77.23% of all cases, August is the peak incidence. Occupation distribution mainly farmers and students, the incidence of all cases accounted for 94.23%. More cases of male than female, male to female ratio was 2.25: 1. The main epidemic is jaundice bleeding group, the main form of popularization is paddy field type. Conclusion The key to prevention and treatment of this disease is to adopt comprehensive control measures including infection source control and management, health education and inoculation of seedlings.