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目的通过对河南省濮阳县某农村一起人间狂犬病散发疫情进行现场调查与处置,总结提出规范的调查与处置工作流程。方法对河南省濮阳县报告的一起人间狂犬病散发疫情进行现场调查与处置,分别进行流行病学调查、现场消杀、防控知识宣传、工作总结评估,同时开展肇事犬追踪和疑似病例搜索。最后提出人间狂犬病疫情综合防控措施,及对疫情处置效果进行评估。结果经现场核实,报告病例为临床诊断狂犬病病例。成立了疫情调查处置队伍,分流行病学调查2人,现场消杀1人,防控知识宣传1人,工作总结评估1人。列出疫情处置所需物品清单,对疫点及有关物品、用具进行消毒,无一犬伤多人情况,未搜索到疑似病例,采取发放宣传单、村内广播等形式进行了狂犬病防控知识宣传。经狂犬病常见潜伏期2~3个月后,无新发病例出现。结论狂犬病等人兽共患病疫情的规范处置应包括响应准备、现场处置、总结评估3个阶段。
Objective To conduct a site investigation and disposal of human rabies outbreak in a rural area of Puyang County, Henan Province, and to summarize and put forward a normative investigation and disposal workflow. Methods A field investigation and treatment of human rabies outbreaks reported in Puyang County, Henan Province was carried out. Epidemiological investigation, site killings, prevention and control of knowledge dissemination, and work summary assessment were carried out respectively. At the same time, dog tracking and suspected case search were conducted. Finally put forward the integrated prevention and control measures of human rabies epidemic and evaluate the effect of the epidemic disposal. The results were verified by the scene, the reported cases of clinical diagnosis of rabies cases. Set up a team of epidemic investigation and disposal, sub-epidemiological survey of 2 people, killing 1 person on the scene, prevention and control of knowledge and publicity 1, a summary of work evaluation. List the items needed for the disposal of the outbreak, sterilize the epidemic spots and related articles and utensils without any possible injuries, search for suspected cases, disseminate knowledge of rabies prevention and control through distribution leaflets and village radio programs . After rabies common incubation period of 2 to 3 months, no new cases appear. Conclusion The standardized handling of zoonosis such as rabies should include three stages: response preparation, site disposal and summary assessment.