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泰安市首例流行性出血热(EHF)发生在1975年。1984年以来病例逐年增多,至1993年10年累计报告病例11747例,死亡91例,年均发病率为21.95/10万。发病呈双峰型,以春峰明显,4月份为高峰,3~6月份发病占全年发病数的60.80%。农民发病占80.21%,男女发病无显著差异。我市EHF传染源呈多源性,为家、野鼠混合感染疫区。鼠带毒率以小家鼠最高,为10.85%,其次为黑线姬鼠7.62%、褐家鼠6.94%。健康人群平均隐性感染率为7.50%,血清抗体几何平均滴度GMT为1.46。根据疫区类型特点,春季应着重抓室内灭鼠,秋季着重抓室外灭鼠。
The first case of epidemic hemorrhagic fever (EHF) in Tai’an occurred in 1975. Since 1984, the number of cases has increased year by year. By the year 1993, a total of 11 747 cases were reported and 91 died, with an average annual incidence of 21.95 / 100,000. The incidence of bimodal type, with Chunfeng obvious, peaked in April, the incidence of 3 to June accounted for 60.80% of the annual number of cases. The incidence of peasants accounted for 80.21%, no significant difference between male and female incidence. EHF source of infection in our city was multi-source, for home, wild mouse infected infected area. The rat virulence rate was the highest in Mus musculus, 10.85%, followed by Apodemus agrarius 7.62%, Rattus norvegicus 6.94%. The average latent infection rate in healthy population was 7.50%, and the geometric mean serum antibody titer GMT was 1.46. According to the characteristics of the type of epidemic area, spring should focus on catching indoor rodent control, focusing on outdoor rodent control.