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陈恩富, 柴程良, 孙继民, 吕华坤, 刘社兰, 余昭, 龚震宇, 丛黎明. 浙江省人感染H7N9禽流感流行特征与防控对策[J]. 中国公共卫生, 2013, 29(5): 625-627. DOI: 10.11847/zgggws2013-29-05-01
引用本文: 陈恩富, 柴程良, 孙继民, 吕华坤, 刘社兰, 余昭, 龚震宇, 丛黎明. 浙江省人感染H7N9禽流感流行特征与防控对策[J]. 中国公共卫生, 2013, 29(5): 625-627. DOI: 10.11847/zgggws2013-29-05-01
CHEN En-fu, CHAI Cheng-liang, SUN Ji-min, el al, . Epidemiological characteristics and control strategies of human infection with avian influenza A (H7N9) virus in Zhejiang province[J]. Chinese Journal of Public Health, 2013, 29(5): 625-627. DOI: 10.11847/zgggws2013-29-05-01
Citation: CHEN En-fu, CHAI Cheng-liang, SUN Ji-min, el al, . Epidemiological characteristics and control strategies of human infection with avian influenza A (H7N9) virus in Zhejiang province[J]. Chinese Journal of Public Health, 2013, 29(5): 625-627. DOI: 10.11847/zgggws2013-29-05-01

浙江省人感染H7N9禽流感流行特征与防控对策

Epidemiological characteristics and control strategies of human infection with avian influenza A (H7N9) virus in Zhejiang province

  • 摘要: 目的 分析人感染H7N9禽流感的流行特征、研究进展和目前防控面临的问题,提出防控对策。方法 采用流行病学个案调查与描述性分析方法,收集人感染H7N9禽流感确诊病例流行病学和防控措施相关资料,分析病例流行病学特征和疫情防控措施效果。结果 浙江省共确诊人感染H7N9禽流感病例44例,死亡6例;男性27例,占61.36%;平均年龄60.18岁(32~86岁);≥50岁35例,占79.55%;农民和离退人员30例,占68.18%。40例(90.91%)集中于杭州和湖州。78.38%(29/37)有慢性基础性疾病,78.95%(30/38)发病前有禽类暴露史;病例的1004名密切接触者均未发现感染。病例可疑暴露场所外环境标本H7N9阳性率高达43.21%(35/81)。暂停市场活禽交易对控制疫情有效。结论 人感染H7N9禽流感流行特征尚未完全明了,需要多部门联合开展监测、研究和防控。

     

    Abstract: Objective To analyze the epidemiological characteristics and research progress of human infection with avian influenza A (H7N9) virus and the present problems during control and prevention,and to offer a proposal for future control and prevention.Methods Face-to-face interviews were used to collect the epidemiology data and the control measures related information.Then the epidemiological characteristics and the effect of control measures were analyzed.Results Among 44 persons confirmed with H7N9 virus infection,including 6 deaths,61.36% were male;the median age of the patients was 60.18 years (range,32 to 86),with 79.55% older than 50 years,68.18% were country dweller or retirees,and 90.91% were from Hangzhou and Huzhou city.Of 37 cases with available data on disease history,78.38% had chronic disease such as hypertension,diabetes or heart disease;of 38 cases with available data on exposure history,78.95% had an exposure to live poultry.All 1004 close contacts of the patients were negative for not infected.It seemed that suspension of live poultry trade could terminate the transmission.Conclusion The epidemiological characteristics of human infection with avian influenza A (H7N9) virus is not yet understood completely.Organizing and coordinating relevant departments to carry out collaborative surveillance research,control and prevention are a pressing matter of the moment.

     

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