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王廷哲, 陈戊申, 刘名中, 古伟志, 卓菲, 张风霜, 何继宝, 邓佛成. 深圳市流行性出血热流行病学研究[J]. 中国公共卫生, 2001, 17(9): 825-827. DOI: 10.11847/zgggws2001-17-09-41
引用本文: 王廷哲, 陈戊申, 刘名中, 古伟志, 卓菲, 张风霜, 何继宝, 邓佛成. 深圳市流行性出血热流行病学研究[J]. 中国公共卫生, 2001, 17(9): 825-827. DOI: 10.11847/zgggws2001-17-09-41
WANG Ting-zhe, . Epidemiological Study on Hemorrhagic Fever with Renal Syndrome in Shenzhen[J]. Chinese Journal of Public Health, 2001, 17(9): 825-827. DOI: 10.11847/zgggws2001-17-09-41
Citation: WANG Ting-zhe, . Epidemiological Study on Hemorrhagic Fever with Renal Syndrome in Shenzhen[J]. Chinese Journal of Public Health, 2001, 17(9): 825-827. DOI: 10.11847/zgggws2001-17-09-41

深圳市流行性出血热流行病学研究

Epidemiological Study on Hemorrhagic Fever with Renal Syndrome in Shenzhen

  • 摘要: 目的 为监测深圳市流行性出血热疫情及影响发病的因素,了解疫源地的分布特征、鼠类及其体表昆虫种群.方法 利用现有监测网络采集全市HFRS疫情,采用病例对照研究方法分析影响发病的主要因素.结果 1999~2000年均发病率0.10/10万.分布:福田区占8181%;1~4月占8181%;暂住人口占63.63%,男女比为10:1.住临时棚舍(χ2=10.12,OR=16)、住处鼠多(χ2=4.51,OR=12)有统计学意义.共获鼠625只,捕获率1107%,分2目2科4属11种,其中褐家鼠368只,占58.88%.鼠汉坦病毒抗原阳性率为0.81%,抗体阳性率为717%,GMT为1:4.45.阳性鼠肺和血清全部来自褐家鼠,感染率为10.81%,带毒率为13.7%.布吉疫点人血清阳性率为3.25%,正常人群汉坦病毒抗体阳性率为0.鼠带蜱、蚤、革螨、恙螨率分别是7.02%,10.06%,17.08%,7.40%,指数分别是0.16,0.33,0.86,1.28,主要宿主分别是施氏屋顶鼠、黄胸鼠、黄毛鼠、施氏屋顶鼠.蚤分3属3种,印鼠客蚤占98.56%.蜱分2属2种,粒形硬蜱占87.29%.革螨分2属3种,毒厉螨占91.94%.恙螨分4属6种,西沙无前恙螨占27.12%.结论 深圳广泛存在家鼠型流行性出血热疫源地,属低发病区,高危人群是暂住或流动人口中从事建筑业、服务业男性青壮年,发病与住临时棚舍、住处鼠迹多有关.

     

    Abstract: Objective To investigate the distribution of cases with Hemorrhagic Fever with Renal Syndrome(HFRS),murine-like animals and related insects and to explore the determinants of the disease.Methods The data of HFRS were collected from the cases reporting system in Shenzhen.The risk factors were analysed by case-control study.Results The morbidity rate was 0.10 pre 100 000 from 1999 to 2000.Shenzhen Futian district 81.8%,temporary populatoin occuppied 63.63%.The ratio of male to female is 10:1.Eighty one point eighty one percent occured in Janary to April.Associations were observed between the outdoor living (χ2=10.12,OR=16),high density of mice around the living places(χ2=4.51,OR=12),there exited stastical significance.Six hundred and twenty-five murine-like animals captured were indentified to 11 species,of 58.88% of which were Rattus norvegicus.The positive rate of Hantavirus antigen was 0.81%,the positive rate of antibody was 7.17%,GMT of the antibody was 1:54.45.The rate of infection is 10.81%,and the positive rate of the antigen to HFRS was 1.37%.All positive samples were from Rattus norvegicus.The rates of mouse carrying tick,flea,gamasid,jigger were 7.02%,10.06%,17.08%,7.40% respectively.The main host was R.sladen,R.flavipectus,R.losea,R.sladen respectively.Flea was Xenopsylla cheopis.Tick was identified to 2 species belonging to 2 genera,87.21% was Ixodes granulatus.Gamasid was identified to 3 species belonging to 2 genera,91.94% was Laelaps echidninus.Jigger was identified to 6 species belonging to 4 genera,27.21% was Walchis Xishacnsis.Conclusion There are rattus-related HFRS epidemic foci in Shenzhen,which belongs to lower morbidity district.

     

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