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李燕婷, 陈健, 孔利群, 高烨, 何懿. 上海市1999~2003年流行性感冒流行特征分析[J]. 中国公共卫生, 2005, 21(1): 127-128.
引用本文: 李燕婷, 陈健, 孔利群, 高烨, 何懿. 上海市1999~2003年流行性感冒流行特征分析[J]. 中国公共卫生, 2005, 21(1): 127-128.
LI Yanting, CHEN Jian, KONG Liqun, . Analysis on epidemic characterization of influenza in Shanghai from 1999 to 2003[J]. Chinese Journal of Public Health, 2005, 21(1): 127-128.
Citation: LI Yanting, CHEN Jian, KONG Liqun, . Analysis on epidemic characterization of influenza in Shanghai from 1999 to 2003[J]. Chinese Journal of Public Health, 2005, 21(1): 127-128.

上海市1999~2003年流行性感冒流行特征分析

Analysis on epidemic characterization of influenza in Shanghai from 1999 to 2003

  • 摘要:
      目的   了解上海市流感流行特征,探讨流感病毒优势株的变化,为流感防制提供科学依据。
      方法   选择流感监测点,采用流行病学、病原学和血清学方法进行调查。
      结果   1999年流感样病例春秋两季高峰明显,2000年以来季节发病高峰减弱.流感病毒优势株为B型和H1N1型,分别占总病毒分离数的62.81%和32.23%,H3N2亚型活动弱,仅4.96%.1999年主要流行株为B型,2000年为H1N1亚型,2001年以来H1N1亚型和B型交替成为优势株.H1N1亚型病毒抗原性存在某些变异,B型病毒抗原性未发生变异.一般人群流感抗体水平保持较高水平,H3N2、H1N1和B型几何平均滴度(GMT)分别为70.00,67.33和87.67,但小年龄和老年龄组的抗体水平低于成年人。
      结论   上海市近5年流感发病高峰减弱,以B型和H1N1亚型为优势株,其抗原性末发生明显的变异.与我国北方等省H3N2亚型为优势株不同.小年龄和老年人为易感人群.需加强H3N2亚型流感病毒监测,注意H3N2亚型病毒变异引起流行的可能性。

     

    Abstract:
      Objective   To study the epidemic characterization of influenza in Shanghai,and to discuss the changes of the predominant strains of influenza in order to provide scientific basis for the prevention of influenza.
      Methods   Surveillance sites were selected and the investigation was carried out by the methods of epidemiology,pathology and serology.
      Results   There were two apparent seasonal peaks in 1999,but the trend was weakened since 2000.The predominant strains of influenza were Btype and influenza Asubtype H1N 1 with the rate of isolation 62.81% and 32.23% respectively,and they are both prior to influenza Asubtype H3N2 whose rate was 4.96%.The main predominant strain were Btype in 1999,and influenza Asubtype H1N 1 in 2000.Since 2001,the strains were both co-circulating.It seemed that variations had occurred in the antigenicity of infiuenza Asubty pe H1N1,but nor did Btype.The antibody in general public remained at a comparatively high level.The GMTof H3N 2,H1N 1 and Bwere 70.00,67.33,87.67 respectively.The antibody levels in the gr oups below 5 years old and beyond 60 years old were lower than those in the other groups.
      Conclusion   The incidence peak of inrtuenza had declined during these 5 years in Shanghai.Unlike influenza Asubtype H3N2 as the predominant strain of the northern China,B type and influenza A subtype H1N1 were the main predominant strains in Shanghai.There weren't obvious changes of antigenicity.The younger and the older were vulnerable populations.It was necessary to strengthen the surveillance of influenza A subtype H3N2,especially to concern the possibility of epidemic due to the variation of influenza A subtype H3N2.

     

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