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于霄云, 连志勇, 王萍, 陈叶, 常春祥, 李艳春. 辽宁省首例人感染H7N9禽流感病例流行病学调查[J]. 中国公共卫生, 2018, 34(3): 442-444. DOI: 10.11847/zgggws1116156
引用本文: 于霄云, 连志勇, 王萍, 陈叶, 常春祥, 李艳春. 辽宁省首例人感染H7N9禽流感病例流行病学调查[J]. 中国公共卫生, 2018, 34(3): 442-444. DOI: 10.11847/zgggws1116156
Xiao-yun YU, Zhi-yong LIAN, Ping WANG, . Human avian influenza A (H7N9) virus infection first diagnosed in Liaoning province: a case investigation[J]. Chinese Journal of Public Health, 2018, 34(3): 442-444. DOI: 10.11847/zgggws1116156
Citation: Xiao-yun YU, Zhi-yong LIAN, Ping WANG, . Human avian influenza A (H7N9) virus infection first diagnosed in Liaoning province: a case investigation[J]. Chinese Journal of Public Health, 2018, 34(3): 442-444. DOI: 10.11847/zgggws1116156

辽宁省首例人感染H7N9禽流感病例流行病学调查

Human avian influenza A (H7N9) virus infection first diagnosed in Liaoning province: a case investigation

  • 摘要:
      目的  分析辽宁省首例人感染H7N9禽流感病例流行病学特征,为H7N9禽流感防控提供科学依据。
      方法  采用流行病学调查方法调查辽宁省首例人感染H7N9禽流感病例的发病和就诊经过、可能感染来源、传播途径及暴露因素等,并排查密切接触者实施健康医学观察,同时开展外环境采样检测和疫点消毒。
      结果  辽宁省确诊的首例人感染H7N9禽流感本地感染病例为67岁男性城市居民,6月8日因咳嗽、咳痰前往医院就诊,询问病史发现有病死鸡接触史,采集病例下呼吸道痰液开展核酸聚合酶链反应(PCR)检测为H7N9禽流感病毒核酸阳性,省和国家疾病预防控制中心实验室复核检测结果一致,均为阳性;于发病17 d后合并呼吸衰竭死亡;119名密切接触者实施为期7 d的医学健康观察,未出现健康异常;外环境和活禽监测H7N9禽流感核酸检测结果均为阴性。
      结论  辽宁省H7N9禽流感防控形势严峻,涉禽外环境可能存在H7N9禽流感病毒污染,应加强城市散养家禽和活禽市场管理,认真落实各项防控措施,防止疫情扩散和传播。

     

    Abstract:
      Objective  To analyze epidemiological characteristics of first diagnosed case of human avian influenza A (H7N9) virus infection for providing evidences to prevention and control of the epidemic.
      Methods  We conducted an epidemiological survey on the incidence and diagnosis, probable infection source, transmission route, and relevant exposures for the first avian influenza A (H7N9) virus infection in Liaoning province. Meanwhile, medical observations were carried out among those with close contact with the diagnosed case; external environmental surveillance and epidemic focus disinfection were also implemented.
      Results  A 67 years old male urban resident was admitted into a hospital in Shenyang city of Liaoning province on June 8, 2016 for the treatment of fever, cough and phlegm. The patient’s history of exposure to dead chicken was confirmed later. Throat swab and sputum from lower respiratory tract specimens of the patient were positive for avian influenza A (H7N9) viral nucleic acid based on the results of real-time PCR test performed by laboratories at municipal, provincial, and national level. The patient died 17 days after the onset of the disease. No abnormal symptoms were observed and no avian influenza A (H7N9) viral nucleic acid positive specimens were detected during the 7-day medical observation among the 119 close contacts of the patient.
      Conclusion  The prevention and control of H7N9 avian influenza epidemic in Liaoning province should be concerned seriously. Management on free-range poultry and live poultry markets in urban areas needs to be strengthened for the prevention of probable environment contamination of avian influenza A (H7N9) virus.

     

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