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李翔, 董红军, 方挺, 胡逢蛟, 刘建毅, 劳旭影. 宁波市H1N1型流感病毒监测分析[J]. 中国公共卫生, 2010, 26(4): 392-394. DOI: 10.11847/zgggws2010-26-04-05
引用本文: 李翔, 董红军, 方挺, 胡逢蛟, 刘建毅, 劳旭影. 宁波市H1N1型流感病毒监测分析[J]. 中国公共卫生, 2010, 26(4): 392-394. DOI: 10.11847/zgggws2010-26-04-05
LI Xiang, DONG Hong-jun, FANG Ting, . H1N1 influenza surveillance in Ningbo city, 2004-2008[J]. Chinese Journal of Public Health, 2010, 26(4): 392-394. DOI: 10.11847/zgggws2010-26-04-05
Citation: LI Xiang, DONG Hong-jun, FANG Ting, . H1N1 influenza surveillance in Ningbo city, 2004-2008[J]. Chinese Journal of Public Health, 2010, 26(4): 392-394. DOI: 10.11847/zgggws2010-26-04-05

宁波市H1N1型流感病毒监测分析

H1N1 influenza surveillance in Ningbo city, 2004-2008

  • 摘要: 目的 了解浙江省宁波市2004-2008年流感流行状况和H1N1型流感变异情况,探索流行规律并为流感防治提供科学依据.方法 建立监测哨点,采用流感样病例就诊百分比(ILI%)为流行病学监测指标,并对送检的流感样病例咽拭子或含漱液标本进行病毒分离和鉴定.结果 2004年1月-2008年12月,宁波市4家监测哨点医院共报告流感样病例99 333例,流感样病例百分比波动在0.77%~11.66%,平均为4.49%(99 333/2 210 318);共送检流感样病例标本5 784份,分离出流感病毒686株,平均分离率为11.86%(4.14%~22.32%),其中甲1型163株,甲3型492株,乙型31株.宁波市流感活动的季节性规律表现为每年春末(3-4月)和初秋(8-9月)2个ILI%高峰.2006年流行的H1N1亚型与H1N1疫苗株NewCaledonia/20/1999在血凝素蛋白重链(HA1)区氨基酸的差异为7个,2008年流行的H1N1亚型与H1N1型疫苗株Brisbane-59-2007比较,差异已达到6个位点以上.结论 ILI%的异常变化与流感病毒变异活动有关;H1N1型流感毒株变异活动加强.

     

    Abstract: Objective To understand the trend of influenza epidem is and to explore the variation of the viruses isolated.Methods Surveillance sites were established Data of influenza-like illness(ILI%)was collected and analyzed Throats wab and gargling specie ens collected from influenza-like cases were isolated with MDCK cells and embryonated eggs aged 9-11 days.Results A total of 99 333 influenza-like illnesses were reported from 2004 to 2008,accounted for 4.49%(99 333/2 210 318) of the total outpatients,with 5 784 specie ens collected and 686 virus isolated Among the virusisolation,there were 163 cases of influenza H1N1 virus,492 cases of influenza H3N2 virus,and 31 cases of influenza B Victoria virus The average isolation rate of influenza virus was 11.86%(4.14%-22.32%).The epidemis of influenza was seasonal with two peaks of LI% in the end of spring(March and April) and the beginning of autumn(A ugust and September).When comparing amino acid sequences of HA1 protein domain of H1N1 vimses isolated in 2006 with those of NewCaledonia/20/1999(H1N1)vinrs,it was revealed that there were 7 differences in amino acid sequences bettyeen them.There were 6 differences in amino acid sequences of HA1 protein domain bettyeen H1N1 vimses isolated in 2008 and Bribane-59-2007(H1N1) vims.Conclusion The change of LI% is associated with influenza vims variation The mutation of H1N1 is active

     

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