丽江市鼠疫疫源地的发现及监测结果分析  

Discovery of Lijiang City as a plague focus and the analysis of surveillance results

作　　者：张福新[1] 甘玉珍[1] 张红涛[1] 张正飞[1] 梁云[2] 和映天 和建功 杨铁龙 王国良[2] 莱文凤[2] 鲁亮[4] 陈志军 吕伟 杨文艳[1] 

机构地区：[1]丽江市疾病预防控制中心,云南丽江674100 [2]云南省地方病防治所,云南大理671000 [3]丽江市玉龙县疾病预防控制中心,云南丽江674100 [4]中国疾病预防控制中心传染病控制所,北京102206

出　　处：《国外医学（医学地理分册）》2009年第3期123-124,128,共3页Foreign Medical Sciences：Section of Medgeography

摘　　要：目的探讨2005年11月1日发生5例不明原因重症肺炎(治愈3例、死亡2例)的发病原因,提出鼠疫自然疫源地调查,确定疫源地的存在。方法采用常规调查方法,通过血清学,鼠疫菌学,基因诊断学等技术进行判定。结果共分离到8株鼠疫杆菌,疫区犬血清阳性率22.99%,猫阳性率21.21%。结论细菌学证实丽江发现鼠疫自然疫源地,并处于流行活跃阶段,发现鼠间有鼠疫的流行。Objective To determine the aetiological agent of 5 cases or critically ill pneumonia occurred on Nov. 1, 2005, to propose bubonic plague natural epidemic focus investigation and to define the focus. Methods Conventional investigation methods were adopted, including serology, bubonic plague mycology, and gene diagnos- tics. Results Altogether 8 bubonic plague bacilli were separated. The dog blood serum masculine gender rate in the quarantine area was 22.99% and cat masculine gender rate was 21.21%. Conclusions Lijiang City was confirmed to be a bacteriological plague natural focus, which was in the active phase of epidemic with a strong rat plague epidemic.

关 键 词：丽江市 鼠疫监测 鼠疫自然疫源地 

分 类 号：R254.8[医药卫生—中医内科学]