1984-2008年河北省石家庄市肾综合征出血热流行特征分析  

Epidemic characteristics of hemorrhagic fever with renal syndrome in Shijiazhuang,1984-2008

作　　者：郭建花[1] 张宝珍[1] 刘立[1] 张双宅[2] 周吉坤[1] 

机构地区：[1]石家庄市疾病预防控制中心流行病防治所,河北石家庄050011 [2]石家庄市疾病预防控制中心微生物检验所

出　　处：《疾病监测》2009年第10期746-749,共4页Disease Surveillance

摘　　要：目的总结分析25年来石家庄市肾综合征出血热(HFRS)的流行特征。方法对1984-2008年石家庄市HFRS监测资料进行描述分析。结果石家庄市的HFRS疫情出现了1986、1999年两个疫情高峰,从2003年开始,疫情迅速下降,报告发病率由2002年的13.28/10万迅速下降为5.71/10万,并逐年下降到2008年的0.32/10万(38例)。全市疫情呈现出春季、宅区、流动人口多发的特点。2003-2008年的鼠间疫情监测发现,鼠密度、鼠带病毒率基本呈下降趋势,但2008年的鼠带病毒率突然升高到7.32%。全市HFRS优势鼠种为褐家鼠、小家鼠,其带病毒率分别为5.50%、5.21%。鼠密度、鼠带病毒率春季、室内较高。结论尽管石家庄市HFRS疫情呈下降趋势,但不能掉以轻心,要加强监测,提高疫情报告质量,采取综合措施预防控制其卷土重来。Objective To analyze the epidemic characteristics of hemorrhagic fever with renal syndrome （HFRS） in Shijiazhuang from 1984 to 2008. Methods Descriptive analysis was conducted on the surveillance data of HFRS in Shijiazhuang during this period. Results Two epidemic peaks of HFRS were found in Shijiazhuang, one was in 1986 and another one was in 1999. In 2003, the incidence rate of HFRS declined sharply from 13.28/lakh in 2002 to 5.71/lakh, then it declined to 0.32/lakh in 2008 gradually. The epidemic mainly occurred in spring, in residential area and in floating population. The surveillance indicated that from 2003 to 2008 both the rat density and the infection rate of rat decreased gradually. But the infection rate of rat increased abruptly in 2008. Mus. norvegicus and the Mus musculus were the predominant species with the infection rate of 5.50% and 5.21% respectively. Higher infection rate of rat was found in spring and inside house. Conclusion Although the epidemic of HFRS in Shijiazhuang had been mitigated, the surveillance, the epidemic reporting and the comprehensive prevention/control measures should be strengthened to prevent the comeback of HFRS epidemic.

关 键 词：肾综合征出血热 流行特征 发病率 鼠密度 鼠带病毒率 预防控制 

分 类 号：R512.8[医药卫生—内科学]