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作 者:赵秀昌[1] 陆作雄[1] 陈远东[1] 甘新文[1] 李梅杰[1]
出 处:《医学动物防制》2011年第1期28-30,共3页Journal of Medical Pest Control
摘 要:目的分析崇左市2000-2009年狂犬病流行特点和影响因素。方法用描述性流行病学方法对历年狂犬病报告资料进行分析。结果崇左市近5年来狂犬病发病明显上升,累计发病数是前5年的4.39倍。职业分布以农民最多,其次为学生,96.91%的病例分布在农村,<15岁及≥40岁发病数较多,夏秋季多发。Ⅱ级以上暴露的伤口占97.78%(88/90),伤口未作任何处理的占73.33%(66/90),及时、规范处理伤口的占1.11%(1/90);暴露后接种疫苗为5.56%(5/90),完成全程接种和应用被动免疫制剂进行免疫的均为0.00%。有资料可查的疫区,平均犬密度为11.70只/100人,犬免疫率为7.56%。结论崇左市养犬数量上升而管理滞后,患者暴露后伤口及时处理率、免疫率低是崇左市狂犬病发病的主要原因,应采取综合措施加强防控。Objective To analyze the epidemic characteristics and influencing factors of rabies in Chongzuo city from 2000 to 2009.Method Using descriptive epidemiological approaches to analyze the rabies reports data.Results The incidence rate of rabies was increased in recent 5 years,accumulative the cases;it was 4.6 times of previous five years.96.91% of the cases were distribution in countryside,the cases were main contribution in younger than 15 years old and old than 40,and occurred in autumn and spring.Most of the patients were farmer,and followed by student.the wound of grade Ⅱ were account for 97.78%(88/90),with not any treatment were account for 73.33%(66/90),with treatment in time only one case and account for 1.11%,vaccine after exposing to rabies was 5.56%(5/90),whole inoculation and passive immunity were zero.In epidemic area,the average dog density was 11.70 in each hundred people;the dog inoculation rate was 7.56%.Conclusions The number of the dogs is increased in recent years,but the management is backward.The patients who exposed to rabies,the wound treatment rate and inoculation rate were low,they are main cause of the disease,and so comprehensive interventions should be developed.
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