2009年全国钩端螺旋体病监测分析  

Surveillance of leptospirosis in China,2009

作　　者：丁凡[1] 刘波[1] 殷文武[1] 

机构地区：[1]中国疾病预防控制中心疾病控制与应急处理处,北京102206

出　　处：《疾病监测》2011年第4期261-263,270,共4页Disease Surveillance

摘　　要：目的了解全国钩端螺旋体病(钩体病)的流行趋势(未包括香港、澳门和台湾地区,下同),为有效调整防控措施提供科学依据。方法对2009年全国钩体病监测及实验室数据做描述性分析。结果全国钩体病的报告病例数和死亡数处于低水平波动,发病构成未见明显改变。各监测点疫情与全国总体疫情变化一致。监测点鼠密度合计为3.63%,略高于2008年(3.43%)。各监测点捕获的鼠类总体仍以黑线姬鼠最多,占捕获鼠的44.36%。血清学抗体滴度阳性界值的判定标准仍不统一,致使各监测点的血清学监测结果相互间缺乏可比性。结论全国发病总体趋势呈现较低水平,部分地区偶见散发。各省应继续对钩体病疫情加强关注,提高实验室检测能力。Objective To understand the incidence trend of leptospirosis in China and provide scientific evidence for the revision of prevention and control measures.Methods The descriptive epidemiological analysis was conducted on the surveillance and laboratory data of leptospirosis in China in 2009.Results The reported leptospirosis cases number and death number were low,the constituent of the cases didn＇t change obviously The disease situation in local surveillance areas was concordant with national situation.The overall rat density was 3.63%,a little higher than that in 2008（3.43%）.Apodemus agrarius was still the major rodent captured in surveillance areas,accounting for 44.36%.The serum antibody titer indicating positive result varied by regions,resulting in the fail to compare the surveillance data between the areas.Conclusion The overall incidence of leptospirosis in China was low,sporadic cases were found in some areas.It is necessary for provinces to strengthen the surveillance and improve the laboratory capacity for the prevention and control of leptospirosis.

关 键 词：钩端螺旋体病 监测 发病率 血清学 预防 

分 类 号：R514.4[医药卫生—内科学]