2008年新疆伽师县内脏利什曼病爆发流行调查  

Investigation on epidemic outbreak of visceral leishmaniasis in Jiashi County,Xinjiang in 2008

作　　者：伊斯拉音.乌斯曼 童苏祥[1] 侯岩岩[1] 

机构地区：[1]新疆维吾尔自治区疾病预防控制中心,乌鲁木齐830002

出　　处：《疾病预防控制通报》2012年第6期1-5,27,共6页Bulletin of Disease Control & Prevention(China)

摘　　要：目的查明2008年新疆伽师县内脏利什曼病(黑热病)爆发流行状况及其分布和原因。方法根据2008年伽师县报告的发病数据,抽取病例数较多的村,采用回顾性调查和现况调查相结合,内容包括3岁以下婴幼儿进行查体(触诊肝、脾)和对有疑似症状者用rk39免疫层析试条检测。结果 2008年伽师县内脏利什曼病患者264例,发病率71.78/10万(264/367 765);患者年龄2个月～32岁,其中1岁以下占85.2%(225/264);卧里托格拉克乡有143例患者,发病率367.87/10万(143/38 873),年龄2个月～6岁,其中1岁以下占94.4%(135/143);调查点3岁以下儿童检查795人,阳性率为2.0%(16/795)。结论 2008年伽师县内脏利什曼病疫情是以自然疫源性中的荒漠型内脏利什曼病占主导地位的爆发流行。Objective To discover epidemic situation, cause and distribution of visceral leishmaniasis （kala-azar） in Jiashi County, Xinjiang in 2008. Methods According to the reported invasion data in Jiashi County in 2008, villages with many cases were sampled to carry out retrospective review and cross-sectional investigation, including physical examination on in- fants under 3 years old （liver and spleen by palpation） and detection in people with suspicious symptoms with rk39 immune- chromatographic strip. Results There were 264 cases with visceral leishmaniasis in Jiashi County in 2008, with incidence rate of 71.78/105 （264/367 765）. The patients were at age from 2 months to 32 years old, and the patients under 1 year old ac- counted for 85.2% （225/264）. At Gholtoghrak Township, there were 143 cases with the incidence rate of 367.87/10~ （143/ 38 873）, at age from 2 months to 6 years old, and the patients less 1 year old occupied 94.4% （135/143）. 795 children under 3 years old at the investigated point were examined, with positive rate of 2.0% （16/795）. Conclusions The prevalence of visceral leishmaniasis is desert type in predominance in Jiashi County, Xinjiang in 2008.

关 键 词：内脏利什曼病(黑热病) 爆发 流行 

分 类 号：R531.6[医药卫生—内科学] R181.81[医药卫生—临床医学]