云南省2005-2012年肾综合征出血热流行现状(英文)  

Epidemic situation of hemorrhagic fever with renal syndrome in Yunnan Province,China,2005-2012

作　　者：杨卫红[1] 李文娟 周济华[1] 潘虹[1] 韩茜[1] 张云智[1] 

机构地区：[1]云南省地方病防治所/云南省病毒立克次体研究中心/云南省自然疫源性疾病防控技术重点实验室,大理671000 [2]祥云县疾病预防控制中心,祥云671200

出　　处：《中国人兽共患病学报》2014年第6期594-598,共5页Chinese Journal of Zoonoses

基　　金：Supported by the National Natural Science Foundation of China(Nos.81060132and 81260437);the Yunnan Applied Basic Research Project(No.2010CD117)~~

摘　　要：目的为了科学的预防和控制云南省肾综合征出血热，对云南省2005—2012年肾综合征出血热流行现状进行综合分析。方法用描述性的流行病学和统计学方法对收集自云南省疾病报告系统的肾综合征出血热资料进行统计分析。结果共有260个肾综合征出血热病例报道，其中包括45个临床诊断病例，170个实验室诊断病例和45个疑似病例。根据病例数，将云南省肾综合征出血热病例分布分成4个区：1类区为高发地区，是大理州；2类区为次发地区，是昆明市、楚雄州和红河州；3类区为低发地区，是丽江市、怒江州、曲靖市、玉溪市，昭通市和保山市；4类区为不发地区，是迪庆州、德宏州，临沧市、普洱市、西双版纳州和文山州。云南省肾综合征出血热病无明显的季节性；40～50岁的农民发病数较多，且男性多于女性；结论大理州及周边地区是肾综合征出血热预防控制的关键地区，特别是40岁以上的男性农民为防控的重点人群。为了搞好肾综合征出血热预防控制，应该开展爱国卫生运动，减少鼠密度和汉坦病毒双价疫苗的接种。在云南省的部分地区，仍有可能存在肾综合征出血热的暴发流行。The recent epidemic situation of hemorrhagic fever with renal syndrome （HFRS） in Yunnan Province, China, from 2005 to 2012, was analyzed, which provided a scientific basis for further control and prevention of HFRS in this place. Descriptive epidemiological and statistical methods were applied to analyze the data collected from the Yunnan Provincial Disease Reporting Information System from 2005 to 2012. A total of 260 cases were recorded including 45 clinically diagnosed cases, 170 laboratory diagnosed cases, and 45 unconfirmed cases. Four category focus areas were classified according to the case number. The area of the highest incidence was Dali Prefecture, followed by Kunming City, Chuxiong Prefecture, Honghe Prefecture, Lijiang City, Nujiang Prefecture, Qujing City, Yuxi City, Zhaotong City, and Baoshan City, respectively. While Diqing Prefecture, Dehong Prefecture, Lincang City, Puer City, Xishuanbana Prefecture, and Wenshan Prefecture were experiencing no case. The temporal distribution of HFRS didn＇t show typical seasonality. The highest number of HFRS cases was found in farmers between the ages of 40 and 50 years. In addition, male cases were found to be more than female cases. Dali Prefecture and the surrounding areas were identified as the key regions for control and prevention of HFRS. As male farmer over 40 years was the sub-population who was the most susceptible to HFRS, they should be targeted for protection from haw tavirus infections. The most appropriate actions in areas of high incidence are improving sanitary conditions and reducing rodent density, and a vaccination program targeting two types of hantavirus should be included.

关 键 词：肾综合征出血热 汉坦病毒 监测 流行现状 云南省 

分 类 号：R373.3[医药卫生—病原生物学]