四川省1999-2017年两起人间鼠疫回顾分析  

A retrospective analysis of two human plague epidemics in Sichuan province,China,1999-2017

作　　者：祁腾[1] 段勇军[1] 罗隆泽[1] 汪立茂[1] 杨军 谭文明[3] 唐义恩 QI Teng;DUAN Yong-jun;LUO Long-ze;WANG Ll-mao;YANG Jun;TAN Wen-ming;TANG Yi-en(Sichuan Center for Disease Control and Prevention, Chengdu 610041, Sichuan Province, China;Ganzi Tibeian Autonomous Preferture Center for Disease Control and Prevention;Shiqu Center for Disease Control and Prevention;Litang Center for Disease Control and Prevention)

机构地区：[1]四川省疾病预防控制中心微生物检验所,四川成都610041 [2]甘孜藏族自治州疾病预防控制中心,四川康定626000 [3]石渠县疾病预防控制中心,四川石渠627504 [4]理塘县疾病预防控制中心,四川理塘624300

出　　处：《中国媒介生物学及控制杂志》2019年第4期444-447,共4页Chinese Journal of Vector Biology and Control

基　　金：四川省卫生和计划生育委员会课题(16PJ397)~~

摘　　要：目的回顾分析四川省1999-2017年2起人间鼠疫疫情,为应对和处置人间鼠疫提供科学依据。方法收集与四川省1999-2017年2起人间鼠疫相关的流行病学调查报告、菌株生化试验鉴定报告、菌株毒力鉴定报告等文献资料,运用Excel 2007对流行病学、临床表现、实验室诊断和疫情处置等数据资料进行整理、对比和统计分析。结果 2起鼠疫均为牧民在剥皮(食)自毙野生染疫动物的过程中,鼠疫耶尔森菌直接经伤口入血而引起的突发公共卫生事件。1999年石渠县呷依乡人间鼠疫,死亡5例;2012年理塘县村戈乡人间鼠疫,死亡1例。结论 2起人间鼠疫给当地居民健康带来严重影响,总结人间鼠疫处置经验,以便更加及时、有效、科学地应对人间鼠疫的发生。Objective To retrospectively analyze two human plague epidemics in Sichuan province, China, from 1999 to2017, and to provide a scientific basis for response to and disposal of human plagues. Methods Data were collected from the epidemiological investigation reports, the reports of biochemical tests for strain identification, the reports of tests for identification of strain virulence, and the literature related to the above two plagues. Microsoft Excel 2007 was used to collate, compare, and statistically analyze the data on epidemiology, clinical manifestation, laboratory diagnosis, and epidemic disposal. Results The two public health emergency events were caused by Yersinia pestis in the blood directly via the wounds of the herdsmen while peeling/eating naturally dead animals. Five people died from human plague in Gayi town, Shiqu county, Sichuan, in 1999, and one died from human plague in Cunge town, Litang county, Sichuan, in 2012.Conclusion The two human plague epidemics have brought great impacts on the health of local residents, and a summary of treatment experience of human plague helps to deal with the development of human plague in timely, effective, and scientific manner.

关 键 词：人间鼠疫 四川省 回顾分析 

分 类 号：R516.8[医药卫生—内科学]