云浮市2003年狂犬病流行情况分析

Epidemiology of Rabies in Yunfu City in 2003

目的分析云浮市2003年狂犬病流行情况,为今后狂犬病防控工作提供参考。方法收集2003年狂犬病个案。通过地区﹑时间﹑人群分布﹑暴露后免疫情况等进行流行病学分析。结果全年共发生狂犬病22例,全部均已死亡。其中有14例(63.63%)没有注射过狂犬疫苗,有注射疫苗史的有8人,全程注射的仅1人。有暴露史的20例狂犬病中有16例(占72.72%)在暴露后5～30d内发病。结论常规免疫未能阻止狂犬病的发病。要加强对群众的宣传,犬伤后一定要及时正确处理伤口并注射抗狂犬病免疫球蛋白或免疫血清和狂犬疫苗,防止狂犬病的发生。

Objective To study the epidemiology of rabies in Yunfu City i n 2003, and to provide basis for prevention and control of the disease. Methods Cases of rabies of Yunfu City were collected. The epidemiological characterist ics with refer to the place, time, distribution, and the immune responses after infection were analyzed. Results There were 22 cases of rabies reported in 200 3 and all died. 14 cases (63.63%) did not receive any injection of rabies vacci ne. 8 cases had injection history and only 1 case received a full course of inj ection. In 20 cases of rabies with history of exposure, 16 cases (72.72%) devel oped symptoms in 5 to 30 days after exposure. Conclusions Regular vaccination could not stop the development of the disease. The propaganda must be strengthen ed, educating people to promptly and properly treat the wound of dog bite, and t o receive injection of anti-rabies immunoglobin or anti-rabies vaccine and also rabies vaccine to prevent the development of hydrophobia.