阜阳市2002-2003年狂犬病疫情分析

An epidemic analysis on the situation of rabies in Fuyang, 2002～2003

目的分析阜阳市2002～2003年狂犬病流行情况，探讨其流行因素。方法收集2002-2003年阜阳市狂犬病疫情资料。结果2002～2003年阜阳市狂犬病疫情波及所有的县（市、医）；全年各月都有发病，有日月姥的秋季高峰；5—9岁（1．03／10万）、10～14岁（0．99／10万）、50～59岁（1．03／10万）、60～69岁（1．00／10万）的发病率高于其他年龄组。肇事动物均为犬类；患者被咬伤后，43．75％的未作伤门处理，35．00%的末作规范处理；患者未注射狂苗的占47．50％，未全程免疫的占40.00％。结论养犬数上升而管理滞后，患者暴露后处理伤口不及时、不规范、未处理，末注射狂犬疫苗，疫苗的质量等因素是导致阜阳市狂犬病疫情上升的原因。

Objective To analysis rabies epiderniologic situation and explore its epidemiologieal factors. Methods Rabies patients information was collected and individual case was investigated. Results Rabies spread to every country all the years with obvious high in autumn 5 - 9 years old （ 1.03 per hundred thousand）, 10- 14 years old （0.99 per hundred thousand）, 50 -59 years old （ 1.03 per hun dred thousand）, 60-69 years old （1.00 per hundred thousand）, were higher than other ages. Dogs were the troublemakers. Among all the patients, 43.75 % didn＇ t deal with the wounds, 35 % not nonstandard, 47.50 % not to inject rabies vaccine, 40.00 % not to inject vaccine rountirnely, Conclusions The rnanagement to dogs to be lagged behind, untreated sounds in no time, nonstandard, not to inject rabies vaccine cause the rise of the epidemic situation in Fuyang.