2005年山东省肾综合征出血热监测分析

Analysis on the Surveillance of Hemorrhagic Fever with Renal Syndrome in Shandong in 2005

[目的]分析山东省2005年肾综合征出血热(Hemorrhagic fever with renal syndrome,HFRS)监测资料,为HFRS防治提供科学依据。[方法]用夹夜法捕鼠,用间接免疫荧光技术(IFAT)检测汉坦病毒(HV)抗原,人间疫情来自各地网络直报。[结果]2005年,山东省HFRS共发病2 424例,死亡27例,年均发病率为2.62/10万,死亡率为0.03/10万。全省17地(市)有123个县(市、区)有病例报告。HFRS春季发病期报告病例数高于秋冬季发病期。病例中,20-59岁的男性农民合计1 075人,占HFRS年发病总数的44.35%,男女性别比为2.51∶1。宿主动物野外以褐家鼠为优势鼠种,室内以褐家鼠和小家鼠为优势鼠种。[结论]应进一步加强山东省HFRS人间疫情和宿主动物监测。

[Objective]To analyze the surveillance data of Shandong province in 2005,in order to provide scientific basis for its control and prevention. [Methods]To test HV antigen in rat＇s lung by indirect fluorescent antibody test （IFAT）, and analyze the epidemic situation from internet report system. [Results]There were 2 424 patients in the whole province and 27 of them had died, The average incidence rate was 2.62 per 100 000 and the mortality rate was 0.03 per 100 000. it was found that people aged from 20 to 60 years old were the high risk population,accounting for 79.74% of the total annual cases of HFRS with the ratio of males to females being 2.51： 1. The predominant mice indoors were rattus norvegicus and mus musculus,and the predominant mice outdoors were rattus norvegicus. [Conclusion]The surveillance of HFRS during human and host animal should be reinforced in order to control HFRS effectively.