浙江省1998年肾综合征出血热监测结果分析

Analysis on the Surveillance of Haemorrhage Fever with Renal Syhdrome of Zhejiang Province in 1998

目的：通过分析肾综合征出血热监测结果（ＨＦＲＳ），以掌握流行规律，制订防制对策。方法：采用直接免疫荧光法（ＦＡＴ），检测鼠肺ＨＶ抗原；采用间接免疫荧光法（ＩＦＡＴ）检测病人和健康人血清中ＨＶ抗体。结果：全省共发病２５８９例，比去年同期下降４．８４％，共报告发病县７９个；病例仍呈既分散而又相对集中的特点，其中衢州、绍兴、丽水、宁波、台州和杭州６市（地）发病最多，占全省病人总数的８８．３７％。宿主动物以黑线姬鼠居多，占野外鼠数８１．２６％；褐家鼠占室内鼠数的８４．８９％。结论：要进一步加大监测力度，尤其是对高发疫区开展人间和宿主动物监测，特别要抓好高发县市防制工作，以控制疫情。

Purpose: In order to grasp the epidemic regularity of Haemorrhage Fever with Renal Syhdrome (HFRS) and work out a scheme to coutrol it. We analyse the result of HFRS'S surveillance in 1998. Method: With FAT Determine HV antigen in lungs of mouse. Determining HV antibody in patient of HFRS cases and people in good health. Result: There are 2 589 patients of HFRS in whole province. There was 4.84 persent decline by 1997. 79 counties have patients. The cases of this year have characteristic of disperse and focus. The prefecture Xuzhou,Shaoxing,Lishui,Ningbo,Taizhou and Hangzhou have many patients. The patients in these aeas account for 88.37 percent of total cases. Apodemus agrarius paiias was the main mouse of animal host out of house. Rattus norvegicus Berrenhout was the main mouse of animal host in the house. Conclusion: We should enhance the surveillance, particularly in the area of high (HFRS) morbidity. It needs to carry out the surveillance in human and animal host to control the epidemic situation.