敦化市2005-2011年流行性出血热流行趋势分析

Epidemiology trends of epidemic hemorrhagic fever in Dunhua city 2005-2011

目的分析敦化市2005-2011年间流行性出血热(HFRS)的流行趋势,为制定合理的防治措施提供可靠依据。方法利用7年间敦化市HFRS疫情资料对其流行特征和三间分布进行分析。结果敦化市2005-2011年共报告HFRS病例519例,平均发病率为15.44/10万,无死亡病例报告。城区各街道和农村各乡镇均有HFRS病例报告;农村报告病例占85.93%。发病主要集中在5-7月和10月-次年1月,呈现两个发病高峰。男性病例为440例,女性病例为79例;病例多集中在20～50岁之间的青壮年,占总病例数的69.75%。发病以农民为主,占总病例数的64.55%;其次为工人,占总病例数的9.83%。结论在6月和11月两个发病高峰来临前,采取灭鼠、疾病监测、健康教育、接种疫苗等综合性防治措施,是降低HFRS发病率最有效的方法。

Objective To study epidemiological trends of epidemic hemorrhagic fever（HFRS） in Dunhua from 2005 to 2011,in order to provide a reliable basis of formulating measures for preventing HFRS.Methods According to the annual report of epidemic situation for infection disease,the epidemiologic characteristics and three distributions of HFRS from 2005 and 2011 were analyzed.Results A total of 519 cases with HFRS were found from 2005 and 2011 in Dunhua.The incidence of HFRS was 15.44/100 000,no death case.There were HFRS reports both in city and village,and the percentage of village report was 85.93%.The two peak times of morbidity were from May to July and October to January of the next year respectively.There were 440 male patients and 79 female patients.The age of onset concentrated at the age of 20 to 50 years,the percentage was 69.75%.The highest risk population were farmers,the percentage was 64.55%,next were workers,the percentage was 9.83%.Conclusion Before the peak times of morbidity（June and November）,it is suggested that the comprehensive measures should be taken including rodent control,disease surveillance,health education,vaccination,which are the most effective way to reduce the HFRS incidence.