厦门市2005-2010年人间肾综合征出血热疫情分析

Analysis on epidemics of hemorrhagic fever with renal syndrome in Xiamen City from 2005 to 2010

目的了解和掌握厦门市人间肾综合征出血热的流行规律和分布特点,制订符合厦门市实际情况预防控制方案。方法开展肾综合征出血热个案调查、疑似病例监测、医院HFRS漏报调查和健康人群抗体水平调查。结果厦门市2005-2010年厦门市肾综合征出血热患者16例,以青壮年为主,35～60岁占81.25%(13例),平均年龄49.75岁,男女性别比7∶1,职业以农民最多,共8例(占50.00%);岛内湖里和思明区发病数占全部发病数的81.25%;发病季节呈秋冬季(10～12月)高峰;2005-2010年出血热病例主动监测送检阳性率7.89%,漏报率调查未发现漏报现象;健康人群血清抗体阳性率1.63%。结论厦门市肾综合征出血热疫情呈散发分布,加强湖里区、思明区肾综合征出血热防控力度,加强医疗机构肾综合征出血热防治诊疗培训,提高监测敏感性。

（HFRS） Objective To Understand and master the epidemics of hemorrhagic fever with renal syndrome and formulate suitable control strategy. Method Conduct case investigation of HRFS, suspected ca- ses monitoring, survey of missed HFRS cases in hospital, and antibody level investigation of healthy people. Results There were 16 patients of HFRS in Xiamen City from 2005 to 2010, most of whom were young peo- ple. 13 cases （81.25 % ） were people between 35 and 60 years old, and the average age was 49.75. The rati- o of male to female was 7： 1, and 8 cases were farmers （50. 00% ） The cases from Hull District and Siming District accounted for 81.25% of the total cases, and the disease mainly appeared in Autumn and Winter （ from October to December） . The positive rate of HFRS cases for active monitoring was 7.89% from 2005 to 2010, and no case was missed to report. The positive rate of serum antibody among healthy population was 1.63%. Conclusions The epidemics of HFRS was sporadically distributed in Xiamen. We should enhance the prevention and control of HFRS in Huh District and Siming District, strengthen the training of HFRS in medi- cal institution, and improve monitoring sensitivity.