临沂市肾综合征出血热流行特征及控制措施研究

EPIDEMIOLOGIC CHARACTERISTICS AND CONTROL MEASURES OF HEMORRHAGIC FEVER WITH RENAL SYNDROME IN LINYI CITY

目的：分析临沂市 HFRS的流行特征和防制效果，为制定相关防控措施提供科学依据。方法对临沂市1973～2013年 H FRS 监测资料进行分析。结果临沂市1973～2013年共报告H FRS 93806例，年平均发病率为22．24/10万。秋冬季、春季发病分别占总发病数的48．36％和20．01％，20～50岁占74．31％，男女比例为1．81：1，发病以农民为主，占86．57％。野外鼠密度为3．22％，带毒率2．53％，以黑线姬鼠为优势种，占60．94；室内鼠密度为2．55％，带毒率4．22％，以褐家鼠和小家鼠为优势种，占91．40％。结论临沂市 H FRS疫情得到有效控制，应继续采取防鼠灭鼠、预防接种和健康教育为主的综合防制措施。

Objective To analyze the epidemiologic characteristics of hemorrhagic fever with renal syndrome （HFRS ） and the effectiveness of prevention and control in order to provide scientific basis for taking measures of prevention and control . Methods T he mo-nitoring data of HFRS in Linyi City from 1973 to 2013 were analyzed .Results 93806 HFRS cases were re-ported in Linyi City from 1973 to 2013 ,with the annual average being 22 .24/100 000 .48 .36% of the cases were found in autumn and winter and 20 .01% in spring .74 .31% of the cases were aged 20-50 .The ratio of male and female was 1 .81 ：1 .Farmers were found to account for 86 .57% of all cases .The density of field rats was 3 .22% with the virus-carrying rate being 2 .53% ,and apodemus agrarius was the main spe-cies ,accounting for 60 .94% of the field rats .The density of indoor rats was 2 .55% with the virus-carry-ing rate being 4 .22% ,and rattus norvegicus and mus musculus were the main species ,accounting for 91 . 40% of the indoor rats .Conclusion The epidemic of HFRS has been under control effectively .Comprehen-sive prevention and control measures such as rat-proofing ,deratization ,vaccination and health education should be continued .