潍坊市2014年肾综合征出血热免疫监测结果分析

Immunization surveillance of hemorrhagic fever with renal syndrome in Weifang city 2014

目的探讨潍坊市肾综合征出血热的流行特点及趋势，为科学防控提供可靠依据。方法采用酶联免疫法对潍坊市2014年11个县（市、区），256份临床确诊或疑似出血热患者的血清进行IgM抗体检测，采用描述性流行病学方法进行分析。结果IgM抗体阳性率69．9％，3—6月份及10—12月份为2个高峰；男女发病比例为1．08：1；农村及城镇比为3．91：1；30—59岁年龄组为高发人群；诸城、临朐、安丘、高密为发病较高的地区。结论为降低潍坊市肾综合征出血热发病率，应加大监测力度，坚持以防鼠灭鼠和疫苗接种为主的综合性预防防控措施，加强对重点人群的健康教育和行为干预。

Objective To decrease the morbidity and survey the epidemic situation and trend of HFRS in Weifang by ana- lyzing the immunization surveillance results. Methods IgM antibodies of 256 HFRS cases were collected from 11 counties attached to Weifang in 2014 detected by ELISA, and the results were analyzed by epidemiology method. Results 179 ca- ses were positive, the positive rate was 69.9%, the ratio between male to female and rural to urban population were 1.08 and 3.91, two peaks were from March and June and from October and December ,respectively,and the most of cases were among 30 -59 years old, the high incidence areas were in Zhucheng, Linqu, Anqiu and Gaomi. Conclusion In order to decrease the morbidity of HFRS , we should strengthen propaganda, and insist on the comprehensive prevention and control measures such as rat proof, deratization and vaccination particularly focusing on the key population.