一起流行性出血热疫情的流行病学分析和处置

Epidemiological analysis and treatment of an outbreak of epidemic hemorrhagic fever

目的分析咸宁市某县发生的4例流行性出血热(HFRS)病例临床特点和流行病学特征。方法采用描述流行病学方法对4例病例的发现、诊断和调查处理等进行回顾性分析和评价。结果咸宁市某县发生的4例流行性出血热病例,死亡1例,3例临床均出现发热,伴呕吐和腹泻症状。疫源地宿主动物调查以民工居住区鼠密度最高,达到27%,远远超出3%的流行性出血热疫区鼠密度的控制标准。结论咸宁市某县此次的流行性出血热疫情发生在居民区,有必要建立常规的监测点,加强监测。

Objective To analyze the clinical and epidemiological features of 4 cases of epidemic hemorrhagic fever（ HFRS） in Xianning City. Methods A retrospective analysis and evaluation were conducted on the discovery,diagnosis,and treatment of the 4 case by the method of descriptive epidemiology. Results Four cases of epidemic hemorrhagic fever occurred in Xianning City,one died,and three had fever with vomiting and diarrhea symptoms.Investigation of host animals of epidemic focus was carried out to find the relation to migrant workers living in the area. The rat density was high,reaching 27% far beyond the 3% of the rat density control standard on epidemic hemorrhagic fever（ EHF）. Conclusion The epidemic hemorrhagic fever outbreak in Xianning City occurred in a residential area,indicating the necessity to establish regular monitor site for strengthening the monitor.