一起流行性出血热疫情的调查与处置

Investigation and disposition on a case of epidemic hemorrhagic fever

目的了解嘉鱼县某镇一起流行性出血热疫情的调查处置情况,为今后开展流行性出血热防控工作提供经验。方法收集查阅病例临床资料,进行现场流行病学调查,开展重点人群监测及鼠密度、带毒率监测。结果病例临床表现为乏力、头痛、腰痛,并伴呕吐、腹泻症状。病例住所卫生状况差、有鼠迹,食物经常敞开存放。鼠密度调查为5%,捕获褐家鼠1只、黑线姬鼠2只,未检出汉坦病毒。结论病例食用被鼠污染的食品或接触被鼠污染的物品所致感染的可能性较大。普及流行性出血热防治知识,建立监测点,加强防鼠灭鼠工作。

Objective To understand the epidemic situation of epidemic hemorrhagic fever （EHF） in Jiayu county, so as to provide experience for investigating and dealing with EHF in the future. Methods Collect and check the clinical data of the cases, to carry on the field epidemiological investigation, to important people, the density of rats and rat virus probability of monitoring. Results The case of this study clinical manifestations of fatigue, headache, low back pain, and accompanied by vomiting, diarrhea symptoms. The patient＇s home was in poor sanitation, had mouse track, food was olden open to storage. Rat density survey is 5%, 3 rodents were caught, including 1 Rattus norvegicus and 2 Apodemus agrarius, no Hantavirus was found. Conclusion The patient＇s infection have more possibility by eating or contacting food contaminated by rats. It is very important to popularize knowledge of prevention and control about EHF, Set up monitoring points and strengthen the rodent control work.