2015-2016年菏泽市流行性乙型脑炎病例监测

Encephalitis B cases in Heze City From 2015 to 2016

目的对2015-2016年菏泽市流行性乙型脑炎(简称乙脑)疫情监测情况进行分析研究,初步评价该市乙脑诊治和防控工作进展,为乙脑诊治和防控工作提供科学依据。方法根据2015-2016年菏泽市乙脑专病管理系统资料、流行病学个案调查资料和实验室诊断资料进行分析研究。结果 2015-2016年菏泽市共报告乙脑诊断病例15例,发病率分别为0.021/10万、0.138/10万,2016年比2015年发病明显上升。15例乙脑病例分布在7县区15个乡镇(办事处)的15个行政村(社区),高度散发。病例及时调查率和及时随访率皆为100.00%;标本总采集率为93.33%,标本Ig M总阳性率为100.00%,其中脑脊液标本采集率为73.33%,阳性率为100.00%,血清标本采集率为93.33%,阳性率为100.00%;病例实验室确诊率为93.33%。结论该市乙脑诊治和防控工作仍有不足之处。建议仍应加强乙脑监测和乙脑疫苗接种工作,乙脑诊治和防控工作仍需努力。

Objective To analysis the surveillance situation of epidemic encephalitis B from 2015 to 2016 in Heze city. Preliminary evaluating the work progress of treatment and control of epidemic encephalitis B of Heze city. Providing scientific basis for treatment and control of Epidemic encephalitis B. Methods The date for analysis was based on epidemic encephalitis B management system in Heze city during 2015 to 2016, epidemiological case study and laboratory diagnosis. Results Total of 15 epidemic encephalitis B cases was reported to 2016. The incidence of epidemic encephalitis B from 2015 to 2016 was 0. 021/10^5, 0. 138/10^5 during 2015 respectively and showed creasing trend. 15 epidemic encephalitis B cases were distributed in 15 administrative villages of 15 towns among 7 counties in Heze city, and was highly distributed state. The case timely investigation rate and timely follow-up rate were both 100% ; The collected rate of eerebrospinal fluid specimens and IgM positive rate of eerebrospinal fluid was 73.33%, 100. 00% positively; the collected rate of serum samples and IgM positive rate of serum was 93.33 %, 100. 00% positively ; laboratory diagnosis rate was 93.33 %. Conclusion Work of treatment and control of epidemic encephalitis B of Heze city still has shortcomings. Vaccination and monitoring of epidemic encephalitis B still should be strengthened and efforts are still needed for treatment and control of epidemic encephalitis B.