郴州市2009—2017年肾综合征出血热流行特征及集中度分析

Epidemiological Characteristics and Concentration of Hemorrhagic Fever with Renal Syndrome from 2009 to 2017 in Chenzhou

目的分析郴州市2008—2017年肾综合征出血热流行特征,为制定疾病防控措施提供科学依据。方法对2009—2017年报告HFRS病例进行描述性分析和集中度分析。结果 2009—2017年郴州市共报告HFRS病例626例,年平均发病率1.50/10万,无死亡病例;发病高峰为10~2月,发病年龄以40~65岁为主,男女性别比为2.26:1,发病人群主要为农民,其次是工人和农民工;发病数较多的地区为桂阳县、永兴县和临武县;集中度M值为0.299,季节性分布趋势不明显。结论郴州市部分地区发病数仍较高,应加强鼠密度监测,并落实防鼠灭鼠和重点人群疫苗接种等综合防控措施。

Objective This paper tries to analyze the epidemic characteristics of Hemorrhagic fever with Renal Syndrome from 2008 to 2017 in Chenzhou, and provide scientific basis for the establishment of disease prevention and control measures. Methods Descriptive analysis and concentration analysis of HFRS cases from 2009 to 2017 was implemented. Results From 2009 to 2017, a total of 626 cases of HFRS were reported in Chenzhou, with an average annual incidence of1.50/100,000 and no deaths. The peak incidence was from October to February, and the age of onset was 40 to 65 years old,with a sex ratio of 2.26：1, the incidence of the population was mainly farmers, followed by workers and migrant workers; the incidence of more areas for Guiyang County, Yongxing County and Linwu County; concentration M value of 0.299, the seasonal distribution trend was not obvious. Conclusion The number of cases in some parts of Chenzhou is still relatively high.It is necessary to strengthen the monitoring of rat density and implement comprehensive prevention and control measures such as rodent control and rodent vaccination.