深圳市SARS流行病学调查分析

Epidemiology Analysis on Severe Acute Respiratory Syndrome in Shenzhen City

目的描述深圳市SARS的流行病学特点,为进一步制定预防控制对策提供信息支持。方法通过对医院收治的53例病人进行病例汇总及流行病学调查,描述流行概况。结果深圳市53例SARS患者男比女为1.4∶1,20～40岁的有29人(54.7%)。2、3月为发病高峰期;发病地点罗湖区及福田区各为19、20例;发病职业分布无差异。53例中30人(56.6%)有接触史或/及去广东其他城市、香港旅游史,其中于医院接触而发病的有9例(17.0%)。53例中有5个家庭发生家庭聚集病例,2个单位出现群发病例,共累及21人(39.6%),死亡2人。深圳医护人员无一人发病。结论此次SARS于深圳流行过程中,以青壮年发病多见,男性发病稍多,发病地点多为人口密集的商业区,多有接触史或/及旅游史,呈家庭聚集及单位群发的特点。严格实行消毒隔离措施,并坚持服用病毒唑等抗病毒药物可有效防止SARS在医院内的传播。

Objective To describe the epidemiology features of SARS in Shenzhen and to provide information and data for making prevention and control strategy against SARS. Method To summarize and analyze the case reports of 53 patients with SARS in Shenzhen. Results Among the 53 patients (male to female ratio, 1.4∶1), 29 patients (54.7%) were aged 20 40 years. The plague peaked in Feburary and March. The plague spots were in two districts of Luohu and Futian with an incidence of 19 and 20 cases respectively. The incidents did not correlated to their professions. Thirty patients (56.6%) had the contact history with SARS patient or had ever been to the other cities of Guangdong or Hongkong. Nine patients (17%) were infected with SARS in hospital. Clustered incidences in 21 patients (39.6%) and 2 deaths were detected. They were from 5 families and 2 working units. None of the hospital staffs in Shenzhen suffered from SARS. Conclusions In Shenzhen, the young and male patients were more sufferred from SARS infection. The plague spot was mainly at populated downtown or business center. Both the contact/travel history and clustered incidences in family or working unit were found. To sterilize the contaminated areas, quarantine and treat with anti virus medicines like Ribavirin may effectively prevent SARS from transmitting in a hospital.