CAJ | 학술논문

目的分析宜昌市狂犬病的流行规律,为制定控制策略提供依据.方法采用描述流行病学方法对本市2000-2009年报告的所有狂犬病病例进行流行病学个案调查和分析.结果 2000-2009年全市共报告狂犬病患者78例,年均发病率为0.20/10万,病死率100.00%.全市13个县(市、区)均有病例报告,以当阳市、枝江市发病多(39例),占全市报告总数的50.00%;40岁以上年龄组发病占75.64%;发病以农民和学生为主.肇事动物以犬为主,占96.15%;致伤动物均无疫苗免疫史.结论犬只管理不规范,群众暴露后未注射疫苗是狂犬病流行的因素.加强狂犬病疫情监测,加强犬类管理,及时做好暴露人群处理是防控狂犬病的重要措施.
목적 분석의창시광견병적류행규률,위제정공제책략제공의거.방법 채용묘술류행병학방법대본시2000-2009년보고적소유광견병병례진행류행병학개안조사화분석.결과 2000-2009년전시공보고광견병환자78례,년균발병솔위0.20/10만,병사솔100.00%.전시13개현(시、구)균유병례보고,이당양시、지강시발병다(39례),점전시보고총수적50.00%;40세이상년령조발병점75.64%;발병이농민화학생위주.조사동물이견위주,점96.15%;치상동물균무역묘면역사.결론 견지관리불규범,군음폭로후미주사역묘시광견병류행적인소.가강광견병역정감측,가강견류관리,급시주호폭로인군처리시방공광견병적중요조시.
Objective To analyze the epidemic character of rabies in Yichang city, and to provide the basis for the control strategies. Methods Cases investigation were used to analyze all the rabies cases reported from 2000 to 2009 in Yichang city. Results There were 78 cases of rabies reported from 2000 to 2009. The average annual incidence rate was 0.20 per 100 000 and the fatality rate was 100.00%. Rabies cases were reported in 13 counties in Yichang. 39 case were reported in Dangyang county and Zhijiang county, accounted for 50.00% in all reported cases. 75.64% of the patients were over 40 years old. Most cases were farmers and students. Dogs were the main animal host of the rabies virus, 96.15% of them had no rabies vaccination. Conclusions The main reasons for the rabies epidemic are the dogs with no standardized management, with no vaccination for the exposure of people. So strengthening the monitoring of rabies, strengthening the management of dogs, and treating post-exposure cases in time are very important for prevention and control of rabies.