中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2009年
3期
261-264
,共4页
常昭瑞%张静%李培龙%汪诚信%毛德强%贺圆圆%颜朝阳%江斌%王子军%杨维中
常昭瑞%張靜%李培龍%汪誠信%毛德彊%賀圓圓%顏朝暘%江斌%王子軍%楊維中
상소서%장정%리배룡%왕성신%모덕강%하원원%안조양%강빈%왕자군%양유중
三峡库区%人群健康%监测点%影响因素
三峽庫區%人群健康%鑑測點%影響因素
삼협고구%인군건강%감측점%영향인소
Three Gorges Reservoir Areas%People health%Surveillance sites%Affecting factors
目的 了解三峡水库二期蓄水4年后库区人群健康状况及潜在影响因素.方法 通过"三峡库区人群健康临测系统"收集三峡库区人群死亡资料、传染病和地方病流行情况以及媒介生物监测资料等信息,对所收集资料进行综合分析.结果 循环系统、肿瘤、呼吸系统、损伤中毒和消化系统疾病是引起三峡库区人群死亡的主要病因,五种死因占总死亡例数的90.94%.与水库蓄水有关的介水传染病(甲型肝炎、痢疾和伤寒等)及与虫媒变化有关的自然疫源性疾病均处于较低发病水平.2007年室内、户外鼠密度(3.11%和3.16%)均高于2006年,低于二期蓄水前5年的平均值.黑线姬鼠作为肾综合征出血热病毒和钩端螺旋体的宿主动物,其构成比自2006年(8.16%)起持续增加.畜圈和人房蚊密度高于2006年,但低于二期蓄水前5年的平均值.结论 三峡库区蓄水后生态环境的改变尚未对人群健康产生明显影响,应加强媒介生物的监测.
目的 瞭解三峽水庫二期蓄水4年後庫區人群健康狀況及潛在影響因素.方法 通過"三峽庫區人群健康臨測繫統"收集三峽庫區人群死亡資料、傳染病和地方病流行情況以及媒介生物鑑測資料等信息,對所收集資料進行綜閤分析.結果 循環繫統、腫瘤、呼吸繫統、損傷中毒和消化繫統疾病是引起三峽庫區人群死亡的主要病因,五種死因佔總死亡例數的90.94%.與水庫蓄水有關的介水傳染病(甲型肝炎、痢疾和傷寒等)及與蟲媒變化有關的自然疫源性疾病均處于較低髮病水平.2007年室內、戶外鼠密度(3.11%和3.16%)均高于2006年,低于二期蓄水前5年的平均值.黑線姬鼠作為腎綜閤徵齣血熱病毒和鉤耑螺鏇體的宿主動物,其構成比自2006年(8.16%)起持續增加.畜圈和人房蚊密度高于2006年,但低于二期蓄水前5年的平均值.結論 三峽庫區蓄水後生態環境的改變尚未對人群健康產生明顯影響,應加彊媒介生物的鑑測.
목적 료해삼협수고이기축수4년후고구인군건강상황급잠재영향인소.방법 통과"삼협고구인군건강림측계통"수집삼협고구인군사망자료、전염병화지방병류행정황이급매개생물감측자료등신식,대소수집자료진행종합분석.결과 순배계통、종류、호흡계통、손상중독화소화계통질병시인기삼협고구인군사망적주요병인,오충사인점총사망례수적90.94%.여수고축수유관적개수전염병(갑형간염、이질화상한등)급여충매변화유관적자연역원성질병균처우교저발병수평.2007년실내、호외서밀도(3.11%화3.16%)균고우2006년,저우이기축수전5년적평균치.흑선희서작위신종합정출혈열병독화구단라선체적숙주동물,기구성비자2006년(8.16%)기지속증가.축권화인방문밀도고우2006년,단저우이기축수전5년적평균치.결론 삼협고구축수후생태배경적개변상미대인군건강산생명현영향,응가강매개생물적감측.
Objective To understand the health status and potential impact resulted in the second stage of Three Gorges Reservoir Areas sluicing. Methods Data were collected on deaths, prevalence rates of infectious and endemic diseases, as well as on vector surveillance through the project entitled 'Three Gorges Population Health Survey System'. Results The main causes of death in the population living in the Three Gorges Reservoir Areas would include: circulatory system diseases, tumors, respiratory system diseases, injuries/poison and digestive system diseases. The number of deaths caused by the above said five kind of diseases accounted for 90.94% of the total number of deaths. The prevalence rates on Water-born diseases related to the sluicing of reservoir and zoonosis-bome diseases related to the changes of vectors were still low. The indoor and outdoor densities of rodents were 3.11% and 3.16%, both were higher than that in 2006 but lower than the average numbers in the five years prior to the sluicing. The constituent ratio of Apodemus agrarius had constantly risen since 2006. The density of mosquitoes found in livestock barns and human households was higher than that in 2006 but lower than the average number of the five-year studies prior to the sluicing. Conclusion Environment change after the sluicing of the Three Gorges Reservoir Areas did not seem to have obvious impact on the health status of the people living in the areas. However, to strengthen the surveillance on the biological features of the vectors which might have related to the transmission of diseases would be highly recommended.