中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2013年
5期
520-522
,共3页
鼠疫%流行病学%结果评价
鼠疫%流行病學%結果評價
서역%류행병학%결과평개
Plague%Epidemiological%Outcome evalution
目的 分析总结2001-2011年青海省人间鼠疫疫情,为鼠疫防治措施提供科学依据.方法 收集2001-2011年青海省人间鼠疫流行病学现场调查资料及人间鼠疫疫情中各个病例的病历资料,运用流行病学方法进行分析.人感染鼠疫病例按照《鼠疫诊断标准》(WS 279-2008)进行判定.结果 2001-2011年,青海省共发生人间鼠疫14起,发病38人,死亡17人,病死率为44.74％.病例发病地点分布于9个县12个乡；发病时间在5-10月,其中以9月和10月最多,为22例,占57.89％ (22/38)；病例中有藏族牧民和汉族农民,占76.32％ (29/38)和23.68％(9/38);发病年龄在5～67岁,以20～45岁年龄段为主,占68.42％(26/38)；临床病型以重症鼠疫(肺鼠疫和败血型鼠疫)为主,首发病例的发病原因多由患者主动接触染疫动物引起.结论 青海省鼠疫病例发生主要与人类主动接触鼠疫染疫动物有关,青海省人间鼠疫疫情有上升的趋势,鼠疫远距离传播的危险性明显加大.
目的 分析總結2001-2011年青海省人間鼠疫疫情,為鼠疫防治措施提供科學依據.方法 收集2001-2011年青海省人間鼠疫流行病學現場調查資料及人間鼠疫疫情中各箇病例的病歷資料,運用流行病學方法進行分析.人感染鼠疫病例按照《鼠疫診斷標準》(WS 279-2008)進行判定.結果 2001-2011年,青海省共髮生人間鼠疫14起,髮病38人,死亡17人,病死率為44.74％.病例髮病地點分佈于9箇縣12箇鄉；髮病時間在5-10月,其中以9月和10月最多,為22例,佔57.89％ (22/38)；病例中有藏族牧民和漢族農民,佔76.32％ (29/38)和23.68％(9/38);髮病年齡在5～67歲,以20～45歲年齡段為主,佔68.42％(26/38)；臨床病型以重癥鼠疫(肺鼠疫和敗血型鼠疫)為主,首髮病例的髮病原因多由患者主動接觸染疫動物引起.結論 青海省鼠疫病例髮生主要與人類主動接觸鼠疫染疫動物有關,青海省人間鼠疫疫情有上升的趨勢,鼠疫遠距離傳播的危險性明顯加大.
목적 분석총결2001-2011년청해성인간서역역정,위서역방치조시제공과학의거.방법 수집2001-2011년청해성인간서역류행병학현장조사자료급인간서역역정중각개병례적병력자료,운용류행병학방법진행분석.인감염서역병례안조《서역진단표준》(WS 279-2008)진행판정.결과 2001-2011년,청해성공발생인간서역14기,발병38인,사망17인,병사솔위44.74％.병례발병지점분포우9개현12개향；발병시간재5-10월,기중이9월화10월최다,위22례,점57.89％ (22/38)；병례중유장족목민화한족농민,점76.32％ (29/38)화23.68％(9/38);발병년령재5～67세,이20～45세년령단위주,점68.42％(26/38)；림상병형이중증서역(폐서역화패혈형서역)위주,수발병례적발병원인다유환자주동접촉염역동물인기.결론 청해성서역병례발생주요여인류주동접촉서역염역동물유관,청해성인간서역역정유상승적추세,서역원거리전파적위험성명현가대.
Objective To analyze human plague from 2001 to 2011 in Qinghai Province and to provide a scientific basis for formulating prevention and control measures.Methods Using the descriptive epidemiological methods,epidemiological field survey data and medical records of each case of human plague were collected from 2001 to 2011 in Qinghai Province.Human plague was judged in accordance with the "Plague Diagnostic Criteria" (WS 279-2008).Results From 2001 to 2011,human plague was reported 14 times,with incidence of 38 cases,17 dead and death rate was 44.74％ in Qinghai Province.Epidemic areas mainly distributed in the 12 townships of 9 counties.Prevalent season was from May to October,September and October accounted for 57.89％ (22/38).There were cases of Tibetan herders and Han farmers,accounting for 76.32％ (29/38) and 23.68％ (9/38),respectively;onset age from 5 to 67 years,mainly around the age of 20-45 [68.42％ (26/38)].The most prevalent clinical types were pneumonic and septicemic plague and initial case was caused by actively contact with infected plague animals.Conclusions Qinghai human plague is mainly caused by approaching the plague infected animals,human plague in Qinghai Province is on the rise,the risk of long-distance transmission of the plague is significantly increased.
