摘要
目的分析2005~2019年湖北省肾综合征出血热(HFRS)疫情流行特征,为制定预防控制措施提供科学依据。方法收集2005~2019年湖北省HFRS的疫情资料和鼠监测资料,开展描述性分析和相关分析。结果湖北省2005~2019年HFRS年平均发病率为0.56/10万,发病高峰为每年5~7月、11月至次年1月,2016年以后病例数上升明显,病例以男性、农民为主,35~69岁人群占79.93%,其中60岁及以上的占27.75%(1354/4879)。2019年湖北省HFRS发病率居前五位的地市为潜江市(6.21/10万)、天门市(4.01/10万)、荆州市(3.01/10万)、仙桃市(2.28/10万)和荆门市(2.04/10万)。发病率和鼠密度呈正相关(r_s=0.57,P<0.05)。结论近年来湖北省HFRS疫情有所回升,应重点关注潜江市、天门市和荆州市等江汉平原地区和60岁及以上人群,开展"监测、健教、灭鼠、免疫"并重的综合性防控措施。
Objective To analyze the epidemiological characteristics of hemorrhagic fever with renal syndrome(HFRS)in Hubei from 2005 to 2019,and provide valuable reference for formulating prevention and control measures.Methods The epidemic data and rat monitoring data of HFRS in Hubei province from 2005 to 2019 were collected,and descriptive analysis and related analysis were performed.Results The average annual incidence of HFRS in Hubei from 2005 to 2019 was 0.56/100,000,and most cases occurred between May and July,or between November and January of the following year.The number of HFRS cases increased obviously from 2016.The HFRS cases mainly focus on men,farmers,and those who aged 35 to 69 years old.The HFRS patients with 60 years old and over accounted for 27.75%(1354/4879).The top five areas with incidence rate in 2019 are Qianjiang city(6.21/100000),Tianmen city(4.01/100000),Jingzhou city(3.01/100000),Xiantao city(2.28/100000),and Jingmen city(2.04/100000).The incidence of HFRS was highly correlated with rat density(rs=0.57,P<0.05).Conclusion The HFRS epidemic situation in Hubei province has rebounded in recent years.It is necessary to focus on the Jianghan plain areas such as Qianjiang city,Tianmen city and Jingzhou city,and people aged 60 and above.It is suggested to the comprehensive HFRS prevention and control,such as surveillance,health education,deratization and immunization.
作者
刘漫
刘力
杨瑞
吴杨
LIU Man;LIU Li;YANG Rui(Institute of Infectious Disease Control,Hubei Province Center for Disease Control and Prevention,Wuhan 430079,China)
出处
《全科医学临床与教育》
2021年第2期149-152,共4页
Clinical Education of General Practice
基金
湖北省卫生计生委联合基金立项项目(WJ2018H250)。
关键词
湖北
肾综合征出血热
监测
宿主动物
Hubei
hemorrhagic fever with renal syndrome
monitor
host animal
