甘肃省人间鼠疫疫情动态分析

目的掌握甘肃省人间鼠疫疫情动态，探索更有效的防治对策。方法对甘肃省近50年人间鼠疫流行病学资料及疫源地自然结构、宿主动物等资料进行统计分析。结果甘肃省10个县（区）发生动物鼠疫流行．8个县（区）发生人间鼠疫流行，共确诊患者64例，死亡38例。传染源是染疫的旱獭、猫和病人（尸），传播途径主要为剥、食染疫动物和接触病人（尸）。人间病例发生在3—10月，流行月份为5、7、8、9月，高峰为8月。结论猎捕、剥食宿主动物与人间鼠疫的发生密切相关，是人间鼠疫流行或爆发的危险因子。加强监测管理，及早控制鼠间鼠疫的流行，有效控制疫源地内活动者，加强宣传教育，是预防控制人间鼠疫发生的重要措施。

Dynamic analysis of human plague epidemic situation in Gansu

Objective In order to explore an effective controlling and preventing countermeasures by analyzing dynamic epidemic situation of human plague in Gansu Province. Methods Human plague epidemiological datum, the natural foci structures and epidemiological data of the hosts were analyzed. Results 10 counties existed animal plague prevalence and 8 counties occurred human plague. 64 human plague cases were diagnosed and 38 cases died. The contagious sources were M.himalayana, cat and human patient or cadaver. Humans were infected by skinning, eating, contacting with human patients or cadavers. Onset time was within 3 ~ 10 months. August was a peak prevalence month. Conclusions Skinning, eating, capturing animals were the most risk factors of human. Enhancement of the plague surveillance, earlier control of animal plague epidemic, valid control of activities inside the natural foci, enhancement of the public education are the useful countermeasures.