广州市2003年肾综合征出血热监测结果分析

目的　掌握广州市肾综合征出血热 (HFRS)的流行特征 ,以制定相应的防制对策。方法　对广州市HFRS确诊患者个案调查资料 ,患者或疑似患者血清标本实验室检测和宿主动物的鼠种、密度和带毒率监测结果进行总结和分析。结果　广州市HFRS流行特征为发病以青壮年男性 ,待业个体、工人、退休和民工等低收入人群为主 ;发病高峰季节集中在 1- 4月冬春季节 ;血清学监测阳性检出率 9.8% ;带毒鼠种主要为褐家鼠 ,臭鼠句鼠青 ,小家鼠和黄胸鼠。结论　 2 0 0 3年广州市HFRS发病率比 2 0 0 2年有较低幅度的升高 ;引起传播流行的危险是一直存在 ,有必要加强HFRS有关监测和预防控制措施 ,防止HFRS在广州市暴发流行。

Analysis on Surveillance Results of Hemorrhagic Fever with Renal Syndrome in Guangzhou in 2003

Objective To understand the epidemic characteristics of Hemorrhagic Fever with Renal Syndrome(HFRS)in Guangzhou and to set up the corresponding preventive and cure countermeasures. Methods The investigation data of individual case diagnosed as HFRS in Guangzhou, lab testing results of serum samples of sufferers or suspected sufferers and monitoring results of mouse species, density and toxin-carrying rate of host animals were summarized and assayed. Results The epidemic characteristics of HFRS in Guangzhou were that occurred mainly in a population including young male adults, unemployed individuals, workers, the retired and migrant laborers who had a low income; the peak season of onset was focused in winter and spring from January to April; the positive detection rate of serological monitoring was 9.8%; the poison-carried mouse species were mostly Rattus norvegicus, Suncus murinus, Mus musculus and Rattus flavipectus. Conclusion: The morbidity of HFRS in Guangzhou in 2003 had a low-extent increase compared with 2002; the risk of inducing transmission and epidemic had always been present, hence it was necessary to strengthen HFRS related monitoring and prophylactic and control measures to prevent the outburst and epidemic of HFRS in Guangzhou city.