云南省西南边境地区人血清虫媒病毒抗体调查

本文报告了云南省西南部4个专州9个县的760份人血清对11种虫媒病毒抗原的血凝抑制抗体检查结果,发现不仅乙脑和登革抗体较普遍,同时也存在其它黄病毒组和甲组虫媒病毒的抗体。
甲组虫媒病毒抗体阳性率平均为36.18%(275/760),其中MAY阳性率最高占总阳性数的68.73%(189/275),其次是CHIK占22.18%(61/275),几何平均滴度(GMT),VEE为164.4,MAY为94.48,CHIK为66.7。有交叉反应的血清178份,占64.73%.
黄病毒组抗体阳性率为77.37%(588/760),其中登革和乙脑阳性率最高,前者为36.58%(278/760,后者为27.89%(212/760),其它病毒的阳性率分别为:KFD22.24%(169/760),MVE22.11%(168/760),KUN18.68%(142/760),POW8.82%(67/760),LGT7.89%(60/760)。黄病毒抗体检查中重复感染者较多,占检查数的33.03%(251/760),占黄病毒组总阳性数的42.69%(251/588)。抗体滴度在1:640以上者有403人,占总阳性人次数的36.64%(403/1100),几何平均滴度为355.8。组内交叉反应率达97.09%。

A Survey of Antibodies to Arboviruses in Residents in South-Western Part of Yunnan Province

In order to provide serological evidence for arbovirus infection in Yunnan province, 760 Samples of human sera collected from nine counties in south-western part of Yunnan province were examined for HI antibodies to 11 arboviral antigens. The viruses used in this experiment included 3 alphaviruses (MAY, VEE and CHIK) and 8 flaviviruses (JE, MVE, KUN, DEN3, DEN4, KFD, LGT and POW). 275 samples were found positive for HI antibodies to alphaviruses (36.2%) and 189 of them (68.7%) reacted with MAY virus, 61 (22.2%) with CHIK. The GMT of HI titers for VEE, MAY and Chik were 164.4, 94.5 and 66.7, respectively. 588 samples of sera (77.4%) were found positive for HI antibodies to flaviviruses. The positive HI antibody rates were as follows: JE, 27.9%; DEN, 36.6%; KFD, 22.2%; MVE, 22.1%; KUN, 18.7%; POW, 8.8% and LGT, 7.9%, respectively. Its average GMT was 356, and the antibody titers of 403 samples of sera were higher than 1/640. Cross reactions among viruses, especially flaviviruses, were usually found by HI test, and superinfections were present. In addition to the existence of JE and DEN viruses the results clearly showed that many Kinds of arboviruses might exist in Yunan Province.