2005-2011年北京市肾综合征出血热病例的流行特征

目的根据北京市肾综合征出血热（hemorrhagic fever with renal syndrome,HFRS）病例诊疗信息,分析北京市HFRS流行病学特征。方法 2005-2011年北京市HFRS病例信息来源于《疾病监测信息报告管理系统》,采用SPSS 16.0软件描述HFRS病例流行病学特征。结果 2005-2011年北京市累计报告HFRS病例266例。病例年龄14～71岁（中位数35.5岁）,男性为主（男女性别比4.2∶1）。病例职业以农民和民工（28.20%）为主,其次为家务及待业人员（17.67%）、干部职员（11.65%）。病例现住址主要为朝阳区（29.3%）、海淀区（12.0%）和昌平区（9.8%）。死亡4例,病死率1.50%,死亡病例年龄18～44岁,职业以农民和民工为主（75.00%）,发病诊断时间差3～12 d。结论农民、民工为北京市HFRS感染的高危人群。为做好出血热防控工作,应继续加强灭鼠工作、高危人群疫苗接种和病原学监测,减少新增病例的出现。

Epidemiologic features analysis of hemorrhagic fever with renal syndrome in Beijing City from 2005 to 2011

Objective To analyze the epidemiologic features of hemorrhagic fever with renal syndrome（HFRS） ac-cording to the case information of diagnosis and treatment in Beijing. Methods Data of the reported HFRS cases during 2005-2011 in Beijing were collected from China Information System for Disease Control and Prevention. The epidemiologi-cal features were analyzed for HFRS cases with SPSS 16. 0 software. Results A total of 266 HFRS cases were confirmed. The median age of the cases was 35.5 （ range 14-71 years）, and the gender ratio was 4. 2 ： 1 （ male ： female）. Most of the reported cases were peasant and migrant laborer （28. 20% ）, job-waiting people （ 17. 67% ）, and cadre （ 11.65 % ）. Most of the cases resided in Chao-yang District（29. 3% ）, Hai-dian District（ 12. 0% ） and Chang-ping District（9. 8% ）. 4 death cases were reported, fatality rate was 1.5% （range 18-44 years） , most of the death were peasants and migrant laborers. The time from failed ill to see a doctor was 3 to 12 days. Conclusions Most of the cases are peasants, migrant laborers. In order to improve the level of HFRS control, we should pay more attention to deratization, vaccination and vector biology monitoring to decrease the quantity of new cases.