1985-2010年厦门市肾综合征出血热流行趋势分析

目的了解厦门市肾综合征出血热(出血热,HFRS)流行强度、病死情况及其趋势,制定符合厦门市实际情况的预防控制方案。方法收集有关出血热的流行病学资料。结果厦门市1985-2010年共报告出血热本地病例22例,死亡1例,发病率在0～0.238/10万之间。宿主动物血清阳性率为13.45%,褐家鼠血清阳性率为21.52%;宿主动物带毒率为2.52%,带毒指数0.037 77,与20世纪80年代宿主动物调查结果无差别(P>0.05)。2009年健康人群血清抗体阳性率为1.63%,与福建省1984-1997年家鼠型疫区健康人群血清抗体水平差异无统计学意义(P=0.175)。结论厦门市出血热病例呈散发分布,出血热疫区流行强度较小、传染性相对较弱。

Prevalence of hemorrhagic fever with renal syndrome in Xiamen city from 1985 to 2010

Objective To understand the epidemic,mortality and the trend of epidemic of hemorrhagic fever with renal syndrome（HFRS）in Xiamen city and establish the suitable prevention and control strategy which were suitable for the city.Methods Collecting data on epidemiology of HFRS.Results From 1985 to 2010,there were 22 cases of HFRS,1 case died,the incidence of HFRS fluctuations between 0-0.238/100 000.The overall positive rate of Hantavirus antibody among the host animals was 13.45%,of which Rattus norvegicus was 21.52%.Positive lung tissues were detected from the host animals were 2.52%.The rate of hidden infection of the healthy population was 1.63% in 2009.There was no statistical difference between the 2009 in Xiamen and 1984-1997 in Fujian Province（P=0.175）.Conclusion The epidemic of HFRS is sporadic distribution,the infectious ability is relatively weak.