四川省地震灾后黑热病流行动态与防治现状
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摘要
目的了解地震灾害后黑热病流行动态和防治现状,为制定灾后黑热病防治策略提供依据。方法收集地震前、后各级医疗卫生机构黑热病病历资料和网络直报疫情报告,核实后进行资料处理;了解各受灾黑热病疫区发病和防治措施实施情况。结果全省黑热病病例地震前的2006、2007年分别发病49和78例;地震灾害的2008年发病56例,发病数较地震前有所减少;2009年发病62例;2010年发病65例,其中疫区居民和非疫区流动人群各发病28、37例,分别比2009年下降13.85%和上升19.36%。2010年汶川县居民发病4例,省内和省外非疫区流动人员在当地感染发病9和3例,当地居民和流动人口发病出现回升。结论地震灾后疫区当年居民发病人数有所减少,其后2年局部疫区居民和流动人口发病人数增多,存在黑热病局部暴发风险,应加强相应的防治对策。
Objective To understand the epidemic trends and preventative-controlling situation of leishmaniasis after Wenchuan earthquake and provide evidence for developing the prevention and control strategies.Methods Records from medical institutions and network reporting system before and after the earthquake were collected,verified,and analyzed to understand the epidemic,preventative and controlling situation of leishmaniasis in earthquake-stricken areas.Results There were 49 and 78 leishmaniasis' cases in 2006 and 2007 respectively all around Sichuan province.At the year when earthquake happened,2008,there were 56 cases.The number shrinked after the earthquake.There were 62 cases in 2009 and 65 in 2010,including 28 cases from epidemic areas and 37 from non-epidemic areas,decreased by 13.85% and increased by 19.36% respectively compared to 2009.Nine residents from non-epidemic area of Sichuan and 3 from other provinces were infected in Wenchuan county,with 4 local residents infected.An increasing trend of leishmaniasis incidence was observed in both local residents and floating population.Conclusion The incidence of leishmaniasis among the residents in epidemic areas was decreased after the earthquake.But a large number of susceptible population entered epidemic areas lead an increasing of infection for local residents and floating population.Thus the risks of local outbreak still exist.It is neccesary to strengthen the prevention and control strategies.
Objective To understand the epidemic trends and preventative-controlling situation of leishmaniasis after Wenchuan earthquake and provide evidence for developing the prevention and control strategies.Methods Records from medical institutions and network reporting system before and after the earthquake were collected,verified,and analyzed to understand the epidemic,preventative and controlling situation of leishmaniasis in earthquake-stricken areas.Results There were 49 and 78 leishmaniasis' cases in 2006 and 2007 respectively all around Sichuan province.At the year when earthquake happened,2008,there were 56 cases.The number shrinked after the earthquake.There were 62 cases in 2009 and 65 in 2010,including 28 cases from epidemic areas and 37 from non-epidemic areas,decreased by 13.85% and increased by 19.36% respectively compared to 2009.Nine residents from non-epidemic area of Sichuan and 3 from other provinces were infected in Wenchuan county,with 4 local residents infected.An increasing trend of leishmaniasis incidence was observed in both local residents and floating population.Conclusion The incidence of leishmaniasis among the residents in epidemic areas was decreased after the earthquake.But a large number of susceptible population entered epidemic areas lead an increasing of infection for local residents and floating population.Thus the risks of local outbreak still exist.It is neccesary to strengthen the prevention and control strategies.
引文
[1]张富南,张丽萍,张育智,等.四川省地震灾后黑热病疫情风险因素分析[J].预防医学情报杂志,2010,26(6):433-437.
[2]张富南,胡雅劼,张丽萍.1985-2009年四川省非疫区流动人口黑热病发病情况分析[J].预防医学情报杂志,2011,27(3):186-190.
[3]张富南,肖宁,陈漪澜.rk39免疫层析试纸条(Dipstick)检测黑热病效果评价[J].中国热带医学杂志,2008,8(5):710-711.
[4]张富南,陈漪澜,肖宁.四川省2006~2007年黑热病疫情与防治措施分析[J].中国人畜共患病学报,2008,24(11):1085-1086.
[5]张富南,寇明军,吉建军,等.全面灭犬和禁养家犬措施防治黑热病的远期效果观察[J].中国病原生物学杂志,2008,3(9):720-附页1.
[6]张富南.四川省黑热病流行和防治现状[J].寄生虫病与感染性疾病杂志,2006,4(3):126-128.
[2]张富南,胡雅劼,张丽萍.1985-2009年四川省非疫区流动人口黑热病发病情况分析[J].预防医学情报杂志,2011,27(3):186-190.
[3]张富南,肖宁,陈漪澜.rk39免疫层析试纸条(Dipstick)检测黑热病效果评价[J].中国热带医学杂志,2008,8(5):710-711.
[4]张富南,陈漪澜,肖宁.四川省2006~2007年黑热病疫情与防治措施分析[J].中国人畜共患病学报,2008,24(11):1085-1086.
[5]张富南,寇明军,吉建军,等.全面灭犬和禁养家犬措施防治黑热病的远期效果观察[J].中国病原生物学杂志,2008,3(9):720-附页1.
[6]张富南.四川省黑热病流行和防治现状[J].寄生虫病与感染性疾病杂志,2006,4(3):126-128.
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