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风湿热和风湿性心脏病对人类健康的危害甚大。当今在欧美和日本风湿热和风湿性心脏病已属罕见,发病率及患病率分别在0.50/10万和50/10万以下,但在东南亚和非洲一些国家分别高达1OO/10万和1000/1O万以上。以往我国缺乏系统、完整的资料。“八五”期间,国家科委将“风湿热的流行病学调查和风湿性心瓣膜病的一级预防”列为攻关课题,并在我国东,西、南、北、中五个地区选择有一定代表性的省、市(区)进行协作研究,杭州市作为华东地区代表单位之一,执行了这一课题的调查。1992年7月~1996年6月,我们对杭州城区5~18岁学生按统一标准进行了风湿热和风心病流行病学调查和监测,现报告如下。
Rheumatic fever and rheumatic heart disease are detrimental to human health. Today, rheumatic fever and rheumatic heart disease are rare in Europe, the United States and Japan, with morbidity and prevalence below 0.50 / 100,000 and 50 / 100,000, respectively, but in Southeast Asia and some African countries, up to 100,000 and 1,000 respectively / 1O million or more. In the past, our country lacks systematic and complete information. During the “Eighth Five-Year Plan” period, the State Science and Technology Commission has listed “the epidemiological investigation of rheumatic fever and the primary prevention of rheumatic valvular heart disease” as the research topics and has chosen it in the five areas of East, West, South, North and Central China There are some representative provinces, municipalities (districts) for collaborative research, Hangzhou, as one of the representative units in East China, the implementation of the investigation of this issue. From July 1992 to June 1996, we conducted an epidemiological investigation and monitoring of rheumatic fever and rheumatic heart disease according to uniform standards for students aged 5 to 18 in Hangzhou urban area. The report is as follows.