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本文对延边地区(1954～1984年)发生的7,802例流行性出血进行了流行病学调查和分析。结果表明,本病在本地区的流行具有散发及变动的灶状分布特点;有明显的季节性,系单峰型;出血热的爆发流行则并非受按月分布的普通性流行规律所制约;青壮年(农民)男性多发;朝鲜族的发病率明显高于汉族。本病在啮齿动物中,属多宿主性。其中,黑线姬鼠、褐家鼠、东方田鼠与出血热的关系最为密切;爆发流行则与林姬鼠、棕背(鼠平)、红背(鼠平)等有关。不能排除出血热有多种传播途经的可能性,但虫媒传播能比较完满地解释本病的许多流行表现。还讨论了出血热的预防,并强调了采取以防鼠灭鼠为中心的综合性预防措施的重要性。
The epidemiological investigation and analysis of 7,802 epidemic hemorrhages in Yanbian area (1954 ~ 1984) were conducted. The results showed that the prevalence of this disease in the region has the characteristics of distribution and changes of the stove-like distribution; obvious seasonal, Department of unimodal type; outbreak of haemorrhagic fever is not subject to the prevalence of the prevalence of the monthly distribution constraints; Young men (peasants) have multiple men; the incidence of Korean people is significantly higher than that of Han people. The disease in rodents, is multi-host. Among them, Apodemus agrarius, Rattus norvegicus, and Microtus fortis are most closely related to hemorrhagic fever; the prevalence of the outbreak is related to Apodemus agrarius, Brownback, and Redback. The possibility of multiple routes of transmission of hemorrhagic fever can not be ruled out, but transmission by insects is a fairly complete explanation of many of the epidemic’s manifestations of the disease. The prevention of haemorrhagic fever was also discussed and the importance of taking comprehensive preventive measures centered on rodent control was highlighted.