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目的了解上海市长宁区一起流行性出血热疫情的调查和处置情况,为今后开展流行性出血热防控工作提供经验。方法收集查阅流行性出血热病例的临床资料,并进行流行病学个案调查,在疫区和警戒区开展灭鼠行动和鼠密度、鼠类带毒率监测。结果病例临床表现为关节疼痛,颜面、头颈和手充血发红,少尿等流行性出血热典型症状。实验室检查双份血清效价呈4倍升高。病例住所卫生状况差、鼠类侵害痕迹严重,食物经常敞开存放。疫点鼠密度监测结果达标,捕获1只褐家鼠,未检出流行性出血热病毒。结论食用或接触被鼠污染的食品或物品所致感染的可能性较大。应进一步做好防鼠灭鼠工作,加强疫点监测,同时提高监测敏感性。
Objective To understand the investigation and treatment of epidemic situation of epidemic hemorrhagic fever in Changning District of Shanghai and to provide experience for prevention and control of epidemic hemorrhagic fever in the future. Methods The clinical data of cases of epidemic hemorrhagic fever were collected, and epidemiological investigation was conducted. Epidemic investigations were conducted in both epidemic and warning areas to monitor the detoxification and rodent densities. Results The clinical manifestations were joint pain, facial, head and neck and hand congestion, red blood and oliguria typical symptoms of epidemic hemorrhagic fever. Laboratory tests double the serum titer was 4 times higher. Poor health condition of dwelling houses, rodent traces of serious, often open food storage. Outbreak of dendritic rat density monitoring results, capture 1 Rattus norvegicus, no detection of epidemic hemorrhagic fever virus. Conclusion It is highly likely that the infection will be caused by eating or touching food or articles contaminated with mouse. Further efforts should be made to prevent and eradicate rodent disease, strengthen the surveillance of epidemic areas and improve the sensitivity of surveillance.