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目的分析2002~2009年宾阳县狂犬病流行特征、流行因素,探讨防制对策。方法对2002~2009年宾阳县狂犬病疫情及监测资料进行统计分析;采用直接免疫荧光法检测狂犬病毒抗原。结果 2002~2009年宾阳县狂犬病48例,发病率在0.1~1.62/10万之间,年平均发病率为0.59/10万。发病年龄主要集中0~10、50~60和60~70岁,分别占14.58%、20.83%和20.83%。职业分布以农民发病为主,其次为学生。暴露后只有12.5%的病例及时到医疗机构进行伤口处理,4.17%全程注射疫苗,4.17%接种狂犬病免疫球蛋白或抗狂犬病血清。近年来农村养犬密度大,以放养为主,犬只免疫率低,犬带毒率高达18.00%。结论狂犬病防制需要各级政府建立长效管理机制,多部门共同参与,密切协作,采取综合防制措施,才能有效预防控制狂犬病的发生和流行。
Objective To analyze the epidemiological characteristics and prevalence of rabies in Binyang County from 2002 to 2009 and to explore the countermeasures for prevention and control. Methods The epidemic situation and surveillance data of rabies in Binyang County from 2002 to 2009 were statistically analyzed. The rabies virus antigen was detected by direct immunofluorescence. Results 48 cases of rabies in Binyang County from 2002 to 2009, the incidence rate was 0.1 ~ 1.62 / 100000, the average annual incidence was 0.59 / 100000. The age of onset was mainly 0-10, 50-60 and 60-70 years old, accounting for 14.58%, 20.83% and 20.83% respectively. Occupational distribution mainly farmers, followed by students. Only 12.5% of the cases were exposed to medical institutions for wound treatment in time, 4.17% of whole-dose vaccines and 4.17% of rabies immunoglobulin or anti-rabies serum. In recent years, the density of dog breeding in rural areas, mainly to stocking, dog immunization rate is low, dogs with high virus rate of 18.00%. Conclusions Rabies disease prevention needs the establishment of long-term management mechanism at all levels of government. It is only through joint participation and close cooperation among multiple departments that comprehensive prevention and control measures can be taken to prevent and control the occurrence and prevalence of rabies.