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目的分析2016年河南省恙虫病疫情及诊断特征,为其防控策略的制订提供科学依据。方法对2016年河南省疾病监测信息报告系统报告的恙虫病疫情及医疗机构对恙虫病病例的诊断情况进行描述性流行病学分析。结果 2016年河南省共报告恙虫病病例88例,病例主要分布在驻马店、周口等豫南、豫东地区,9~11月为发病高峰,40~70岁之间的中老年农民报告病例数最多。河南省报告的88例病例中,本省报告率仅为68.18%。省内报告的60例病例均为临床诊断病例。结论河南省大部分医疗机构对恙虫病的临床、实验室诊断能力均有待提高。加强重点疫区高危人群健康教育、农村地区秋季灭鼠及基层医务人员培训;开展恙虫病病原学监测是提高恙虫病防控水平的有效措施。
Objective To analyze the epidemic situation and diagnosis characteristics of scrub typhus in Henan in 2016 and provide a scientific basis for its prevention and control strategy. Methods Descriptive epidemiological analysis of the epidemic situation of scrub typhus and the diagnosis of scrub typhus among medical institutions reported by the Disease Surveillance Information Reporting System of Henan Province in 2016 were carried out. Results A total of 88 cases of tsutsugamushi disease were reported in Henan Province in 2016. The cases mainly distributed in southern Henan and eastern Henan such as Zhumadian and Zhoukou. The peak incidence occurred from September to November, and the number of middle-aged and aged peasants reported between 40 and 70 years old was the highest . Of the 88 cases reported in Henan Province, the province reported a rate of only 68.18%. The province reported 60 cases were clinical diagnosis. Conclusion Most of the medical institutions in Henan Province have scrupulous clinical and laboratory diagnostic capabilities for scrub typhus. Strengthening the health education of high-risk groups in key epidemic-affected areas, rodent control in rural areas in autumn and training of grassroots medical personnel; carrying out etiological monitoring of scrub typhus is an effective measure to improve the prevention and control of scrub typhus.