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目的为了解苗尾水电站工程建设及运行期间自然疫源性疾病流行趋势,分析水库蓄水、运行调度、施工人员进驻、工程施工和移民安置对库周人群健康的影响。方法按照《水利水电工程环境影响医学评价技术规范》实施调查分析,收集有关疾病发病及传媒监测资料进行统计学分析。结果 2005-2009年施工区、淹没区和安置区涉及乡镇均无流行性出血热报告,自然人群流行性出血热抗体的检测结果显示2个区域的人群曾存在流行性出血热的感染;历史资料显示云龙县曾有过鼠疫暴发和流行,为鼠疫自然疫源地。结论与环境变化关系较为密切的自然疫源性疾病存在局部流行或暴发的可能,应加强疾病监测和综合防控。
Objective To understand the epidemic trend of natural foci of Miaowei hydropower station during its construction and operation, and analyze the impact of reservoir impoundment, operation scheduling, construction workers’ stationing, construction and resettlement on the health of the reservoir-week crowd. Methods According to the survey and analysis of “Technical Specifications for Medical Evaluation of Environmental Impact Assessment of Water Conservancy and Hydropower Projects”, the data of disease onset and media monitoring were collected for statistical analysis. Results There was no report of epidemic hemorrhagic fever in the construction area, inundation area and resettlement area between 2005 and 2009. The detection results of the epidemic hemorrhagic fever antibody in the natural population showed that there were epidemic hemorrhagic fever infection in the population of the two areas. It shows that there was a plague outbreak and epidemic in Yunlong County, which is a natural foci of plague. Conclusion Natural foci of diseases that are closely related to environmental changes may be endemic or outbreak. Disease surveillance and integrated prevention and control should be strengthened.