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目的分析广东省狂犬病流行特点和影响因素。方法用描述性流行病学方法对历年狂犬病疫情报告资料进行分析。结果1997-2007年广东省狂犬病疫情快速上升,累计报告病例1817例。其中97%居住在农村,≤15岁及≥50岁发病率相对较高,夏秋季高发,疫情有由邻近广西、湖南的县(区)向珠江三角洲腹地逐年蔓延的趋势。结论近年来,广东省人狂犬病由粤西、粤北向珠江三角洲和汕潮平原扩散。农村是狂犬病防控的重点地区,以儿童与老年人发病风险较高,提高人狂犬病暴露后医学处理的可支付性是防控的关键之一。
Objective To analyze the epidemiological characteristics and influencing factors of rabies in Guangdong Province. Methods Descriptive epidemiological methods were used to analyze the data of rabies epidemic over the years. Results The incidence of rabies in Guangdong Province increased rapidly from 1997 to 2007, with a total of 1817 cases reported. Of these, 97% live in rural areas, with a relatively high morbidity of ≤15 years and ≥50 years. In summer and autumn, the outbreaks are spreading year by year in counties (districts) adjacent to Guangxi and Hunan to the hinterland of the Pearl River Delta. Conclusion In recent years, rabies in Guangdong Province has spread from the western Guangdong and northern Guangdong to the Pearl River Delta and the Shantui Plain. Rural areas are the key areas for the prevention and control of rabies, with a high risk of children and the elderly. Improving the affordability of medical treatment after human rabies exposure is one of the key points in prevention and control.