目的分析灵山县人间狂犬病流行及其流行因素,为政府制定防制对策提供科学依据。方法收集2003-2007年该县法定报告的狂犬病疫情流行病学个案资料及监测资料,用Excel软件分析其流行的关系。结果 2003-2007年5年共报告狂犬病85例,发病以农村为主,呈常年散发,夏、秋季较多,占71.76%(61/85);农民和学生占80.00%(68/85),为主要发病人群;男性多于女性,男女性别比为4.3∶1;6～15岁和32～60岁两个年龄组发病较多,占病例总数的68.24%(58/85)。报告病例的平均潜伏期为51 d,头面部咬伤的潜伏期较短(23 d),下肢咬伤的潜伏期较长(83 d);致伤动物主要是犬(占76.47%),咬人犬只免疫接种率为7.06%(6/85);农村犬只密度94.5只/100户;暴露治疗人群中,有74.12%(63/85)进行了伤口处理,27.06%(23/85)接种了疫苗,其中10.53%(4/38)已完成全程接种;5.88%(5/85)注射了抗病毒血清。结论犬只数量增加和防制工作力度不足,伤口处理不规范和疫苗全程接种率偏低是狂犬病发病流行的主要因素。规范犬只动物管理,提高其免疫率,提高暴露后人群伤口处理和免疫接种率,是狂犬病预防控制的重要措施。 Objective To analyze the prevalence and epidemic factors of human rabies in Lingshan County and provide a scientific basis for the government to make prevention and control measures. Methods Epidemiological data and surveillance data on rabies epidemic in the county from 2003 to 2007 were collected and their popular relationships were analyzed by Excel software. Results A total of 85 cases of rabies were reported in 2003-2007. The incidence was mainly in the rural areas, and the disease was mostly distributed in the rural areas in summer and autumn, accounting for 71.76% (61/85) of the total. The peasants and students accounted for 80.00% (68/85) The prevalence was higher in males than females, with a male-to-female ratio of 4.3: 1. Both age groups of 6-15 years and 32-60 years old had more morbidity, accounting for 68.24% (58/85) of the total cases. The average incubation period of reported cases was 51 days, the incubation period of head and facial bites was short (23 days), the latency of lower limb bite was longer (83 days), dogs were the main animals (76.47%), The vaccination rate was 7.06% (6/85). The density of dogs in rural areas was 94.5 / 100. Among the exposed groups, 74.12% (63/85) had wounds and 27.06% (23/85) , Of which 10.53% (4/38) had completed the whole course of vaccination; 5.88% (5/85) had been injected with anti-virus serum. Conclusions The main reason for the prevalence of rabies is the conclusion that increasing the number of dogs and the lack of efforts in prevention and control, and the non-standard treatment of wounds and the low vaccination rate throughout the vaccine period. It is an important measure to prevent and control rabies by regulating dog animal management, raising the immunization rate and improving the rate of wound treatment and immunization after exposure.