本文選題：腎綜合征出血熱 + 流性特征��； 參考：《現代預防醫(yī)學》2017年22期

【摘要】：目的了解黑龍江省腎綜合征出血熱(Hemorrhagic Fever with Renal Syndrome,HFRS)的流行特征和發(fā)病規(guī)律,為疫情防控提供參考依據。方法利用傳染病報告信息管理系統(tǒng)收集2007-2016年HFRS病例資料,采用描述流行病學方法進行統(tǒng)計分析。結果 2007-2016年黑龍江省共報告HFRS病例17 820例,死亡病例163例,年平均報告發(fā)病率4.66/10萬,年平均報告死亡率0.04/10萬。全省HFRS病例呈散發(fā),每年13個市(地)均有病例報告,其中報告發(fā)病數較多的市(地)為佳木斯(3 240例)、哈爾濱(2 283例)、雙鴨山(2 147例);報告發(fā)病率較高的市(地)為雙鴨山(14.48/10萬)、佳木斯(12.87/10萬)、鶴崗(9.05/10萬)。每年發(fā)病呈明顯的春夏季和秋冬季2個高峰,以秋冬高峰為主。男女發(fā)病性別比為3.65∶1;發(fā)病相對集中在30~59歲年齡組,占總病例的70.16%;職業(yè)構成中以農民為主,占總病例的68.60%。結論黑龍江省近10年HFRS發(fā)病率、死亡率總體呈下降趨勢,壯年男性農民為HFRS的高發(fā)人群,年近60歲及以上年齡組發(fā)病比例有增大的趨勢。為做好HFRS防控工作,應繼續(xù)加強滅鼠、防鼠及高危人群疫苗接種工作,關注大年齡組人群疾病防控,減少新病例的出現。
[Abstract]:Objective to investigate the epidemic characteristics and pathogenesis of hemorrhagic fever with renal syndrome (HFRS) Fever with Renal Syndromefus (HFRS) in Heilongjiang Province, and to provide reference for prevention and control of HFRS. Methods the infectious disease report information management system was used to collect the data of HFRS cases from 2007 to 2016, and the descriptive epidemiology method was used for statistical analysis. Results A total of 17,820 HFRS cases and 163 deaths were reported in Heilongjiang Province from 2007 to 2016. The average annual reported incidence rate was 4.66 / 100 thousand, and the average annual reported mortality rate was 0.04 / 100,000. The HFRS cases were sporadic in the province, and were reported in 13 cities (prefectures) every year. Among them, 3 240 cases of Jiamusi were reported, 2 283 cases of Harbin and 2 147 cases of Shuangyashan were reported, and the cities with higher reported incidence were Shuangyashan (1448 / 10 000), Jiamusi (128.7% / 10 000), Hegang (9.05% / 100 000). There were two peaks in spring and summer and autumn and winter, mainly in autumn and winter. The sex ratio of male to female was 3.65: 1, the incidence was relatively concentrated in the age group of 30 to 59 years old, accounting for 70.160.16.The occupation was mainly composed of farmers, which accounted for 68.60% of the total cases. Conclusion the incidence and mortality of HFRS in Heilongjiang Province in recent 10 years showed a downward trend. The male farmers were the high incidence population of HFRS in the past 10 years, and the incidence rate of the male farmers was increasing in the age group of 60 years and over. In order to prevent and control HFRS, we should continue to strengthen the vaccination of rodent control, rodent control and high risk population, pay attention to the prevention and control of diseases in the older age group and reduce the occurrence of new cases.
【作者單位】： 黑龍江省疾病預防控制中心病毒所;
【基金】：國家科技重大專項傳染病監(jiān)測技術平臺項目(2012ZX10004209-004)
【分類號】：R181.8;R512.8

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