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西藏普兰县山地人间鼠疫流行调查报告

Epidcmiological Investigation on an Episode of Human Plague Preva-lence in a Mountain Area within the Limits of Pulan County, Tibet

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【作者】 西绕若登扎西桑珠次仁次仁顿珠

【Author】 Xi Rao-ruodeng, (Tibet Institute for Endemic Disease Control and Research, Lasa)

【机构】 西藏自治区地方病防治研究所西藏自治区地方病防治研究所 拉萨拉萨拉萨

【摘要】 1989年8月12日~8月26日西藏普兰县境冈底斯山南坡(N30°40′~31°E81°30′~82°,海拔4530~5180米)发生一起人间鼠疫流行。7人发病3人未经治疗而死亡,4人被治愈。发病者均为藏族牧民,4男3女。首发病人系因接触自毙旱獭(Marmota hymalayana)而染疫,其余继发病人皆因接触鼠疫病人而感染。据流行病学资料分析,是一起肺鼠疫流行;并推测上述疫区是一块旱獭鼠疫疫源地,同时认为是已知仲巴冈底斯山喜马拉雅旱獭疫源地的组成部分。

【Abstract】 During the period of Aug. 12th-26th, 1989, an episode of human plague prevalence occurred at the south slope (30? 40’-31 N, 81? 30’-82 E; altitude 4530-5180 metre) of Gangdis Mountain range within the limits of Pulan County, Tibet Autonomous Region. Seven persons (male 4, female 3), who are all Tibetan shepherds, were involved in the episode; of them 3 patients resulted in death without being treated in time and 4 ones were cured; the first case was infected with the causative agent of plague through contacting with a self-dead marmot (Marmota hymalayana), and other 6 secondary cases infected one by one through contacting with a patient who had suffered from plague.According to epidemiological analysis of this outbreak of human plague, the epidemic was considered to be an episode of human pulmonary plague, and the above mentioned area affected thought as a natural focus of plague where marmots could act as a reservoir of the disease and also as a part of the known natural foci of plague where M. hymalayana could play a role of host.

  • 【文献出处】 地方病通报 ,Endemic Disease Bulletin , 编辑部邮箱 ,1990年04期
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