【摘要】 [目的]了解狂犬病的流行病学特征并探讨流行因素和防制对策,遏制全县狂犬病疫情上升趋势。[方法]收集郯城县2003~2007年狂犬病疫情、个案调查表、调查报告等资料进行分析。[结果]2003~2007年全县共发生狂犬病34例,男性21例,女性13例。分布于红花、港上、十里等16个乡镇,以红花乡、港上镇、十里乡发病数最高(分别报告4例),占全县病例总数的35.29%;发病以10~19学生及30~39岁青壮年农民和50~69老人居多;有犬伤史者32例中(占94.12%);14例病人局部伤口未处理(占41.18%),未注射狂犬病疫苗的24例(占70.59%),10例接种过狂犬病疫苗者中,4例全程接种,接种4针次的4例,接种3针次的1例,接种2针次的1例;只有1例使用过抗狂犬病免疫球蛋白。[结论]要加强狂犬病防制工作,严格执行养犬规定,加强宣传教育,规范狂犬病暴露处置门诊和疫苗供应。更多还原

【Abstract】 [Objective]To understand the epidemiological characteristics of rabies,explore the epidemic factors and control measures to prevent the epidemic upward trend of rabies in the county.[Methods]Data of the epidemic of the disease,questionnaire and investigation report in Tancheng from 2003 to 2007 were collected and analyzed.[Results]34 rabies cases were reported from 2003 to 2007.21 cases were male and 13 were female.The cases were reported in 16 towns(Honghua,Gangshan,Shili).4 cases were reported in Honghua,Gangshang and Shili town respectively,accounting for 35.29% of the total cases in the county.Most of the cases were students aged from 10 to 19,young peasants aged from 30 to 39 and old people aged from 50 to 69.Of the 32 people bitten by dogs(94.12%),the wound was not treated among 14 of them,accounting for 41.18%.24 of them were not immunized with rabies vaccine,accounting for 70.59%.Of the 10 people immunized with rabies vaccine,4 of them had full-dose vaccine,4 had 4 dose,1 had 3 dose and 1 had 2 dose.Only one case received anti-rabies immunoglobulin.[Conclusion]Rabies prevention and control must be strengthened,regulation on feeding dogs must be conducted strictly,propaganda and education should be strengthened,rabies out-patient and supply of rabies vaccine must be standardized.更多还原