【摘要】 目的分析临沂市狂犬病流行特征和影响因素,制定有效的防制策略和措施。方法对临沂市30 a狂犬病流行状况进行流行病学调查,对疫情报告、疫情监测和流行病调查资料进行分析。结果30 a中出现2次流行,共发生狂犬病600例,全部死亡,病死率100%。疫情以苍山、平邑、郯城3县为重,发病占全市的54.67%。传染源主要是犬,感染方式以咬伤(97.25%)为主;每年4月份疫情开始上升,7—10月份为发病高峰期。14.50%(87/600)的患者是免疫失败病例。结论降低犬密度,提高犬免疫率,暴露后正确处理伤口,是控制狂犬病发生和流行的有效措施。更多还原

【Abstract】 [Objective]To analyze the epidemiological features and influential factors of rabies in Linyi and establish effective preventive countermeasures.[Methods] Epidemiological investigation was conducted on the epidemic status of rabies in the recent 30 years in Linyi;analysis was made on the data of epidemic report,surveillance and epidemic disease investigation.[Results]There were two epidemical peaks of rabies in the recent 30 years,all the 619 cases died with a mortality of 100%;53.0% of the rabies cases took place in Cangshan,Pinyi and Tancheng County;the major origin of infection was dogs,and the major dissemination way was biting(97.25%);the cases increased in April and reached to the peak since July to October of every year;14.05% of which were caused by immunity defeat.[Conclusion]Rabies can be controlled by decreasing the density of dogs,improving vaccination coverage for dogs and correct handling for the wounds.更多还原