【摘要】 目的　了解广西 2 0 0 0年发生鼠疫暴发流行的特征 ,初步分析流行原因。方法　以普查、医学观察和追踪调查相结合对人群进行调查 ,用 IHA(间接血凝法 ,Indirect hem agglutination assay,IHA)法测定鼠疫 FI抗体 ,按国家鼠疫诊断标准诊断病人。结果　疫情波及天生桥库区周围 2个乡镇 15个自然屯或单位 ,发生腺型鼠疫病人 4 2例 ,发病率为 1.10 % ,隐性感染率 2 .78% ,第 2代发病率 2 .76 %。流行时间为 3～ 10月。人间鼠疫发病年龄以青少年多见。结论　疫点分布于天生桥库区周围 ,库区鼠、蚤密度增高 ,外来性传入是隆林县鼠疫流行的直接原因更多还原

【Abstract】 Objective To investigate epidemiological features and causes for the first epidemic outbreak of plague at Longlin, a western minority nationality county at the Guangxi in the year of 2000.Methods Using universal survey, medical observation and pursual investigation for the different crowd respectively, detecting Fraction I antibody of Yersinia pestis by indirect hemagglutination assay (IHA) and diagnosing plague patients by National diagnostic criteria of plague.Results Epidemic outbreak of plague occurs among the 15 villages in 2 towns with 42 cases of glandular plague. Incidence rate of the disease is 1.10%, concealed infective rate 2.78% and the secondary attack rate in families 2.76%. Prevalent time is from March to October.Conclusions Epidemic focus distribute around the Tianshengqiao reservoir. Plague transmission from other province is the main cause of the epidemic outbreak following the high density of rat and flea around the reservoir.更多还原