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目的通过分析清新县2003-2008年狂犬病的发病情况,了解其流行趋势,为制定防控措施提供科学依据。方法采用描述性流行病方法,运用Epi Info软件进行分析、评价。结果 2003-2008年清新县共报告30例狂犬病临床诊断病例,年平均发病率为0.70/10万,其中2008年发病率高达2.31/10万,病死率为100%;全县9个镇均有发病,以龙颈镇最多(共7例),占总发病数的23.33%;发病年龄最大76岁,最小12岁;职业以农民为主,占63.33%;传染源以犬为主,占86.67%;全部病例均无接种疫苗。结论防病意识薄弱,伤口处理不规范,狂犬疫苗接种率不高,是清新县人狂犬病流行的主要因素。因此,加强宣传教育,提高犬伤者免疫率是今后工作的重点。
Objective To analyze the epidemic trend of rabies in Qingxin County from 2003 to 2008 and provide a scientific basis for making prevention and control measures. Methods Descriptive epidemiological methods were used to analyze and evaluate using Epi Info software. Results In 2003-2008, a total of 30 cases of rabies were diagnosed in Qingxin County. The average annual incidence was 0.70 / 100 000, of which the incidence was as high as 2.31 / 100 000 in 2008 with a mortality rate of 100%. Nine towns in the county had The incidence was highest in Longjian Town (7 cases in total), accounting for 23.33% of the total number of cases. The age of onset was 76 years and the minimum was 12 years. Occupation was dominated by peasants, accounting for 63.33%. The main sources of infection were dogs, accounting for 86.67% %; No case of vaccination in all cases. Conclusions The awareness of disease prevention is weak, the treatment of wounds is not standardized, and rabies vaccination rate is not high, which is the main factor of rabies epidemic in Qingxin County. Therefore, strengthening publicity and education and raising the immunization rate of dogs and cats will be the focus of the future work.