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本文报告 1996 - 2 0 0 0年广州市肾综合征出血热 (HFRS)监测 ,共发病 12 7例 ,死亡 4例 ,1996 - 2 0 0 0年发病率分别为 0 5 7/ 10万、0 5 0 / 10万、0 2 9/ 10万、0 2 2 / 10万、0 34/ 10万 ,病死率 3 1% ;另外 ,外来人员在广州感染 10 5例 ,死亡 6例 ,病死率 5 7% ;病例以中心城区和边缘城区多见 ,呈散发性 ,冬春季节为发病高峰 ,发病以青壮年居多 ,临床轻、中型多见 ,1997年实验大白鼠型再次发生 1例 ;正常人群血清学监测未检出出血热病毒抗体。鼠间监测两个监测点及 1998年黄埔区长洲岛、荔湾区南站、清平市场居民区 ,1998- 2 0 0 0年白云山和黄埔区野外进行监测 ,海珠区监测点 3年平均鼠密度 1 5 % ,褐家鼠密度 1 5 % ,带病毒率 5 2 % ,带病毒鼠指数 2 8;天河区 5年鼠密度 1 0 % ,褐家鼠密度 0 9% ,带病毒率 3 0 % ,带病毒鼠指数 1 6 ;白云山密度 14 9% ,褐家鼠密度12 5 % ,带病毒率 9 8% ,带病毒鼠指数 11 1;黄埔区鼠密度 12 6 % ,褐家鼠密度 9 9% ,带病毒率 4 0 % ,带病毒鼠指数 6 3 ,其中长洲岛鼠密度 6 8% ,褐家鼠密度 5 2 % ,带病毒率 7 1% ,带病毒鼠指数 6 1;荔湾区南站、清平市场鼠密度 2 3 % ,褐家鼠密度 1 8% ,带病毒率 0 0 % ,带病毒鼠指数 0。 5年对实验大白鼠监测 ,
This article reports the monitoring of HFRS in Guangzhou from 1996 to 2000, with a total of 127 cases and 4 deaths. The incidence rates in 1996-2007 were 0 57/100 000, 0 5 0/10 million, 0 29/100 000, 0 2 2/10 million and 0 34/10 million respectively, with a mortality rate of 31%. In addition, 105 cases of migrant workers were infected in Guangzhou with 6 deaths and a case fatality rate of 5 7%. The cases were more common in downtown and fringe urban areas, with sporadic occurrence. The peak incidence in winter and spring was mostly young and middle-aged, with mild clinical appearance and medium-sized appearance. In 1997, one rat occurred again in experimental rat. Serological surveillance No hemorrhagic fever virus antibodies were detected. Two monitoring sites were monitored between the rats and the Changzhou Island, Liwan South Station and Qingping Market residential area in Huangpu District in 1998, the wild in Baiyun Mountain and Huangpu District from 1998 to 2000, the 3-year average rat in Haizhu District Density 15%, brown rat density 15%, virus rate 52%, virus rat index 28; Tianhe 5-year rat density 10%, brown rat density 0 9%, with a virus rate 30 %, Virus rat index of 16; Baiyun Mountain density of 14 9%, brown rat density of 125%, with a virus rate of 9 8%, with a viral mouse index 11 1; Huangpu rat density of 12 6%, brown rat density 9 9%, 40% with virus and 43 with virus. The density of rat in Changzhou Island was 68%, the density of brown rat was 52%, the rate of virus in virus was 71% Liwan District South Station, Qingping market rat density of 23%, brown rat density 18%, with a virus rate of 0%, with a viral mouse index 0. 5 years of experimental rat monitoring,