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阜阳地区1993年7月至1994年元月局部地区相继发生21例白喉,死亡9例,咽试于培养17例,分高出白喉杆菌7株。病例波及5个县市,10个乡镇,17个行政村,一户4例、2例各一起。15岁以上病例占85.71%;人群锡克氏试验阳性率36.15%;邻近人群带菌率6%,临床牛颈发生率占35%,心肌炎占55%。调查提示应急接种和扩大预防注射是控制白喉流行的有效措施,常规7岁、15岁少儿加强精白类注射是十分必要的。
In Fuyang area from July 1993 to January 1994, 21 cases of diphtheria and 9 deaths occurred in some areas successively, 17 cases of pharyngeal test were cultured and 7 strains of diphtheria bacilli were identified. Cases spread to 5 counties and cities, 10 townships, 17 administrative villages, one in 4 cases, 2 cases each together. 85.71% of patients over the age of 15; crowd Sick’s test positive rate of 36.15%; adjacent population carrier rate of 6%, the clinical incidence of 35% of the incidence of neck, myocarditis 55%. Investigation suggests that emergency inoculation and expansion of injection prevention are effective measures to control the prevalence of diphtheria. It is very necessary for regular 7-year-old and 15-year-old children to enhance the injection of white spirit.