目的:分析芦山县抗震救灾人员患病情况,为制定芦山抗震救灾人员卫生防疫工作策略提供依据。方法:采取按时上报、收集各医疗点门诊及住院登记资料等方式实施症状监测和病例监测,同时展开实验室监测。结果:建立了11个监测点的疾病监测系统,共监测2892人次。2013年4月22日—5月12日,症状监测方面包括虫咬性皮炎皮疹189例、发热伴呼吸道症状39例、发热伴出疹2例、腹泻水样便21例、发热18例。通过症状监测发现一起63例的虫咬性皮炎皮疹聚集性发病。病例监测方面,无法定传染病报告。报告常见疾病546例,罹患率18.88%,前5位分别为虫咬性皮炎189例(6.54%)、上呼吸道感染132例(4.56%)、湿疹51例(1.76%)、外伤及骨折45例(1.56%)、急性胃肠炎24例(0.83%),其他105例(3.63%,包括:咽炎、中暑、尿路感染、扁桃体炎、牙龈炎、肾结石等)。水源水质理化样品不合格20份,微生物样品不合格15份。在飞仙关镇猪血清中检测到乙脑抗体,平均阳性率31.8%。结论:在抗震救灾中,开展有效的疾病监测,可及时发现疾病线索,采取控制措施防止疫情蔓延。 Objective: To analyze the prevalence of earthquake relief workers in Lushan County, and provide evidence for the formulation of health and epidemic prevention strategies for earthquake relief workers in Lushan County. Methods: To take timely reporting, collection of medical clinics and hospital registration data and other means of implementation of symptom monitoring and case monitoring, at the same time to start laboratory monitoring. Results: The disease surveillance system of 11 monitoring sites was established and a total of 2,892 person-times were monitored. From April 22 to May 12, 2013, symptom monitoring included 189 cases of insect bites dermatitis, 39 cases of fever with respiratory symptoms, 2 cases of fever and rash, 21 cases of diarrhea and 21 cases of fever. A total of 63 cases of insect bite dermatitis rash were found to have aggregated onset of symptoms through symptom monitoring. In case monitoring, there is no statutory communicable disease report. 546 cases of common diseases and 18.88% of them were reported. The first five cases were 189 cases (6.54%) of insect bite dermatitis, 132 cases (4.56%) of upper respiratory tract infection, 51 cases (1.76%) of eczema, 45 cases of trauma and fracture (1.56%), acute gastroenteritis in 24 cases (0.83%) and other 105 cases (3.63%, including pharyngitis, stroke, urinary tract infection, tonsillitis, gingivitis and kidney stones). Unqualified water quality physical and chemical samples 20, 15 samples of microorganisms failed. In feixianguanzhen pig serum detected antibody to JE, the average positive rate of 31.8%. Conclusion: In the earthquake relief work, effective disease surveillance can be carried out to detect disease clues in time and take control measures to prevent the epidemic from spreading.