摘要
目的了解上海市长宁区一起流行性出血热疫情的调查和处置情况,为今后开展流行性出血热防控工作提供经验。方法收集查阅流行性出血热病例的临床资料,并进行流行病学个案调查,在疫区和警戒区开展灭鼠行动和鼠密度、鼠类带毒率监测。结果病例临床表现为关节疼痛,颜面、头颈和手充血发红,少尿等流行性出血热典型症状。实验室检查双份血清效价呈4倍升高。病例住所卫生状况差、鼠类侵害痕迹严重,食物经常敞开存放。疫点鼠密度监测结果达标,捕获1只褐家鼠,未检出流行性出血热病毒。结论食用或接触被鼠污染的食品或物品所致感染的可能性较大。应进一步做好防鼠灭鼠工作,加强疫点监测,同时提高监测敏感性。
Objective To investigate a case of epidemic hemorrhagic fever （EHF） in Changning District, so as to provide experience for investigating and dealing with EHF in the future. Methods Collect and check the clinical data of the case in order to conduct the case investigation. The work of killing rats, investigation of the rat density and status of EHF of rats were conducted in the epidemic area and the precautionary area. Results The clinical manifestation of the case was joint pain, face, neck and hands redness, oliguria and other typical symptoms of epidemic hemorrhagic fever. The laboratory detection of the paired sera was 4 - fold rising. The sanitary status of the patient＇ s home was poor and the infringement of rodent was serious. The food was often stored open wide. The rat density reaches the standard. The Norway rat, which was caught in the epidemic area, was not detected in EHF virus. Conclusion The source of this EHF case may be caused by the patient with eating or touching the food or goods which contaminated with rats. We should further strengthen epidemic monitoring, do well the work of killing rats and improve monitoring sensitivity.
出处
《医学动物防制》
2016年第7期775-776,779,共3页
Journal of Medical Pest Control
关键词
流行性出血热
调查
监测
Epidemic hemorrhagic fever （EHF）
Investigation
Monitoring
