摘要
目的对浙南沿海地区鼠形动物及鼠疫、肾综合征出血热(HFRS)及钩端螺旋体病(简称钩体病)等鼠传疾病流行情况进行监测,探索鼠传疾病综合监测模式,为制定该地区鼠传疾病防控策略提供科学依据。方法在浙南沿海地区选择龙湾区、文成县和洞头县为监测点,分别开展宿主动物、病原学和血清学监测。结果 2013-2014年温州市共报告HFRS病例32例,发病率为0.17/10万;报告钩体病2例,发病率为0.01/10万。各鼠疫监测点共捕获各种宿主动物2目2科5属10种共1 652只,主要鼠形动物为臭和褐家鼠,分别占44.53%和22.99%;发现染蚤鼠77只,染蚤率为3.14%;捕蚤273匹,总蚤指数为0.11,缓慢细蚤为优势寄生蚤,占77.29%。未检出鼠疫耶尔森菌、伯氏疏螺旋体和肾综合征出血热病毒阳性标本;PCR检测发现多种鼠形动物感染巴贝西虫、巴尔通体、立克次体、莱姆钩端螺旋体、无形体和查菲埃立克体等病原体。结论浙南沿海地区鼠疫宿主和媒介分布广泛,种群较多,沿海、山区和平原宿主动物分布不一,应加强鼠传疾病宿主和媒介监测以及病原学监测,整合鼠传疾病单项监测和鼠类病媒生物监测,减少人力物力浪费。开展鼠传疾病危害风险评估,积极防范鼠传疾病暴发流行,防止鼠疫输入性病例引起当地暴发流行。
Objective To understand the integrated monitoring regarding mouse and plague, hemorrhagic fever of renal syndrome（HFRS） and leptospirosis to provide evidence for the prevention and control of rodent-borne disease in coastal area in southern Zhejiang. Methods Longwan, wencheng and dongtou were choosed as monitoring stations to carry out the host animal, etiology and serology monitoring. Results 32 cases of HFRS cases were reported, the incidence of 0.17/lakh,2 cases of the hook body disease were reported the incidence of 0.01/lakh during 2013-2014 in Wenzhou. There were 2 orders, 2 families, 5 genus and 10 species total of 1652 animals found in this areas. Among the host animals,suncus murinus accounted for 44.53%, 22.99% for R.norvegicus. The mean flea-carrying rate of rodents was 3.14%, and the total flea index of rodents was 0.11. The dominant species of rat fleas was leptopsylla segnis, accounted for 77.29%.The samples for host animal were negative for plague F1 antibody and pathogens,HFRS and leptospirosis. There were detected pathogen of Lyme disease, Anaplasma phagocytophilum, Ehrlichia chaffeensis, Bartonella, Rickettsia mooseri and Boehner kirk austenite. Conclusion The mouse and mouse- borne diseases diversified and widespread in coastal area in southern Zhejiang. The surveillance is neither sufficient nor systematic since lack of proper planning. The related information cannot be fully integrated and utilized for risk assessment and early warning. It is necessary to establish a platform for mouse-borne disease surveillance to prevention and control of mouse-borne disease.
出处
《中国公共卫生管理》
2016年第2期220-222,共3页
Chinese Journal of Public Health Management
基金
浙江省卫生厅平台骨干人才计划(2013RCB016)
温州市科技计划项目(R20140022)
关键词
沿海地区
鼠传疾病
媒介
监测
coastal areas
rodent-borne disease
monitoring
