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目的分析广东省揭阳市狂犬病疫情流行特点和趋势,探讨防制对策。方法收集揭阳市2005-2007年狂犬病疫情资料,采用描述性流行病学方法对资料进行分析。结果2005-2007年,揭阳市共报告狂犬病30例(全部死亡),病例逐年增加。疫情波及5个县(市、区)中的4个(80%)。30例病例中,男性20例,占发病总数的66.7%。≥45岁成年人报告发病12例;占40.0%。中、小学生与散居儿童报告发病12例;占40.0%。农民11例,占36.7%。86.7%的病例是由犬伤引起,伤人动物无免疫史或免疫史不详。40%的病例未进行伤口处理,10%的病例接种疫苗。结论犬只免疫率低下、暴露后免疫处理率低是狂犬病疫情上升的原因。加强对犬只管理,大力开展宣传教育与培训工作,探索将狂犬病免疫处理费纳入新型农村合作医疗体系和城镇居民医疗保障体系是下一步工作。
Objective To analyze the epidemiological characteristics and trends of rabies epidemics in Jieyang City, Guangdong Province, and to explore countermeasures for prevention and control. Methods The data of rabies epidemic in Jieyang from 2005 to 2007 were collected and analyzed by descriptive epidemiological method. Results From 2005 to 2007, Jieyang City reported a total of 30 cases of rabies (all died), the case increased year by year. Outbreaks affected 4 of the 5 counties (cities and districts) (80%). Among the 30 cases, 20 were males, accounting for 66.7% of the total. In adults ≥45 years old, 12 cases were reported, accounting for 40.0%. In primary and secondary school children and diaspora, 12 cases were reported, accounting for 40.0%. Eleven farmers, accounting for 36.7%. 86.7% of the cases were caused by dog wounds, and there was no history of immunization or immunization in the wounding animals. Forty percent of cases were not treated for wounds and 10% were vaccinated. Conclusion The immunization rate of dogs is low, and the low immunization rate after exposure is the reason of rabies epidemic rising. Strengthening the management of dogs, vigorously carry out propaganda and education and training to explore the rabies immunization fee into the new rural cooperative medical system and urban residents medical security system is the next step.