目的分析赣榆县2003-2012年狂犬病的流行规律,为制定控制策略提供依据。方法对2003-2012年赣榆县狂犬病个案调查和暴露监测资料进行统计分析。结果 2003-2012年赣榆县共报告狂犬病病例22例,年均发病率为0.20/10万;发病多集中在夏秋季,8~10月份发病数占54.54%,其中7、8两月为高峰,占29.41%。;全县18个镇中12个镇有病例报告,其中沙河镇发病最多,占全县报告总数的27.27%;5~15岁年龄组发病占48.15%,40~岁年龄组发病占77.27%;发病以农民和散童为主。致暴露宿主动物以犬为主,占76.92%。病例平均潜伏期76 d,暴露后到正规狂犬病预防处置门诊处理占68.18%。结论犬只管理不规范,群众防病意识差,暴露后暴露后未到狂犬病预防处置门诊就诊是狂犬病流行的因素;加强犬类“管、免、灭”、加强狂犬病防治知识宣传、做好暴露人群规范处理是防控狂犬病的重要措施。 Objective To analyze the prevalence of rabies in Ganyu County from 2003 to 2012 and provide the basis for the development of control strategy. Methods Statistical analysis was conducted on case-control and exposure monitoring data of rabies from 2003 to 2012 in Ganyu County. Results A total of 22 rabies cases were reported in Ganyu Prefecture from 2003 to 2012, with an average annual incidence rate of 0.20 / 100,000. Most of the cases were found in summer and autumn, accounting for 54.54% of cases from August to October, of which 7 and 8 months were the peak , Accounting for 29.41%. ; 12 towns in 18 counties in the county have case reports, of which the largest incidence of Shahe town, accounting for 27.27% of the total number of reports; 5 to 15 age group accounted for 48.15% of the age group, 40 ~ age group accounted for 77.27% incidence; The incidence of peasants and mainly scattered children. Dogs dominated the host animals, accounting for 76.92%. The average incubation period was 76 days. After the treatment, 68.18% of the patients were exposed to regular rabies outpatient treatment. Conclusion The dog management is not standard, the public awareness of disease prevention is poor, after exposure to exposure to rabies prevention and treatment of out-patient clinics is a rabies epidemic factors; to strengthen the dog “tube, free, off” to strengthen awareness of rabies prevention and control do Well-exposed population norms is an important measure to prevent and control rabies.