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[目的]了解保山市人群旋毛虫病发病状况,为今后防治工作提供科学依据。[方法]对保山市1966～2007年旋毛虫病疫情资料进行分析。[结果]1966～2007年合计发生旋毛虫病46起,发病2 273例,死亡15例,病死率为0.66%。其中,1966～1969年发病121例,1970～1979年发病434例,1980～1989年发病834例,1990～1999年发病855例,2000～2007年发病29例;隆阳区发病2 028例、死亡14例,施甸县发病89例、死亡1例,昌宁县发病126例,龙陵县发病30例,腾冲县无发病;坝区发病1 448例,山区发病312例,半山区发病513例。2003～2004年,腾冲县对1 003人检测血清旋毛虫特异性抗体,阳性率为2.99%。46起疫情中,1起为生食麂子肉引起,其余均为生食或半生食猪肉所致。[结论]保山市是人体旋毛虫病高发区。疫情集中于习惯生食与半生食猪肉的人群。
[Objective] To understand the prevalence of Trichinosis in Baoshan and provide a scientific basis for future prevention and treatment. [Method] The data of the epidemic situation of Trichinellosis in Baoshan from 1966 to 2007 were analyzed. [Results] Totally 46 cases of trichinosis occurred from 1966 to 2007, with 2 273 cases of onset and 15 cases of death, the mortality rate was 0.66%. Among them, there were 121 cases from 1966 to 1969, 434 cases from 1970 to 1979, 834 cases from 1980 to 1989, 855 cases from 1990 to 1999, 29 cases from 2000 to 2007, 2 028 cases in Longyang District, Death in 14 cases, 89 cases of disease in Shidian County, 1 case of death, 126 cases of Changning County, 30 cases of Longling County, no incidence of Tengchong County; 1 448 cases of dam area, 312 cases of mountainous area, 513 cases of mid-mountain area . From 2003 to 2004, Tengchong County detected the serum Trichinella specific antibodies to 1 003 people, the positive rate was 2.99%. 46 outbreaks, one caused by raw Jizi meat, the rest are due to raw or semi-raw pork. [Conclusion] Baoshan is the high incidence area of human trichinosis. The epidemic concentrated in the habits of raw and half-live food pork crowd.