2013～2017年福建省霍乱监测分析
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摘要
目的了解福建省霍乱流行规律和霍乱弧菌在海水产品等食品及水体的污染状况,为指导今后的霍乱防治工作提供依据。方法对2013～2017年福建省医疗机构腹泻病门诊进行腹泻病人监测,各级霍乱监测点4～11月同时开展海水产品等食品及水体监测。结果 2013～2017年福建省各级霍乱监测点登记腹泻病人185 719人次,检测腹泻病人粪便标本89 648份,总检索率为48.27%,共发现6例霍乱病人和5例带菌者。2013～2017年福建省各级霍乱监测点共检测海水产品等食品及水体标本112 780份,检出176株O1群和O139群霍乱弧菌,总阳性率为0.16%,其中O1群稻叶型143株,O1群小川型27株,O139群霍乱弧菌6株,检出4株ctxAB基因阳性菌株。结论霍乱监测是霍乱疫情预警预测的基础,健全的监测体系是霍乱防控的重要手段。
Objective To understand the epidemic regularity and contamination of Vibrio Cholerae in seawater aquatic products and water bodies,so as to provide the basis for preventing and controlling cholera in Fujian. Methods Surveillance of diarrhea patients were carried out in diarrhea outpatient clinics of the medical institutions in Fujian province during 2013-2017.Surveillance of seawater aquatic products and water bodies in all levels of monitoring sites were carried out from April to November in the meanwhile. Results A total of 185 719 diarrhea patients were recorded in all levels of monitoring sites in Fujian during 2013-2017.There were 89 648 stool specimens of diarrhea patients were detected,with total retrieval rate of 48.27%.A total of 6 cholera patients and 5 carriers were found.There were 176 strains of O1 and O139 V.cholerae were detected from 112 780 specimens of seawater aquatic products and water bodies in all levels of monitoring sites for cholera,the total positive rate was 0.16%.In which 143 strains were of O1 Inaba,27 strains were of O1 Ogawa,6 strains were of O139 V.cholerae,4 positive strains of ctxAB gene were detected. Conclusion Cholera surveillance is the basis of early warning and prediction of cholera epidemic,and the sound surveillance system is an important tool to prevent and control cholera.
Objective To understand the epidemic regularity and contamination of Vibrio Cholerae in seawater aquatic products and water bodies,so as to provide the basis for preventing and controlling cholera in Fujian. Methods Surveillance of diarrhea patients were carried out in diarrhea outpatient clinics of the medical institutions in Fujian province during 2013-2017.Surveillance of seawater aquatic products and water bodies in all levels of monitoring sites were carried out from April to November in the meanwhile. Results A total of 185 719 diarrhea patients were recorded in all levels of monitoring sites in Fujian during 2013-2017.There were 89 648 stool specimens of diarrhea patients were detected,with total retrieval rate of 48.27%.A total of 6 cholera patients and 5 carriers were found.There were 176 strains of O1 and O139 V.cholerae were detected from 112 780 specimens of seawater aquatic products and water bodies in all levels of monitoring sites for cholera,the total positive rate was 0.16%.In which 143 strains were of O1 Inaba,27 strains were of O1 Ogawa,6 strains were of O139 V.cholerae,4 positive strains of ctxAB gene were detected. Conclusion Cholera surveillance is the basis of early warning and prediction of cholera epidemic,and the sound surveillance system is an important tool to prevent and control cholera.
引文
[1]肖东楼.霍乱防治手册[M].北京:人民卫生出版社,2013:25.
[2]伍业健,张欣强,和鹏,等.2013~2015年广州市水体及水产品霍乱弧菌监测分析[J].中国卫生检验杂志,2017,27(9):1 305-1 307.
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[5]李劲锋,李文,权怡,等.2003~2010年玉林市霍乱弧菌监测结果分析[J].医学动物防制,2011,27(3):205-207.
[6]吴晓娜,贾蕾,霍达,等.2004~2013年北京市外环境及食品中霍乱弧菌监测结果分析[J].疾病监测,2015,30(12):1 019-1 023.
[7]罗朝晨,郑金凤,陈爱平,等.福建省2009~2011年霍乱监测分析[J].中国热带医学,2012,12(6):703-705.
[8]罗朝晨,陈爱平,谢一俊,等.福建省2008年霍乱监测分析[J].中国热带医学,2010,10(1):44-46.
[9]杨浩,胡世雄,邓志红,等.湖南省2010~2013年霍乱监测结果分析[J].中国热带医学,2014,14(10):1 185-1 188.
[10]黄瑛,赵剑虹,严寒秋,等.北京市2007~2014年O1群霍乱弧菌病原学特征分析[J].中国预防医学杂志,2016,17(10):721-726.
[11]吴方,陈浩祥,王华,等.海宁市霍乱弧菌生物学特性、毒力基因特征分析[J].中国卫生检验杂志,2010,20(6):1 410.
[12]阚飙.霍乱监测的新问题[J].传染病信息,2006,19(1):16-17.
[2]伍业健,张欣强,和鹏,等.2013~2015年广州市水体及水产品霍乱弧菌监测分析[J].中国卫生检验杂志,2017,27(9):1 305-1 307.
[3]覃敏兰,葛鸿科.2009~2015年梧州市海水产品好水体霍乱监测结果分析[J].现代预防医学,2016,43(14):2 527-2 530.
[4]张树波.霍乱弧菌生态学研究[J].预防医学论坛,2008,14(3):194-195.
[5]李劲锋,李文,权怡,等.2003~2010年玉林市霍乱弧菌监测结果分析[J].医学动物防制,2011,27(3):205-207.
[6]吴晓娜,贾蕾,霍达,等.2004~2013年北京市外环境及食品中霍乱弧菌监测结果分析[J].疾病监测,2015,30(12):1 019-1 023.
[7]罗朝晨,郑金凤,陈爱平,等.福建省2009~2011年霍乱监测分析[J].中国热带医学,2012,12(6):703-705.
[8]罗朝晨,陈爱平,谢一俊,等.福建省2008年霍乱监测分析[J].中国热带医学,2010,10(1):44-46.
[9]杨浩,胡世雄,邓志红,等.湖南省2010~2013年霍乱监测结果分析[J].中国热带医学,2014,14(10):1 185-1 188.
[10]黄瑛,赵剑虹,严寒秋,等.北京市2007~2014年O1群霍乱弧菌病原学特征分析[J].中国预防医学杂志,2016,17(10):721-726.
[11]吴方,陈浩祥,王华,等.海宁市霍乱弧菌生物学特性、毒力基因特征分析[J].中国卫生检验杂志,2010,20(6):1 410.
[12]阚飙.霍乱监测的新问题[J].传染病信息,2006,19(1):16-17.