汶川地震对甘肃省克山病流行的影响
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摘要
目的探讨地震灾害对克山病流行的潜在影响,为指导防治提供科学依据。方法采用现场流行病学方法,评估防治能力、发病危险性、人群硒营养水平和硒干预措施。结果克山病致病因素依然存在且致病力强并活跃;近1/3的人群缺硒;合格硒盐的覆盖率为24.5%;防治机构和仪器损毁严重。结论地震灾区存在克山病流行的潜在危险,应建立健全克山病防治的长效机制。
Objective To discuss potential effects of earthquake disasters on prevalence of Keshan disease(KD),so as to provide scientific basis for directing KD control.Methods Field epidemiological method was taken to evaluate ability of KD prevention and control,risk of KD prevalence,level of selenium nutrition in hair of the people and intervention measures of selenium.Results Etiological factors related to KD remained strong and active.Nearly one-third of the population was in selenium deficiency,and the coverage rate of qualified selenium salt was 24.5%.Agencies and instrument had been damaged seriously in the area investigated.Conclusions There is potential risk of KD prevalence in the earthquake disasters area,and long-term mechanism of Keshan disease control and prevention should be established.
Objective To discuss potential effects of earthquake disasters on prevalence of Keshan disease(KD),so as to provide scientific basis for directing KD control.Methods Field epidemiological method was taken to evaluate ability of KD prevention and control,risk of KD prevalence,level of selenium nutrition in hair of the people and intervention measures of selenium.Results Etiological factors related to KD remained strong and active.Nearly one-third of the population was in selenium deficiency,and the coverage rate of qualified selenium salt was 24.5%.Agencies and instrument had been damaged seriously in the area investigated.Conclusions There is potential risk of KD prevalence in the earthquake disasters area,and long-term mechanism of Keshan disease control and prevention should be established.
引文
[1]于维汉.中国克山病及其防治研究[M].北京:中国环境科学出版社,1987:81-185.
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[4]GB17021-1997,硒的化学、生物化学及其在生命科学中的应用[S].武汉:华中理工大学出版社,1994:152-166.
[6]王秀红,相有章,屈福荣,等.内、外环境硒营养水平与克山病发病关系的研究[J].中国地方病防治杂志,2005,20(6):351-335.
[7]DB62·1423-2006,硒强化营养盐甘肃省地方标准[S].
[8]韩东银,魏英祖.生态系统地震灾害及其深层机制[J].国际地震动态,2007,337(1):16-24.
[9]许龙善.自然灾害引发的公共卫生问题及对策[J].海峡预防医学杂志,2007,13(4):1-3.
[10]Linscott AJ.Natural disaster-a microbe′paradise[J].ClinM icrob News,2007,29(8):57-62.
[11]王铜.再谈克山病预防及控制中的关键问题[J].中国地方病学杂志,2007,26(4):21-23.
[12]汪向东,张华彪,新福尚隆,等.地震后受灾群体生活质量研究[J].中国心理卫生杂志,1999,13(1):24-27.
[13]钟学宽,曾宪惠,漆伟,等.用原位核酸杂交法探讨柯萨奇B组病毒与云南亚急型克山病的关系[J].中国地方病学杂志,1993,12(4):193-195.
[14]Beck MA,Kolbeck PC,Rohr L H,et al.Vitamin E deficiencyi ntensified the myocardial injury of coxsackievirus B3infec t ion of mice[J].J Nutr,1994,124:354-358.
[2]廖永建,司宏宗,鱼素琴,等.克山病病毒病因学说及其传播机制设想[J].中国地方病学杂志,2005,24(4):466-467.
[3]郑达贤.我国克山病的气候流行病学特征[J].中国地方病学杂志,1982,1(1):13-18.
[4]GB17021-1997,硒的化学、生物化学及其在生命科学中的应用[S].武汉:华中理工大学出版社,1994:152-166.
[6]王秀红,相有章,屈福荣,等.内、外环境硒营养水平与克山病发病关系的研究[J].中国地方病防治杂志,2005,20(6):351-335.
[7]DB62·1423-2006,硒强化营养盐甘肃省地方标准[S].
[8]韩东银,魏英祖.生态系统地震灾害及其深层机制[J].国际地震动态,2007,337(1):16-24.
[9]许龙善.自然灾害引发的公共卫生问题及对策[J].海峡预防医学杂志,2007,13(4):1-3.
[10]Linscott AJ.Natural disaster-a microbe′paradise[J].ClinM icrob News,2007,29(8):57-62.
[11]王铜.再谈克山病预防及控制中的关键问题[J].中国地方病学杂志,2007,26(4):21-23.
[12]汪向东,张华彪,新福尚隆,等.地震后受灾群体生活质量研究[J].中国心理卫生杂志,1999,13(1):24-27.
[13]钟学宽,曾宪惠,漆伟,等.用原位核酸杂交法探讨柯萨奇B组病毒与云南亚急型克山病的关系[J].中国地方病学杂志,1993,12(4):193-195.
[14]Beck MA,Kolbeck PC,Rohr L H,et al.Vitamin E deficiencyi ntensified the myocardial injury of coxsackievirus B3infec t ion of mice[J].J Nutr,1994,124:354-358.
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