北京市大兴区流行性感冒和人禽流感监测结果分析

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目的分析北京市大兴区流行性感冒(简称流感)流行状况,为制定防制对策和措施提供科学依据。方法采用描述流行病学方法对大兴区2013—2014年流感和人禽流感监测资料进行统计分析。结果 2013年9月30日—2014年4月6日,大兴区共报告流感样病例(ILI)7 549例,占门急诊病例总数的0.57%。ILI主要集中在25~59岁年龄组,占总数的49.01%。采集ILI咽拭子标本540份,阳性标本61份,阳性率11.30%;其中甲型H1N1流感25份,甲型H3N2流感18份,乙型Yamagata流感18份。职业暴露人群监测,采集咽拭子标本355份,H5N1和H7N9禽流感病毒核酸检测结果均为阴性;血清标本310份,检出抗体阳性26份;其中甲型H1N1流感抗体阳性11份,甲型H3N2亚型抗体阳性15份,未检出H5N1和H7N9亚型阳性的标本。结论2013—2014年度大兴区流感疫情比较平稳,未出现暴发和流行,也未发现人禽流感疫情。应继续开展流感和人禽流感相关监测工作,做到早发现、早报告、早诊断和早治疗,有效控制疫情,减少传染病的危害,保障人民群众身体健康。 Objective To analyze the prevalence of influenza in Daxing District of Beijing and provide a scientific basis for formulating prevention measures and measures. Methods Descriptive epidemiological methods were used to analyze the data of influenza and human bird flu surveillance in Daxing District from 2013 to 2014. Results From September 30, 2013 to April 6, 2014, a total of 7 549 flu-like cases (ILIs) were reported in Daxing District, accounting for 0.57% of the total number of outpatient and emergency department cases. ILI mainly concentrated in the 25 to 59 age group, accounting for 49.01% of the total. 540 samples of ILI throat swab were collected, and 61 samples were positive, the positive rate was 11.30%. Among them, 25 were influenza A (H1N1), 18 were influenza A (H3N2) and 18 were Yamayoto (B). Occupational exposure population monitoring, collection of 355 throat swab specimens, H5N1 and H7N9 avian influenza virus nucleic acid test results were negative; 310 serum samples were detected positive 26 antibody; influenza A H1N1 influenza-positive 11, type A 15 positive for H3N2 subtype antibodies, and no positive samples for H5N1 and H7N9 subtypes were detected. Conclusion The epidemic situation in Daxing District in 2013-2014 was relatively stable with no outbreaks and epidemics and no human bird flu outbreak was found. The monitoring work on influenza and bird flu should be continued so that early detection, early reporting, early diagnosis and early treatment can be effectively controlled, the harm of infectious diseases can be reduced, and the people’s health can be guaranteed.
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