|
|
|
| Characteristics of populations exposed to rabies in Anji County |
| WU Xue1, ZHENG Lihao1, KAN Xuwei1, SUN Jimin2
|
1. Anji Center for Disease Control and Prevention, Anji, Zhejiang 313300, China;
2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
|
|
|
|
Abstract Objective To investigate the epidemiological characteristics of rabies-exposed populations in Anji County, Zhejiang Province from 2017 to 2021, so as to provide insights into rabies control in the county. Methods All data pertaining to rabies were captured from Monthly Report of Rabies-exposed Populations in Huzhou City and Investigation Form of Multiple Dog Injuries reported by dog injury clinics in Anji County from 2017 to 2021, and the species of animals causing dog injuries, duration, degree and site of exposure, and post-exposure treatment of rabies-exposed populations were descriptively analyzed. Results Totally 46 186 cases with rabies exposure were reported in dog injury clinics in Anji County from 2017 to 2021, and the rate of exposure appeared a tendency towards a decline year by year (Z=-23.249, P<0.001), with an annual mean exposure rate of 1 739.59/105. The number of cases with exposure to rabies peaked in July and August (10 066 cases, 21.79%). Dogs were predominant animals causing injuries (31 732 cases, 68.70%), and the rate of exposure to dog bites appeared a tendency towards a decline year by year (Z=-35.541, P<0.001). There were 11 350 cases with cat-causing injuries (24.57%), and the rate of exposure to cat bites appeared a tendency towards a rise (Z=14.834, P<0.001). Lower extremity was the main site of exposure (22 364 cases, 48.42%), and the proportions of grade Ⅱ and Ⅲ exposure to rabies were 72.85% and 25.23%, the rates of exposure both appeared a tendency towards a decline (Z=-14.522, P<0.001; Z=-21.820, P<0.001). The proportion of using human rabies immune globulin was 25.72% among populations with grade Ⅲ exposure, which appeared a tendency towards a rise (Z=6.636, P<0.001). Conclusions The rate of exposure to rabies appeared a tendency towards a decline in Anji County from 2017 to 2021. Dogs were predominant animals causing injuries, and the rate of cat bites appeared a tendency towards a rise from 2017 to 2021; however, the proportion of using human rabies immune globulin remains to be improved among populations with grade Ⅲ exposure.
|
|
Received: 30 January 2023
Revised: 09 March 2023
Published: 17 April 2023
|
|
|
|
|
|
[1] 牟笛,陶忠发,李中杰,等.2007—2018年中国狂犬病流行病学特征分析[J].中华实验和临床病毒学杂志,2021,35(2):168-171.
[2] World Health Organization.Global elimination of dog-mediated human rabies report of the Rabies Global Conference[R/OL].[2023-03-09].https://www.who.int/rabies/resources/who_htm_ntd_nzd_2016.02/en.
[3] 任江萍,陈直平,孙继民,等.2005年至2017年浙江省狂犬病疫情时空特征分析[J].中华传染病杂志,2018,36(4):240-242.
[4] 中国疾病预防控制中心.狂犬病预防控制技术指南(2016版)[J].中国病毒学杂志,2016,6(3):161-188.
[5] 郑东方,施达,郭凤芝.金华市狂犬病暴露者流行病学特征分析[J].预防医学,2017,29(12):1243-1247.
[6] 闻栋.湖州市狂犬病暴露人群流行特征与暴露预防处置现状分析[J].中国高等医学教育,2015(5):129,139.
[7] 陈静,杨万里,俞凌,等.杭州市动物致伤患者流行病学特征分析[J].预防医学,2017,29(6):586-588.
[8] 李芳,付美华,陈水芳,等.2014—2017年浙江省常山县狂犬病暴露病例流行病学特征与伤情分析[J].现代实用医学,2019,31(4):498-499.
[9] 王哲,朱雷,孙昼,等.杭州市狂犬病暴露人群流行病学特征分析[J].预防医学,2019,31(11):1150-1152,1155.
[10] 方雪江. 狂犬病暴露病人狂犬病防治知识认知现状及其影响因素调查[J].医药前沿,2018,8(21):33-34.
[11] 李国伟,陈巧格,邵玉普,等.郑州市2015—2020年狂犬病暴露人群流行病学特征及暴露后处置分析[J].江苏预防医学,2022,33(1):91-93.
[12] 任江萍,王玮,王欣莹,等.浙江省2011—2013年一犬伤多人事件调查分析[J].中国媒介生物学及控制杂志,2015,26(2):168-171. |
| [1] |
. [J]. Preventive Medicine, 2017, 29(1): 53-55,59. |
|
|
|
|
