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[目的]进一步探索影响玉林市狂犬病流行因素,为制订防制对策提供依据。[方法]对1999~2009年玉林市狂犬病相关防控资料进行分析。[结果]1999~2009年玉林市累计报告狂犬病533例,死亡533例,年均发病率为0.80/10万。年发病率(/10万),1999~2009年分别为0.17、0.34、0.70、1.21、1.30、1.12、0.96、1.03、0.86、0.61、0.43;北流市、博白县、容县、玉州区、福绵区、兴业县、陆川县分别为1.08、0.60、1.16、0.35、1.02、0.62、0.77。533例病人中,男性占67.92%,女性占32.08%;农民占62.48%,学前儿童占14.26%,学生占20.08%,工人占1.31%,其他人员占1.88%;10岁以下占21.01%,10~19岁占17.26%,20~39岁占13.32%,40~59岁占24.58%,60岁以上占23.83%。7~9月发病数占全年总数的31.89%。533例患者中,致伤动物为犬只的占88.37%,猫等动物占11.63%。致伤后,64.35%未对伤口作任何处理,79.55%未接种狂犬病疫苗,95.12%未注射抗狂犬病血清或免疫球蛋白,及时接种狂犬病疫苗者占7.50%,全程接种狂犬病疫苗的占3.00%。[结论]玉林市狂犬病疫情尚未得到有效控制,大多数病人暴露后未及时处理伤口、未接受主动或被动免疫。
[Objective] To further explore the influencing factors of rabies epidemic in Yulin city and provide basis for making prevention and control measures. [Method] The related epidemic prevention and control data of rabies in Yulin City from 1999 to 2009 were analyzed. [Results] A total of 533 rabies cases and 533 deaths were reported in Yulin City from 1999 to 2009. The average annual incidence was 0.80 / 100 000. Annual incidence (/ 100000), 1999 ~ 2009 were 0.17,0.34,0.70,1.21,1.30,1.12,0.96,1.03,0.86,0.61,0.43; Beiliu City, Bobai County, Rongxian County, Yuzhou District, Fu Mian District, Xingye County, Luchuan County were 1.08,0.60,1.16,0.35,1.02,0.62,0.77.533 cases of patients, 67.92% of males, females accounted for 32.08%; farmers accounted for 62.48% of pre-school children accounted for 14.26%, 20.08% of the students, workers accounted for 1.31%, others accounted for 1.88%; under 10 years accounted for 21.01%, 10-19 years old accounted for 17.26%, 20-39 years old accounted for 13.32%, 40-59 years old accounted for 24.58% Over 60 accounted for 23.83%. The number of incidences from July to September accounted for 31.89% of the total number of the whole year. Of the 533 patients, 88.37% were animals that were injured and dogs and 11.63% were cats and other animals. After wounding, 64.35% did not take any treatment on wounds, 79.55% did not inoculate rabies vaccine, 95.12% did not get anti-rabies serum or immunoglobulin, 7.50% took timely rabies vaccine and 3.00% vaccinated rabies vaccine in the whole course. [Conclusion] The epidemic situation of rabies in Yulin has not been effectively controlled. Most of the patients did not receive the active or passive immunization after timely treatment.