洪涝灾害重点传染病防治

1、洪涝灾害重点传染病的预防一、霍乱流行概况：一、霍乱流行概况：1961-2001年全国报告霍乱病例数；年全国报告霍乱病例数；0500010000150002000025000300003500040000450001961196319651967196919711973197519771979198119831985198719891991199319951997199920011962-2002江苏省报告霍乱病例数江苏省报告霍乱病例数020004000600080001000012000140001961196319651967196919711973197519771979198119831

2、98519871989199119931995199719992001江苏省历年霍乱病人及带菌者菌株血清和噬菌体分型江苏省历年霍乱病人及带菌者菌株血清和噬菌体分型年份菌株数小 川稻 叶O1391a1b1d其他非流行株1a1b1c1d其他非流行株196274 3 19633531 12 1 196431 11 1965314 3 24 1966116237 104 19742003415210 4 197532465441 162 52 197649146 4 1571 283 1977394967356947 192 36 11 1978140363980595609 146 71 72 40

3、 19791551 369881 313 267 19804921 506350 17 279 3729 10 19816745 151223 5 126 6194 41 198297822828210 38 831372 江苏省历年霍乱病人及带菌者菌株血清和噬菌体分型（续）江苏省历年霍乱病人及带菌者菌株血清和噬菌体分型（续）年份菌株数小 川稻 叶O1391a1b1d其他非流行株1a1b1c1d其他非流行株1985364 6114 332101 19861918 1 27 18452916 1987754 4 728175 1988640 3 3261616 1989649 5952034 1

4、99060 60 199135 35 19921 1 1993归口 1994499 487610 01000 1995151 88229 1 199643 42 1 19977670 1 5199897 88 9199956 2212 2220001701 16200111 112002年霍乱菌株药敏试验结果：年霍乱菌株药敏试验结果：药名敏感中敏耐药敏感率%丁胺卡那霉素700100.00诺氟沙星700100.00氧氟沙星700100.00庆大霉素30442.86头孢拉定11514.29强力霉素11514.29红霉素0250卡那霉素0070多粘菌素B0070氨苄青霉素0070四环素0070氯霉素

5、0070复方新诺明0070链霉素00702002年江苏省7株O139霍乱弧菌药敏感试验结果 全国近年来霍乱菌型变迁情况全国近年来霍乱菌型变迁情况二、流行早期对策：二、流行早期对策：伤寒：伤寒：流行情况（江苏省1980-2002年伤寒发病情况）0100002000030000400005000060000700008000019801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002噬菌体分型情况噬菌体分型情况噬菌体分型情况噬菌体分型情况年份小计AB1B2B3C2C5C10

6、D1D2D4D5D7D8D9D10E1E4E7E9E10G1HJ1K11987200000000020000000800100008198885645100000175611000026003001212111989383311000131174800050620010500210181990272190060112032001102190313000157199128512002000222600000219003300071119921969008010732000000210011002718199319081861101198000000140016102941994682010001

7、09100001030000027319951175000000332900000050050004119961020001000335010001101310002819971096 10 014400 016101 115519981092 127 84 01 05010 1911999491 02 03 00 14102 0932000310 22 03 00 03000 0202001751 02 23 00 04000 0662002391 02 08 00 01001 062合计3081142203133116318927252261121783171191112120106噬菌体

8、分型情况（续）噬菌体分型情况（续）年份K3L1M1M3M4OT252932363953不裂解未定Vi阴性甲乙丙A-F阴性未生长死亡其它合计198700179000000010100 200198801473022000070112344 85619890784011101021007118 3831990038411001000003210 2721991005000000000006536 2851992022807006000002710 1961993001903600000000270 19019940050321000000000 681995002100000000006174 1

9、 122199600901000000001727 10219970013 0003000 18011 31 1401998006 0300000 18229 13 5 1271999021 0000000 6113211 11114151122000215 0000030 10710127 18 692001024 0000201 23118140023 8 1202002009 0010001 223181011 5 74合计218990151272103312102436127956732961511533162002年药敏试验结果：年药敏试验结果：药物名称伤 寒副伤寒甲副伤寒乙敏感中度

10、耐药敏感中度耐药敏感中度耐药丁胺卡那39001800100庆大霉素39001800100链霉素29821530100强力霉素34507101010头孢他啶39001800100头孢曲松38101800001氯霉素38101800100多粘菌素B39001800100氨苄青霉素37027101001诺氟沙星39001800100氧氟沙星39001800100环丙沙星39001800100伤寒、副伤寒甲、乙菌株的药物敏感试验情况 药物名称敏感中度敏感耐药丁胺卡那133100.0000.0000.00庆大霉素12694.7410.7564.51链霉素64.5143.0112392.48强力霉素139

11、.77107.5211082.71头孢他啶133100.0000.0000.00头孢曲松9898.9900.0011.01氯霉素6951.885742.8675.26多粘菌素B133100.0000.0000.00氨苄青霉素1410.5375.2611284.21诺氟沙星12291.7386.0232.26环丙沙星9090.9166.0633.03复方新诺明2317.2900.0011082.71红霉素00.0011787.971612.03痢特灵13097.7421.5010.75133株痢疾志贺氏菌株药敏试验 炭疽：炭疽： 1. 1.流行特点：流行特点：传播途径：传播途径：易感人群：易感人群：分型：分型：2 2皮肤炭疽的临床特点：皮肤炭疽的临床特点：钩体病：钩体病：流行特点：临床特点：