洪澇災害重點傳染病防治

1、洪澇災害重點傳染病的預防一、霍亂流行概況：一、霍亂流行概況：1961-2001年全國報告霍亂病例數；年全國報告霍亂病例數；0500010000150002000025000300003500040000450001961196319651967196919711973197519771979198119831985198719891991199319951997199920011962-2002江蘇省報告霍亂病例數江蘇省報告霍亂病例數020004000600080001000012000140001961196319651967196919711973197519771979198119831

2、98519871989199119931995199719992001江蘇省歷年霍亂病人及帶菌者菌株血清和噬菌體分型江蘇省歷年霍亂病人及帶菌者菌株血清和噬菌體分型年份菌株數小 川稻 葉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 江蘇省歷年霍亂病人及帶菌者菌株血清和噬菌體分型（續(xù)）江蘇省歷年霍亂病人及帶菌者菌株血清和噬菌體分型（續(xù)）年份菌株數小 川稻 葉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歸口 1994499 487610 01000 1995151 88229 1 199643 42 1 19977670 1 5199897 88 9199956 2212 2220001701 16200111 112002年霍亂菌株藥敏試驗結果：年霍亂菌株藥敏試驗結果：藥名敏感中敏耐藥敏感率%丁胺卡那霉素700100.00諾氟沙星700100.00氧氟沙星700100.00慶大霉素30442.86頭孢拉定11514.29強力霉素11514.29紅霉素0250卡那霉素0070多粘菌素B0070氨芐青霉素0070四環(huán)素0070氯霉素

5、0070復方新諾明0070鏈霉素00702002年江蘇省7株O139霍亂弧菌藥敏感試驗結果 全國近年來霍亂菌型變遷情況全國近年來霍亂菌型變遷情況二、流行早期對策：二、流行早期對策：傷寒：傷寒：流行情況（江蘇省1980-2002年傷寒發(fā)病情況）0100002000030000400005000060000700008000019801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002噬菌體分型情況噬菌體分型情況噬菌體分型情況噬菌體分型情況年份小計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合計3081142203133116318927252261121783171191112120106噬菌體

8、分型情況（續(xù)）噬菌體分型情況（續(xù)）年份K3L1M1M3M4OT252932363953不裂解未定Vi陰性甲乙丙A-F陰性未生長死亡其它合計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合計218990151272103312102436127956732961511533162002年藥敏試驗結果：年藥敏試驗結果：藥物名稱傷 寒副傷寒甲副傷寒乙敏感中度

10、耐藥敏感中度耐藥敏感中度耐藥丁胺卡那39001800100慶大霉素39001800100鏈霉素29821530100強力霉素34507101010頭孢他啶39001800100頭孢曲松38101800001氯霉素38101800100多粘菌素B39001800100氨芐青霉素37027101001諾氟沙星39001800100氧氟沙星39001800100環(huán)丙沙星39001800100傷寒、副傷寒甲、乙菌株的藥物敏感試驗情況 藥物名稱敏感中度敏感耐藥丁胺卡那133100.0000.0000.00慶大霉素12694.7410.7564.51鏈霉素64.5143.0112392.48強力霉素139.77107.5211082.71頭孢他啶133100.0000.0000.00頭孢曲松9898.9900.0011.01氯霉素6951.885742.8675.26多粘菌素B133100.0000.0000.00氨芐青霉素1410.5375.2611284.21諾氟沙星12291.7386.0232.26環(huán)丙沙星9090.9166.0633.03復方新諾明2317.2900.00