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LANCET INFECT DIS:中国农村地区将如何控制狂犬病?

2017-03-16 MedSci MedSci原创

中国的狂犬病报告病例数仅次于印度。尽管预防控制措施在减少总发病例数方面一直是有效的,然而如何预防人感染狂犬病仍然是一个挑战,特别是在中国农村地区,因为狂犬病病毒在中国是一种再发病原体。

2015年12月,世界卫生组织提议在2030年消除狂犬病从狗到人的传播。目前,全世界每年约有59000人死于狂犬病,中国的狂犬病报告病例数仅次于印度。尽管预防控制措施在减少总发病例数方面一直是有效的,然而如何预防感染狂犬病仍然是一个挑战,特别是在中国农村地区,因为狂犬病病毒在中国是一种再发病原体。

最近,来自南京农业大学的研究团队报道了在一个健康策略下中国农村地区将如何控制狂犬病,相关研究刊登于国际权威杂志LANCETINFECTIOUSDISEASES上,该研究或为如何控制狂犬病提供策略帮助。

研究指出,经过流行病学分析统计,在2007年狂犬病发病率最高,而在2005年年仅有804例。报告病例主要集中在西部和东部省份的农村地区。而在北京上海等大城市,虽然有宠物狗被饲养,但是几乎没有狂犬病病例报告。同时,发病情况在地域上的扩展有所扩张,以往的病例主要在南部、东部省份,而现在,在以往并没有人类感染病例的西部、北部地区,也出现了报告病例。此外,在中国,日益发达的物流以及狗贸易为病毒传播带来了极大风险。

研究认为在中国狂犬病的防控应该分为两个层次:第一,控制人狂犬病。政府应该在在农村地区加强狂犬病的防控,提高高危地区人们防护意识。第二,在野生动物和流浪狗中消除狂犬病。这能有效防止在已经消除狂犬病地区该疾病的复发。此外,还应该加强监测并推广疫苗的使用。

原始出处:

Jimin Tan,Ruyi Wang,Jiyong Zhou,et al.One Health strategies for rabies control in rural areas of China. LANCET INFECT DIS.02 March 2017. 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2180274, encodeId=0d9f21802e4de, content=城市里的宠物狗只要不在野外被带有狂犬病毒的动物咬伤就不会传染狂犬病,城市里的狗去野外的几率并不大吧。, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f1741975735, createdName=药师冰, createdTime=Tue Jan 09 15:36:51 CST 2024, time=2024-01-09, status=1, ipAttribution=河南省), GetPortalCommentsPageByObjectIdResponse(id=1828798, encodeId=13891828e98a1, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Fri Jan 19 17:31:00 CST 2018, time=2018-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1941002, encodeId=bb6a1941002e0, content=<a href='/topic/show?id=0c5f30e8596' target=_blank style='color:#2F92EE;'>#农村地区#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30785, encryptionId=0c5f30e8596, topicName=农村地区)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4ba8129, createdName=zhzhxiang, createdTime=Thu Apr 27 17:31:00 CST 2017, time=2017-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2012183, encodeId=3ab320121832c, content=<a href='/topic/show?id=7d69598468' target=_blank style='color:#2F92EE;'>#Dis#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5984, encryptionId=7d69598468, topicName=Dis)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Thu May 04 04:31:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1404994, encodeId=f5ac140499432, content=<a href='/topic/show?id=2c4a30e76c7' target=_blank style='color:#2F92EE;'>#农村#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30776, encryptionId=2c4a30e76c7, topicName=农村)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b76a2518787, createdName=daviiliu, createdTime=Sat Mar 18 01:31:00 CST 2017, time=2017-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1412841, encodeId=c5dd1412841f9, content=<a href='/topic/show?id=28d868090c7' target=_blank style='color:#2F92EE;'>#狂犬病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68090, encryptionId=28d868090c7, topicName=狂犬病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0b512907439, createdName=luoxiaog, createdTime=Sat Mar 18 01:31:00 CST 2017, time=2017-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=180590, encodeId=935f18059076, content=实用的知识学习了!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Fri Mar 17 10:56:13 CST 2017, time=2017-03-17, status=1, ipAttribution=)]
    2024-01-09 药师冰 来自河南省

    城市里的宠物狗只要不在野外被带有狂犬病毒的动物咬伤就不会传染狂犬病,城市里的狗去野外的几率并不大吧。

    0

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    2018-01-19 howi
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    2017-03-18 daviiliu
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    2017-03-17 大爰

    实用的知识学习了!!

    0

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