1999年至2018年期间乌克兰狂犬病的流行病学和流行病学方面

L. Kornienko, O. A. Moroz, A. Mezhensky, S. V. Skorokhod, R. Datsenko, M. Karpulenko, I. Polupan, Y. Dzyuba, V. Nedosekov, I. F. Makovskaya, Yu. O. Hibaliuk, M. Sonko, T. Tsarenko, O. Pishchanskyi
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引用次数: 11

摘要

本文的目的是分析近20年来狂犬病的流行病学和流行病学方面,批判性地评价这一方向取得的成就和存在的问题,指出不足之处,并概述克服它们的主要途径。本研究采用了流行病学和流行病学的研究方法。1999-2018年狂犬病流行情况分析显示,狂犬病发病动物33079只,其中家养动物19687只(59.5%),野生动物13392只(40.5%)。患病动物中发病率最高的比例为:猫占25.3%,狗占19.3%,牛占13%,狐狸占36.7%。发现家畜10种,野生动物18种。在野生动物中,狐狸发病率最高,为12136只(90.6%),狂犬病发病率较高,貉507只(3.78%),貂363只(2.7%),狼158只(1.17%)。本病的季节性研究在秋冬季节表现最为明显。狂犬病疫情高度紧张的所有地区(主要是乌克兰东部、北部和中部地区)相互关联。疫情的低紧张程度主要集中在西部地区。在分析期间,乌克兰有58人死于狂犬病。疑似患狂犬病的咬伤动物数量估计为879(2016年)至3983(2007年)。2007年出现如此大量的咬伤是合乎逻辑的,因为这一时期患病动物的数量是最高的。抗狂犬病援助需要6373人(2014年)至110202人(2003年)。接种疫苗的比例为14.8%(2006年为14149人)和23.3%(2017年为16131人)。狗和猫的狂犬病情况需要更积极的立法干预,以便通过疫苗接种全面覆盖这些动物。该疾病的季节性表现部分是由于流浪狗和流浪猫等幼龄动物的活动。虽然(在某些地区)在野生动物口服疫苗接种方面取得了一些成功,但是,在大多数情况下,尚未实现该地区的全面覆盖。这项工作的结果表明,接种疫苗的动物比例不足以在野外控制和根除这种疾病。这篇文章的作者指出,在牛在温暖季节放牧的地区,对牛强制接种疫苗应该是全国性的。分析期间狂犬病患者中牛的数量为21.89%(在宠物类别中仅次于猫和狗)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epizootological and epidemiological aspects for rabies in Ukraine for the period from 1999 to 2018
The aim of the work is to analyze the epizootological and epidemiological aspects of rabies in the last 20 years, to evaluate critically the achievements and problems in this direction, to point out the shortcomings and to outline the main ways of overcoming them. Epizootological and epidemiological methods of research were used in this work. The analysis of the epizootic situation with rabies for the period 1999–2018 showed that 33079 animals suffered from rabies, 19687 (59.5%) of them were domesticated animals, 13392 (40.5%) were wild. The percentage of sick animals with the highest rates of morbidity from the total number of patients is: for cats – 25.3%, for dogs – 19.3%, for cattle – 13%, for foxes – 36.7%. The disease was registered in 10 species of domestic animals and 18 species of wild ones. Among wild animals, the highest incidence was recorded among foxes – 12,136 animals or 90.6%, high incidence of rabies – raccoon dogs – 507 or 3.78%, martens – 363 or 2.7%, wolves – 158 animals, or 1.17%. The study of seasonality for this disease showed the maximum manifestation in the autumn-winter period. All regions with a high tense of epizootic situation with rabies are interconnected (mainly the eastern, northern and central regions of Ukraine). The low tenseness of the epizootic situation is observed mainly in the western regions. During the analyzed period in Ukraine, 58 people died from rabies. The number of bites animals suspected of developing rabies disease was estimated from 879 (2016) to 3983 (2007). Such a large number of bites in 2007 is logical, since the number of sick animals in this period was the highest. Antirabies assistance needed 6,373 people (2014) up to 110 202 (2003). Vaccination was subject to 14.8% (14,149 people in 2006) and 23.3% (16,131 people in 2017). The epizootic rabies situation among dogs and cats requires more active legislative intervention regarding the full coverage of these animals by vaccination. The seasonal component in the manifestation of the disease is partly due to the activity of young animals of stray dogs and cats. Although some successes have been achieved in the oral vaccination of wildlife (in some areas), however, for the most part, full coverage of the area has not been achieved. As the results of this work show, the proportion of animals covered by vaccines was insufficient to control and eradicate the disease in the wild. The authors of the article note that the mandatory vaccination of bovine animals in areas where such animals go to grazing in the warm season should be national. The number of cattle in patients with rabies during the analyzed period was 21.89% (third place after cats and dogs in the category of pets).
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