Analysis on epidemiologic characteristics of human plague case form Rattus flavipectus plague natural foci in Yunnan Province / 中国地方病学杂志

ABSTRACT

Objective To analyze the epidemiologic characters of human plague from Rattus flavipectus plague natural foci in Yunnan Province from 1986 to 2006 and to provide references for prevention and control strategy.Methods Data were collected and analyzed on epidemic situation of human plague in the past twenty-one years.Results From 1986 to 2006,the total human plague cases from Rattus flavipectus plague natural foci in Yunnan were 507,accounted for 59.5%(507/866)of the total cases in the whole country.There were three peaks of human plague outbreak in 1990,1996 and 2000.The number of annual cases were 73,88 and 122,accounting for 97.3%(73/75),89.8%(88/98),48.0%(122/254)of the total cases in the whole country respectively.The epidemic areas were mainly located in the west,southwest and southeast pans of Yunnan,but the number of cases changed with year in different prefectures(or cities).Seasonal pattern analyses revealed that the epidemic could occur in whole year,with a peak period through July to November,especially September.There were different prevalence of plague cases in age and professions,which related to the chance of contact with infected animals and infectious fleas.All human plague cases were primary bubonic plague.Conclusions The results suggested that there were clear epidemic characteristics for human plague for Rattus flavipectus plague natural foci in Yunnan.In order to control human plague effectively,it was necessary to reinforce surveillance and warning system to diminish the outbreak of human plague.