Abstract:Objective To analyze the pathogenic surveillance results of influenza in Yunfu City during 2010-2014, to summarize the epidemic pattern of influenza so as to provide a scientific basis for prevention and control of influenza epidemics. Methods Nasopharyngeal swab specimens were weekly collected from influenza-like cases in the influenza sentinel hospitals. Influenza viruses were isolated by Madin-Darby canine kidney (MDCK) cells, and the nucleic acid of the viruses was detected by Real-time PCR. Subtypes were identified by hemagglutination inhibition (HI) test or Real-time PCR. Results A total of 11,723 nasopharyngeal swab specimens were collected from 2010 to 2014, and 986 were identified as influenza positive, with the positive rate of 8.4%. The positive detection rates in each year were 9.6%, 1.6%, 10.5%, 4.7%, 12.7% and 8.4% respectively, with statistically significant differences (χ2=231.61, P=0.00). Among the positive specimens, A1 (H1N1), A3 (H3N2), A (H1N1) pdm, B (Victoria) and B (Yamataga) accounted for 0.4% (4/986), 36.8% (363/986), 27.1% (267/986), 22.9% (226/986) and 12.8% (126/986) respectively. There were statistically significant differences in the positive detection rates among the age groups of 0- year, 5-, 15-, 25- and >60 years (χ2=104.5, P=0.00). The detection peaks of influenza appeared from March to September in 2010, from January to March in 2012, from March to June and December in 2013. There were 2 peaks in 2014, one from January to April and another from June to July. Conclusions Influenza outbreaks in Yunfu City are mainly mixed epidemics, and the predominant strains of influenza viruses in each year are different. Influenza activity shows seasonal characteristics and is strong from January to July. There are 2 epidemic peaks, one in winter-spring and another in summer.
[1] World Health Organization.Recommended viruses for influenza vaccines for use in the 2010-2011 northern hemisphere influenza season[EB/OL].(2010-02)[2016-2-15].http://www. who.int/influenza/vaccines/virus/recommendations/201002_Recommendation.pdf?ua=1. [2] World Health Organization.Recommended composition of influenza virus vaccines for use in the 2011-2012 northern hemisphere influenza season[EB/OL]. (2011-02)[2016-2-15].http://www.who.int/influenza/vaccines/2011_02_recommendation.pdf?ua=1. [3] World Health Organization.Recommended composition of influenza virus vaccines for use in the 2012-2013 northern hemisphere influenza season[EB/OL]. (2012-02)[2016-2-15]http://www.who.int/influenza/vaccines/virus/recommendations/201202_recommendation.pdf?ua=1. [4] World Health Organization.Recommended composition of influenza virus vaccines for use in the 2013-2014 northern hemisphere influenza season[EB/OL]. (2013-02)[2016-2-15]http://www.who.int/influenza/vaccines/virus/recommendations/201302_recommendation.pdf. [5] World Health Organization.Recommended composition of influenza virus vaccines for use in the 2014-2015 northern hemisphere influenza season[EB/OL]. (2014-02)[2016-2-15]http://www.who.int/influenza/vaccines/virus/recommendations/201402_recommendation.pdf?ua=1. [6] 彭国文,谭秋,疏俊,等.广东省甲型H1N流感疫苗免疫策略[J].华南预防医学,2010,36(2):68-69. [7] 龙智钢,刘运芝,张红,等.湖南省2002-2007年流行性感冒病原学监测结果报告[J].实用预防医学,2008,15(6):1755-1757. [8] 朱美华,周志刚,温红艳,等.广州地区儿童呼吸道病毒感染流行情况及混合感染调查[J].中国妇幼保健,2013,28(18):2951-2955. [9] 陆小梅,黎四平,何月敬,等.呼吸道感染患儿1256例多种呼吸道病毒抗原检测结果分析[J].实用儿科临床杂志,2012,27(22):1733-1735. [10] 董晓春,李琳,徐文体.天津市儿童流感样病例变化趋势与呼吸道病毒病原的灰色关联分析[J].实用预防医学,2015,22(12):1424-1426. [11] 邓卓晖,鄢心革,倪汉忠,等.广东省流行性感冒病原学监测结果分析[J].中国公共卫生,2005,21(7):868-869. [12] 倪汉忠,曾汉武,刘少梅,等.1991-2000年广东省流感监测结果分析[J].中国公共卫生,2004,20(4):398-399. [13] 陈阿群,陈茂涂,郑南才,等.江门市2010-2014年流行性感冒监测[J].中国热带医学,2016,16(2):175-177.