Al-Awadi A R, Al-Kazemi N, Ezzat G, Saah A J, Shepard C, Zaghloul T, Gherdian B
Bull World Health Organ. 1982;60(2):283-9.
Murine typhus occurred in 254 individuals in Kuwait between April and August 1978; 81% of patients were aged between 15 and 44 years, and 63% were male. The highest attack rate occurred among people in the lowest socioeconomic class. The outbreak coincided with a period of high rat and flea density. A study of the first 104 cases suggested that infection was acquired in the home, but a case - control study revealed no significant differences between patients and control subjects in terms of exposure to rats or domestic animals, and other factors. This suggests that murine typhus is hyperendemic rather than epidemic in Kuwait. The disease is being controlled through reduction of both flea and rat populations. Murine typhus may be much more common in many areas than is generally realized, and its status should be re-evaluated regularly in all known and potential foci.
1978年4月至8月期间，科威特共有254人感染鼠型斑疹伤寒；81%的患者年龄在15至44岁之间，63%为男性。发病率最高的是社会经济地位最低的人群。此次疫情暴发恰逢鼠类和跳蚤密度高的时期。对最初104例病例的研究表明，感染是在家庭中获得的，但一项病例对照研究显示，在接触老鼠或家畜以及其他因素方面，患者与对照对象之间没有显著差异。这表明鼠型斑疹伤寒在科威特是高度地方性流行而非流行性疾病。目前正在通过减少跳蚤和鼠类数量来控制该病。鼠型斑疹伤寒在许多地区可能比人们普遍认识到的更为常见，应在所有已知和潜在疫源地定期重新评估其状况。
