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目的分析2013—2015年新疆生产建设兵团(简称兵团)第四师人间布鲁氏菌病疫情及筛检数据,描述布鲁氏菌病在本地区的分布特征,为有效遏制布鲁氏菌病疫情、制定和落实相应的综合防控措施提供科学依据。方法按照兵团布鲁氏菌病防治项目管理方案和实施方案的要求,2013—2015年对第四师布鲁氏菌病高危人群进行疫情监测并筛查部分团场高危人群的布鲁氏菌病患病情况。结果 2013—2015年布鲁氏菌病报告发病率分别为58.65/10万、37.20/10万和28.92/10万,呈下降趋势(趋势χ2=24.35,P<0.01);布鲁氏菌病防治项目共调查6~77岁2 290人,其中男性1 315人(57.42%)、女性975人(42.58%),平均年龄(37.38±14.1)岁,平均感染率2.31%、患病率1.92%;感染率男性(3.12%)高于女性(1.23%),主要为养殖户农民及牧民,其中牧民感染率高于养殖户农民(χ2=44.63,P<0.01),维吾尔族(3.00%)与哈萨克族(2.96%)的感染率高于其他民族,各民族差异有统计学意义(χ2=6.46,P<0.05)。结论 2013—2015年第四师布鲁氏菌病疫情降幅明显,但感染情况仍高于部分布鲁氏菌病流行地区;应加强布鲁氏菌病感染控制力度,控制源头流入,尤其对部分高发团场的牧民及养殖户农民应进行健康教育并采取防护干预措施。
Objective To analyze the epidemic situation and screening data of brucellosis in the fourth division of Xinjiang Production and Construction Corps (referred to as Corps) from 2013 to 2015, and to describe the distribution characteristics of brucellosis in this area. In order to effectively control brucellosis Epidemic situation, formulate and implement the corresponding comprehensive prevention and control measures to provide a scientific basis. Methods According to the requirements of the management plan and implementation plan of Brucellosis control project in Corps, from 2013 to 2015, the epidemic situation of the high risk population of the fourth division brucellosis was monitored and the brucellosis Illness. Results The reported rates of brucellosis in 2013-2015 were 58.65 / 100000, 37.20 / 100000 and 28.92 / 100000, respectively, showing a decreasing trend (trend χ2 = 24.35, P <0.01); prevention and treatment of brucellosis A total of 2 290 people aged 6 to 77 were investigated, including 1 315 (57.42%) men and 975 females (42.58%), with an average age of 37.38 ± 14.1 years, with an average infection rate of 2.31% and a prevalence of 1.92%. The infection rate of males (3.12%) was higher than that of females (1.23%), mainly farmers and pastoralists, among which herders were more infected than farmer households (χ2 = 44.63, P <0.01) (2.96%) had higher infection rate than other ethnic groups, with significant differences among ethnic groups (χ2 = 6.46, P <0.05). Conclusion The epidemic situation of brucellosis in the fourth division between 2013 and 2015 was obviously decreased, but the infection rate was still higher than that in some areas where brucellosis was endemic. Brucellosis infection control should be strengthened to control the source inflow, especially for part Herdsmen and farmer farmers in high incidence areas should carry out health education and take protective interventions.