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目的对2012年-2013年承德市布鲁菌病标本进行回顾性研究,对布鲁菌病流行状况及影响流行因素调查研究进行分析,掌握承德市布鲁菌病的流行病学特征,为以后的防控工作提供依据。方法对2012年-2013年承德市布鲁菌病病例1 130例进行流行特征分析。结果 2012年新发布鲁菌病489例,2013年新发布鲁菌病641例,相比上升31.08%,2012年围场县、丰宁县、隆化县3县占年发病总数的90.38%。2013年除围场县、丰宁县、隆化县外,其他各县的发病人数占年发病总数的比例有所增高。分布的范围由2012年的10个县区96个乡镇,扩大到2013年的11个县区127个乡镇,发病的范围有所扩大。发病以青壮年为主,有向老年发展的趋势,男性病例多于女性,农民、牧民发病率高,其他职业发病增多。结论承德市布鲁菌病疫情发展呈上升趋势,应加强疫情监测,采取有效措施使布鲁菌病疫情得以有效控制。
OBJECTIVE: To investigate the prevalence and influencing factors of brucellosis in Chengde city from 2012 to 2013. To study the epidemiological characteristics of brucellosis in Chengde city. Prevention and control work to provide the basis. Methods The epidemiological characteristics of brucellosis in Chengde City during the period from 2012 to 2013 were analyzed. Results A total of 489 new cases of rupture were reported in 2012. 641 new cases of rupture were reported in 2013, up by 31.08%. In 2012, 90.38% of the total cases were reported in 3 counties in Weichang County, Fengning County and Longhua County. In addition to the counties in Fenchang County, Fengning County and Longhua County in 2013, the proportion of the total number of cases in other counties was increased. The range of distribution expanded from 96 villages and towns in 10 counties and districts in 2012 to 127 towns and villages in 11 counties and districts in 2013, and the scope of the disease was expanded. Incidence of young and middle-aged, there is the trend to the elderly, more male than female, farmer, herdsman high incidence of other occupational diseases increased. Conclusion The epidemic situation of brucellosis in Chengde is on the rise. Epidemic monitoring should be strengthened and effective measures should be taken to effectively control the epidemic of brucellosis.