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目的了解秦皇岛市疾病预防控制中心在卢龙县监测点人间布鲁菌病(以下简称布病)流行规律及地区分布情况,为政府制定防治策略提供科学依据。方法根据GB 16885-1997《布鲁氏菌病监测标准》及《全国人间布鲁氏菌病监测方案》,对卢龙县2007—2013年人间布病监测检验结果进行分析。结果 7年间卢龙县12个乡镇共检测采集血清标本1 762份,检出阳性126份,阳性率为7.15%;其中主动检验362人,阳性67例,阳性率18.50%;抽样监测检验1 400人,阳性59例,阳性率4.21%。职业人群以饲养员感染率最高,为12.12%(79/652),不同职业发病率差异有统计学意义(P<0.01);男女阳性率分别为8.13%、4.03%,差异有统计学意义(P<0.01)。不同年龄组阳性率差异无统计学意义;不同地区间人间布病监测检验阳性率差异无统计学意义,其中蛤泊乡最高,为11.67%(23/197)。结论卢龙县人间布病疫情2007—2010年逐年上升,近几年有下降趋势,主要与近几年防治力度加大有关,应加强传染源的管理控制,继续加强人间布病监测,深入开展对重点人群进行宣传教育和行为干预。
Objective To understand the prevalence and geographical distribution of human brucellosis (hereinafter referred to as brucellosis) at the monitoring point of Qinhuangdao Municipal Center for Disease Control and Prevention in Lulong County and provide a scientific basis for the government to formulate prevention and control strategies. Methods According to the monitoring standard of brucellosis GB 16885-1997 and the national monitoring program of brucellosis, the surveillance results of human brucellosis from 2007 to 2013 in Lulong County were analyzed. Results A total of 1 762 serum samples were collected from 12 towns in Lulong County during the 7 years. The positive rate was 7.15%, of which 362 were positive, of which 67 were positive and the positive rate was 18.50%. The sampling monitoring test was 1 400 Person, positive in 59 cases, the positive rate of 4.21%. The occupational population was the highest infection rate of breeders (12.12% (79/652), the incidence of different occupations was statistically significant (P <0.01); male and female positive rates were 8.13% and 4.03% respectively, the difference was statistically significant P <0.01). There was no significant difference in the positive rate among different age groups. There was no significant difference in the positive rate of human brucellosis surveillance test in different regions, of which the highest was 11.67% (23/197). Conclusion The epidemic situation of human brucellosis in Lulong County increased year by year in 2007-2010 and has been declining in recent years. This is mainly due to the intensification of prevention and control efforts in recent years. The management and control of infectious sources should be strengthened and the monitoring of human brucellosis should be further strengthened. Focus on crowd education and behavior intervention.