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目的分析山东省滨州市人间布鲁杆菌病(简称布病)流行特征,为防治布病工作提供科学依据。方法对滨州市2009-2014年的布病疫情资料和布病患者个案调查数据进行流行病学特征分析。结果 2009-2014年滨州市共报告布病病例667例,报告发病率逐年升高,年发病率分别为0.21/10万、1.01/10万、1.31/10万、3.11/10万、4.58/10万、7.33/10万。病例主要集中在4-7月份,占43.03%(287/667);惠民县、阳信县、无棣县、沾化区四县区占全市病例总数的73.46%(490/667);30~69岁年龄段发病最多,占82.61%(551/667);男女发病比例为2.77:1(490/177);发病患者中以农民为主,占88.61%(591/667);接触羊和收购加工畜产品是主要传播途径,分别占57.87%(386/667)和26.39%(176/667)。结论滨州市布病疫情近年呈快速上升趋势,以春夏季发病较集中,以中老年男性患者居多,重点地区为滨州市养殖户较多的北部四县区,传染源主要为外来家畜未经检疫传入,应进一步落实综合防治措施,切实控制疫情扩散。
Objective To analyze the epidemiological characteristics of human brucellosis (abbreviated as brucellosis) in Binzhou, Shandong Province, and provide a scientific basis for the prevention and treatment of brucellosis. Methods Epidemiological characteristics of brucellosis data and case-control patients from 2009 to 2014 in Binzhou were analyzed. Results A total of 667 cases of brucellosis were reported in Binzhou from 2009 to 2014, and the reported incidence increased year by year with annual incidences of 0.21 / 100000, 1.01 / 100000, 1.31 / 100000, 3.11 / 100000, 4.58 / 10 Million, 7.33 / 100,000. The cases mainly concentrated in April-July, accounting for 43.03% (287/667); the counties in Huimin County, Yangxin County, Wudi County and Zhanhua District accounted for 73.46% (490/667) of the total number of cases in the city; 30 The incidence was highest in the 69-year-old age group, accounting for 82.61% (551/667). The incidence rate of male to female was 2.77: 1 (490/177). The majority of the patients were peasants, accounting for 88.61% (591/667) The acquisition and processing of livestock products is the main route of transmission, accounting for 57.87% (386/667) and 26.39% (176/667) respectively. Conclusion The epidemic situation of brucellosis in Binzhou is rapidly rising in recent years. The incidence of brucellosis in Binzhou is more concentrated in spring and summer, and the majority of middle-aged and elderly male patients are in the four northern counties with more farmers in Binzhou, with the main source of infection being non-quarantine Incoming, further comprehensive prevention and control measures should be implemented to effectively control the spread of the epidemic.