山西省2013-2016年国家级布鲁氏菌病监测点监测结果分析  

Analysis on surveillance results of brucellosis at nation surveillance spots in Shanxi,2013-2016

作　　者：白永飞[1] 帖萍[1] 闫昌福[1] 郑玉华[1] 王婷[1] 李学敏[1] 杨红霞[1] 张秋香[1] 郝瑞娥[1] 姚素霞[1] 崔步云[2] BAI Yong-fei;TIE Ping;YAN Chang-fu;ZHENG Yu-hua;WANG Ting;LI Xue-min;YANC Hong-xia;ZHANG Qiu-xiang;HAO Rui-e;YAO Su-xia;CUI Bu-yun(Shanxi Provincial,Center for Disease Control and Prevention,Taiyuan,Shanxi 030012,China;Department of Brucellosis National Iastitute for Communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention)

机构地区：[1]山西省疾病预防控制中心,山西太原030012 [2]中国疾病预防控制中心传染病预防控制所

出　　处：《中国公共卫生管理》2018年第6期837-841,共5页Chinese Journal of Public Health Management

摘　　要：目的分析山西省国家级布鲁氏菌病监测点监测结果,为制定布病防治对策、措施提供科学依据。方法对2013-2016年山西省布病常规监测及4个国家级布病监测点监测结果进行描述性分析。结果4年间山西省共报告布病27019例,平均报告发病率为18.58/10万,布病发病呈季节性,流行高峰期为3-7月,男女比例为3.52∶1,农民与牧民占89.81%。共检查职业人群6229人,阳性383人,阳性率6.15%;分离到布氏菌79株,除1株羊种布鲁氏菌变异株外,其他均为羊种3型。各年份监测人群中,不同年龄段人群比例不同(X^2=25.38,P<0.01),以50~60岁(48.20%)和40~49岁(32.11%)所占比例最高,各职业人群所占比例不同(X^2=71.68,P<0.01),以饲养(34.82%)及放牧(33.49%)所占比例最高;且各个监测点各年份年龄段人群比例不同(X^2=25.37,P<0.01),职业人群比例不同(X^2=2836,P<0.01)。结论山西省布病疫情仍然较重,防治工作应持续加强,建议《全国人间布鲁氏菌病监测方案》对监测人群在职业、年龄比例选择上有一定的调整。Objective To analyze the surveillance results at the nation surveillance spots of brucellosis in Shanxi province, provide scientific basis for making prevention and control measures.Methods Descriptive epidemiological analysis was conducted of routine surveillance and 4 nation surveillance spots data in Shanxi province from 2013 to 2016.Results According to routine surveillance,A total of 27019 brucellosis cases were reported,the average incidence was 18.58/100000.A seasonal incidence presented with the epidemic period from March to July,the male/female ratio was 3.52:1.Farmers and herdsmen occupied 89.81%.Totally 6229 blood samples were collected from risk population,in which 383 were positive for brucelia(6.15%).A total of 79 strains of brucellosis were detected,78 strains were brucella melitensis biovar 3of the total strains except 1 non-typical.Among the surveillance people of every year,it was the different at various age group(χ^2=25. 38,P <0.01),the highest proportion was found in the age of 50-60(48.20%)and 40-49(32.11%),it was different at various occupation group(χ^2 =71.68,P <0.01),the highest proportion was found in the raising(34.82%)and grazing(33.49%).Among every surveillance spots ,it was the different at age group proportions(χ^2=25.37,P <0.01)and occupation (χ^2=2836,P <0.01).Conclusion The situation of brucellosis epidemic in Shanxi province is still serious,it is necessary to strengthen the brucellosis prevention and control,and it is also suggested that "the National Human Brucellosis Monitoring Program"should be adjustment in the selection of occupation and age proportion of surveillance people.

关 键 词：布鲁氏菌病 监测 流行病学特征 

分 类 号：R378.5[医药卫生—病原生物学]