2010 - 2016年陕西省渭南市布鲁菌病流行特征分析  

Epidemiological features of brucellosis from 2010 to 2016 in Weinan, Shaanxi Province

作　　者：赵爱珠 郭世红[1] 周敏[1] 石梁[1] 王月皎[1] 郭晶晶[2] Zhao Aizhu;Guo Shihong;Zhou Min;Shi Liang;Wang Yuejiao;Guo Jingjing(Department of Endemic Disease, Center for Disease Control and Prevention of Weinan City in Shannxi Province,Weinan 714000, China;Department of Clinical Laboratory, Center for Disease Control and Prevention of Weinan City in Shannxi Province, Weinan 714000, Chin)

机构地区：[1]陕西省渭南市疾病预防控制中心地病科,渭南714000 [2]陕西省渭南市疾病预防控制中心检验科,渭南714000

出　　处：《中华地方病学杂志》2018年第6期489-492,共4页Chinese Journal of Endemiology

基　　金：渭南市2016年科技计划项目（2016KYS-3-5）

摘　　要：目的 分析陕西省渭南市 2010 - 2016 年人间布鲁菌病（简称布病）疫情变化趋势、流行病学特征，为有效控制人间布 病疫情提供科学依据。方法 通过中国疾病监测信息报告管理系统及2010 - 2016年渭南市布病监测及疫情调查收集疫情资料，采用 描述性流行病学方法，分析布病“三间分布”特征、重点人群血清学阳性检出率、爆发疫情中病例感染途径等。结果 2010 - 2016 年渭南市共报告布病1 624例，无死亡病例报告。发病率由2010年的1.96／10万上升至2014年的11.16／10万，2015年疫情（发病率 为5.46／10万）开始下降，2016年发病率降至3.33／10万。渭南市10个县（市、区）均有病例报告，主要集中在大荔县（682例） 、澄城县（269例）、蒲城县（225例），占全部报告病例的72.41%（1 176／1 624）。全年各月均有发病；发病年龄以 40 - 64 岁最多，占63.67%（1 034／1 624）；职业以农民为主，占91.75％（1 490／1 624）；男性明显高于女性，男女发病比例为3.28 ∶ 1.00（1 245 ∶ 379）。共检测重点职业人群15 126人，年均血清学阳性检出率为2.21%（335／15 126）。病例感染途径多样 化，以饲养和接生过程感染为主。结论 渭南市布病疫情呈先上升后下降趋势，患者以中老年男性农民居多，感染途径呈多样化。Objective To analyze the trend and epidemiological features of human brucellosis from 2010 to 2016 in Weinan, Shaanxi Province, and to provide scientific data for effective control of human brucellosis. Methods The data were obtained from the China Disease Surveillance Information Management System and the brucellosis monitoring and epidemic survey of Weinan City from 2010 to 2016. The ＂three distribution＂ of brucellosis, the positive rate of serological test of the key group and the infecting route of the epidemic were analyzed using descriptive epidemiology method. Results A total of 1 624 brucellosis cases were reported in Weinan City from 2010 to 2016 and none death case occurred. The morbidity rose from 1.96/100 000 in 2010 to 11.16/100 000 in 2014. The morbidity fallen from 5.46/100 000 in 2015 to 3.33/100 000 in 2016. The reported cases distributed in 10 counties of Weinan and mainly concentrated in Dali County （682 cases）, Chengcheng County （269 cases） and Pucheng County （225 cases）, accounting for 72.41% （1 176/1 624）. There were brucellosis occurring in all months of the year. The age group distributed mainly from 40 to 64 years old which accounted for 63.67% （1 034/1 624） of the total reported cases. The peasants accounted for 91.75% （1 490/1 624） in all cases. Men were significantly higher than women and the morbidity ratio of male to female was 3.28 ∶ 1.00 （1 245 ∶ 379）. A total of 15 126 key occupational persons were tested and the positive rate of serology was 2.21% （335/15 126） annually. The feeding and delivery process were the main ways of infection. Conclusions The brucellosis epidemic in Weinan shows a trend from rise to decline. The middle-aged male peasants account for major population in all cases and the ways of infection are diversified.

关 键 词：布鲁菌病 流行特征 数据收集 

分 类 号：R181.3[医药卫生—流行病学]