2017年焦作市人间布鲁菌病流行病学特征  

Epidemiological characteristics of human brucellosis in Jiaozuo City in 2017

作　　者：王华楠 许静轩 张中操 毋燕[3] 冉伟霞[3] 李堂赟 王三风[3] 许小利[3] WANG Hua-nan;XU Jing-xuan;ZHANG Zhong-cao;WU Yah;RAN Wei-xia;LI Tang-yun;WANG San-feng;XU Xiao-li(Endemic Disease Control Department,Center for Disease Control and Prevention of Wuzhi,Jiaozuo Henan,454950,China;Second Clinical College of Wenzhou Medical University,Wenzhou Zhejiang,325035,China;Endemic Disease Control Department,Center for Disease Control and Prevention of Jiaozuo,Jiaozuo Henan,454001,China)

机构地区：[1]焦作市武陟县疾病预防控制中心地方病科,河南焦作454950 [2]温州医科大学第二临床医学院,浙江温州325035 [3]焦作市疾病预防控制中心地方病科,河南焦作454001

出　　处：《职业与健康》2018年第15期2070-2073,共4页Occupation and Health

摘　　要：目的分析2017年焦作市布鲁菌病的流行特征,为制定布鲁菌病防治策略提供科学依据。方法采用描述流行病学方法,对2017年焦作市布鲁菌病病例进行分析。结果焦作市共报告新发布鲁菌病病例133例,发病率3.7/10万,发病以男性青壮年为主,男女发病比为2.91∶1;发病主要集中在3—7月份,占60.15%(80/133);焦作市11个县区均有发病;职业以农民为主,占81.95%(109例);感染途径多样,其中接触犊羔发病最多,患病40例,占30.08%,其次是食用乳肉制品和饲养放牧,分别患病38例、36,各占28.57%、27.07%。结论焦作市布鲁菌病发病呈下降趋势,有明显的季节性,食用乳肉制品感染应该引起重视。今后应加强对高危人群和重点人群的监测,采取联防联控和宣传教育措施以控制疫情。[Objective] To analyze the epidemiological characteristics of brucellosis in Jiaozuo City in 2017, provide scientific and effective basis for formulating brucellosis control strategies. [Methodsl Descriptive epidemiologieal method was employed to analyze brucellosis cases occurred in Jiaozuo City in 2017. [Results] A total of 133 newly brucellosis cases were reported in Jiaozuo City, and the incidence was 3.7/lakh. The cases were mainly male young adults, and the ratio of male to female was 2.91：1. The cases mainly concentrated between March and July, accounting for 60.15% （80/133）. The cases were reported in all 11 counties/districts of Jiaozuo City, and most of patients were farmer, accounting for 81.95% （109/133）. The infection pathways were varied, the contact with calves and lambs was the main pathway with 40 cases accounted for 30.08%, followed by consuming milk and meat as well as feeding and grazing, which were 38 cases and 36 eases,accounting for 28.57% and 27.07% respectively. [Conclusion] The incidence is decreasing and epidemic has obvious seasonality. It is necessary to focus on the infection by eating milk and meat and carry out the monitoring in high-risk groups and key groups. The joint prevention and management of brucellosis, as well as publicity and education play an important role in controlling epidemic.

关 键 词：布鲁菌病 流行特点 疫情分析 

分 类 号：R181.3[医药卫生—流行病学]