2006-2018年云南省布鲁氏菌病流行病学特征分析  

Epidemiological analysis of brucellosis in Yunnan, 2006–2018

作　　者：杨向东[1] 杨雪 于彬彬[1] 张青[1] 杨秋菊[1] Yang Xiangdong;Yang Xue;Yu Binbin;Zhang Qing;Yang Qiuju(Yunnan Institute of Endemic Disease Control and Prevention,Yunnan Provincial Key Laboratory of Natural Focal Disease Control and Prevention,Dali 671000,Yunnan,China;Nujiang Center for Disease Prevention and Control,Nujiang 673100,Yunnan,China)

机构地区：[1]云南省地方病防治所,云南省自然疫源性疾病防控技术重点实验室,云南大理671000 [2]云南省怒江傈僳族自治州疾病预防控制中心,云南怒江673100

出　　处：《疾病监测》2019年第12期1072-1075,共4页Disease Surveillance

摘　　要：目的了解2006-2018年云南省布鲁氏菌病(布病)的流行状况,正确评估引起布病发生的原因和风险因素,为制定有效的防治策略提供科学依据。方法通过中国疾病预防控制系统,获得2006-2018年布病的疫情资料,采用Excel 2010软件建立数据库和绘制图表,采用ArcGIS 10.2软件绘制区域分布图。结果云南省的布病疫情从2006年的1个州(市)1个县扩散至2018年的10个州(市)48个县(市、区),累计发病地区达12个州(市)的77个县(市、区),占全省县(市、区)的59.69%(77/129);期间全省每年均有布病病例发生,累积病例达1 239例,无死亡病例,全省布病疫情呈上升趋势;发病数和发病率较高的州(市)为红河州、昆明市和曲靖市,占总病例的67.23%;发病季节主要以夏、秋季为主,占总发病数的59.48%;发病人群集中在20~69岁年龄组,占总发病数的88.22%,职业以农民为主(78.53%),男性(71.99%)多于女性(28.01%)。结论云南省病呈快速蔓延趋势,疫情上升,疫区范围扩大;加强健康教育和业务技术培训,提升基层监测和检测能力,建立和完善相关部门间的合作机制,及时发现并处理疫情,加强病例管理,降低慢性化率是防治布病的重要措施。Objective To understand the prevalence of brucellosis in Yunnan province in recent years and assess risk factors causing brucellosis, provide a scientific basis for developing effective prevention strategies. Methods The epidemiological data of brucellosis in Yunnan were collected from 2006 to 2018 through China Disease Prevention and Control System, the database was set up and the geographical distribution maps were drawn with software ArcGIS 10.2. Results Brucellosis was detected in 1 county in 2006 and in 48 counties in 2018 in Yunnan and had been reported in 77 counties accumulatively,accounting for 59.69%(77/129)of total counties. Brucellosis occurred in every year during this period and a total of 1 239 brucellosis cases reported without death. The prefectures(municipality) with high incidence rate were Honghe, Kunming and Qujing, where 67.23% of the cases were reported. Although the disease occurred all the year round, 59.48% of cases were reported in summer and autumn. Cases aged 20–69 years accounted for 88.22%, most cases was farmers(78.53%), and more men(71.99%) were infected compared with women(28.01%). Conclusion The prevalence of brucellosis increased rapidly in Yunnan, resulting in more infected areas and cases. The important prevention and control measures include health education,stff training, improvement of surveillance and detection, enhanced cooperation between different departments to find and response epidemic as early as possible, standardized case management and reducing chronic rate caused by the disease.

关 键 词：布鲁氏菌病 云南省 流行病学 

分 类 号：R516.7[医药卫生—内科学]