2011-2018年山东省烟台市人间布鲁菌病疫情流行病学分析  

Epidemiological analysis of human brucellosis in Yantai City,Shandong Province from 2011 to 2018

作　　者：冷启艳[1] 李秀燕[1] 高珊珊 许红玉 郭培军[1] 刘涛[1] 阎西革 Leng Qiyan;Li Xiuyan;Gao Shanshan;Xu Hongyu;Guo Peijun;Liu Tao;Yan Xige(Public Health Emergency Management Division,Yantai Center for Disease Control and Prevention of Shandong Province,Yantai 264003,China)

机构地区：[1]山东省烟台市疾病预防控制中心公共卫生应急处置科,264003

出　　处：《中华地方病学杂志》2020年第10期742-745,共4页Chinese Journal of Endemiology

基　　金：2018年度烟台市重点研发计划项目(2018SFGY118)。

摘　　要：目的分析烟台市2011-2018年人间布鲁菌病(简称布病)疫情流行病学特征,为制定和调整布病防控策略提供科学依据。方法采用描述流行病学方法,对烟台市2011-2018年布病监测数据和流行病学调查数据(时间、地区、人群分布及就诊行为)进行回顾性分析。结果2011-2018年,烟台市累计报告布病病例795例,年均发病率为1.42/10万,无死亡病例。以散发病例为主,占92.20%(733/795)。发病高峰为3-8月,占67.80%(539/795);除长岛县外,其他12个县(市、区)均有布病病例报告,报告发病率居前3位的县(市、区)为莱州市(5.20/10万,369例,占46.42%)、招远市(2.13/10万,97例,占12.20%)、蓬莱市(1.77/10万,62例,占7.80%);男、女性别比为2.82∶1.00(587∶208);发病年龄以40~69岁为主,占79.62%(633/795);职业以农民为主,占83.90%(667/795);病例发现以烟台市医疗机构为主,占89.56%(712/795);发病至诊断时间间隔平均为17 d,最长为2012年40 d,最短为2018年12 d。结论2011-2018年烟台市除长岛县外,其他12个县(市、区)均有布病病例报告,发病高峰为春夏季,以中老年发病为主,应针对不同地区、重点人群开展针对性防控策略。Objective To analyze the epidemiological characteristics of human brucellosis(referred to as brucellosis)from 2011 to 2018 in Yantai City,and to provide scientific basis for formulating and adjusting brucellosis prevention and control strategies.Methods Descriptive epidemiological method was used to analyze the monitoring data and epidemiological survey data(time,area,population distribution and treatment behavior)of brucellosis in Yantai from 2011 to 2018.Results From 2011 to 2018,795 cases of brucellosis were reported in Yantai,with an annual incidence of 1.42/100000 and no deaths.Most of the cases were sporadic,accounting for 92.20%(733/795).The incidence peak was from March to August,accounting for 67.80%(539/795).In addition to Changdao County,cases of brucellosis had been reported in 12 counties(cities,districts).The incidence rate of the top three counties(cities,districts)were 5.20/100000(369 cases,accounting for 46.42%)in Laizhou City,2.13/100000(97 cases,accounting for 12.20%)in Zhaoyuan City,and 1.77/100000(62 cases,accounting for 7.80%)in Penglai City.The male and female sex ratio was 2.82 to 1.00(587 to 208).The age of onset was mainly 40-69 years old,accounting for 79.62%(633/795).Occupation was mainly farmers,accounting for 83.90%(667/795).Cases were mainly found in local medical institutions,accounting for 89.56%(712/795).The average interval between onset and diagnosis was 17 days,the longest was 40 days in 2012,and the shortest was 12 days in 2018.Conclusions From 2011 to 2018,except Changdao County,12 counties(cities and districts)in Yantai City had reported brucellosis cases.The incidence peak was in spring and summer,mainly in middle-aged and elderly people,so we should carry out targeted prevention and control strategies for different areas and key populations.

关 键 词：布鲁杆菌病 流行病学 监测 数据分析 

分 类 号：R516.7[医药卫生—内科学] R181.3[医药卫生—临床医学]