云南省保山市人兽布鲁氏菌病疫情调查分析  

Investigation of brucellosis epidemics in human and animals in Baoshan,Yunnan

作　　者：李艳萍[1] 马强 黄东升[1] 赵明[1] 马云良[1] 唐咸艳 Li Yanping;Ma Qiang;Huang Dongsheng;Zhao Ming;Ma Yunliang;Tang Xianyan(Baoshan Prefecture Center for Disease Control and Prevention,Baoshan 678000,Yunnan,China;Department of Epidemiology and Biostatistics,School of Public Health,Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]保山市疾病预防控制中心,云南保山678000 [2]广西医科大学公共卫生学院流行病与生物统计学系,广西南宁530021

出　　处：《疾病监测》2021年第5期436-439,共4页Disease Surveillance

基　　金：国家自然科学基金(No.81960615,81502890);美国中华医学基金(No.CMB 19-307,CMB 14-202)。

摘　　要：目的分析云南省保山市布鲁氏菌病(布病)突发公共卫生事件特征,为布病疫情调查处置提供科学参考。方法采用描述性流行病学方法对全市布病突发公共卫生事件调查处置资料进行分析。结果2017年以来保山市报告2起布病疫情。第一起为由梅花鹿引起的布病感染事件,具体为从事梅花鹿饲养人员因不明原因持续发热、四肢乏力等,检测布鲁氏菌抗体滴度1∶400++,经血培养检出羊种布鲁菌。同时采集梅花鹿血样10份,检出2份抗体阳性。第二起为由肉牛引起的布病感染事件,具体为对龙陵县MR镇10名肉牛饲养员和6名兽医开展布鲁氏菌感染监测,检出2人血清抗体阳性,19头肉牛抗体阳性。结论保山市报告的2起人和动物布病疫情,通过及时调查和处置,疫情得到有效控制,建议养殖经济动物要严格落实引入动物检疫措施,加强人员及动物间疫情监测。Objective To understand the characteristics of the brucellosis epidemics in human and animals in Baoshan prefecture of Yunnan province and provide scientific references for the prevention and control of brucellosis.Methods Descriptive epidemiological methods were used to analyze the investigation and response data of the two public health emergencies caused by brucellosis in Baoshan.Results Since 2017,two epidemics of brucellosis have been reported in Baoshan.In the first epidemic,a worker in a sika deer breeding farm showed fever with unknown reason and limb weakness,Brucella serological testing result was positive,and the antibody titer was 1∶400++.Brucella melitensis was detected by blood culture.Ten blood samples of sika deer were collected and tested by rose bengal plate agglutination test,the results showed that 2 samples were positive.The second epidemic was caused by infected beef cattle.In the response of the epidemic,10 cattle attendants and 6 veterinarians were investigated.The blood samples of two persons were positive,there were 19 beef cattle with antibody positive.Conclusion Two epidemics of brucellosis in Baoshan were effectively controlled through timely epidemiological investigation and managements.It is suggested to implement strict quarantine before the introduction of economic animals and strengthen the surveillance for brucellosis in staff and economic animals in breeding farms.

关 键 词：布鲁氏菌病 疫情 梅花鹿 肉牛 突发公共卫生事件 

分 类 号：R211[医药卫生—中医学] R516.7