2004-2019年黑龙江省齐齐哈尔市人间布鲁氏菌病流行特征分析  

Human brucellosis epidemiological characteristics in Qiqihar,Heilongjiang,2004-2019

作　　者：关春鸿[1] 李丹 金福芝[1] 田田 王宏磊 赵欣娜[1] Guan Chunhong;Li Dan;JinFuzhi;Tian Tian;Wang Honglei;Zhao Xinna(Qiqihar Prefectural Center for Disease Control and Prevention,Qiqihar 161005,Heilongjiang,China)

机构地区：[1]齐齐哈尔市疾病预防控制中心,黑龙江齐齐哈尔161005

出　　处：《疾病监测》2021年第11期1168-1171,共4页Disease Surveillance

基　　金：齐齐哈尔市科技攻关项目(No.CRKX-2020017,No.CRKX-2020022)。

摘　　要：目的分析黑龙江省齐齐哈尔市2004—2019年布鲁氏菌病(布病)的流行特征,为制定布病防治策略提供科学依据。方法采用描述流行病学方法,对实验室确诊布病病例的时间分布、地区分布和人群分布的流行特征进行分析。结果齐齐哈尔市2004—2019年网上共报告实验室确诊布病病例25999例,无死亡病例,年均发病率为29.50/10万,是全国同期年平均发病例率(2.64/10万)的11.17倍,齐齐哈尔市布病发病率处于较高水平。2005年和2012年有2个发病高峰,2019年疫情上升显著,发病率达到23.56/10万。发病集中于3—7月。人间布病发病年龄最小9月龄,最大92岁,布病病例呈青壮年多、男性多、农牧民多的特点。发病分布区域广,2012年全市16个县/区94.60%的乡镇、57.70%的村屯报告新发病例。非职业人群中家务、学生、工人、散居儿童布病发病构成比相对较高,家务及待业人群发病呈上升趋势。结论齐齐哈尔市人间布病发病水平远高于全国,建议畜牧部门与卫生部门加强联合,加大防控力度,加强畜间检疫免疫扑杀综合防治措施,实施健康教育与健康促进等各项防控措施,降低布病发病率。Objective To analyze the epidemiological characteristics of human brucellosis in Qiqihar of Heilongjiang province from 2004–2019,and provide scientific evidence for the development of brucellosis prevention and control strategy.Methods The time,geographical and population distributions of laboratory confirmed brucellosis case were analyzed with descriptive epidemiological method.Results A total of 25999 laboratory-confirmed human brucellosis cases,without death,were reported online in Qiqihar from 2004 to 2019.The average annual incidence rate was 29.50/100000,11.17 times higher than national average(2.64/100000)during the same period.The incidence of human brucellosis in Qiqihar was at a high level.There were two peaks in 2005 and 2012.The incidence increased significantly in 2019,with incidence rates of 23.56/100000,the highest incidence was during March–July.The cases were aged from 9 months to 92 years.Most cases were middle-aged,men,farmers and herdsmen.The spread area of the disease was wide,the cases were reported in 94.60%of townships and 57.70%of all villages in 16 counties in 2012.In the non-occupational group,the proportions of the jobless or unemployed,students,workers,children outside child care settings were relatively high.The proportion of the jobless or employed was in increase.Conclusion The incidence of brucellosis in Qiqihar was much higher than the national level,Animal husbandry departments should strengthen the prevention and control of brucellosis.To reduce the incidence of human brucellosis,the quarantine,immunization and culling of livestock should be further strengthened,and health education and promotion should be implemented.

关 键 词：布鲁氏菌病 人间 流行特征 

分 类 号：R211[医药卫生—中医学] R516.7