2015-2021年广州市人间布鲁氏菌病时空分布特征分析  

Spatiotemporal distribution of brucellosis in Guangzhou,2015-2021

作　　者：张豪[1] 徐建敏[1] 许聪辉[1] 陈海燕[1] 任文峰[1] 樊莉蕊[1] 魏跃红[1] 陈守义[1] 陈坤才[1] 郭德超 Zhang Hao;Xu Jianmin;Xu Conghui;Chen Haiyan;Ren Wenfeng;Fan Lirui;Wei Yuehong;Chen Shouyi;Chen Kuncai;Guo Dechao(Guangzhou Municipal Center for Disease Control and Prevention,Guangzhou 510440,Guangdong,China;School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou 510006,Guangdong,China)

机构地区：[1]广州市疾病预防控制中心,广东广州510440 [2]广州中医药大学公共卫生与管理学院,广东广州510006

出　　处：《疾病监测》2022年第10期1346-1348,共3页Disease Surveillance

基　　金：广州市重点实验室基础研究计划(No.202102100001)。

摘　　要：目的 分析2015—2021年广州市布鲁氏菌病(布病)流行的时空分布特征,为布病防控策略提供时空线索依据。方法 搜集并整理广州市2015—2021年布病病例数据,进行描述性分析,并计算其发病率;运用ArcGIS 10.3软件将该病发病率用地图形式加以展现,描述其空间分布特征。结果 2015—2021年广州市共报告布病病例364例,平均发病率为3.71/100万,发病月份主要集中在3—7月,占全年发病总数的62.09%;职业分布以牲畜从业人员为主,占病例总数的43.41%,其次为家务/待业者占22.80%;全局空间上分析,城乡结合区域的发病率高于其他区域。结论 广州市从事牲畜交易、屠宰、销售等从业人员为布病的高危人群,应加强牲畜交易市场管理;非职业人员有一定感染风险,需加大宣传提高布病防控意识。Objective To analyze the spatiotemporal distribution of brucellosis in Guangzhou from 2015 to 2021 and provide evidence for the prevention and control of brucellosis.Methods The incidence data of brucellosis in Guangzhou from 2015 to 2021 were collected for the analysis on the prevalence of brucellosis by gender,occupation and age groups,calculation of the brucellosis incidence and description of the time and population distribution of the disease.The spatial distribution characteristics were showed in the form of a map of the incidence by ArcGIS 10.3.Results A total of 364 brucellosis cases were reported in Guangzhou during 2015−2021.The annual incidence rate of brucellosis was 3.71 per 1 million during this period,and 62.09%of the annual cases were reported between March and July.The cases were mainly livestock workers with occupational exposures,accounting for 43.41%of the total cases,followed by home workers/the unemployed(22.80%).The overall spatial analysis showed that the incidence rate in urban-rural continuum area was higher than that in other areas.Conclusion Employees engaged in livestock trading,slaughtering and sales are at high risk for brucellosis,so the surveillance should be carried out continuously and management of livestock trading market should be strengthened.In non-occupational population,infection risk still exists,so it is necessary to conduct health education to improve the awareness of brucellosis prevention and control.

关 键 词：布鲁氏菌病 流行特征 时空分析 

分 类 号：R211[医药卫生—中医学] R516.7