2009-2022年海南省人间布鲁氏菌病流行病学特征分析  

Epidemiological characteristics of human brucellosis in Hainan province,2009−2022

作　　者：谢永慧[1] 闫秀娟[1] 蔡英桂 张玲 罗艳[1] 李俊[1] 陈菁菁[1] 杜中华[1] 邱仁 王南来 邱丽[1] Xie Yonghui;Yan Xiujuan;Cai Yinggui;Zhang Ling;Luo Yan;Li Jun;Chen Jingjing;Du Zhonghua;Qiu Ren;Wang Nanlai;Qiu Li(Hainan Provincal Center for Disease Control and Prevention,Haikou 570203,Hainan,China)

机构地区：[1]海南省疾病预防控制中心,海南海口570203

出　　处：《疾病监测》2024年第3期285-289,共5页Disease Surveillance

基　　金：海南省自然科学基金面上项目(No.821MS151)。

摘　　要：目的 分析海南省2009-2022年人间布鲁氏菌病(布病)的流行病学特征,为制定针对性的布病预防控制策略提供依据。方法 收集中国疾病预防控制信息系统中海南省2009-2022年人间布病报告数据和各监测点血清学监测数据,进行描述性流行病学分析。结果 2009-2022年海南省共报告布病140例,年均发病率为0.11/10万,发病率呈逐年上升趋势(χ^(2)=164.602,P<0.001)。发病以3-8月为主。全省17个市(县)(17/19,89.47%)有布病病例报告,以东方市、昌江黎族自治县、白沙黎族自治县、乐东黎族自治县、临高5个邻近的市(县)发病水平最高,发病市(县)数呈逐年增加趋势。男性年均报告发病率为0.13/10万,女性年均报告发病率为0.07/10万,差异有统计学意义(χ^(2)=21.174,P<0.001)。以30~69岁人群为主,占全部病例的77.85%。职业分布以农民为主,占53.57%。共开展重点职业人群血清学监测13 175人,检出阳性161例(阳性率1.22%)。养殖牛、羊、猪等家畜,肉类加工及屠宰等直接接触病畜及污染物等为感染的主要原因,占95.00%,食源性感染占2.86%。77.14%的病例在发病30 d内就诊。结论 海南省人间布病的发病率呈逐年上升的趋势,迅速扩散到多个市(县),建议相关部门加强联防联控,根据流行病学特征,采取适当的控制措施。Objective To analyze the epidemiological characteristics of human brucellosis in Hainan province,2009–2022,and to provide evidence for further discussion and formulation of brucellosis prevention and control measures.Methods The epidemiological data of human brucellosis in Hainan province from 2009 to 2022 were collected and analyzed by descriptive epidemiology,serological monitoring data were collected at each monitoring site.χ^(2) test was used to analyze the incidence rates in different years and different genders.Results A total of 140 cases of brucellosis were reported in Hainan province from 2009 to 2022,with an average annual incidence of 0.11/100000,which showed an increasing trend year by year(χ^(2)=164.602,P<0.001).The incidence peak was from March to September.Cases of brucellosis were reported in 17 cities and counties(89.47%of the total).Dongfang,Changjiang,Baisha,Ledong and Lingao were the five neighboring cities and counties with the highest incidence.The number of cities and counties with the disease increased year by year.Among the 140 confirmed cases,97 were males(annual reporting rate 0.13/100000)and 43 were females(annual reporting rate 0.07/100000),the difference was statistically significant(χ^(2)=21.174,P<0.001).The majority of cases were 30–69 years old,accounting for 77.85%of all cases.The occupation distribution is mainly farmers,accounting for 53.57%.A total of 13175 key occupational population were tested serologically,161 were found positive(positive rate 1.22%).Breeding cattle,sheep,pigs and other domestic animals,meat processing and slaughtering and other direct contact with infected animals and pollutants were the main causes of infection,accounting for 95.00%.Food-borne infection accounted for 2.86%.77.14%of the cases were seen within 30 days of onset.Conclusion The incidence of human brucellosis in Hainan province is increasing year by year,and has rapidly spread to many cities and counties.It is suggested that relevant departments strengthen joint prevention and control,a

关 键 词：布鲁氏菌病 流行病学 监测 

分 类 号：R211[医药卫生—中医学] R516.7