2013—2022年伊犁哈萨克自治州人间布鲁氏菌病流行特征分析  

Epidemic characteristics of human brucellosis in Yili Kazakh Autonomous Prefecture,2013-2022

作　　者：宋远新 严慧娟 陈志胜 吴桂芳 葛启迪 尚庆香 胡建利[3] 施瑶 SONG Yuanxin;YAN Huijuan;CHEN Zhisheng;WU Guifang;GE Qidi;SHANG Qingxiang;HU Jianli;SHI Yao(Yili Kazakh Autonomous Prefecture Center for Disease Control and Prevention,Yili,Xinjiang 835000,China;School of Public Health,Nanjing Medical University,Nanjing,Jiangsu 210009,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing,Jiangsu 210009,China;Taicang Municipal Center for Disease Control and Prevention,Suzhou,Jiangsu 215400,China)

机构地区：[1]伊犁哈萨克自治州疾病预防控制中心,新疆伊犁835000 [2]南京医科大学公共卫生学院,江苏南京210009 [3]江苏省疾病预防控制中心,江苏南京210009 [4]太仓市疾病预防控制中心,江苏苏州215400

出　　处：《实用预防医学》2025年第3期311-315,共5页Practical Preventive Medicine

摘　　要：目的分析2013—2022年伊犁哈萨克自治州(简称伊犁州)人间布鲁氏菌病的流行特征,为当地人间布鲁氏菌病防控提供科学依据。方法搜集整理2013—2022年中国疾病预防控制信息系统报告的伊犁州布鲁氏菌病病例资料,采用描述流行病学方法分析伊犁州人间布鲁氏菌病的三间分布,运用集中度分布法分析季节性特征,使用ArcGIS10.3软件描述病例空间分布,不同组发病率比较采用χ^(2)检验。结果2013—2022年伊犁州共报告人间布鲁氏菌病病例10563例,年均发病率38.00/10万,2015年报告发病数(1807例)和发病率(67.37/10万)均最高。5、6月达到发病最高峰,M值范围为0.301~0.649,发病有一定的季节性差异(M=0.481)。报告发病率居前3位的县市为察布查尔县(214.25/10万)、霍城县(107.66/10万)、霍尔果斯市(51.15/10万)。市年均发病率为12.93/10万,县年均发病率为49.40/10万。男性与女性年均发病率分别为57.33/10万和17.98/10万,男性发病率高于女性。年龄分布以20~39岁和40~59岁为主,各年龄组发病率不相同(χ^(2)=2408.303,P<0.001)。结论2013—2022年伊犁州人间布鲁氏菌病发病率随时间呈先上升后下降再上升趋势。发病人群以男性,青壮年和农牧民为主,有一定的季节性和地区分布特征;应进一步加强联防联控和健康宣教,加大对重点地区、重点人群的行为干预及高危作业时的个人防护等工作。Objective To analyze the epidemic features of human brucellosis in Yili Kazakh Autonomous Prefecture(Yili Prefecture for short)from 2013 to 2022,and to provide a scientific basis for human brucellosis prevention and control in Yili Prefecture.Methods We collected and sorted out the data about reported cases of brucellosis in Yili Prefecture from 2013 to 2022 from the Chinese Disease Prevention and Control Information System.Descriptive epidemiological methods were employed to analyze the time,region and population distribution of human brucellosis cases in Yili Prefecture.The concentration distribution method was applied to exploring the seasonal characteristics.ArcGIS10.3 software was utilized to describe the spatial distribution of the cases.χ^(2) test was performed to compare the incidence rates among different groups.Results A total of 10,563 cases of human brucellosis were reported in Yili Prefecture from 2013 to 2022,with an average annual incidence rate of 38.00/100,000.The number of reported cases(n=1,807)and the incidence rate(67.37/100,000)in 2015 were both the highest.The peak incidence occurred in May and June,with an M value ranging from 0.301 to 0.649,and there was a certain seasonal difference in the incidence(M=0.481).The top three counties and cities in terms of the reported incidence rate were Qapqal Xibe Autonomous County(214.25/100,000),Huocheng County(107.66/100,000)and Horgos City(51.15/100,000).The average annual incidence rates in cities and counties were 12.93/100,000 and 49.40/100,000 respectively.The average annual incidence rate was higher in males than in females(57.33/100,000 vs.17.98/100,000).The age distribution was mainly concentrated in 20-39 and 40-59 years old,and the incidence rates in different age groups were different(χ^(2)=2,408.303,P<0.001).Conclusion The incidence rates of human brucellosis in Yili Prefecture during 2013-2022 showed a trend of first increasing,then decreasing,and then increasing again over time.The affected populations were mainly males,the young and m

关 键 词：布鲁氏菌病 流行特征 发病率 集中度 季节性 

分 类 号：R183.1[医药卫生—流行病学] R516.7[医药卫生—公共卫生与预防医学]