韩国义, 崔步云, 郝丽萍, 傅宗, 侯敏, 张红杰. 2010-2017年河北省张家口市布鲁氏菌病流行趋势及控制效果分析[J]. 疾病监测, 2018, 33(6): 489-492. DOI: 10.3784/j.issn.1003-9961.2018.06.011
引用本文: 韩国义, 崔步云, 郝丽萍, 傅宗, 侯敏, 张红杰. 2010-2017年河北省张家口市布鲁氏菌病流行趋势及控制效果分析[J]. 疾病监测, 2018, 33(6): 489-492. DOI: 10.3784/j.issn.1003-9961.2018.06.011
Han Guoyi, Cui Buyun, Hao Liping, Fu Zong, Hou Min, Zhang Hongjie. Incidence of brucellosis and its prevention and control in Zhangjiakou, 2010-2017[J]. Disease Surveillance, 2018, 33(6): 489-492. DOI: 10.3784/j.issn.1003-9961.2018.06.011
Citation: Han Guoyi, Cui Buyun, Hao Liping, Fu Zong, Hou Min, Zhang Hongjie. Incidence of brucellosis and its prevention and control in Zhangjiakou, 2010-2017[J]. Disease Surveillance, 2018, 33(6): 489-492. DOI: 10.3784/j.issn.1003-9961.2018.06.011

2010-2017年河北省张家口市布鲁氏菌病流行趋势及控制效果分析

Incidence of brucellosis and its prevention and control in Zhangjiakou, 2010-2017

  • 摘要: 目的 调查河北省张家口市布鲁氏菌病(布病)的流行状况及发展趋势,为布病防控提供参考依据。方法 收集2010-2017年张家口市布病监测资料。采用Excel 2007软件录入数据,SPSS 20.0软件进行统计学分析,分析布病病例的绝对增长量、发展速度和增长速度。结果 2010-2017年张家口市布病病例16 626例,其中2010-2014年发病率逐年上升,2015年呈下降趋势,2017年发病率最低;平均血清阳性率为16.61%,布病平均患病率为10.14%;流行菌株为羊种布鲁氏菌;发病率与周边地区比较差异均有统计学意义(P<0.05),疫情发病呈西高东低分布;对高危人群采取干预措施有效降低了布病发病率。结论 采取重点人群健康教育及行为干预活动对该市布病疫情控制起一定作用,但张家口市及相邻地区布病仍在流行,今后仍需加强布病联防联控工作。

     

    Abstract: Objective To understand the incidence and incidence trend of brucellosis in Zhangjiakou,Hebei province,and provide evidence for the prevention and control of brucellosis. Methods The surveillance data of brucellosis in Zhangjiakou during 2010-2017 were collected for a statistical analysis with software SPSS 20.0 to understand its absolute case growth, incidence trend and growth rate. Results A total of 16 626 brucellosis cases were reported in Zhangjiakou from 2010 to 2017. The annual incidence rate was 40.56/10 0 000,46.42/10 0 000,64.64/10 0000,77.64/100 000,55.57/100 000,32.69/100 000 and 17.33/100 000,respectively. The incidence rate increased during 2010-2014,but declined during 2015-2017. The seroprevalence was 16.61% and the average brucellosis prevalence was 10.14%. Br melitensis was predominant pathogen. Compared with adjacent areas,the differences in incidence had significance (P<0.05). The incidence was higher in western area than in eastern area. The incidence of brucellosis declined after effective intervention measures were taken in population at high risk. Conclusion The health education and behavioral intervention in population at high risk for brucellosis facilitate the control of brucellosis in Zhangjiakou,but brucellosis still occurs in Zhangjiakou and adjacent areas. Joint prevention and control of brucellosis still need to be strengthened.

     

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