白永飞, 郑玉华, 帖萍, 闫昌福, 王婷, 王晶莹, 李学敏, 杨红霞, 崔步云. 2005-2019年山西省布鲁氏菌病监测数据分析[J]. 疾病监测, 2022, 37(3): 325-330. DOI: 10.3784/jbjc.202108200457
引用本文: 白永飞, 郑玉华, 帖萍, 闫昌福, 王婷, 王晶莹, 李学敏, 杨红霞, 崔步云. 2005-2019年山西省布鲁氏菌病监测数据分析[J]. 疾病监测, 2022, 37(3): 325-330. DOI: 10.3784/jbjc.202108200457
Bai Yongfei, Zheng Yuhua, Tie Ping, Yan Changfu, Wang Ting, Wang Jingying, Li Xuemin, Yang Hongxia, Cui Buyun. Analysis on surveillance date of brucellosis in Shanxi, 2005–2019[J]. Disease Surveillance, 2022, 37(3): 325-330. DOI: 10.3784/jbjc.202108200457
Citation: Bai Yongfei, Zheng Yuhua, Tie Ping, Yan Changfu, Wang Ting, Wang Jingying, Li Xuemin, Yang Hongxia, Cui Buyun. Analysis on surveillance date of brucellosis in Shanxi, 2005–2019[J]. Disease Surveillance, 2022, 37(3): 325-330. DOI: 10.3784/jbjc.202108200457

2005-2019年山西省布鲁氏菌病监测数据分析

Analysis on surveillance date of brucellosis in Shanxi, 2005–2019

  • 摘要:
      目的   分析山西省2005 — 2019年布鲁氏菌病(布病)监测点(包括国家级和省级)监测结果,掌握布病流行现状,为制定布病防治对策和措施提供参考依据。
      方法   对山西省2005 — 2019年布病监测数据按常规监测和监测点监测分别进行描述性分析。
      结果   山西省2005 — 2019年共报告布病70 736例,2005年报告发病率最低为6.96/10万,2014年最高为23.53/10万,平均发病率为13.28/10万;报告病例主要集中在大同市、朔州市、晋中市和忻州市,共报告布病36 639例,占全省报告病例总数的51.80%。 布病发病高峰为3 — 7月,占全年发病数的60.24%(42 613/70 736),发病主要以男性、青壮年(30~69岁)、农牧民为主;山西省共报告布病暴发疫情83起(其中1起同时上报突发公共卫生事件)。 16个监测点开展职业人群流行病学调查144 634人,血清学检查33 150人,阳性数2 436例,阳性率为7.35%,对急性期患者血培养,检出布鲁氏菌161株,总出菌率15.57%(161/1 034),其中160株羊3型,1株羊种布鲁氏菌变异株。
      结论   山西省布病疫情重,流行强度大,发病范围广,防控形势严峻,应继续加强监测和防控。

     

    Abstract:
      Objective   To understands the prevalence of brucellosis in Shanxi province from 2005 to 2019, and provide evidence for the prevention and control of brucellosis.
      Methods   The epidemiological surveillance data of brucellosis from both state level and province level surveillance areas in Shanxi from 2005 to 2019 were used for a descriptive epidemiological analysis . Results According to the routine surveillance data, a total of 70 736 brucellosis cases were reported in Shanxi during this period. The lowest incidence rate was 6.96/100 000 in 2005, and the highest was 23.53/100 000 in 2014, the average incidence rate was 13.28/100 000. Up to 36 639 cases of brucellosis were reported in Datong, Shuozhou, Jinzhong, Xinzhou, accounting for 51.80% of the province total .The brucellosis cases mainly occurred during March–July, accounting for 60.24%(42 613/70 736),The brucellosis cases were mainly young adults (30–69 years old), men, farmers and herdsman. A total of 83 brucellosis outbreaks were reported, including 1 reported as a public health emergency. In the 16 surveillance areas of brucellosis, 144 634 persons were surveyed, in which 33 150 received serological test with 2 436 being positive for Brucella (7.35%). Brucella was isolated from 161 blood samples of 1 034 patients in acute phase (15.57%, 161/1 034), including 160 strains of Brucella melitensis biovar 3 and 1 strain of mutant.
      Conclusion   The prevalence of brucellosis in Shanxi is still serious with high intensity and wide geographic distribution, posing challenge to its prevention and control. It is necessary to further strengthen the brucellosis surveillance, prevention and control should in Shanxi.

     

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