朱素娟, 徐卫民, 王衡, 杨洋, 汤益. 2004-2014年杭州市布鲁氏菌病病例流行病学分析[J]. 疾病监测, 2015, 30(9): 761-764. DOI: 10.3784/j.issn.1003-9961.2015.09.015
引用本文: 朱素娟, 徐卫民, 王衡, 杨洋, 汤益. 2004-2014年杭州市布鲁氏菌病病例流行病学分析[J]. 疾病监测, 2015, 30(9): 761-764. DOI: 10.3784/j.issn.1003-9961.2015.09.015
ZHU Su-juan, XU Wei-min, WANG Heng, YANG Yang, TANG Yi. Epidemiology of human brucellosis in Hangzhou,2004-2014[J]. Disease Surveillance, 2015, 30(9): 761-764. DOI: 10.3784/j.issn.1003-9961.2015.09.015
Citation: ZHU Su-juan, XU Wei-min, WANG Heng, YANG Yang, TANG Yi. Epidemiology of human brucellosis in Hangzhou,2004-2014[J]. Disease Surveillance, 2015, 30(9): 761-764. DOI: 10.3784/j.issn.1003-9961.2015.09.015

2004-2014年杭州市布鲁氏菌病病例流行病学分析

Epidemiology of human brucellosis in Hangzhou,2004-2014

  • 摘要: 目的 对2004-2014年杭州市确诊的布鲁氏菌病(布病)病例流行病学特征进行分析,为制定防治措施提供依据。方法 收集杭州市2004-2014年确诊的布病病例个案调查表、各监测点防治年报表等资料,对收集的资料进行流行病学特征分析。结果 2004-2014年杭州市共确诊布病病例83例,年均发病率为0.114/10万,其中2014年发病率最高,为0.231/10万;职业以从事活羊屠宰、贩运及畜产品收购居多,占57.83%(48/83),非职业人群24例,占28.92%(24/83),且非职业人群在确诊病例中所占的比例近年有所升高;屠宰场聚集的余杭区是杭州市布病疫情的高发区,其发病人数占总人数的61.45%(51/83);1-5月是发病的高峰季节,发病人数占总发病人数的77.11%(64/83);97.59%(81/83)的患者有外地羊接触史,仅2.41%(2/83)的患者感染与本地饲养的牛有关,且自2006年以来已无感染病例。结论 控制外来传染源,加强对重点地区职业人员的健康教育和行为干预,同时在普通群众中大力宣传布病防护知识是今后防治工作的重点。

     

    Abstract: Objective To understand the epidemiological characteristics of human brucellosis in Hangzhou from 2004 to 2014, and provide evidence for the prevention and control of the disease. Methods The incidence data of human brucellosis in Hangzhou during this period were collected for descriptive epidemiological analysis. Results A total of 83 cases of human brucellosis were diagnosed, the annual incidence was 0.114/lakh, the incidence was highest in 2014 (0.231/lakh). The cases were mainly the people engaged in livestock slaughtering, trafficking and trading, accounting for 57.83% (48/83). Twenty four cases were the people without occupational exposure, accounting for 28.92%, and the proportion of cases without occupational exposure increased year by year. The number of reported cases in Yuhang district, where slaughtering was prosperous, was highest, accounting for 61.45% (51/83); 64 cases occurred between January 1 and May 31 of a year (77.11%). Up to 97.59% (81/83) of the cases had histories of contact with sheep from the north of China, and only 2.41% (2/83) of the cases were infected through the contact with local cattle, and no cases due to local cattle contact had occurred since 2006. Conclusion It is essential to control the imported infection source, strengthen health education and behavior intervention in people with occupational exposure and increase the awareness of brucellosis prevention related knowledge in the public to improve the prevention and treatment of human brucellosis in the future.

     

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