张京京, 姜明东, 徐北霜, 刘维超. 山东省德州市一起皮肤炭疽疫情现场调查与处置[J]. 疾病监测, 2023, 38(6): 753-757. DOI: 10.3784/jbjc.202209020390
引用本文: 张京京, 姜明东, 徐北霜, 刘维超. 山东省德州市一起皮肤炭疽疫情现场调查与处置[J]. 疾病监测, 2023, 38(6): 753-757. DOI: 10.3784/jbjc.202209020390
Zhang Jingjing, Jiang Mingdong, Xu Beishuang, Liu Weichao. Field investigation and response to a cutaneous anthrax epidemic in Dezhou, Shandong[J]. Disease Surveillance, 2023, 38(6): 753-757. DOI: 10.3784/jbjc.202209020390
Citation: Zhang Jingjing, Jiang Mingdong, Xu Beishuang, Liu Weichao. Field investigation and response to a cutaneous anthrax epidemic in Dezhou, Shandong[J]. Disease Surveillance, 2023, 38(6): 753-757. DOI: 10.3784/jbjc.202209020390

山东省德州市一起皮肤炭疽疫情现场调查与处置

Field investigation and response to a cutaneous anthrax epidemic in Dezhou, Shandong

  • 摘要:
      目的   通过现场调查处置2022年7月山东省德州市陵城区发生的一起皮肤炭疽聚集疫情,查明疫情原因,及时采取防治措施,为类似疫情处置提供参考。
      方法   对该起人间皮肤炭疽疫情进行现场流行病学调查与处置,包括现场流行病学调查、传染源追踪、可疑病例搜索、采样检测、现场消杀、防控知识宣传,提出炭疽疫情综合防控措施。
      结果   经调查,本次疫情传染源是病死牛,共有病例3例。对采集的死亡病牛、涉疫屠宰牛肉、牛下水及牛皮等样本304份进行炭疽芽胞杆菌聚合酶链式反应(PCR)检测,共检出阳性样本82份,分离到炭疽芽胞杆菌12株。 及时消灭传染源,对涉疫牛产品、疫情处置过程中死亡的牛焚烧后深埋,对炭疽芽胞杆菌PCR法检出阳性的2头活牛扑杀后焚烧深埋。
      结论   本次疫情3例病例因共同暴露于宰杀感染炭疽芽胞杆菌的病死牛环境而导致感染,及时控制传染源,对涉疫产品及环境进行彻底消杀,可控制炭疽疫情发生发展。

     

    Abstract:
      Objective  In July 2022, a cutaneous anthrax outbreak occurred in Lingcheng district of Dezhou, Shandong province. Field investigation and response were conducted to find the cause of the outbreak and control the outbreak, and provide reference for the prevention and control of similar outbreaks.
      Methods  Field epidemiological investigation, infectious source tracking, suspected case finding, sampling and testing, field disinfection, health education were conducted and comprehensive prevention and control measures for the anthrax epidemic were suggested.
      Results  The investigation found that the source of infection of the epidemic was dead sick cattle. Three cases of cutaneous anthrax occurred in this outbreak, PCR detection was conducted for 304 samples of dead sick cattle, including beef, offal and hide, in which 82 positive samples were detected, and 12 strains of B. anthracis were isolated. The infected cattle products and the cattle that died during the epidemic response were burned and buried deeply, and the two live cattle that were positive for B. anthracis by PCR were killed, burned and buried deeply.
      Conclusion  The three cases of cutaneous anthrax in this epidemic were infected due to the exposure to the environment where two dead cattle infected with B. anthracis were processed. It is important to control the source of infection in time and conduct thorough disinfection of the related products and environment for the control of anthrax epidemic.

     

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