徐卫民, 朱素娟, 王衡, 王佳, 杨洋, 金行一, 汤益. 浙江省布鲁氏菌病疫情与防控对策[J]. 疾病监测, 2012, 27(11): 881-883. DOI: 10.3784/j.issn.1003-9961.2012.11.012
引用本文: 徐卫民, 朱素娟, 王衡, 王佳, 杨洋, 金行一, 汤益. 浙江省布鲁氏菌病疫情与防控对策[J]. 疾病监测, 2012, 27(11): 881-883. DOI: 10.3784/j.issn.1003-9961.2012.11.012
XU Wei-min, ZHU Su-juan, WANG Heng, WANG Jia, YANG Yang, JIN Xing-yi, TANG Yi. Surveillance of brucellosis and its prevention and control in Zhejiang[J]. Disease Surveillance, 2012, 27(11): 881-883. DOI: 10.3784/j.issn.1003-9961.2012.11.012
Citation: XU Wei-min, ZHU Su-juan, WANG Heng, WANG Jia, YANG Yang, JIN Xing-yi, TANG Yi. Surveillance of brucellosis and its prevention and control in Zhejiang[J]. Disease Surveillance, 2012, 27(11): 881-883. DOI: 10.3784/j.issn.1003-9961.2012.11.012

浙江省布鲁氏菌病疫情与防控对策

Surveillance of brucellosis and its prevention and control in Zhejiang

  • 摘要: 目的 分析浙江省布鲁氏菌病(布病)疫情态势,提出防控对策,为今后南方地区开展布病防治工作提供参考依据。 方法 采用布病血清学检测方法,对全省从事牲畜养殖、交易、屠宰、皮毛加工和海洋生物捕捞加工等重点人群进行监测。 结果 2011年浙江省共监测重点人群7565人,血清学阳性125例,阳性率平均为1.65%,确诊新发布病病例57例,年发病率为0.12/10万,检出布病感染者68例。与2010年相比病例数增加了90%,新感染者数增加了7.9%,发生暴发疫情1起,布病病例数为历年最高。发病主要与接触外省引进的病牛羊或羊肉制品有关,医院实验室人员有因接触患者血培养物感染布病,但仅接触本地湖羊的从业人员未发现有布病感染。 结论 应大力发展饲养本地牲畜,禁止调运高风险区域牲畜,加强牲畜流通环节的检疫和管理,实行定点交易、集中屠宰。做好职业人群的保护和疫情监测,开展对专业人员的诊治技术培训;做好对重点人群的健康教育和健康促进,以控制疫情蔓延。

     

    Abstract: Objective To understand the epidemic situation of brucellosis in Zhejiang province and provide evidence for the prevention and control of brucellosis in Zhejiang and in southern China. Method Rose-Bengal plate agglutination test(RBPT) and standard tube agglutination test(SAT) were conducted to detect the serum samples collected from risk populations engaged in livestock trade, slaughter, cultivation and milking, related product processing and marine life catching in Zhejiang. Results Totally 7565 people from 12 areas were surveyed in 2011, in which 125 were sero-positive(1.65%),57 were diagnosed with brucellosis and 68 were bacteria carriers. The annual incidence was 0.12/lakh. The cases and bacteria carriers increased by 90% and 7.9% respectively compared with 2010. In 2011, one outbreak occurred and the cases number was highest. The epidemic was mainly associated with the importation of sick cattle/sheep and mutton products from other provinces. Some laboratory workers in hospital contracted the disease due to exposure to patients blood samples. No brucella infection was detected in people raising local sheep. Conclusion It is important to promote local livestock raising, strengthen the livestock quarantine and management during transportation, improve the education and protection of occupational population, strengthen the disease surveillance and conduct the training on brucellosis diagnosis and treatment to control the spread of brucellosis.

     

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