2022年云南省人间布鲁氏菌病流行特征分析

Epidemiological characteristics of human brucellosis in Yunnan, 2022

  • 摘要:
    目的 分析云南省2022年人间布鲁氏菌病的流行特征及变化趋势,为完善云南省布鲁氏菌病防控措施提供科学依据。
    方法 从中国疾病预防控制信息系统收集2022年云南省人间布鲁氏菌病疫情资料,采用描述性流行病学方法对数据资料进行流行病学特征分析。
    结果 云南省2022年报告布鲁氏菌病确诊病例和临床诊断病例共1039例,发病率为2.22/10万。 全年各月均有病例报告,发病时间主要集中在3-11月。 2022年云南省13个州市有病例报告,报告病例数和发病率居前3位的依次是曲靖市、昆明市和红河州。 发病年龄主要集中在30~69岁,占总报告病例数的81.62%(848/1039),平均年龄为48岁;男女比例为2.15∶1。 职业分布以农民为主,占总报告病例数的84.02%(873/1039)。 全年共监测重点人群血清4538份,检出阳性血清206份,阳性率为4.54%;各县重点人群布鲁氏菌病血清阳性率差异有统计学意义(χ2=1630.91P<0.05)。 全年共计从医院病例血液中分离出布鲁氏菌132株,其中羊种3型125株,羊种1型7株。
    结论 2022年云南省人间布鲁氏菌病的发病数和发病率呈持续增加态势,病例以曲靖市、昆明市、红河州等地的中老年男性农民为主,夏秋季高发,羊种布鲁氏菌为主要流行菌种。 卫生部门应在布鲁氏菌病高发期、高发地区开展有针对性的健康教育及行为干预工作,提高疫区群众的个人防护意识,降低布鲁氏菌病的传播风险。

     

    Abstract:
    Objective To understand the epidemiological characteristics and incidence trend of human brucellosis in Yunnan province in 2022 and provide evidence for the improvement of prevention and control measures against the disease.
    Methods The incidence data of human brucellosis in Yunnan in 2022 were extracted from China Information System for Disease Control and Prevention for a descriptive epidemiological analysis on the epidemiological characteristics of the human brucellosis cases.
    Results In 2022, a total of 1 039 confirmed and clinically diagnosed cases of human brucellosis were reported in Yunnan, with an incidence rate of 2.22/100 000. The cases were reported all the year round, with the majority occurring between March and November. The disease was reported in 13 prefectures, with high case numbers and incidence rates being reported in Qujing, Kunming, and Honghe. Approximately 81.62% of the cases (848/1 039) were aged 30–69 years, with a mean age of 48 years. The male-to-female ratio of the cases was 2.15∶1. The cases in farmers accounted for 84.02% (873/1039) of the reported cases. In the screening of 4 538 individuals at high risk, 206 serum samples were tested positive (4.54%). The differences in brucellosis sero-prevalence among key populations across counties were significant( χ2=1630.91, P<0.05). A total of 132 Brucella strains were isolated from clinical blood samples, including 125 strains of B. melitensis biovar 3 and 7 strains of B. melitensis biovar 1.
    Conclusion In 2022, the cases and the incidence rate of human brucellosis in Yunnan province showed continuous upward trends. Most cases were middle-aged and elderly male farmers in Qujing, Kunming, Honghe, and other areas, the incidence was higher during summer-autumn. B. melitensis was identified as the predominant pathogen. It is suggested to conduct targeted health education and behavioral interventions in periods and areas with high incidence of human brucellosis to improve self-protection in residents and reduce the transmission risk of human brucellosis.

     

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