2004-2024年天津市蓟州区布鲁氏菌病流行特征及防控策略

Epidemiological characteristics and prevention and control strategies of brucellosis in Jizhou District of Tianjin from 2004 to 2024

  • 摘要:
    目的  了解天津市蓟州区布鲁氏菌病流行特征,为有针对性地制定防控措施提供科学依据。
    方法  收集中国疾病预防控制信息系统中2004-2024年天津市蓟州区布病数据,采用描述性流行病学方法分析流行特征,利用Joinpoint回归分析报告发病率年度变化百分比,运用全局空间自相关分析方法进行空间聚集性分析。
    结果  2004-2024年天津市蓟州区共报告布病296例,年报告发病率1.66/10万,报告发病率整体上显著上升(AAPC33.82%);全区26个乡镇均有病例报告,在空间上呈散发分布;发病高峰为3-8月;男女性别比为2.65∶1(χ2=23.718,P0.0001),中年人(45~59岁)发病数最多(占总数的47.64%),职业以农民为主(占总数的78.82%),研究期间性别、年龄组和职业构成变化差异均无统计学意义;2014-2015年与2022-2024年报告布病发病至诊断时间间隔的中位数分别为299 d和165 d,其差异具有统计学意义;按不同时间间隔分组统计,其差异具有统计学意义。
    结论  天津市蓟州区人间布病疫情强度逐年上升,畜牧部门应加强动物布病筛查、淘汰疫畜、提高动物疫苗接种率和新引进动物的隔离检疫;畜牧养殖应由散养向规模化转型,规范高危人群的自我防护行为;提升居民布病知晓率和医疗机构监测灵敏度是减轻布病带来的直接和间接经济负担的重要措施。

     

    Abstract:
    Objective  To understand the epidemiological characteristics of brucellosis in Jizhou District of Tianjin, and provide a scientific basis for formulating targeted prevention and control measures.
    Method  Data on brucellosis in Jizhou District of Tianjin from 2004 to 2024 were collected from the China Information System for Disease Control and Prevention, descriptive epidemiological methods were used to analyze the epidemiological characteristics, joinpoint regression was applied to analyze the annual percentage change (APC) in reported incidence rate, the global spatial autocorrelation analysis method was employed to conduct spatial clustering analysis.
    Results  A total of 296 brucellosis cases were reported in Jizhou District of Tianjin from 2004 to 2024, with an annual reported incidence rate of 1.66 per 100000 population, the reported incidence rate showed a significant overall upward trend (AAPC=33.82%). Cases were reported in all 26 towns and townships of the district, showing a scattered spatial distribution. The peak incidence period was from March to August. The male-to-female ratio was 2.65∶1 (χ2=23.718, P<0.0001), middle-aged people (45−59 years old) accounted for the largest number of cases (47.64% of the total), and farmers were the main occupation group (78.82% of the total). During the study period, there were no statistically significant differences in the changes of gender, age group and occupational composition.The median intervals from onset to diagnosis of reported brucellosis cases were 299 days and 165 days in 2014−2015 and 2022−2024, respectively, with a statistically significant difference. Stratified analysis by different time intervals also showed a statistically significant difference.
    Conclusion  The intensity of human brucellosis epidemic in Jizhou District of Tianjin has increased year by year. Animal husbandry departments should strengthen brucellosis screening in animals, cull infected livestock, improve the animal vaccination rate and enhance quarantine and isolation of newly introduced animals. Livestock breeding should transform from free-range breeding to large-scale breeding, and self-protection behaviors of high-risk groups should be standardized.Improving residents' awareness of brucellosis and the monitoring sensitivity of medical institutions is an important measure to reduce the direct and indirect economic burdens caused by brucellosis.

     

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