浙江省一起布鲁氏菌病暴发流行的调查

Investigation on an outbreak of brucellosis in Zhejiang Province,China

目的查清布鲁氏菌病(布病)暴发的原因,采取有效措施控制疫情。方法对全市涉及山羊交易、屠宰等重点人员进行流行病学调查,逐个进行个案调查和布病血清学检测。结果共调查重点人员181人,13人布病血清学阳性,其中9人诊断为急性布病,4人为疑似病人,罹患率为7.18%。结论因外地未经检疫的山羊大量流入,且羊交易和屠宰等操作人员缺少有效防护造成本次暴发流行。提高对布病防治工作重要性的认识,做好动物防疫监管,从源头控制布病的输入,坚持做好人畜间布病监测监督工作,开展布病防治知识宣传教育,提高自我保护意识。

Objective To investigate the cause of brucellosis outbreak and analyze the epidemiological feature and potew tial risk factors. Effective prevention and control measures should be strengthened in order to control the epidemic. Methods The epidemiological investigation and serum agglutination test （SAT） were carried out among occupational personnel including goat businessmen, slaughters and so on in Shangyu City of Zhejiang Province. Results Thirteen were serology positive cases among the 181 surveyed persons. Nine of them were diagnosed acute brucellosis and four persons were suspicious cases, so the attack rate was 7.18%. Conclusion The cause of outbreak is a plentiful influx of unchecked goats from north of China, and the workers such as goat businessmen, slaughters closely contacted with the goats but lack of effective protection measures. The cognition of prevention and treatment of brucellosis should be seriously improved, and the epidemic prevention and custody of animals should be enhanced, so as to control the influx of brucellosis. Measures should be taken to supervise the status of brucellosis and to publicize the knowledge of brucellosis prevention and cure.