菏泽市2006年布氏菌病流行特征分析

Analysis of the Epidemiological Features of Brucellosis in 2006 in Heze City

目的分析2006年布氏菌病(布病)在菏泽市的流行特征及特点,为制定科学防治措施提供依据。方法采用山东省布氏菌病个案调查表,对菏泽市部分县区的高危人群进行调查,采集血液标本,所有病例都按照流行病学调查、临床症状和实验室检验结果进行确诊。结果调查825人,确诊布病116例,发病率为14.1%;发病时间高峰在2—5月;116例病人中115例为本地农民中从事屠宰、养殖和皮毛加工人员。菏泽市部分县区布病聚集性发病的原因是外地传染源的输入,从疫区偷运的病死羊羔在屠宰加工过程中,没采取任何防护措施,造成感染,直接接触病死羊羔是主要传染途径。结论加强外地,特别是布氏菌病疫区畜类产品的检疫,严禁病死羊羔的流入,对高危人群进行布病防治知识的宣传教育,加强个人防护,规范治疗病人,可迅速控制并最终消灭局部地区的布氏菌病疫情。

[Objective]To analyze the epidemiological features of brucellosis in 2006 in Heze and provide basis for the establish-ment of preventive measures. [ Methods] Brucellosis individual case questionnaire was used to investigate the high-risk population in Heze; blood samples were collected and diagnosis was made on all cases according to the epidemiological investigation, clinical symptoms and laboratory detection results. [Results] 116 out of 825 investigated people were confirmed to have brucellosis with a morbidity of 14.1%, 115 cases of which were the local peasants who were butchers, culturist and leather-men; the major reason for the aggregate prevalence of brucellosis was the introduction of ecdemic sources. [ Conclusion] Quarantine should be strengthened on the beast products from the brucellosis epidemic regions; health education and preventive work should be enhanced to control the epi-demiological situation of brucellosis.