子长县2008-2009布鲁氏菌病调查研究

Brucellosis Monitoring and Analysis in 2008-2009 of Zichang County

目的：为确定布鲁氏菌病在我县的分布状况和流行程度,掌握分布的流行规律和特点加强布鲁氏菌病的防治工作,保障全县人民身体健康和生命安全以及畜牧业的发展,防止该病的发生流行,分析和掌握该病在人畜间的流行趋势,降低该病发病率和病死率,有效控制布鲁氏菌病的发生,防止该病流行,制定和完善子长县布鲁氏菌病防治措施提供科学依据.方法：对6个监测乡镇家畜饲养户家庭成员进行流行病学调查,调查中对布鲁氏菌病症状和密切接触家畜的重点人群进行RBPT试验,对疑似病例进行SAT试验.根据流行病学史、临床症状、试验检测确定病例.结果：2008年监测6个乡镇,106个行政村,3811人.虎红平板试验1034人,试管凝集试验40人,确诊22人,感染率2.13%患病率0.577% RR=3.9 PARP=74% 2009年监测6个乡镇,85个行政村,3500人.虎红试验平板351人,血清试管试验15人,确诊5人,外地报回4人,共确诊9人.感染率1.2% 患病率0.25% RR=4.8 PARP=79%.结论：①2008-2009年的监测结果表明：在疫区广泛宣传教育,深入调查,加强管理,对布鲁氏菌病的控制有显著的效果.②2008年的未检测乡-李家岔乡、安定镇、瓦窑堡镇在2009年成为新疫区,由于有新疫区的出现,必须引起我们的高度重视,提示我们要更加广泛深入的进行宣传教,扩大监测范围,提高全民防病意识及自我保护能力.

Objective： To determine the distribution of brucellosis in the sub--length, master the law of distribution of epidemic, effectively control the incidence of Brucellosis, prevent the prevalence of the disease,and control measures developed to provide a scientific basis for brucellosis prevention. Methods ： The six members of rural households in the livestock epidemiological survey were monitored. Survey of brucellosis in close contact with the symptoms and the focus of livestock populations were carried out RBPT tests. SAT tests were carried out on suspected cases. According to epidemiological history, clinical symptoms, test for detection, the cases were determined. Results In 2008, six townships, 106 administrative villages, 3811 people were monitored. Rose Bengal plate test 1034 people, SAT 40 people, Results： Confirmed 22 people. In 2009, six townships, 85 administrative villages, 3500 people were monitored. Treadmill exercise test in 341 serum, serum in vitro test 15, and 4 people confirmed,in the field reported back 4, a total of 9 people. Conclusion：First,the monitoring results for 2008-2009 show that：Widespread publicity and education in the affected areas,in- depth investigation, strengthen management, took a significant effect on brucellosis control. Second, Township in 2008 was not detected-Lijiacha Township.Anding Town and Wayaobao Town,in 2009 became a new epidemic. Since the emergence of new epidemic, we must attach great importance to this, and we should be more extensive and intensive publicity to teach, expand the scope of monitoring, to raise people＇s awareness of disease prevention and self--protection.