2006-2010年河北省布鲁杆菌病流行病学分析

Epidemiological analysis of brucellosis in Hebei province from 2006 to 2010

目的分析河北省布鲁杆菌病（简称布病）流行特征及疫情变化趋势，为制订有效的防治对策提供科学依据。方法采用描述性流行病学方法，对河北省布病2006-2010年“国家疾病监测信息报告管理系统”数据进行统计分析。结果2006-2010年全省共报告布病病例13632例，无死亡病例．年报告发病率分别为3．4068／10万、3．4851／10万、4．5701／10万、4．6045／10万、3．5582／10万。11个市均有病例报告，病例主要分布在张家口、承德、保定、邯郸和石家庄5个市，占全省总病例数的90．02％（12271／13632）。各年各月均有发病，呈明显的季节性，春夏季为发病高峰期。发病年龄集中于25-65岁，占84．57％（11529／13632）。男性多于女性，男女性别比为3．56：1．00。职业以农民为主，占病例总数的91．15％（12425／13632）。结论河北省布病疫情较为严重，疫情范围逐年扩大，局部地区疫情活跃。要控制布病疫情上升，应加强卫生、畜牧部门密切合作，加强传染源的管理控制，深入开展对高危人群进行宣传教育和行为干预。

Objective By analyzing the epidemiological characteristics and trends of brucellosis in Hebei province, provide a scientific basis for the formulation of strategies for effective prevention and control of the disease. Methods Using the descriptive epidemiological method, data of the ＂China information system for disease control and prevention＂ from 2006 to 2010 were statistically analyzed. Results There were 13 632 reported cases from 2006 to 2010 in Hebei province, no death, the annual incidence rates reported were 3.4068/10 million, 3.4851/10 million, 4.5701/10 million, 4.6045/10 million, and 3.5582/10 million, respectively. Eleven counties throughout the province had reported cases. The cases were found intensively in Zhangjiakou, Chengde, Baoding, Handan and Shijiazhuang, which accounting for 90.02% （12 271/13 632） of the total cases. The disease was found each month throughout the year, and showed a seasonal cycle with peak period in spring and summer. The disease was most commonly found in 25 - 65 age people, which accounting for 84.57%（11 529/13 632）. The incidence in male was higher than that of female, and male to female ratio was about 3.56 ： 1.00. Vocational high risk population was farmers, accounting for 91.15% of the total cases（12 425/13 632）. Conclusions Brucellosis epidemic in Hebei province is relatively serious, and the epidemic range has expand each year, even highly active in some particular areas. To control the outbreak of brucellosis, departments cooperation between health and animal husbandry should be strengthened; management of source of infection should be strengthened; health education and behavior intervention should be carried out thoroughly and deeply for high-risk groups.