2011年河北省迁安市人间布鲁杆菌病重点人群血清学监测报告

Serological monitoring reports of a population at high risk of brucellosis in Qian＇an County of Hebei Province in 2011

目的了解迁安市人间布鲁杆菌病（布病）重点人群感染情况，为制订布病防控措施提供科学依据。方法2011年，在迁安市，选择羊养殖、运输、屠宰加工户较为集中的建昌营镇、木厂口镇和夏官营镇3个镇，每个镇抽取2～3个羊养殖、运输、屠宰户较为集中的村，以接触羊及其排泄物的全部工作人员作为监测对象，并采用琥红平板凝集试验（RBPT）和试管凝集试验（SAT）进行血清学抗体检测，分析布病的地区、性别、年龄以及职业分布情况。结果本次共调查采血367份，RBPT和SAT检测阳性均为46份，阳性率12．53％（46／367）。其中男性阳性率[13．51％（30／222）]略高于女性[11．03％（16／145）]；建昌营镇阳性率最高，为13．38％（40／299）；兽医阳性率最高，为33．33％（1／3）。结论有必要在迁安市范围内开展布病监测工作，进一步加强与畜牧部门的沟通和重点人群的防护。同时，广泛开展健康教育工作，以控制疫情蔓延。

Objective To study the current situation of human brucellosis infection in a population at high risk in Qian＇an, and to provide a scientific basis for prevention and control of the disease. Methods Towns with centralized residents working in sheep breeding, transporting, slaughtering and processing in Jianchangying, Muchangkou and Xiaguanying of Qian＇an were selected. In each selected town, 2 - 3 villages with relatively centralized households working in sheep farming, transportation and slaughtering were chosen. All of the people who contacted the sheep or their excrement were chosen as monitoring objects, and serological antibody was tested with rose Bengal plate test（RBPT） and serum agglutination test（SAT）. Regional, gender, age and occupational distribution of brucellosis were analyzed. Results A total of 367 blood samples were tested, 46 of them were positive in both RBPT and SAT with a ratio of 12.53%（46/367）. Male positive rate[ 13.51%（30/222）] was slightly higher than that of females[ I 1.03%（16/145） ]. The rate in Jianchangying was higher than that of other two towns with a ratio of 13.38% （40/299）. The veterinary population had the highest ratio of 33.33% （1/3）. Conclusions It is necessary to carry out the surveillance on brucellosis and to further strengthen communication with the animal husbandry department, and strengthen protection on key population. At the same time, in order to control the spread of the disease, extensive health education and intervention measures should be carried out.