保定市2007—2012年布病疫情分析

Epidemic analysis on Brucellosis in Baoding from 2007 to 2012

目的分析2007—2012年保定市布病疫情分布特征。方法应用描述流行病学方法对保定市2007-2012年通过国家《疾病监测信息报告管理系统》上报的布病疫情资料进行分析。结果全市25个县区中有24个县区有人间布病分布，六年来的发病率为1．36—2．38／10万。发病年龄为3月龄-83岁之间，发病人群以青壮年为主，男女发病人数之比为2．59：1，病例多集中在4～8月份，季节分布明显。职业分布特征是以饲养、屠宰加丁和皮毛加工人员为主。结论保定市人间布病疫情自2007年以来处于较高发病水平，卫生部门的监测和健康干预工作持续开展，公众知晓率不断提升，但同时存在知识和行为分离现象。布病防控的根本策略是清除畜间布病，卫生、畜牧等多部门的、区域问的联防联控方是控制人间布病疫情的治本之策。

Objective To analyze epidemic distribution of brucellosis in the city of Baoding from 2007 to 2012. Methods The epidemic data of brucellosis in Baoding from 2007 to 2012 were analyzed epidemiologically, according to Disease Surveillance Information Reporting System. Results Human brucellosis was distributed in 24 counties out of 25 of the whole city. And the incidence was 1.36 to 2.38 hundred thousandth. From 3-month- olds to 83-year-olds, the patients were mostly the young and adults. The ratio of male and female patients was 2.59： 1. Brucellosis cases, which occurred more frequently from April to August, were apparently seasonal. Occupationally, stock breeding farm workers, butchers and fur processors were at high risk of infection. Conclusion The incidence of human brucellosis in the city of Baoding has been high since 2007. Public awareness had improved, since surveillance and health intervention has been continuously carried out by health department. Meanwhile, the separation of knowledge and behavior still exists. Eliminating animal brucellosis is the primary strategy, and multi-sector, inter-regional joint prevention and control by health, animal and other departments are actually the fundamental policies of human brucellosis control.