2008-2012年山西省晋中市布鲁杆菌病的流行病学分析

Epidemiological study of brucellosis in Jinzhong City of Shanxi Province from 2008 to 2012

目的 了解山西省晋中市布鲁杆菌病（简称布病）流行现状及趋势,为制订有效的防控措施提供科学的参考依据.方法 通过全国传染病疫情网络直报系统以及晋中市各县（区、市）疾病预防控制中心,整理晋中市11个县（区、市）2008-2012年的人间布病疫情监测资料,采用描述性流行病学方法,分析布病的地区分布、时间分布、人群分布.结果 2008-2012年晋中市共报告布病病例3 627例,发病率呈逐年上升趋势（19.63/10万～ 28.46/10万）,且全市各县（区、市）均有发病.发病时间多集中在每年的3-7月,呈明显的季节周期性.发病男女性别比约为5∶1;年龄主要集中在35 ～＜ 65岁,占74.00％（2 684/3 627）.病例中职业以农牧民为主,占93.63％（3 396/3 627）.结论 晋中市的布病疫情有扩散蔓延的趋势,建议加强监测点监测,及时分析、通报疫情,大力开展健康教育,加强各部门协作,有效控制布病疫情.

Objective To investigate the epidemic situation and trend of brucellosis in Jinzhong City of Shanxi Province,and to provide a basis for formulating prevention and control measures.Methods Surveillance datas of human brucellosis in Jinzhong City from 2008 to 2012 were collected throng the national network straight quote system of infectious diseases and the centers for disease control and prevention of counties（districts,cities）.Descriptive epidemiological method was used to analyze the distributions of region,time and population of brucellosis.Results A total of 3 627 cases were infected with brucellosis in Jinzhong City from 2008 to 2012,and the incidence of brucellosis was increased from 19.63 per 100 000 to 28.46 per 100 000.All counties（districts or cities） had reported epidemic from 2008 to 2012.The onset time focused on March-July each year,with obvious seasonal periodicity.The ratio of male to female was 5 ∶ 1.The ages were in 35-〈 65 years old,accounting for 74.00%（2 684/3 627）.Brucella infections were given priority to farmers and herdsmen,accounted for 93.63% （3 396/3 627）.Conclusions The epidemic of human brucellosis in Jinzhong City is in a spreading trend.Surveillance,timely analysis and report of the epidemic,health education,and inter-departments cooperation are in need to conduct in order to control the spread of epidemic.