甘肃省庆阳市人间布鲁氏菌病监测结果分析

Epidemic analysis of brucellosis in Qingyang City, Gansu Province

目的分析2012—2013年甘肃省庆阳市人间布鲁氏菌病疫情特征,寻找其存在的规律,为制定有针对性的防控措施提供依据。方法按照国家卫生计生委《全国布鲁氏菌病人间监测方案》要求进行监测,运用描述流行病学方法分析庆阳市人间布鲁氏菌病发病的三间分布特征。结果 2012—2013年庆阳市共报告人间布鲁氏菌病确诊病例218例,其中临床诊断病例38例,实验室确诊病例180例,年均发病率为4.91/10万,无死亡病例; 5—8月病例占全年总病例数的67.43%,35～59岁组病例占总病例的56.88%; 男性发病158例,女性发病60例,男女性别比2.63∶1。结论甘肃省庆阳市人间布鲁氏菌病春、夏季高发,发病人群主要以青壮年为主,男性发病高于女性; 应进一步加强健康教育和动物疫病检疫力度,提高畜牧养殖户防范意识,及时淘汰病畜,防控人间布鲁氏菌病的发生和流行。

Objective To analyze epidemiological characteristics of human brucellosis in Qingyang, Gansu Province from 2012 to 2013 and understand the epidemic trend of the disease and provide scientific proofs for formulating control strate- gies. Methods According to the requirement of National Surveillance Scheme for Human Brucellosis, the surveillance was developed and descriptive epidemiological methods was taken to present data for the distributions of age, gender, area and time. Results Totally 218 confirmed cases with brucellosis were reported during 2012—2013, including 38 cases clini- cally diagnosed, 180 cases laboratory confirmed, with average annual incidence of 4.91/100 000. No death case occurred. The cases, confirmed from May to August accounted for 67.43% of the total annual number of cases, with the age group of 35-59 year-old occupying 56.88% of the total cases. There were 158 cases in the male and 60 cases in the female, with the ra- tio of 2.63 ： 1. Conclusions Human brucellosis in Qingyang City most occurs in spring and summer. The cases of major populations are young, and higher in the male than in the female. Health education and animal disease quarantine efforts should be reinforced, to improve livestock farmers＇ awareness of prevention for timely elimination of the disease occurrence.