2004—2014年邢台市人布鲁杆菌病流行病学特征分析

Analysis on epidemiological characteristics of human brucellosis in Xingtai City from 2004-2014

目的分析邢台市2004--2014年布鲁杆菌病（布病）流行病学特征，为做好预防控制工作提供依据。方法资料来源于“全国传染病疫情信息报告系统”的2004--2014年布病疫情数据，分析布病的人群、地区、时间分布特征。结果2004--2014年邢台市布病发病率在0．21／10万～4．92／10万之间，年均发病率为2．28／10万，男、女性分别为3．53／10万和1．04／10万。0～14、15～34、35～64和≥65岁年龄组发病率分别为0．26／10万、1．42／10万、4．14／10和3．38／10万。农民、牧民、商务人员、学生和其他职业的布病发病人数占总发病人数的比率分别为72．12％、17．58％、2．13％、1．46％和6．72％，农、牧民所占比率高达89．70％，显著高于商务人员、学生和其他职业（X2=208．6，P〈0．05）。城区和县乡的布病年均发病率分别为0．15／10万和0．26／10万。布病全年均有发病，病例多集中在3—9月份。结论2004--2014年邢台市布病疫情总体呈上升趋势，35岁以上的男性农牧民是布病发生的高危人群，发病季节多集中春夏季，应围绕此季节做好高危人群的预防控制工作。

[Objective ] To analyze the epidemiological characteristics of brucellosis in Xingtai City from 2004-2014, provide the basis for prevention and control. [ Methods ] The data of brucellosis during 2004-2014 were collected from the China information reporting system for infectious diseases, to analyze the distribution characteristics in time, region and population. [ Results ] The incidence rates of brucellosis in Xingtai City from 2004-2014 were between 0.21/lakh and 4.92/lakh, with the average incidence rate of 2.28/lakh, and the incidence rate in males and females was 3.53/lakh and 1.04/lakh respectively. The incidence rate of 0-14, 15-34, 35-64 and ~〉65 year-old age group was 0.26/lakh, 1.42/lakh, 4.14/lakh and 3.38/lakh, respectively. The farmers, herdsmen, businessmen, students and other occupation group respectively accounted for 72.12%, 17.58%, 2.13%, 1.46% and 6.72% of total cases. The proportion of farmers and herdsmen reached 89.70%, which was significantly higher than that of businessmen, students and other occupation group （X2=208.6, P〈0.05）. The incidence rate in urban are and county area was 0.15/lakh and 0.26/lakh respectively. The cases were reported throughout the year, and most of cases occurred March to September. [Conclusion] The incidence rate of brucellosis shows an increasing trend in Xingtai City from 2004-2014. The male herdsmen over 35 years old are the high risk population of the brucellosis, and the peak season appears in spring and summer. It is necessary to implement the prevention and control among the high risk population during the peak season.