陕西省渭南市20例布鲁杆菌病病例流行病学调查结果分析

Investigation and analysis on epidemiologic feature of 20 brucellosis cases in Weinan of Shaanxi Province

目的对渭南市20例布鲁杆菌病(简称布病)病例发病情况及原因进行分析,为制定预防控制措施提供依据。方法对国家疾病监测信息报告管理系统中渭南市布病数据、个案调查表、现场调查情况进行统计分析。结果渭南市大荔、蒲城两县布病发病占发病总数的65.0%;30~59岁组发病占发病总数的60.0%;发病以农民为主,占发病总数的70.0%。20例新发病例均有明显的布病发病症状:发热症状最多,占发病总数的70.0%;65.0%的病例为直接接触患病绵羊感染。26.7%的绵羊只进行了布病免疫;93.3%的绵羊来源为渭南市境内。80.0%的养殖户绵羊患布病后自行处理,然后出售给流动绵羊收购人员;40.0%的新发病例知晓布病防治知识;26.7%的养殖户在养殖行为中采取了防护措施。结论渭南市人间布病疫情较为严重,除在高危人群中开展针对性健康教育外,今后也应该考虑扩大布病防治知识宣传范围,切实提高群众对布病防治知识的普及程度。

Objective To provide evidence for making precaution and control policies for brucellosis in the region, the inci- dence and pathogenesis of 20 brucellosis cases in Weinan of Shaanxi Province was analyzed. Methods The data of brucellosis- collected from National Notifiable Infectious Diseases Reporting Information System were used in individual questionnaires and field investigation. Results The number of incidence in Dali County and Pucheng County accounts for 65.0% in total number of Wcinan. Number of patients aged 30 to 59 years old accounts for 60. 0% in the total reported cases. The occupation is focused on farmer which accounts for 70.0%. Every case in these 20 patients has obviously brucellosis symptom, in which fever accounts major proportion which is 70. 0%. The infection rate of touching sheep directly is 65.0% and 26. 7% of the sheep have been vac- cinated. 93.3% of the sheep are from Weinan. 80.0% of the farmers sold the sick sheep to wandering sheep dealem. In new mor- bidity, the proportion of knowing the precaution and treatment knowledge of brucellosis is 40. 0%. 26. 7% of the framers have taken precaution measures in breeding. Conclusion The human brucellosis epidemic situation is serious in Weinan, Shaanxi. The publicity range of brucellosis information should be enlarged besides imparting knowledge of brucellosis precaution and treatment to high risk group and to improve the level of popularity of brucellosis precaution and treatment.