张掖市甘州区1995—2016年人间布鲁氏菌病监测结果分析

An analysis of the monitoring results of human brucellosis in 1995—2016 in Ganzhou District of Zhangye City

目的掌握张掖市甘州区人间布鲁氏菌病流行趋势,以便制定科学有效的防治措施。方法按照《布鲁氏菌病监测标准》和《甘肃省人间布鲁氏菌病监测方案》要求,重点对有职业暴露的人群开展流行病学和血清学监测。结果监测期内甘州区重点人群布鲁氏菌阳性率最高为2.35%,最低为0%,平均0.86%,主要发病人群为养殖业、屠宰业、兽医等重点人群。表明多年的综合防治成效显著,人间疫情处在较低的流行水平,2013年之后病例明显增加。结论通过21年的连续监测显示辖区人间疫情相对平稳,近年有所波动,今后要继续加强政府领导、防治队伍建设及人畜间疫情监测工作,强化健康教育,依法开展监督和管理,继续巩固防治成果,防止疫情多年平稳后出现暴发和大规模流行。

Objective To investigate the epidemic trend of human brucellosis in Ganzhou District of Zhangye City,so as to formulate scientific and effective prevention measures.Methods In accordance with the requirements of＂The Standard of Brucellosis Monitoring＂and＂The Monitoring program of Human Brucella in Gansu Province＂,an epidemiological and serological surveillance was conducted among people with occupational exposure.Results During the monitoring period,the positive rate of brucella was 0%~2.35%,averaged0.86%.The highrisk population of brucellosis was people in the breeding and butcher industries and vets.The prevalence of human brucellosis remained low,but there was a significant increase after 2013.Conclusion According to the continuous monitoring of 21 years,the epidemic situation remained relatively stable,but has fluctuated in recent years.we must continue strengthening health education,strengthen monitoring in key areas.