2015~2018年本溪市布鲁氏菌病疫情分析

Analysis of Brucellosis Epidemic in Benxi City from 2015 to 2018

目的了解2015~2018年本溪市人间布鲁氏菌感染情况,为制定防治策略提供依据。方法通过对2015~2018年本溪市与牲畜及畜产品有接触的人员4572人进行调查,采用虎红平板凝集(RBPT)和试管凝集试验(SAT)检测布鲁氏菌抗体,分析重点职业人群血清学检测情况及人间疫情监测情况。结果共采集血样1300份,RBPT阳性率为11.32%,SAT阳性率为9.08%。2015~2018年感染人数分别为49例、37例、21例、11例。共118例感染者,男性多于女性,年龄主要集中在41~50岁,民族以汉族最高,发病时间以7~8月居多,5~6月、9~10月次之;职业以农牧民、屠宰场工作人员为主;临床症状主要表现为乏力、多汗,其次为发热和骨关节疼痛;地区以明山区和桓仁县最多。结论2015~2018年本溪市布病疫情逐年减少,控制较好。布鲁氏菌病防治工作的重点应加强牲畜流通环节的检疫和管理,开展教育,提高个人防病意识。

Objective To understand the situation of human Brucella infection in Benxi City from 2015 to 2018,and provide a basis for formulating control strategies.Methods A total of 4572 people in contact with livestock and animal products in Benxi City from 2015 to 2018 were investigated.Tiger red plate agglutination(RBPT)and tube agglutination test(SAT)were used to detect Brucella antibodies,analyzing the serological test status and human epidemic surveillance of key occupational populations.Results A total of 1300 blood samples were collected,the RBPT positive rate was 11.32%,and the SAT positive rate was 9.08%.From 2015 to 2018,the number of infections was 49,37,21 and 11 respectively.A total of 118 cases were infected,with more men than women.The age was mainly concentrated in the 41-50 years old group.The ethnic group was the Han nationality with the most onset time from July to August,followed by May to June and September to October.The occupation was agriculture and animal husbandry.People and slaughterhouse staff are the main ones;clinical symptoms are mainly manifested by fatigue and sweating,followed by fever and bone and joint pain;the areas are the most in Mingshan District and Huanren County.Conclusion From 2015 to 2018,the incidence of brucellosis in Benxi City decreased year by year,and the control was better.The focus of prevention and treatment of brucellosis should be to strengthen the quarantine and management of livestock circulation,carry out education,and increase the awareness of individual disease prevention.