云南楚雄州2014-2017年布鲁氏菌病流行特征分析
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摘要
目的分析楚雄州2014-2017年人间布鲁氏菌病流行特征,为防控工作提供科学依据。方法对2014-2017年中国疾病预防控制信息系统中楚雄州2014-2017年布鲁氏菌病报告数据和现场流行病学调查报告资料进行统计分析。结果楚雄州2014-2017年共报告布鲁氏菌病病例43例,年均报告发病率0. 39/10万,除双柏县外,其余9县市均有病例报告,牟定县为高发县,占全州报告病例总数的46. 51%;病例报告主要集中在6～11月,占报告病例总数的76. 74%;男女比为2. 85∶1;病例以农民为主,占报告病例总数的88. 37%;接触羊感染发病占90. 70%;临床症状以发热、肌肉关节痛和乏力为主。结论楚雄州布鲁氏菌病疫情形势呈扩大趋势,饲养放牧羊为主要的危险暴露因素,应加大动物间疫情检疫监督执法力度,加强人间疫情监测,防止疫情进一步扩大蔓延。
Objective To analyze the epidemiological characteristics of brucellosis from 2014 to 2017 in Chuxiong Prefecture of Yunnan Province and provide scientific basis for the prevention and control. Methods Statistical analysis was carried out on the2014-2017 brucellosis report data and on-site epidemiological investigation report data of Chuxiong Prefecture according to the2014-2015 China Disease Prevention and Control Information System. Results In Chuxiong Prefecture,a total of 43 cases of brucellosis were reported in 2014-2017. The annual average reported incidence rate was 0. 39/100 000. Except for Shuangbai County,there were case reports in the remaining 9 counties and cities. Mouding County was a high-incidence area,accounting for 46. 51% of the total number of reported cases in the prefecture. Case reports were mainly concentrated in June and November,accounting for 76. 74% of the total number of reported cases. The sex ratio of men and women was 2. 85 ∶ 1. Cases were mainly found among farmers,accounting for 88. 37% of the total reported cases. The incidence of exposure to sheep infection accounted for 90. 70%. The clinical symptoms of patients were mainly fever,muscle joint pain and fatigue. Conclusion The epidemic situation of brucellosis in Chuxiong Prefecture is expanding. Feeding and herding sheep is the main risk exposure factor. It is necessary to increase the supervision and law enforcement of animal quarantine,and strengthen the monitoring of human epidemic situation to prevent further spread of the epidemic.
Objective To analyze the epidemiological characteristics of brucellosis from 2014 to 2017 in Chuxiong Prefecture of Yunnan Province and provide scientific basis for the prevention and control. Methods Statistical analysis was carried out on the2014-2017 brucellosis report data and on-site epidemiological investigation report data of Chuxiong Prefecture according to the2014-2015 China Disease Prevention and Control Information System. Results In Chuxiong Prefecture,a total of 43 cases of brucellosis were reported in 2014-2017. The annual average reported incidence rate was 0. 39/100 000. Except for Shuangbai County,there were case reports in the remaining 9 counties and cities. Mouding County was a high-incidence area,accounting for 46. 51% of the total number of reported cases in the prefecture. Case reports were mainly concentrated in June and November,accounting for 76. 74% of the total number of reported cases. The sex ratio of men and women was 2. 85 ∶ 1. Cases were mainly found among farmers,accounting for 88. 37% of the total reported cases. The incidence of exposure to sheep infection accounted for 90. 70%. The clinical symptoms of patients were mainly fever,muscle joint pain and fatigue. Conclusion The epidemic situation of brucellosis in Chuxiong Prefecture is expanding. Feeding and herding sheep is the main risk exposure factor. It is necessary to increase the supervision and law enforcement of animal quarantine,and strengthen the monitoring of human epidemic situation to prevent further spread of the epidemic.
引文
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[5]陶鑫,杨冬月,李云龙,等.楚雄州2016年动物布鲁氏菌病流行病学调查[J].上海畜牧兽医通讯,2015,60(2):32-33.
[6]刘杰,邓爱萍,陈经雕,等.广东省2009-2013年人间布鲁氏菌病疫情分析[J].医学动物防制,2016,32(3):264-267.
[7]祝寒松,谢忠杭,许志斌,等.福建省2011-2015年人间布鲁氏菌病疫情分析[J].中华疾病控制杂志,2017,21(8):818-821.
[8]杨小兵,熊燕,汪鹏,等.武汉市2011-2014年人间布鲁氏菌病监测结果分析[J].中国公共卫生管理,2015,31(5):700-702.
[9]杨丽,毕振旺,寇增强,等.山东2005-2012年布鲁氏菌病流行病学特征[J].中国公共卫生,2015,31(1):14-17.
[10]隋庆梅,宋晓雁,赵梦娇,等. 2012-2014年山东省济南市布鲁氏菌病流行病学分析[J].现代预防医学,2015,42(22):4047-4059.
[11]孙丽媛,张志刚,丛珊,等. 270例布病患者人群分布及临床症候群分析[J].现代预防医学,2010,37(15):2998-2999.
[12]邓敏. 2008-2009年云南省建水县布鲁氏菌病监测结果分析[J].疾病预防控制通报,2011,26(1):56-57.
[13]白鹤鸣,杨幸,张青. 1999-2003年云南省石林县布鲁氏菌病监测结果分析[J].疾病预防控制通报,2006,21(5):66-68.
[14]高朝辉.家畜布鲁氏菌病防控[J].四川畜牧兽医,2016,44(9):54-55.
[15]陶鑫,邱玲华,陈娜,等.楚雄州2015年动物布鲁氏菌病流行病学调查[J].上海畜牧兽医通讯,2016,61(3):19.
[2]高丽芬,吴学林,胡海梅.楚雄市首起布鲁氏菌病疫情流行病学调查分析[J].医学动物防制,2016,32(6):655-657.
[3]江敏,肖云,黄家胜,等.九江市首例布鲁氏菌病流行病学调查[J].现代预防医学,2014,41(10):1748-1753.
[4]栾玉泉,杨春光,张再兴,等. 1999-2008年云南省重要自然疫源性疾病疫情分析[J].中国血吸虫病防治杂志,2009,21(4):311-315.
[5]陶鑫,杨冬月,李云龙,等.楚雄州2016年动物布鲁氏菌病流行病学调查[J].上海畜牧兽医通讯,2015,60(2):32-33.
[6]刘杰,邓爱萍,陈经雕,等.广东省2009-2013年人间布鲁氏菌病疫情分析[J].医学动物防制,2016,32(3):264-267.
[7]祝寒松,谢忠杭,许志斌,等.福建省2011-2015年人间布鲁氏菌病疫情分析[J].中华疾病控制杂志,2017,21(8):818-821.
[8]杨小兵,熊燕,汪鹏,等.武汉市2011-2014年人间布鲁氏菌病监测结果分析[J].中国公共卫生管理,2015,31(5):700-702.
[9]杨丽,毕振旺,寇增强,等.山东2005-2012年布鲁氏菌病流行病学特征[J].中国公共卫生,2015,31(1):14-17.
[10]隋庆梅,宋晓雁,赵梦娇,等. 2012-2014年山东省济南市布鲁氏菌病流行病学分析[J].现代预防医学,2015,42(22):4047-4059.
[11]孙丽媛,张志刚,丛珊,等. 270例布病患者人群分布及临床症候群分析[J].现代预防医学,2010,37(15):2998-2999.
[12]邓敏. 2008-2009年云南省建水县布鲁氏菌病监测结果分析[J].疾病预防控制通报,2011,26(1):56-57.
[13]白鹤鸣,杨幸,张青. 1999-2003年云南省石林县布鲁氏菌病监测结果分析[J].疾病预防控制通报,2006,21(5):66-68.
[14]高朝辉.家畜布鲁氏菌病防控[J].四川畜牧兽医,2016,44(9):54-55.
[15]陶鑫,邱玲华,陈娜,等.楚雄州2015年动物布鲁氏菌病流行病学调查[J].上海畜牧兽医通讯,2016,61(3):19.
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