2013～2018年新泰市布鲁菌病流行特征分析
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摘要
目的了解新泰市布鲁菌病(简称布病)流行病学特征,为新泰市布病的预防和控制提供依据。方法采用描述流行病学方法,对新泰市2013年1月1日至2018年12月31日布病报告病例资料进行流行病学特征分析。结果新泰市2013～2018年共报告布病病例244例,年均发病率为2.88/10万,各年发病率分别为0.43/10万、2.13/10万、3.18/10万、4.93/10万、3.64/10万、2.86/10万,2016年达到高峰。发病有明显的季节性,常年均可发病,高峰集中在春夏季节(3～8月),共154例(占63.11%)。位居报告例数首位的地区为青云办事处(39例、占15.98%),发病率为2.54/10万;其次是禹村(32例、发病率为10.37/10万)、汶南(31例、发病率为5.31/10万)和龙廷(24例、发病率为6.43/10万)(P<0.01)。男性例数(153例)多于女性(91例),男∶女=1.68∶1;发病年龄1～84岁,集中在40～70岁组人群(162例、占66.39%);职业分布以农民及牧民发病最多(205例、占84.02%),其次为学生(11例、占4.51%);临床诊断病例76例(占31.15%),确诊病例159例(占65.19%),疑似病例9例(占3.69%)。结论新泰市2013～2018年人间布病发病率逐年上升,具有明显的人群分布特点。
Objective To understand the epidemiological characteristics of brucellosis in Xintai city,so as to provide the basis for the prevention and control of brucellosis in Xintai city. Methods The descriptive epidemiological method was adopted to analyze the epidemiological characteristics of the reported cases of brucellosis in Xintai city during January 1,2013-December 31,2018. Results During 2013-2018,a total of 244 cases of brucellosis were reported in Xintai city,with an average annual incidence of 2.88/10~5.The incidence in each year was respectively 0.43/10~5,2.13/10~5,3.18/10~5,4.93/10~5,3.64/10~5 and 2.86/10~5,reaching a peak in 2016.The incidence was obviously seasonal and occurred all year round.The peak was concentrated in spring and summer(March to August),with a total of 154 cases(63.11%).The area with the highest number of reported cases was Qingyun street agency(39 cases,15.98%),with an incidence of 2.54/10~5.Followed by Yucun(32 cases,10.37/10~5),Wennan(31 cases,5.31/10~5) and Longting(24 cases,6.43/10~5)(P<0.01).The number of male cases(153 cases) was higher than it of females(91 cases),the ratio of male to female was 1.68:1;the age of onset ranged from 1 to 84 years old,which was concentrated in the group of 40-70 years old(162 cases,66.39%).In terms of occupational distribution,farmers and herdsmen had the highest number of cases(205 cases,84.02%),followed by students(11 cases,4.51%).There were 76 clinically diagnosed cases(31.15%),159 confirmed cases(65.19%) and 9 suspected cases(3.69%). Conclusion The incidence of interpersonal brucellosis in Xintai city increases year by year during 2013-2018,and it has obvious characteristics of population distribution.
Objective To understand the epidemiological characteristics of brucellosis in Xintai city,so as to provide the basis for the prevention and control of brucellosis in Xintai city. Methods The descriptive epidemiological method was adopted to analyze the epidemiological characteristics of the reported cases of brucellosis in Xintai city during January 1,2013-December 31,2018. Results During 2013-2018,a total of 244 cases of brucellosis were reported in Xintai city,with an average annual incidence of 2.88/10~5.The incidence in each year was respectively 0.43/10~5,2.13/10~5,3.18/10~5,4.93/10~5,3.64/10~5 and 2.86/10~5,reaching a peak in 2016.The incidence was obviously seasonal and occurred all year round.The peak was concentrated in spring and summer(March to August),with a total of 154 cases(63.11%).The area with the highest number of reported cases was Qingyun street agency(39 cases,15.98%),with an incidence of 2.54/10~5.Followed by Yucun(32 cases,10.37/10~5),Wennan(31 cases,5.31/10~5) and Longting(24 cases,6.43/10~5)(P<0.01).The number of male cases(153 cases) was higher than it of females(91 cases),the ratio of male to female was 1.68:1;the age of onset ranged from 1 to 84 years old,which was concentrated in the group of 40-70 years old(162 cases,66.39%).In terms of occupational distribution,farmers and herdsmen had the highest number of cases(205 cases,84.02%),followed by students(11 cases,4.51%).There were 76 clinically diagnosed cases(31.15%),159 confirmed cases(65.19%) and 9 suspected cases(3.69%). Conclusion The incidence of interpersonal brucellosis in Xintai city increases year by year during 2013-2018,and it has obvious characteristics of population distribution.
引文
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[8] 冀国霞,袁芳,李泽园.青州市2011～2014年布鲁菌病疫情的分析[J].微生物学免疫学进展,2016,44(3):54-56.
[2] 陈志新.流行病学[M].北京:人民卫生出版社,1982.
[3] 薛红梅.青海省2006～2010年高危人群布鲁氏菌病感染现状及相关因素分析[D].山西医科大学,2012.
[4] 王欢.白城市布鲁氏菌病流行病学回顾性分析[D].吉林大学;2012年.
[5] 孙茂倬,杨光宏.1990～2000年山东省布鲁氏菌病流行特征[J].实用预防医学,2002,9(4):351.
[6] 马衍辉,李金星.传染病应急与处置[M].济南:山东大学出版社出版,2007.
[7] 崔步云.中国布鲁菌病流行状况及防治对策[J].中华预防医学杂志,2014,12(48):1 035-1 038.
[8] 冀国霞,袁芳,李泽园.青州市2011～2014年布鲁菌病疫情的分析[J].微生物学免疫学进展,2016,44(3):54-56.