2007～2018年淄博市临淄区人间布鲁氏菌病流行特征分析
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摘要
目的了解淄博市临淄区2007～2018年布病流行病学特征及确诊时间,为制定防制措施提供依据。方法通过国家疾病监测报告信息系统收集布病病例信息和个案调查表(用于分析感染来源),运用描述流行病学方法进行分析。结果 2007～2018年淄博市临淄区共报告布病病例254例,平均发病率为3.46/10万,无死亡病例,2013～2018年的平均发病率(5.89/10万)高于2007～2012年(1.01/10万)(P<0.01)。全区12处镇街均有报告病例,金岭镇发病率最高(9.84/10万),皇城镇最低(0.31/10万),不同地区发病率差异有统计学意义(P<0.01)。发病有明显的季节高峰,3～7月占全年发病例数的58.27%(148/254)。男性发病率(4.94/10万)高于女性(1.96/10万)(P<0.01),男女比例为2.58∶1。35～74岁发病最多(217例、占85.43%),农民发病占205例(占80.71%)。最早确诊的时间是发病后3 d,最迟的为发病后212 d,确诊时间中位数为27 d。结论淄博市临淄区自2013年开展布病主动监测以来,发现病例数量明显增多。
Objective To understand the epidemiological characteristics and diagnosis time of brucellosis during 2007-2018 in Linzi district,Zibo city,so as to provide scientific basis for prevention and control of human brucellosis. Methods Data was collected on cases of brucellosis from the National Disease Surveillance and Information Report System,and questionnaires were gathered for exploring the source of infection.Data was analyzed by descriptive epidemiological methods. Results A total of 254 cases were reported from 2007 to 2018 without any death case,with an average incidence of 3.46/10~5.The average incidence of 2013-2018(5.89/10~5) was significantly higher than that of 2007-2012(1.01/10~5)(P<0.01).Cases were reported in all 12 towns in the district.The highest incidence was in Jinling town(9.84/10~5) and the lowest was in Huangcheng town(0.31/10~5).The incidence in different regions was statistically significant(P<0.01).There was an obvious epidemic peak occurred in March-July,which accounted for 58.27%(148/254) of the total cases.There were more male cases than female(P<0.01),and the ratio of man to woman was 2.58:1.The majority of cases were people aged 35-74 years old(217 cases,85.43%),in which farmers accounted for 80.71%(205 cases).Time for diagnosis was during 3 days to 212 days,and the median time was 27 days. Conclusion Since active surveillance of human brucellosis was carried out in Linzi district in 2013,more and more cases were founded.
Objective To understand the epidemiological characteristics and diagnosis time of brucellosis during 2007-2018 in Linzi district,Zibo city,so as to provide scientific basis for prevention and control of human brucellosis. Methods Data was collected on cases of brucellosis from the National Disease Surveillance and Information Report System,and questionnaires were gathered for exploring the source of infection.Data was analyzed by descriptive epidemiological methods. Results A total of 254 cases were reported from 2007 to 2018 without any death case,with an average incidence of 3.46/10~5.The average incidence of 2013-2018(5.89/10~5) was significantly higher than that of 2007-2012(1.01/10~5)(P<0.01).Cases were reported in all 12 towns in the district.The highest incidence was in Jinling town(9.84/10~5) and the lowest was in Huangcheng town(0.31/10~5).The incidence in different regions was statistically significant(P<0.01).There was an obvious epidemic peak occurred in March-July,which accounted for 58.27%(148/254) of the total cases.There were more male cases than female(P<0.01),and the ratio of man to woman was 2.58:1.The majority of cases were people aged 35-74 years old(217 cases,85.43%),in which farmers accounted for 80.71%(205 cases).Time for diagnosis was during 3 days to 212 days,and the median time was 27 days. Conclusion Since active surveillance of human brucellosis was carried out in Linzi district in 2013,more and more cases were founded.
引文
[1] 卫生部.WS269-2007《布鲁氏菌病诊断标准》[S].北京:卫生部,2007.
[2] 王莉,左素俊.2004～2009年左云县布鲁氏菌病疫情分析[J].预防医学论坛,2012,18(7):547-548.
[3] 李效霞,吉富泉.食用烤羊肉串后患布鲁氏菌病1例临床观察[J].中国地方病防治杂志,1999,14(4):210.
[4] 王万玲,武建香.吃涮羊肉片后引起布鲁氏菌病1例报告[J].中华流行病学杂志,1999,20(5):320.
[5] 葛丽敏.一例食用烤牛肉引起布病的报告[J].中国地方病防治杂志,1997,12(6-A):79.
[6] 王轶,张黎明,罗学东,等.2012～2013年叶县布鲁氏菌病血清学检测[J].预防医学论坛,2015,21(5):357-358.
[7] 崔步云.中国布鲁氏菌病疫情监测与控制[J].疾病监测,2007,22(10):649-651.
[8] 李宗芬,建平县2006～2012年人间布病疫情分析[J].中国公共卫生,2014,30,(10):1 337-1 338.
[9] 李淑梅,李东春.绥中县2004～2012年布鲁氏菌病流行病学分析[J].中国公共卫生,2014,30(2):237-239.
[10] 孔德怡,王维忠,董继梁.2011年邹城市布鲁氏菌病流行病学分析[J].预防医学论坛,2013,19(2):154-155.
[2] 王莉,左素俊.2004～2009年左云县布鲁氏菌病疫情分析[J].预防医学论坛,2012,18(7):547-548.
[3] 李效霞,吉富泉.食用烤羊肉串后患布鲁氏菌病1例临床观察[J].中国地方病防治杂志,1999,14(4):210.
[4] 王万玲,武建香.吃涮羊肉片后引起布鲁氏菌病1例报告[J].中华流行病学杂志,1999,20(5):320.
[5] 葛丽敏.一例食用烤牛肉引起布病的报告[J].中国地方病防治杂志,1997,12(6-A):79.
[6] 王轶,张黎明,罗学东,等.2012～2013年叶县布鲁氏菌病血清学检测[J].预防医学论坛,2015,21(5):357-358.
[7] 崔步云.中国布鲁氏菌病疫情监测与控制[J].疾病监测,2007,22(10):649-651.
[8] 李宗芬,建平县2006～2012年人间布病疫情分析[J].中国公共卫生,2014,30,(10):1 337-1 338.
[9] 李淑梅,李东春.绥中县2004～2012年布鲁氏菌病流行病学分析[J].中国公共卫生,2014,30(2):237-239.
[10] 孔德怡,王维忠,董继梁.2011年邹城市布鲁氏菌病流行病学分析[J].预防医学论坛,2013,19(2):154-155.