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目的总结云南省漾鼻县布鲁菌病(布病)疫情调查处置情况,为以后处置布病等人兽共患病疫情提供经验。方法搜集、整理和分析漾濞县发生人间和羊间布病疫情现场流行病学调查资料、布病病例临床诊疗资料;人血清检验方法采用WS269-2007《布鲁氏菌病诊断标准》规定的试管凝集实验方法,羊血清采用虎红平板凝集试验方法。结果 2015-06漾濞县动物卫生监督所某兽医,先后出现右膝关节、左踝关节疼痛,伴多汗、乏力等症状,该患者对自己采血进行虎红平板试验布病初筛,结果为阳性,到云南省地方病防治所进行布病抗体检测布病抗体为1∶1600++,实验室诊断为急性布病病例。疾病预防控制中心对全县共有各类畜牧从业人员(不包括牧民)148名采集血清进行布病抗体检测,除首例患者病例阳性外,另检出阳性1例;对有母羊流产、羊只死亡现象发生的苍山西镇的白羊村和下街村2村全部羊只(68只)采血进行布病抗体检测,在下街村1户28只羊中检出布病抗体阳性9只。结论此起布病在漾濞县属于首起布病疫情,调查和处置及时,疫情得到有效控制。
Objective To summarize the investigation and disposal of brucellosis (cloth brucellosis) in Yangnou County of Yunnan Province and provide experience for the future treatment of zoonosis such as brucellosis. Methods Collecting, sorting and analyzing the epidemiological survey data of brucellosis among human and sheep in Yangli County, clinical diagnosis and treatment data of brucellosis cases; human serum test method using the test tube of WS269-2007 “Brucellosis diagnostic criteria” Agglutination test method, goat serum using tiger red plate agglutination test method. Results In 2015-06, a veterinarian of Animal Health Inspection Office of Yangbi County presented symptoms such as right knee joint, left ankle joint pain, accompanied by hyperhidrosis and weakness. The patient initially screened his red blood for the blood test, and the result was positive , Yunnan endemic disease prevention and treatment of brucellosis antibody detection brucellosis antibody 1: 1600 +, laboratory diagnosis of acute brucellosis cases. Center for Disease Control and Prevention of the county a total of all types of livestock husbandry (excluding herders) 148 collected sera for antibody testing, in addition to the first case of patients with positive, the other positive in 1 case; for ewes, sheep Only the death occurred in Cangshan Xizhen Baiyang village and village 2 village all sheep (68) blood for the detection of brucellosis antibodies, in the village of 28 households in Xiajie village detection of brucellosis antibody-positive 9. Conclusion This epidemic of brucellosis is the first brucellosis in Yangbi County. The investigation and disposal were timely and the outbreak was effectively controlled.