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目的了解甘肃省高台县布鲁氏菌病流行规律和疫情动态,为制定防控对策提供依据。方法收集2014─2016年高台县布鲁氏菌病监测资料、中国疾病监测信息报告管理系统网络直报的布鲁氏菌病病例和流行病学个案调查资料、同期高台县动物疫病防控中心畜间布鲁氏菌病监测资料并采用描述流行病学方法进行分析。结果 2014─2016年高台县共报告人间布鲁氏菌病35例,年均发病率7.40/10万,2016年发病率最高(13.95/10万)、2015年最低(3.16/10万);全县9个镇除城关镇外8个镇均有病例报告,巷道镇和罗城镇发病数较多;畜间共检测羊血清63 004份,检出阳性440份、检出率0.70%;检测牛血清5 930份,未检出阳性;畜间疫情除城关镇未检出阳性外,其余8个镇均检出阳性,尤以养殖业较多的巷道镇和罗城镇高,分别占发病总数的50.00%和20.90%;发病呈明显的季节性,夏季为发病高峰;发病人群以养殖户为主、占发病总数的68.57%,其次为农民。结论 2014─2016年高台县布鲁氏菌病发病呈上升趋势,人畜间发病趋势一致,建议各部门重视布鲁氏菌病的防控工作,加强协作、落实联防联控机制、培养专业队伍,及时遏制布鲁氏菌病疫情。
Objective To understand the epidemic trend and epidemic situation of brucellosis in Gaotai County, Gansu Province, and to provide basis for prevention and control measures. Methods The surveillance data of brucellosis in Gaotai county from 2014 to 2016, the brucellosis cases and the epidemiological investigation data of the network reported by the China Disease Surveillance Information Reporting Management System were collected. In the same period, Brucellosis surveillance data were analyzed using descriptive epidemiological methods. Results In 2014-2016, 35 cases of brucellosis were reported in Gaotai County, with an average annual incidence rate of 7.40 / 100 000. The highest incidence was found in 2016 (13.95 / 100 000) and lowest in 2015 (3.16 / 100 000). Nine towns in the county except Chengguan town outside the eight towns have case reports, roadway towns and townships Luo more incidence; detection of 63 004 copies of the sheep were detected positive 440, the detection rate of 0.70%; detection of cattle Serum 5 930 copies, did not detect positive; domestic animal epidemic in addition to the town was not detected positive, the other eight were positive in all the towns, especially farming more roadway town and Luo town, accounting for the total number of cases 50.00% and 20.90% respectively. The incidence was obviously seasonal and peaked in summer. The incidence population was dominated by farmers, accounting for 68.57% of the total incidence, followed by farmers. Conclusion The incidence of Brucellosis in Gaotai County is on an upward trend from 2014 to 2016. The trend of incidence of brucellosis is consistent among people and animals. It is suggested that all departments should pay attention to prevention and control of brucellosis, strengthen coordination, implement joint prevention and control mechanism, train professional teams, To stop the brucellosis epidemic in time.