2010-2014年灵宝市布鲁氏菌病疫情及其原因分析

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目的分析灵宝市布鲁氏菌病疫情流行特征及相关影响因素,为制定有效的防控措施提供科学依据。方法从《传染病报告信息管理系统》获得2010-2014年灵宝市布鲁氏菌疫情数据,采用描述性流行病学方法对资料进行分析。结果 2010-2014年灵宝市累计报告布鲁氏菌病病例185例,平均发病率为4.93/10万,无死亡病例报告。发病季节以3-6月为主,发病年龄为40-65岁年龄组劳动力人群,发病与接触病牛羊有关。结论传染源没有彻底清除,大量牲畜从外地引进未得到有效检疫,从业人员自我防护意识淡薄等是疫情上升的主要原因。应加强牲畜流通环节的检疫和管理,做好职业人群的监测和疫情通报工作,开展对专业人员的诊治技术培训,以控制疫情蔓延。 Objective To analyze the epidemiological characteristics of brucellosis in Lingbao City and related influential factors, and to provide a scientific basis for formulating effective prevention and control measures. Methods The data of brucellosis in Lingbao City from 2010 to 2014 were obtained from Infectious Disease Reporting Information Management System, and the data were analyzed by descriptive epidemiological method. Results In 2010-2014, Lingbao City reported a total of 185 cases of brucellosis with an average incidence rate of 4.93 / 100 000 and no deaths were reported. The season of onset is mainly in March-June, and the age of onset is in the labor force of 40-65 age group. The incidence is related to the contact of cattle and sheep with disease. Conclusion The sources of infection have not been completely eliminated, a large number of livestock imported from abroad have not been effectively quarantined, and the self-protection awareness of practitioners is weak, which is the main reason for the rising of the epidemic. Quarantine and management of circulation of livestock should be strengthened, monitoring of occupational groups and notification of epidemic situation should be well carried out, technical training should be conducted in the diagnosis and treatment of professionals to control the spread of the epidemic.
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