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目的了解天津市布鲁氏菌病(布病)流行特征,为布病的防控工作提供科学依据。方法收集天津市2001年1月1日—2014年12月31日布病疫情数据和职业人群血清学监测数据,采用SPSS 16.0软件进行统计分析。结果天津市2001—2014年共报告布病病例691例,无死亡病例,年均发病率为0.45/10万;2001—2014年发病率依次为0.01/10万、0.03/10万、0.13/10万、0.05/10万、0.11/10万、0.03/10万、0.06/10万、0.13/10万、0.20/10万、0.46/10万、0.75/10万、0.82/10万、1.17/10万、1.23/10万,总体呈上升趋势(χ2趋势=574.43,P<0.001),年均增幅为107.17%;天津市累计病例最多的5个区县分别为静海县(146例)、宝坻区(99例)、宁河县(89例)、北辰区(68例)、武清区(64例),均为涉农区县,5个区县病例数占全市总病例数的67.44%;691例布病病例中,男性占77.71%,女性占22.29%,年龄以40~59岁人群为主,占总病例数的61.51%,农民为最高发职业,占总病例数的64.40%;职业人群血清学累计监测7 264人,检出血清抗体阳性者255例,累计阳性率为3.51%,其中23例出现布病临床症状,占血清检测阳性数的9.02%。结论天津布病疫情不断上升,防控需多部门联合,而职业人群干预与宣传教育相结合是疾控部门控制布病的积极手段。
Objective To understand the epidemic characteristics of brucellosis (brucellosis) in Tianjin and provide a scientific basis for prevention and control of brucellosis. Methods The data of brucellosis epidemic in Tianjin from January 1, 2001 to December 31, 2014 and the serological surveillance data of occupational population were collected and analyzed by SPSS 16.0 software. Results A total of 691 cases of brucellosis were reported in Tianjin from 2001 to 2014, with no deaths, the annual average incidence was 0.45 / 100 000. The incidence rates in 2001-2014 were 0.01 / 100,000, 0.03 / 100,000, 0.13 / 10 Million, 0.05 / 100,000, 0.11 / 100,000, 0.03 / 100,000, 0.06 / 100,000, 0.13 / 100,000, 0.20 / 100,000, 0.46 / 100,000, 0.75 / 100,000, 0.82 / 100,000, 1.17 / 10 (Χ2 trend = 574.43, P <0.001), with an average annual increase of 107.17%. The five counties with the most cumulative cases in Tianjin were Jinghai County (146 cases), Baodi District (99 cases), Ninghe County (89 cases), Beichen District (68 cases) and Wuqing District (64 cases). All of them were involved counties and counties, accounting for 67.44% of the total cases in five districts and counties. Of 691 cases of brucellosis, 77.71% were male and 22.29% were female, with the age of 40-59 years old, accounting for 61.51% of the total number of cases. Farmers were the highest fathers, accounting for 64.40% of the total number of cases. Occupation A total of 7 264 seropositive people were monitored. Serum antibody positive cases were detected in 255 cases, with a cumulative positive rate of 3.51%. Of the 23 cases, clinical symptoms of brucellosis were found, accounting for 9.02% of the positive serum tests. Conclusion The prevalence of brucellosis in Tianjin is on the rise. Prevention and control should be combined with multiple departments. Combination of occupational interventions and publicity and education is an active means for the disease control departments to control brucellosis.