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目的分析浙江省绍兴市布鲁氏菌病(布病)发病特征及流行规律,为制定防控策略提供参考依据。方法根据绍兴市2005 2015年布病监测报告资料,收集确诊的布病病例个案调查表、年度报表等资料,对汇总的资料进行流行病学分析。结果 2005 2015年绍兴市共确诊报告布病病例132例,年报告发病率0.05/10万~0.54/10万之间,男性发病率显著高于女性(χ~2=23.2,P<0.01);41~60岁组发病最多,为86例(占65.15%);职业以农民、民工等从事羊屠宰、交易、养殖、运输和加工类人员为主,占80.30%;3 8月是发病高峰季节,发病例数占总病例数的71.21%;地区分布以小越、甘霖和崧夏3乡镇为主,占总病例数的77.27%;患者从出现症状到明确诊断所需时间平均为(50.52±5.07)d。结论绍兴市布病疫情呈上升趋势,应加大对传染源的控制,重点开展对高危人群的健康教育宣传。
Objective To analyze the incidence and prevalence of brucellosis (brucellosis) in Shaoxing, Zhejiang Province, and provide a reference for the formulation of prevention and control strategies. Methods Based on the data of cloth disease surveillance in Shaoxing City in 2005 and 2005, the questionnaires and annual reports of cases of brucellosis were collected and the epidemiological analysis of the data was conducted. Results A total of 132 cases of brucellosis were reported in Shaoxing City from 2005 to 2005, with an annual incidence of 0.05-100 000 to 0.54 / 100 000. The incidence of male was significantly higher than that of female (χ ~ 2 = 23.2, P <0.01). The incidence was highest in 41-60 age group, accounting for 80.30% of the total, 86 (65.15%) occupations; peasants, migrant workers engaged in sheep slaughtering, trading, breeding, transportation and processing occupations accounted for 80.30%; and August was the peak season , And the number of cases accounted for 71.21% of the total number of cases; the distribution was mainly Xiaoyue, Ganlin and Songxia 3 townships, accounting for 77.27% of the total number of cases; the mean time from symptom onset to definite diagnosis was (50.52 ± 5.07) d. Conclusion The epidemic situation of brucellosis in Shaoxing City is on the rise. The control over the source of infection should be intensified, with a focus on health education and promotion of high-risk groups.