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目的了解北京市人间布鲁氏菌病(布病)发病情况和特征,为更好地制定布病的预防和控制措施提供依据。方法选取2013年北京市85例布病患者;14个区县高危人群2 452人。调查内容包括:时间、地区分布、性别、职业、年龄及感染途径的调查;高危人群血清学检测。结果 2013年全市85例病人主要分布在近郊和远郊区县,40~59岁年龄组的发病率较高,病例职业主要是农民和家务及待业人员,发病时间集中在3-6月,感染途径主要与传染源的接触机会有关,其次是非职业人员通过食源性途径感染;2 452名高危人群,抗体阳性44人,阳性率为1.79%。结论病羊是北京市人间布病的主要传染源;应继续加强高危职业人群尤其是散养户的健康教育工作,进而降低发病率。
Objective To understand the incidence and characteristics of human brucellosis (brucellosis) in Beijing and provide evidence for better prevention and control of brucellosis. Methods 85 cases of brucellosis in Beijing were selected in 2013; 2 452 were at risk in 14 districts and counties. The survey includes: time, geographical distribution, gender, occupation, age and route of infection investigation; serological detection of high-risk groups. Results In 2013, 85 patients in the city were mainly located in suburbs and suburbs, and the incidence was high in the 40- to 59-year-old age groups. The cases were mainly farmers, household chores and unemployed persons. The time of onset was from March to June. The route of infection The main source of exposure is related to the opportunity, followed by non-professionals through the food-borne pathogen infection; 2 452 high-risk groups, the antibody positive 44, the positive rate of 1.79%. Conclusion Sick sheep are the main source of human brucellosis in Beijing. Health education should continue to be strengthened in high-risk occupational groups, especially those in open-plan families, thus reducing morbidity.