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目的了解东营市布病疫情流行特征及其影响因素,为制定防控策略提供依据。方法采取被动监测和主动监测的方法发现病例,采用血清试管凝集试验方法确诊病例,对高发区实施综合干预措施。结果 2006-2013年东营市报告布病病例300例,年均发病率为1.81/10万;疫区从2006年的1个乡镇扩大到2013年5个县区25个乡镇;2006-2009年病例以家畜屠宰及畜产品加工职业人群为主,无明显季节性;2010-2013年病例以饲养职业人群为主,在3-6月份呈现明显季节高峰;采取综合干预措施的地区病例“发病-诊断”时间较其他地区明显缩短。结论东营市布病发病职业由屠宰加工转为饲养,疫情呈上升趋势,疫区扩大的原因与动物检疫、淘汰措施不到位有关,实施人群综合干预措施可使病人在发病早期及时得到治疗。
Objective To understand the epidemic characteristics of brucellosis and its influencing factors in Dongying and provide the basis for making prevention and control strategies. Methods The cases were detected by passive monitoring and active monitoring. Serum test tube agglutination test was used to diagnose the cases and the comprehensive interventions were carried out in high incidence areas. Results From 2006 to 2013, Dongying City reported 300 cases of brucellosis with an average annual incidence rate of 1.81 / 100 000. The epidemic area was expanded from 1 township in 2006 to 25 townships in 5 counties and districts in 2013. Cases of 2006-2009 There was no obvious seasonal pattern in the professional population of livestock slaughtering and livestock products processing. In 2010-2013, the occupational population was mainly raised, with a clear seasonal peak in March-June. In the regional cases with comprehensive intervention measures, Diagnosis "time is significantly shorter than other regions. Conclusion The incidence of brucellosis in Dongying City was changed from slaughter and processing to breeding, and the outbreak was on the rise. The reason for the expansion of epidemic area was not related to the animal quarantine and elimination measures. The implementation of population comprehensive interventions could lead to the timely and early treatment of patients.