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目的分析包头市职业人群布鲁氏菌病的流行现状,为制定科学、合理的防制政策提供理论依据。方法 2013年选取包头市达茂旗、固阳县、土右旗等地区的职业人群进行布病监测,采用虎红凝集试验(RBPT)和试管凝集试验(SAT)进行检测,运用描述流行病学分析方法进行分析。结果检测血清样本19 357份,确诊新发布病病例432例,阳性率为2.23%(432/19 357),达茂旗新发病例157例,占全市总发病人数的36.34%(157/432)。全年发病高峰在3~6月,占总发病人数的56.94%(246/432)。从事养殖行业的职业人群发病率最高,占发病总数的81.94%(354/432)。结论包头市10个区(旗、县)均有新发布病病例出现,疫情形式依然严峻。加强动物的免疫及检疫工作,做好高危职业人群的监测,强化布病健康教育及宣传,可有效控制布病的发生与流行。
Objective To analyze the prevalence status of brucellosis among occupational population in Baotou, and to provide a theoretical basis for formulating a scientific and reasonable prevention policy. Methods In 2013, occupational populations from Damao Banner, Guyang County and Tuyouqi Banner of Baotou City were monitored for brucellosis. RBPT and SAT were used to detect brucellosis. Analytical methods for analysis. Results A total of 19 357 serum samples were tested, of which 432 cases were newly diagnosed. The positive rate was 2.23% (432/19 357), 157 cases were newly diagnosed in Damo Banner, accounting for 36.34% (157/432) . The annual peak incidence in March to June, accounting for 56.94% of the total number of patients (246/432). The occupational population engaged in aquaculture has the highest incidence, accounting for 81.94% (354/432) of the total. Conclusions There are newly reported cases in 10 districts (counties and counties) in Baotou City, and the epidemic situation is still grim. Strengthen animal immunization and quarantine work, do a good job of monitoring high-risk occupational groups and strengthen the health education and publicity on brucellosis, which can effectively control the occurrence and prevalence of brucellosis.