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目的全面掌握甘肃省张掖市布鲁氏菌病疫情流行状况,为制定防控措施提供科学依据。方法采用回顾和描述流行病学方法,分析1994─2013年张掖市布鲁氏菌病疫情监测报告和专题调查资料。结果 1994─2013年张掖市检出人间布鲁氏菌病感染者由2个县(区)上升到6个县(区),人群平均感染率从0.90%上升到1.40%;报告新发病例由1个县(区)上升到6个县(区),发病率最低0.08/10万,最高1.92/10万,上升24倍;疫情流行以牧区为主逐步演变为半农半牧区、农区和牧区并重,“稳定控制区”内布鲁氏菌病疫情出现反弹。结论 2007年后,张掖市人间布鲁氏菌病发病率迅速上升,流行范围不断扩大,应针对不同疫区因地制宜地制订并落实相应的防控措施。
Objective To comprehensively grasp the epidemic situation of brucellosis in Zhangye city of Gansu province and provide a scientific basis for making prevention and control measures. Methods The retrospective and descriptive epidemiological methods were used to analyze the monitoring reports and survey data of brucellosis in Zhangye city from 1994 to 2013. Results From 1994 to 2013, the detection rate of human brucellosis in Zhangye was increased from 2 counties to 6 counties. The average infection rate of the population increased from 0.90% to 1.40%. The new cases reported 1 county (district) rose to 6 counties (districts), the lowest incidence of 0.08 / 100000, the highest 1.92 / 100000, an increase of 24 times; epidemic epidemic to pastoral gradually evolved into semi-agricultural and semi-pastoral areas, agricultural areas and Both pastoral areas, “stable control area” within the brucellosis epidemic rebound. Conclusion After 2007, the incidence rate of human brucellosis in Zhangye City has risen rapidly and its epidemic scope has been expanding. Corresponding prevention and control measures should be worked out and implemented according to local conditions in different affected areas.