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目的为制定驻马店市布病防控措施和加强布病防控工作管理提供科学依据。方法资料来源于驻马店市布病防控现状调查和《传染病信息报告管理系统》监测数据。利用描述流行病学方法进行分析。结果 2012-2015年发病814例,平均发病率为3.05/10万,发病率平均增长速度为135.18%。病例分布从2012年的5个县区扩大到2015年的全部县区,以成年男性和农民为主,春夏季较多。各县区防控组织管理健全,建立了联防联控工作机制,疫情及时报告和处置,病例得到治疗,积极开展健康教育。结论驻马店市布病发病快速上升,综合防措施基本落实到位,防控能力明显提升,但仍存在未能主动搜索病例、大部分县疾控中心未开展病例治疗、病例管理不规范等问题。
Objective To establish a scientific basis for the prevention and control measures of brucellosis in Zhumadian City and to strengthen the management of brucellosis prevention and control work. Methods Data were from the survey of brucellosis prevention and control status and the monitoring data of Infectious Diseases Information Reporting Management System in Zhumadian City. Descriptive epidemiological methods were used for analysis. Results The incidence of 814 cases from 2012 to 2015, the average incidence was 3.05 / 100 000, the average rate of increase of incidence was 135.18%. The distribution of cases expanded from 5 counties in 2012 to all counties in 2015, mainly dominated by adult males and peasants, with more spring and summer. The prevention and control organizations in all counties and districts are well-managed and the working mechanism of joint prevention and control is established. The epidemic situation is reported and handled promptly. The cases are treated and the health education actively carried out. Conclusion The incidence of brucellosis in Zhumadian City has risen rapidly. Basic preventive measures have been put in place and the prevention and control ability has been obviously improved. However, there are still some problems such as failure to actively search for cases, failure to carry out case treatment in most county CDCs and non-standard case management.