摘要
目的分析2013—2022年洛阳市偃师区布鲁氏菌病流行病学特征,为完善布鲁氏菌病防控策略提供科学依据。方法收集整理中国疾病预防控制信息系统数据及个案调查资料,运用描述性流行病学方法进行统计分析。结果2013—2022年偃师共报告布鲁氏菌病650例,年均报告发病率为7.37/10万,各年度报告发病率差异有统计学意义(χ^(2)=38.554,P<0.05)。发病率前三位的为缑氏镇(21.30/10万),山化镇(19.38/10万),李村镇(19.14/10万)。3—7月病例数占64.31%,男性发病率为10.30/10万,女性发病率为4.35/10万,发病率差异无统计学意义(χ^(2)=2.146,P>0.05)。60~<70岁年龄组发病率最高(18.72/10万)。感染途径中养羊感染占比最多(74.15%)。发病-确诊时间间隔中位数为6.27(2.52,17.01)d。结论3—7月偃师区发病达到高峰,需要重点关注在养殖、屠宰从业较多的缑氏、山化、李村3个镇,应减少喝鲜羊奶途径的布鲁氏菌病传播,需加强人畜联防联控。
Objective To analyze the epidemiological characteristics of brucellosis in Yanshi district of Luoyang city from 2013to 2022,and provide scientific basis for improving brucellosis control strategy.Methods The relevant data from China Disease Control and Prevention Information System and case investigation data were collected,and the descriptive epidemiological method was used for analysis.Results From 2013 to 2022,a total of 650 cases of brucellosis were reported in Yanshi,with an average annual incidence of 7.37/105.There was statistically significant difference in reported annual incidence(χ^(2)=38.554,P<0.05).The top townships with the high incidence were Goushi township(21.30/105),Shanhua township(19.38/105),and Licun township(19.14/105);the peak of incidence occurred from March to July(accounting for 64.31%).The incidence rate was 10.30/105in males and 4.35/105in females,and the difference was statistically significant(χ^(2)=2.146,P>0.05).The age group of 60-<70 years had the highest incidence(18.72/105).Of all infection routes,the proportion of infection from raising sheep was highest(74.15%).The median time interval between onset and diagnosis was 6.27(2.52,17.01)days.Conclusions The incidence peak in Yanshi district occurred from March to July during 2013-2022.The three townships,GouShi,Shanhua and Licun townships,where have more people engaging in breeding and slaughtering need to be focused on;the transmission drinking fresh goat's milk should be reduced;the joint prevention and control between human and livestock should be strengthened.
作者
马进六
张珂珂
黄杰姝
MA Jiniu;ZHANG Keke;HUANG Jieshu(Yanshi District Center for Disease Control and Prevention,Luoyang 471900,China)
出处
《现代疾病预防控制》
2024年第2期131-133,145,共4页
MODERN DISEASE CONTROL AND PREVENTION
