CAJ | 학술논문

目的分析2008-2012年哈尔滨市人间布鲁杆菌病(简称布病)疫情监测结果,掌握哈尔滨市布病疫情的流行特点,为制订防治对策提供科学依据.方法根据2008-2010年《中国疾病监测信息报告管理系统》中相关信息和市级监测点监测结果(包括流行病学调查和血清学监测),分析哈尔滨市布病疫情的流行特点(包括地区、时间、人群分布).结果 2008-2012年,哈尔滨市共报告布病病例1348例,发病率由2008年的1.79/10万上升到2012年的4.62/10万；除平房区(2008-2011年)和方正县(2009、2011年)部分年份没有布病疫情外,哈尔滨市18个区(县、市)5年间均有布病病例报告,其中依兰县发病最多(382例),而双城市和宾县2012年布病发病人数大幅上升,分别为111和73例；布病发病时间集中在3-7月份,占全年发病总人数的62.54％ (843/1348)；年龄分布以30～60岁青壮年为主(71.59％,965/1348)；性别分布以男性为主(75.45％,1017/1348)；职业分布以农民为主(84.87％,1144/1348),学生、家务职业5年间发病人数也较高(4.23％,57/1348和2.52％,34/1348).2008-2012年,市级监测点共进行流行病学调查13 010人,其中血清学检测2695人,布病血清学阳性率为3.93％ (106/2695),呈逐年上升趋势.结论哈尔滨市人间布病发病率逐年上升,发病季节集中在春夏季,以青壮年男性高发,职业以农民为主要发病人群,学生、家务工作者也有发病.建议进一步加强监测点监测,及时分析、通报疫情,为保障消灭传染源各项措施落实到位,应大力开展健康教育,加强部门协作,为切实控制疫情蔓延提供科学依据.
목적 분석2008-2012년합이빈시인간포로간균병(간칭포병)역정감측결과,장악합이빈시포병역정적류행특점,위제정방치대책제공과학의거.방법 근거2008-2010년《중국질병감측신식보고관리계통》중상관신식화시급감측점감측결과(포괄류행병학조사화혈청학감측),분석합이빈시포병역정적류행특점(포괄지구、시간、인군분포).결과 2008-2012년,합이빈시공보고포병병례1348례,발병솔유2008년적1.79/10만상승도2012년적4.62/10만；제평방구(2008-2011년)화방정현(2009、2011년)부분년빈몰유포병역정외,합이빈시18개구(현、시)5년간균유포병병례보고,기중의란현발병최다(382례),이쌍성시화빈현2012년포병발병인수대폭상승,분별위111화73례；포병발병시간집중재3-7월빈,점전년발병총인수적62.54％ (843/1348)；년령분포이30～60세청장년위주(71.59％,965/1348)；성별분포이남성위주(75.45％,1017/1348)；직업분포이농민위주(84.87％,1144/1348),학생、가무직업5년간발병인수야교고(4.23％,57/1348화2.52％,34/1348).2008-2012년,시급감측점공진행류행병학조사13 010인,기중혈청학검측2695인,포병혈청학양성솔위3.93％ (106/2695),정축년상승추세.결론 합이빈시인간포병발병솔축년상승,발병계절집중재춘하계,이청장년남성고발,직업이농민위주요발병인군,학생、가무공작자야유발병.건의진일보가강감측점감측,급시분석、통보역정,위보장소멸전염원각항조시락실도위,응대력개전건강교육,가강부문협작,위절실공제역정만연제공과학의거.
Objective As brucellosis epidemic is constantly rising in Harbin in recent years,we analyze the epidemic and surveillance results at municipal surveillance spots of brucellosis from 2008 to 2012,to find out the epidemic characteristics of Harbin brucellosis,and to provide scientific evidences for development of countermeasures.Methods Brucellosis surveillance data which were collected from the "National Diseases Surveillance Information Management System" from 2008 to 2010,the epidemic characteristics of Harbin brucellosis (including regional,time and population distribution) and the municipal surveillance results in Harbin (including epidemiological investigation and serological surveillance) were analyzed.Results A total of 1348 cases of brucellosis were reported in Harbin from 2008 to 2012,and the incidence of brucellosis increased from 1.79 per 100 000 to 4.62 per 100 000; in addition to Pingfang District (2008-2011) and Fangzheng County(2009 and 2011),all eighteen districts (counties or cities) in Harbin had reported epidemic in the past five years,the highest incidence was in Yilan (382 cases),and the incidence was significantly increased in Shuangcheng(111 cases) and Binxian(73 cases) in 2012; the time of onset focused on March to July,which accounted for 62.54％(843/1348) of annual incidence; age distribution,mainly young adults aged 30 to 60(71.59％,965/1348); gender distribution predominantly male (75.45％,1017/1348) ; occupational distribution farmers(84.87％,1144/1348),and the number of infected students and house workers were also high in the past five years(4.23％,57/1348 and 2.52％,34/1348).In the municipal surveillance spots from 2008 to 2012,13 010 cases were surveyed,of which 2695 cases received serological test,the positive rate was 3.93％ (106/2695),and the positive rate was increasing year by year.Conclusions The incidence of Harbin brucellosis is increasing year by year,onset season mainly in the spring and summer,young men with a high incidence,and farmers are main professional people.Brucellosis has also occurred among students,domestic workers,which should be vigilant.Therefore,we should further strengthen surveillance,timely analyze and report the epidemic,and provide a scientific basis to ensure each measure of eliminating the sources of infection put in place,vigorously develop health education,strengthen inter-departments cooperation,and control the spread of epidemic.