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目的分析新疆人间布鲁氏菌病疫情形势,为采取有效的防治措施提供科学依据。方法依据《全国人间布鲁氏菌病监测实施方案》要求,2014年在新疆4个县进行人间布鲁氏菌病疫情监测、14个县(市)进行人间布鲁氏菌病高危人群筛查,并对新疆各监测点2014年上报的疫情数据进行流行病学分析。结果 2014年在新疆18个县(市)进行人间布鲁氏菌病流行病学调查21 697人,血清学检测17 756人,检出阳性3 340例、阳性率18.81%(3 340/17 756);检出病人3 273例,其中新发3 241例、发病率为14.73/10万;报告隐性感染者67例;男性(2 424例)多于女性(916例),男女性别比为2.65∶1;阳性集中在20~50岁年龄组,共报告2 800例、占阳性总人数的83.83%;新发病例数居前二位的职业依次为农民(2 140例)和牧民(508例),分别占新发病例总数的66.03%和15.67%。结论 2014年新疆人间布鲁氏菌病血检阳性率和发病率均较高,需加大防控力度,采取综合防控措施,遏制人间布鲁氏菌病的上升势头。
Objective To analyze the epidemic situation of human brucellosis in Xinjiang and provide a scientific basis for effective prevention and control measures. Methods According to the requirements of “Implementation Plan of Brucellosis Surveillance in China”, the epidemic situation of human brucellosis was detected in 4 counties in Xinjiang in 2014, and the screening rate of human brucellosis in 14 counties (cities) , And conducted epidemiological analysis of the epidemic data reported by all monitoring points in Xinjiang in 2014. Results A total of 21 697 human brucellosis epidemics were investigated in 18 counties and cities in Xinjiang in 2014 and 17 756 were detected serologically. A total of 3404 cases were positive, with a positive rate of 18.81% (3 340/17 756 ). A total of 3 273 cases were detected, of which 3 241 cases were newly diagnosed, with an incidence rate of 14.73 / 100 000; 67 cases were reported as latent infection; 2 424 cases were male cases (916 cases) 2.65: 1. Positives were in the age group of 20-50 years old, with a total of 2 800 cases reported, accounting for 83.83% of the total positive cases. Among the top two new-onset occupations, they were farmers (2140) and pastoralists Cases), accounting for 66.03% and 15.67% of the total number of new cases, respectively. Conclusion In 2014, the positive rate and incidence of brucellosis in Xinjiang were high, so we should increase the prevention and control measures and take comprehensive prevention and control measures to curb the upward trend of human brucellosis.