天津市2001—2014年布鲁氏菌病流行特征及职业人群血清学调查

发布时间：2018-04-16 10:22

本文选题：布鲁氏菌病(布病) + 流行特征　；参考：《中国公共卫生》2015年11期

【摘要】：目的了解天津市布鲁氏菌病(布病)流行特征,为布病的防控工作提供科学依据。方法收集天津市2001年1月1日—2014年12月31日布病疫情数据和职业人群血清学监测数据,采用SPSS 16.0软件进行统计分析。结果天津市2001—2014年共报告布病病例691例,无死亡病例,年均发病率为0.45/10万;2001—2014年发病率依次为0.01/10万、0.03/10万、0.13/10万、0.05/10万、0.11/10万、0.03/10万、0.06/10万、0.13/10万、0.20/10万、0.46/10万、0.75/10万、0.82/10万、1.17/10万、1.23/10万,总体呈上升趋势(χ2趋势=574.43,P0.001),年均增幅为107.17%;天津市累计病例最多的5个区县分别为静海县(146例)、宝坻区(99例)、宁河县(89例)、北辰区(68例)、武清区(64例),均为涉农区县,5个区县病例数占全市总病例数的67.44%;691例布病病例中,男性占77.71%,女性占22.29%,年龄以40~59岁人群为主,占总病例数的61.51%,农民为最高发职业,占总病例数的64.40%;职业人群血清学累计监测7 264人,检出血清抗体阳性者255例,累计阳性率为3.51%,其中23例出现布病临床症状,占血清检测阳性数的9.02%。结论天津布病疫情不断上升,防控需多部门联合,而职业人群干预与宣传教育相结合是疾控部门控制布病的积极手段。
[Abstract]:Objective to understand the epidemic characteristics of brucellosis in Tianjin and to provide scientific basis for the prevention and control of brucellosis.Methods data of epidemic situation of brucellosis in Tianjin from January 1, 2001 to December 31, 2014 and serological surveillance data of professional population were collected and analyzed by SPSS 16.0 software.Results A total of 691 cases of brucellosis were reported in Tianjin from 2001 to 2014, with no death cases. The annual incidence rate was 0.45 / 100 000 and the incidence rate in 2001-2014 was 0.011%, 0.031%, 0.13%, 0.05%, 0.11%, 0.03%, 0.06%, 0.13%, 0.20% / 100,000, 0.46% / 100 000, 0.75 / 100,000, 0.82100 000, 11,170.10 million,The overall trend was upward (蠂 2 trend: 574.43 P0.001, with an average annual increase of 107.17); the five districts with the largest cumulative cases in Tianjin were Jinghai County (146 cases), Baodi District (99 cases), Ninghe County (89 cases), Beichen District (68 cases) and Wuqing District (64 cases), all of which were agricultural counties.The number of cases in five districts and counties accounted for 67.4441 cases of brucellosis in the whole city.The proportion of male was 77.71, and that of female was 22.29.The age was mainly 4059 years old, which accounted for 61.51% of the total number of cases. The farmer was the most frequent occupation, accounting for 64.40% of the total cases, the serological monitoring of occupational group included 7,264 cases, and 255 cases of positive serum antibody were detected.The accumulative positive rate was 3.51, of which 23 cases had clinical symptoms of brucellosis, which accounted for 9.02% of the serum positive.Conclusion the epidemic situation of brucellosis in Tianjin is on the rise, the prevention and control of brucellosis should be combined with multi-departments, and the combination of professional intervention and propaganda and education is the positive means of controlling brucellosis in the department of disease control.
【作者单位】：天津市疾病预防控制中心;
【基金】：天津市疾病预防控制中心2014年科技基金(CDCKY1401)
【分类号】：R516.7

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