2014年福建省3起布氏菌病暴发疫情调查

发布时间：2018-06-19 00:41

本文选题：布氏菌病 + 暴发　；参考：《中国人兽共患病学报》2015年08期

【摘要】：目的调查福建省2014年3起布氏菌病暴发疫情,查明病例感染来源,疫情严重程度和传播危险因素,为今后更好的预防控制布氏菌病疫情提供依据。方法联合农业部门开展流行病学暴发调查方法,通过病例搜索,个案访谈及问卷调查等方式收集资料。结果共发现11例病例,5例隐性感染者。涉事养羊场职业人群感染情况,漳州感染率为41%(7/17),宁德感染率为75%(3/4),感染还波及婴幼儿(3例)、学生(2例)、个体户(1例)等一般人群。感染方式中无防护的死胎处理及喝生羊奶感染率均为100%。此外,3家涉事养羊场的羊只布病抗体阳性率分别为46%(121/262)、45%(5/11)、33%(2/6)。结论 3起布氏菌病暴发疫情传染源为本地及来自陕西的染疫羊只,无防护的死胎处理、接胎及喝生羊奶是主要的传播途径,羊只感染率高、民众预防知识匮乏、动物检疫等措施空白是疫情扩散的危险因素。建议卫生与农业部门开展人-畜布病监测一体化,扩大监测范围及抽检比例,及时发现疫情并进行妥善处理。
[Abstract]:Objective to investigate three outbreaks of brucellosis in Fujian Province in 2014, to find out the source of infection, the severity of the epidemic and the risk factors of transmission, so as to provide the basis for better prevention and control of brucellosis in the future. Methods Epidemiological outbreak investigation was carried out in conjunction with agricultural department, and data were collected by case search, case interview and questionnaire survey. Results A total of 11 cases and 5 cases of recessive infection were found. The infection rate of workers involved in sheep farm was 41 / 17 / 17 in Zhangzhou, 75 / 3 / 4 / 4 in Ningde, and 3 cases in infants, 2 cases in students and 1 case in self-employed persons. The infection rate of unprotected stillbirth and drinking raw goat milk were 100. In addition, the positive rates of antibodies against cloth disease in sheep in three farms were 460.121 / 262a / 45 / 45 / 11 / 33 / 33 / 2 / 6 respectively. Conclusion the infection source of three brucellosis outbreaks is local and Shaanxi infected sheep. Unprotected stillbirth treatment, fetal reception and drinking raw goat milk are the main transmission routes. The infection rate of sheep is high, and the prevention knowledge of people is deficient. Gaps in animal quarantine and other measures are risk factors for the spread of the epidemic. It is suggested that the health and agriculture departments should integrate human and animal brucellosis surveillance, expand the surveillance scope and sampling proportion, detect the epidemic situation in time and deal with it properly.
【作者单位】：深圳市龙华新区疾病预防控制中心;福建省疾病预防控制中心;漳州市云霄县疾病预防控制中心;宁德市霞浦县疾病预防控制中心;
【分类号】：R516.7

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