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中国初级卫生保健:2026,40(1):63-66
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2014—2023年寿光市人间布鲁氏菌病流行病学特征 及防控策略分析
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中文摘要: 摘 要:目的:分析2014—2023年山东省寿光市人间布鲁氏菌病流行特征及影响因素,为完善防控策略提供科学依据。 方法:通过全民健康保障疾控信息系统收集2014—2023年寿光市布鲁氏菌病报告病例及现场流行病学调查数据,采用描述 性流行病学方法进行统计分析。结果:2014—2023年寿光市共报告病例619例,年均报告发病率为5.63/10万;2015年最高 (9.68/10万),2020年最低(2.61/10万),差异有统计学意义 (x²=107.908,P<0.05) 。14 个镇(街道)均有病例报告,文家 街道最高(8.8810万),圣城街道最低(3.40/10万),各镇(街道)发病率比较,差异有统计学意义(x²=53.427,P<0.05) 。 发病 高峰在4—8月,占55.09%;男性发病率为8.24/10万,高于女性(1.47/10万),差异有统计学意义 (x²=135.529,P<0.05); 40~69岁人群发病率最高,占总病例的76.41%;职业主要为养殖业者,占总病例数的77.06%;发热症状为主要症状(占 80.94%);饲养家畜的患者中有防护措施者占13.00%。结论:寿光市布鲁氏菌病呈现地域扩散、中老年男性农民高发以及春 夏季聚集的特点。发病人群主要是高危职业人群,应加强动物检疫工作及提升重点人群的防护意识并落实措施。
Abstract:Abstract: OBJECTIVE To analyze the epidemic characteristics and influencing factors of human brucellosis in Shouguang,Shandong Province from 2014 to 2023,and provide scientific basis for improving prevention and control strategies.METHODS The reported cases and field epidemiological survey data of brucellosis in Shouguang from 2014 to 2023 were collected by the national health security disease control information system,and the descriptive epidemiological method was used for statistical analysis.RESULTS A total of 619 cases of brucellosis were reported in Shouguang from 2014 to 2023,with an average annual incidence rate of 5.63/10⁵.The incidence was the highest in 2015(9.68/10⁵)and the lowest in 2020(2.61/10),the diference was statistically significant(x²=107.908,P<0.05).Cases were reported in 14 towns (subdistricts),with the highest incidence in Wenjia(8.88/105)and the lowest in Shengcheng(3.40/10),and the difference was statistically significant(x²=53.427,P<0.05).The incidence peak was from April to August,accounting for 55.09%.The incidence rate of males was 8.24/10⁵,higher than that of females(1.4710⁵,and the difference was statistically significant(x²=135.529, P<0.05).The highest incidence was in people aged 40-69 years,accounting for 76.41%of the total cases.Fever was the main symptom (80.94%).13.00%of the patients raising domestic animals had protective measures.CONCLUSION Brucellosis in Shouguang showed the characteristics of regional spread,high incidence of middle-aged and elderly male farmers and gathering in spring and summer.The patients are mainly high-risk occupational groups.It is necessary to strengthen the animal quarantine work and enhance the protection awareness of key groups and implement measures.
文章编号:3202410015     中图分类号:R375.8    文献标志码:
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李晓静,李君  
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