2016 - 2018年新疆生产建设兵团人间布病流行特征分析

目的 了解新疆生产建设兵团（以下简称兵团）布鲁氏菌病（以下简称布病）流行特征，为布病防控工作提供科学依据。方法 收集兵团2016年1月1日 - 2018年12月31日传染病网报数据和各监测点血清学监测数据，检验方法采用《布鲁氏菌病诊断标准》（WS269 - 2007）执行，使用SPSS17.0进行描述和统计学分析。结果 兵团共累计报告布病病例1 572例，发病率总体呈现逐年下降趋势，年均发病率为18.33/10万，各师年均报告发病率差异有统计学意义（χ2 = 169.898，P＜0.001）；病例主要集中在40～59岁年龄段，占59.86%，不同年龄组间发病率差异有统计学意义（χ2 = 1 489.001，P＜0.001）。血清学累计监测19 358份，阳性率为3.34%，患病率2.19%，不同年份血检阳性率差异具有统计学意义（χ2 = 9.570，P = 0.008），不同区域血检阳性率差异具有统计学意义（χ2 = 127.629，P＜0.001），不同职业血检阳性率差异具有统计学意义（χ2 = 25.728，P = 0.002）。结论 兵团布病疫情总体呈逐年下降趋势，但应继续加强联防联控和职工群众的宣传教育工作，提高布病防治知识和就诊意识，减少慢性化危害。

Analysis of the epidemiological characteristics of brucellosis in Xinjiang Production and Construction Corps between 2016 and 2018

Objective To understand the epidemic characteristics of brucellosis(brucellosis) in Xinjiang production and Construction Corps (hereinafter referred to as the Corps), and thus to provide scientific evidences for the prevention and control of the brucellosis. Methods The direct reported data of infectious diseases network and serological surveillance data of each surveillance point in the Corps from January 1st of 2016 to December 31th of 2018 were Collected. The test methods were carried out according to the Brucellosis Diagnostic Criteria(WS269-2007). The data were described and analyzed by SPSS17.0. Results The Corps reported a total of 1 572 brucellosis cases, incidence rate showed a decline trend year by year, with an average annual incidence rate of 18.33/100 000. There were significant difference in the annual reported incidence rate among the divisions(χ2=169.898, P<0.001). The cases mainly concentrated in the 40-59 age group, accounting for 59.86%, and there was statistically significant difference in the incidence of disease among different age groups (χ2=1489.001, P<0.001). A total of 19 358 serological surveillance samples were collected and 647 were positive, the positive rate was 3.34%, the prevalence rate was 2.19%, There were significant difference in the positive rate of blood test in different years (χ2=9.570, P=0.008).There were statistically significant differences in positive rate of blood test in different areas(χ2=127.629, P<0.001). There were statistically significant differences in positive rates of blood test in different occupations(χ2=25.728, P=0.002). Conclusion The epidemic situation of brucellosis in bingtuan is decreasing year by year, but we should continue to strengthen the joint defense, joint control, and the propaganda and education of workers and masses, improve the prevention and treatment knowledge and visiting consciousness of brucellosis, and reduce the chronic harm.