2007年河南省焦作市造店村布鲁杆菌病疫情调查分析

目的 了解河南省焦作市造店村布鲁杆菌病(简称布病)感染状况,分析感染来源和传播途径.方法 采取访谈方式了解基本情况,采取普查方式搜索病例及收集有关信息,对重点人群采用试管凝集试验(SAT)进行血清学检测,了解感染状况,运用病例一对照分析确定感染来源和传播途径,多因素logistic回归分析确定危险因素.结果 造店村重点人群布病感染阳性率为6.26%(27/431).自2003年以来共有病例32例,男女之比为7:1,发病年龄以30-40岁青壮年最多,占34.38%(11/32),职业主要是饲养和屠宰,传播途径主要是接触死羔犊,牲畜内脏,肉及血液.多因素logistic回归分析显示,接触死羔犊,宰杀,饲养为危险因素比值比(OR)分别为8.28,5.85,2.96,P＜0.05].结论 造店村布病疫情发生的主要原因是牲畜没有进行检疫,免疫,病畜作为传染源扩散蔓延和长期存在,群众缺乏布病自我防护意识,通过接触死羔犊,宰条和饲养过程接触感染,导致人间布病疫情的不断发生.

Survey and analysis on the epidemic situation of brucellosis in Zaodian Village of Jiaozuo City.Henan Province in 2007

Objective To investigate the status of infection of brucellosis in Zaodian village of Jiaozuo City,Henan Province and to analyze sources of intection and route of transmission.Methods The general information was collected through interview to search for cases and relevant information through census.infection stains of key crowd was determined through tube agglutination test(SAT)serum examination.Case-control method was used to analyze sources of infection and route of transmission.The risk factors were analyzed using logistic regressioa.Results Infectious rate of key crowd in Zaodian Village was 6.26%(27/431).Among 32 cases found since 2003,the proportion Was 7:1 between female and male.Brucellosis mainly occurred in the crowd aged 30 and 4034.38%(11/32)].Most of them engaged in raising and slaughtering sheep.Contacting dead lamb.internal organs,meat,and blood were the main route of transmission,Contacting dead lamb,raising,and slaughtering were the risk factors showed by the logistic regression analysis(OR=8.28,5.85,2.96,P＜0.05).Condusions,Theprimary cause of brucellosis infection in Zaodian Village is due to failure of the necessary quarantine and immune on animals.The diseased animal as a constant source of infection,lack of self-protection awareness lead to continuous occurrence of the disease.