20202023年云南省保山市人间布鲁氏菌病流行特征

Epidemiological characteristics of human brucellosis in Baoshan CityYunnan Province2020‒2023

  • 摘要:
    目的 了解云南省保山市人间布鲁氏菌病(简称“布病”)的流行特征,为优化当地布病疫情防控策略提供科学依据。
    方法 基于2020—2023年保山市布病监测报告病例数据及个案流行病学调查问卷信息,运用描述性流行病学方法,对保山市布病流行情况及临床特征进行分析。
    结果 2020—2023年保山市共报告布病病例85例,收集病例个案信息83例。保山市布病主要集中在5—9月份高发,年均发病率为0.80/10万,男女性别比为7.5∶1,30~60岁组病例占全部病例的82.35%,农民是主要发病人群。病例的临床表现以肌肉和关节痛为主。在传播途径上,87.95%的病人曾接触牛,饲养与放牧牲畜为主要暴露方式,主要感染地点为家中。
    结论 2020—2023年保山市布病发病率呈波动上升趋势,5—9月为高发期,男性及农民是重点对象。建议强化畜间监测管控,提升高危人群防护意识与能力。

     

    Abstract:
    Objective To investigate the epidemiological characteristics of human brucellosis (hereinafter referred to as brucellosis) in Baoshan City, Yunnan Province, and to provide scientific evidence for adjusting prevention and control strategies.
    Methods Based on the surveillance data of reported brucellosis cases in Baoshan City from 2020 to 2023 and the information collected through individual epidemiological questionnaire surveys, the epidemic status and clinical characteristics of brucellosis in Baoshan City were analyzed using descriptive epidemiological methods.
    Results A total of 85 brucellosis cases were reported in Baoshan City from 2020 to 2023, and detailed individual information was obtained for 83 of them. Brucellosis in Baoshan City showed a clear seasonal pattern, with peak incidence from May to September. The average annual incidence rate was 0.80/100 000, with a male-to-female ratio of 7.5∶1. And 82.35% of the cases aged 30 to 60 years, with farmers being the predominant affected group. The main clinical manifestations of the cases were myalgia and arthralgia. Regarding transmission routes, 87.95% of the cases had a contact history with cattle, with livestock rearing and grazing being the main exposure modes. Most infections occurred at home.
    Conclusion From 2020 to 2023, the incidence of brucellosis in Baoshan City exhibited a fluctuating upward trend, with a peak period from May to September. Males and farmers were identified as the primary affected populations. It is recommended to strengthen livestock surveillance and control, and to enhance both awareness and self-protection capacity among high-risk groups.

     

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