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杨丽, 毕振旺, 寇增强, 任艳艳, 张鲁燕, 郑丽, 赵仲堂. 山东2005—2012年布鲁氏菌病流行病学特征[J]. 中国公共卫生, 2015, 31(1): 14-17. DOI: 10.11847/zgggws2015-31-01-05
引用本文: 杨丽, 毕振旺, 寇增强, 任艳艳, 张鲁燕, 郑丽, 赵仲堂. 山东2005—2012年布鲁氏菌病流行病学特征[J]. 中国公共卫生, 2015, 31(1): 14-17. DOI: 10.11847/zgggws2015-31-01-05
YANG Li, BI Zhen-wang, KOU Zeng-qiang.et al, . Epidemiological characteristics of brucellosis in Shandong province from 2005 to 2012[J]. Chinese Journal of Public Health, 2015, 31(1): 14-17. DOI: 10.11847/zgggws2015-31-01-05
Citation: YANG Li, BI Zhen-wang, KOU Zeng-qiang.et al, . Epidemiological characteristics of brucellosis in Shandong province from 2005 to 2012[J]. Chinese Journal of Public Health, 2015, 31(1): 14-17. DOI: 10.11847/zgggws2015-31-01-05

山东2005—2012年布鲁氏菌病流行病学特征

Epidemiological characteristics of brucellosis in Shandong province from 2005 to 2012

  • 摘要: 目的 了解山东省2005—2012年布鲁氏菌病(以下简称布病)流行病学特征,为制定防治策略与措施提供科学依据。方法 利用山东省疾病报告信息系统2005—2012年布病监测数据运用SPSS 16.0软件进行描述性分析。结果 2005—2012年共报告布病2 090例,呈逐年增加趋势,由2005年的172例增至2012年的687例,平均增幅为37.42%;疫情波及县(区)数逐年增加,截至2012年累计波及县(区)111个,前5位高发县(区)(郓城、利津、牡丹、定陶和章丘)发病数占总病例的42.25%;布病发病季节性明显,发病高峰期在2~7月(70.19%),各年份发病高峰期所占比例差异有统计学意义(χ2=72.05,P<0.01),5月为高峰(15.7%),秋冬季发病呈现逐年增长趋势;男女比例为3.19:1,不同年份发病性别分布差异无统计学意义(P=0.08);发病年龄为5个月~86岁,以34~45岁最高,占28.5%,农民为布病高发职业,占84.2%,不同年份发病年龄及职业分布差异有统计学意义(P<0.01);诊断前误诊病例9例,诊断所需天数虽呈现逐年缩短趋势,但7 d之内诊断的病例只占19.8%,>30 d所占比例高达45.6%。结论 布病发病数逐年增加,波及范围逐年扩大,发病以青壮年农民为主,春夏为发病高峰,秋冬季发病比例逐年增长,及时诊断率低。

     

    Abstract: Objective To explore epidemiological characteristics of brucellosis in Shandong province during 2005-2012,and to provide evidences for making control and prevention strategy.Methods SPSS 16.0 was used to analyze surveillance data on brucellosis during the period of 2005-2012 from Shandong Diseases Reporting Information System(SDIS).Results During the period,totally 2 090 cases of brucellosis were reported(172 cases in 2005 and 687 cases in 2012,with an average growth rate of 37.42%).By the end of 2012,brucellosis distributed in 111 counties and 42.25% of the cases were from 5 counties(Yuncheng,Lijin,Mudan,Dingtao,and Zhangqiu county).The incidence of the disease had seasonal fluctuation and the incidence peak was from February to July(70.19%).The yearly proportion of the cases occurred in the incidence peak was significantly different(χ2=72.05,P<0.01)and the number of cases occurred in the fall and winter increased year by year.The male/female ratio of the cases was 3.19:1.The age range of the of cases was from 5 months to 86 years and 28.5% of the cases were at the age of 34-45 years.Farmer was the predominant occupation group among the cases(84.2%).There were significant yearly differences in the age and occupation distribution(P<0.05).There were 9 misdiagnosed cases.Although the number of days for the diagnosis showed a reduction trend year by year,only 19.8% of the cases were diagnosed within 7 days and 45.6% of the cases were diagnosed more than 30 days after their initial medical consultation.Conclusion Male farmers at young and middle age were the most susceptible population for brucellosis.February to July was the peak occurrence period of the disease.The incidence of brucellosis increased and the epidemic area expanded year by year and the timely diagnosis rate was low in Shandong province.

     

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