【摘要】 目的掌握陕西省宝鸡市布鲁氏菌病(布病)流行情况,评价防治效果,研究防治对策。方法收集宝鸡市基本资料,对1963～2008年布病发病、监测资料进行统计分析,研究流行趋势及变化原因。结果自1979年宝鸡市发现布病以来,发病多呈慢性过程,1963～1979年疫情不够稳定,时降时升;1980～1986年疫情比较稳定,且呈大幅下降趋势;人间1979～1983年无新发病人,1984～2001年散在发病,1988～1994年疫情比较活跃,局部(麟游县)呈现疫情活跃特征;经采取以畜间免疫为主的综合防治措施,疫情得以控制;2001年后无新发病例出现。结论宝鸡市布病流行特点为临床病例少、隐性感染率高;通过采取以畜间免疫为主的综合性防治措施和有计划地对人间职业人群进行计划免疫,对查出的患者及时进行治疗,疫情得以控制。更多还原

【Abstract】 Objective To master the epidemic trend of brucellosis in Baoji City,evaluate the effect of prevention and control and study controlling strategy.Methods The fundamental surveillance information in Baoji was collected,morbidity and monitoring data of brucellosis between 1963 -2008 were analyzed to study the prevalence and the causes of change of brucellosis.Results The morbidity of brucellosis in Baoji had mostly presented a chronic progress since 1963 with the overall trends as follows:the epidemic trend was not stable during 1963 - 1979,while it was relatively steady and in state of decline speedily during 1980 - 1986. New cases in human were absent from 1979 to 1983,morbidity was sporadic during 1984 -2001.The prevalence experienced actively,e.g.,in Lingyou County,during 1988 - 1994.The epidemic was controlled based mainly on immunization of animals by the combination of the authorities of animals and human beings. No new cases had occurred since 2001.Conclusions On the basis of surveillance of brucellosis in Baoji for 45 years,characteristics of brucellosis is of less clinical cases and high latent infection rate.The epidemic can be controlled by comprehensive prevention and control strategy mainly of immunization among animals,and vaccination among occupational populations,and timely treatment on confirmed patients.更多还原