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一起动物源性人皮肤炭疽疫情的现场调查与处置

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目的 通过对河南省洛阳市宜阳县一起皮肤炭疽疫情的现场调查与处置,总结归纳经验和不足,为以后处置类似疫情提供参考.方法 2022年9月22日宜阳县发生一起因饲养和处理病死羊引发的皮肤炭疽疫情,疾病预防控制中心相关部门采取现场勘查、流行病学个案调查、传染源追踪、样本采集、实验室检测、病例搜索及接触者管理、疫点消毒、健康宣教等综合防控措施,控制疫情并对疫情处置效果进行评估.结果 本次疫情共发现皮肤炭疽病例1例,实验室PCR结果显示1份羊舍外环境混合采样样本阳性,循环阈值(cycle threshold,Ct)值为36.30,其余样本检测结果均为阴性.5名共同暴露者和密切接触者经医学观察后无异常,均予以解除医学观察.在柳泉镇开展广泛宣传教育工作,对所涉疫点进行终末消毒.该病例康复后,人畜间经过一个最长潜伏期未发现后续病例,此次疫情得到有效控制.结论 通过联防联控,及时对炭疽疫情采取综合防制措施,可有效阻断疫情发展.
On-site investigation and disposition of one case of zoonotic human cutaneous anthrax epidemic
Objective Through the on-site investigation and disposition of one case of a cutaneous anthrax epidemic in Yiyang County,Luoyang City,Henan Province,the experience and deficiencies were summarized and generalized to provide a reference for the disposition of similar outbreaks in the future.Methods On September 22,2022,one case of a cutaneous anthrax epidemic occurred in Yiyang County due to the feeding and handling of dead sheep.Relevant departments of center for disease control and prevention took comprehensive prevention and control measures,including on-site investigation,epidemiological case investigation,source of infection tracking,sample collection,laboratory testing,case search and contact management,disinfection of epidemic sites,and health publicity and education,to control the epidemic and evaluate the effectiveness of epidemic response.Results A total of one cutaneous anthrax case was found in this epidemic.The laboratory PCR results showed that one mixed sample from the outside environment of the sheep shed was positive,with a cycle threshold(Ct)value of 36.30,and the test results of the other samples were all negative.The five co-exposed individuals and close contacts were discharged from medical observation after medical observation without any abnormality.Extensive publicity and education work was carried out in Liuquan Town,and terminal disinfection was carried out in the affected epidemic sites.After the recovery of this case,no subsequent cases were found among humans or animals after a maximum incubation period,and the epidemic was effectively controlled.Conclusion Through joint prevention and control,timely and comprehensive prevention and control measures against the anthrax epidemic can effectively stop the development of the epidemic.

ZoonoticAnthraxZoonosisEpidemicOn-site dispositionJoint prevention and control

朱银霞、朱鑫、张彦岭、李会、李双玲、张鹏云

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洛阳市疾病预防控制中心,河南洛阳 471000

动物源性 炭疽 人兽共患病 疫情 现场处置 联防联控

2025

医学动物防制
中国民主促进会河北省委员会

医学动物防制

影响因子:0.553
ISSN:1003-6245
年,卷(期):2025.41(1)