首页|2005-2022年贵州省炭疽病例流行特征分析

2005-2022年贵州省炭疽病例流行特征分析

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分析2005-2022年贵州省人炭疽流行特征及聚集性疫情特征,为炭疽防控提供参考.收集贵州省炭疽疫情历史资料及中国疾病预防控制信息系统资料,用描述性流行病学方法对资料进行分析并采样检测.2005-2022年贵州省共报告炭疽419例,年均发病率0.063/10万,累计死亡20例,病死率4.77%.发病数居前三位的市(州、县)为黔西南布依族苗族自治州183例(0.35/10万)、黔南布依族苗族自治州102例(0.17/10万)和册亨县75例(2.16/10万).4-10月共报告375例(89.49%).聚集性疫情75起,发病数290例,罹患率为1.30%,占总病例数的69.21%;患者不及时就诊257例(88.62%),医务人员未能及时诊断10起(13.33%);有剖刮病/死畜感染史209例(72.07%).收集全部炭疽监测样本1 054份,总阳性率为12.24%,环境样本阳性率为13.10%,消毒后的被污染土壤阳性率为10.89%;复核菌株样本29份,阳性率为31.03%.贵州省炭疽历史疫源地仍是炭疽的主要发生地.剖刮病/死畜是主要危险因素,被污染土壤消毒不彻底,仍存在传播风险.应加强医疗机构医护人员的培训和群众的健康宣传以及历史疫源地环境炭疽芽孢杆菌的传播风险研究.
Analysis on the epidemic characteristics of the anthrax in Guizhou Province from 2005 to 2022
To analyze the epidemic characteristics and epidemic cluster of human anthrax in Guizhou Province from 2005 to 2022,to provide a reference for the prevention and control of anthrax.The data of historical information on the anthrax epidemic,sample surveillance,and the China Disease Prevention and Control Information System in Guizhou Province were collected and analyzed using descriptive epidemiological methods.A total of 419 cases of anthrax and 20 deaths were reported in Guizhou Province from 2005 to 2022,with an average rate of 0.063/100 000 and an annual fatality rate of 4.77%.The top three cities/couties with the highest cases were Qianxinan Buyei and Miao Autonomous Prefecture(183 cases,0.35/100 000),Qiannan Buyei and Miao Autonomous Prefecture(102 cases,0.17/100 000),and Ceheng County(75 cases,2.16/100 000).A total of 375 cases were reported from April to October,accounting for 89.49%.There were 75 epidemic clusterings with 290 cases,and an incidence rate of 1.30%.There were 257 cases(88.62%)of patients who did not seek medical advice in time,and 10 outbreaks,accounting for 13.33%,were not diagnosed by medical personnel promptly.There were 209 cases(72.07%)who had a history of curettage/dead animal infection.A total of 1 054 samples of anthrax were collected,with an overall positivity rate was 12.24%,including 13.10%of positive environmental samples,and 10.89%of contaminated soil after disinfection.The 29 rechecked bacterial strain specimens had a positive rate of 31.03%.The historical epidemic focus is still the main place where anthrax occurred in Guizhou Province.The main risk factor was cesarean section/dead animals.Contaminated soil was not thoroughly disinfected,and there was still a risk of transmission.It is necessary to strengthen the training of medical personnel in medical institutions,and public health education,and strengthen the research on the transmission risk of bacillus anthracis in the environment of historical epidemic focus.

AnthraxEpidemic clusterEpidemic characteristicsSurveillance

胡灿、王丹、姚光海

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贵州省疾病预防控制中心,贵州贵阳 550004

炭疽 聚集性疫情 流行特征 监测

2024

中国预防医学杂志
中华预防医学会

中国预防医学杂志

CSTPCD
影响因子:1.004
ISSN:1009-6639
年,卷(期):2024.25(11)