摘要
目的分析2009-2018年内蒙古自治区人间布鲁氏菌病(布病)疫情特征,总结本地区10年间布病空间分布特征,为制订布病防控策略和措施,调整防控资源提供依据。方法 2009-2018年人间布病疫情资料来自传染病报告信息管理系统。采用描述性流行病学方法分析布病疫情特征,进一步结合ArcGIS软件分析布病疫情的时空特征,绘制内蒙古地区布病的时空分布图,进行全局及局部空间相关性分析。结果 2009-2018年全区共报告布病新发病患者119 249例,12盟(市)的103旗(县)均有布病疫情。病例呈青壮年多、男性多和农牧民多的"三多"特点。全局空间自相关性分析,2009-2013、2016-2018年呈聚集性分布,局部空间自相关性分析存在热点地区,10年间内蒙古的布病高发区主要集中在中东部地区。病例高发区由中东部向西部推移,由北部向南部推移。结论该地区应继续加强全区布病防控,重点开展高危人群宣传教育与行为干预工作,有针对性地加大发病高负担地区的防控力度。
Objective To understand the epidemiologic characteristics and spatial distribution of human brucellosis(hereinafter referred to as brucellosis) in Inner Mongolia from 2009 to 2018, and provide evidence for the development of the strategies and measures for brucellosis prevention and control and the adjustment of prevention and control resources.Methods The incidence data of brucellosis in Inner Mongolia during 2009–2018 were obtained from the National Notifiable Disease Reporting System(NNDRS). Descriptive epidemiology method was used to analyze the epidemiologic characteristics of brucellosis, and software ArcGIS was used to analyze the spatial and temporal characteristics of brucellosis. The spatial and temporal distribution map of brucellosis in Inner Mongolia was generated to analyze the global and local spatial correlation.Results From 2009 to 2018, a total of 119 249 new cases of brucellosis were reported in Inner Mongolia, and brucellosis occurred in all 103 counties of 12 cities(league). The cases were mainly young adults, males and farmers or herdsmen. From the perspective of spatial distribution: the global spatial autocorrelation analysis showed clustering distribution from 2009 to2013 and from 2016 to 2018, and there were hot spots in local spatial autocorrelation analysis. The high incidence areas of brucellosis in Inner Mongolia were mainly in the central and eastern areas in the past decade. The areas with high incidence of brucellosis moved from the middle-east to the west and from the north to the south. Conclusion It is necessary to further strengthen the prevention and control of brucellosis in Inner Mongolia, focusing on health education and behavior intervention in high-risk groups and targeted measures in areas with serious disease burden.
作者
梁晗玮
塔娜
米景川
尉瑞平
郭威
张文强
Liang Hanwei;Ta Na;Mi Jingchuan;Yu Ruiping;Guo Wei;Zhang Wenqiang(Inner Mongolia Medical University,Hohhot 010110,Inner Mongolia,China;Inner Mongolia Autonomous Region Center for Disease Control and Prevention,Hohhot 010031,Inner Mongolia,China)
出处
《疾病监测》
CAS
2019年第12期1058-1063,共6页
Disease Surveillance
