黄建平

[摘要] 目的 分析我市首起布鲁氏菌病（以下简称布病）疫情暴发的原因，探讨布病防制措施，防止此类暴发疫情发生。 方法 通过分析布病流行病学个案调查情况，明确该疫情波及范围和暴发原因，开展病例主动搜索，在政府指导下，卫生部门和农业部门联合采取有效防控措施，使疫情得到控制。 结果 该起布病疫情共确诊病例6例。检测密切接触人员血液样本20份，结果阳性5份，均无布病临床表现，为布病隐性感染者。 结论 发病的原因是布病患者与羊群接触时没有采取有效防护措施，直接接触病羊造成感染所引起，因此，加强布病疫情监测，开展对医务人员布病知识培训，加大对重点人群布病防治知识的宣传教育，提高其防病意识，可以有效控制布病暴发疫情发生。

[关键词] 布病；暴发疫情；调查处理；控制措施

[中图分类号] R516.7 [文献标识码] B [文章编号] 1673-9701（2017）28-0123-03

[Abstract] Objective To analyze the reasons for the first outbreak of brucellosis （hereinafter referred to as brucellosis）， to discuss the prevention and treatment of brucellosis， and to prevent such outbreaks. Methods By analyzing the individual case of epidemiology of brucellosis， the scope and reasons for outbreak of the epidemic were clarified， and positive search of the cases was carried out. Under the guidance of the government， the health sector and the agricultural sector jointly adopted effective preventive measures to control the epidemic. Results There were 6 diagnosed cases in the epidemic situation. 20 samples of blood sample in the close contact persons were detected. The results were positive in 5 cases， without clinical manifestations of brucellosis， who were all inapparent infections. Conclusion The reason for the onset of disease is that when the patients with brucellosis are in contact with the sheep， they do not take effective protective measures， and they are infected by direct contact with sheep. Therefore， strengthening the monitoring of epidemic diseases， carrying out the training of knowledge of medical staff， enhancing the publicity and education of prevention and control of key people， and improving the awareness of disease prevention can effectively control the outbreak of brucellosis epidemic.

[Key words] Brucellosis； Epidemic outbreak； Investigation； Control measures

布魯氏菌病（简称布病）是一种由布鲁氏菌引起的严重危害人民健康和畜牧业发展的人畜共患传染病。布病不仅危害人民身体健康，同时影响畜牧业、旅游业、国际贸易及经济发展。因此，布病仍将是我国乃至全球的公共卫生问题[1]。

2016年9月，我市浮梁县黄坛乡港口村发生一起布病暴发疫情，该疫情共报告6例布病确诊病例。本次疫情为景德镇市1949年以来的首起布病暴发疫情，通过采取一系列防控措施，此起暴发疫情已得到控制，现将调查情况报道如下。

1 资料与方法

1.1 一般资料

2016年9月在国家突发公共事件疫情网上报告一起布病暴发疫情资料和该起疫情流行病学调查资料。……