Human Brucellosis in Urban and Peri-Urban Areas of Kampala, Uganda
Human Brucellosis in Urban and Peri-Urban Areas of Kampala, Uganda
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DOI：
10.1196/annals.1428.015
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发表时间：
2008-01-01
期刊：
影响因子：
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通讯作者：
Welburn, Susan Christina
中科院分区：
文献类型：
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作者：
Makita, Kohei;Fevre, Eric Maurice;Welburn, Susan Christina
利用穆拉戈国家转诊医院（穆拉戈医院）的医疗记录，对乌干达坎帕拉城市、城郊和农村地区的人布鲁氏菌病进行了回顾性病例对照研究，以发现与该疾病相关的风险。从2004年6月至2006年5月期间的布鲁氏菌凝集试验记录中，发现652例阳性结果。病例对照研究表明，生活在城市地区是布鲁氏菌病的一个危险因素。每1000户家庭中改良牛和杂交牛的数量是根据从距离坎帕拉市中心5至20公里半径范围内随机选择的75个地方议会（LCls）访谈中获得的数据计算出来的。然而，与城郊和农村地区相比，城市地区的养牛活动不受欢迎。人类布鲁氏菌病病例的分布与牛的分布之间相关性较差，这表明大多数布鲁氏菌病病例是由于食用了从坎帕拉城郊和农村地区和/或坎帕拉以外的乳制品产区运输来的原料奶造成的。
A retrospective case-control study of human brucellosis in urban, peri-urban, and rural areas in Kampala, Uganda was undertaken to find the risks associated with the disease using the medical records of Mulago National Referral Hospital (Mulago Hospital). From the Brucella agglutination test (BAT) records between June 2004 and May 2006, 652 positive results were found. The case-control study showed that living in urban areas was a risk factor for brucellosis. The numbers of improved and cross-breed cattle per 1000 households were calculated on the basis of data obtained from interviews of 75 randomly selected local councils (LCls) in an area between 5 and 20 km radii from the city center of Kampala. Cattle-keeping activities were, however, unpopular in urban areas compared to peri-urban and rural areas. Poor correlation between the distribution of human brucellosis cases and the distribution of cattle suggested that most of the brucellosis cases resulted from consumption of raw milk transported from peri-urban and rural areas of Kampala and/or dairy production areas outside Kampala.