Changing Epidemiology of Human Brucellosis, China, 1955-2014.
Changing Epidemiology of Human Brucellosis, China, 1955-2014.
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DOI：
10.3201/eid2302.151710
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发表时间：
2017-02
影响因子：
11.8
通讯作者：
Yu H
中科院分区：
文献类型：
--
作者：
Lai S;Zhou H;Xiong W;Gilbert M;Huang Z;Yu J;Yin W;Wang L;Chen Q;Li Y;Mu D;Zeng L;Ren X;Geng M;Zhang Z;Cui B;Li T;Wang D;Li Z;Wardrop NA;Tatem AJ;Yu H
布鲁氏菌病是一种人畜共患疾病，1955年在中国被规定为法定报告疾病。我们使用法定监测数据分析了1955-2014年中国人间布鲁氏菌病的发病率和时空分布：1955-2003年的聚集数据和2004-2014年的个案数据。全国共记录布鲁氏菌病病例513,034例，其中北方地区1955-2014年报告占99.3%，69.1%（258462/374141）发生在1990-2014年2 - 7月。1955-1978年期间发病率仍然很高（四分位数范围为0.42-1.0例/100，000居民），然后在1979-1994年急剧下降。但自1995年以来，布鲁氏菌病又重新出现（1995-2003年四分位距为0.11-0.23，2004-2014年四分位距为1.48-2.89）; 2014年出现历史最高值，疫区从北方牧区省份扩展到邻近草原和农业区，再扩展到南方沿海和西南部地区。中国的控制策略应该通过采取一种健康的方法来适应这些变化。
Brucellosis, a zoonotic disease, was made statutorily notifiable in China in 1955. We analyzed the incidence and spatial–temporal distribution of human brucellosis during 1955–2014 in China using notifiable surveillance data: aggregated data for 1955–2003 and individual case data for 2004–2014. A total of 513,034 brucellosis cases were recorded, of which 99.3% were reported in northern China during 1955–2014, and 69.1% (258, 462/374, 141) occurred during February–July in 1990–2014. Incidence remained high during 1955–1978 (interquartile range 0.42–1.0 cases/100,000 residents), then decreased dramatically in 1979–1994. However, brucellosis has reemerged since 1995 (interquartile range 0.11–0.23 in 1995–2003 and 1.48–2.89 in 2004–2014); the historical high occurred in 2014, and the affected area expanded from northern pastureland provinces to the adjacent grassland and agricultural areas, then to southern coastal and southwestern areas. Control strategies in China should be adjusted to account for these changes by adopting a One Health approach.