Changing Epidemiology of Human Brucellosis, China, 1955-2014

被引：226

作者：

Lai, Shengjie ^{[1
,2
,3
,4
]}

Zhou, Hang ^{[1
]}

Xiong, Weiyi ^{[1
]}

Gilbert, Marius ^{[5
,6
]}

Huang, Zhuojie ^{[1
]}

Yu, Jianxing ^{[1
,7
]}

Yin, Wenwu ^{[1
]}

Wang, Liping ^{[1
]}

Chen, Qiulan ^{[1
]}

Li, Yu ^{[1
]}

Mu, Di ^{[1
]}

Zeng, Lingjia ^{[1
]}

Ren, Xiang ^{[1
]}

Geng, Mengjie ^{[1
]}

Zhang, Zike ^{[1
,8
]}

Cui, Buyun ^{[9
]}

Li, Tiefeng ^{[10
]}

Wang, Dali ^{[10
]}

Li, Zhongjie ^{[1
]}

Wardrop, Nicola A. ^{[2
]}

Tatem, Andrew J. ^{[2
,3
]}

Yu, Hongjie ^{[1
,4
]}

机构：

[1] Chinese Ctr Dis Control & Prevent, Div Infect Dis, Key Lab Surveillance & Early Warning Infect Dis, Beijing, Peoples R China

[2] Univ Southampton, WorldPop, Geog & Environm, Southampton, Hants, England

[3] Flowminder Fdn, Stockholm, Sweden

[4] Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety, Minist Educ, Shanghai 200032, Peoples R China

[5] Univ Libre Bruxelles, Brussels, Belgium

[6] Fonds Natl Rech Sci, Brussels, Belgium

[7] Chinese Acad Med Sci, Inst Pathogen Biol, Beijing, Peoples R China

[8] Zhejiang Univ, Hangzhou, Zhejiang, Peoples R China

[9] Chinese Ctr Dis Control & Prevent, Natl Inst Communicable Dis Control & Prevent, Beijing, Peoples R China

[10] Chinese Ctr Dis Control & Prevent, Base Plague & Brucellosis Prevent & Control, Beijing, Peoples R China

来源：

EMERGING INFECTIOUS DISEASES | 2017年 / 23卷 / 02期

基金：

美国国家卫生研究院; 比尔及梅琳达.盖茨基金会; 英国惠康基金;

关键词：

INFECTIOUS-DISEASES; INNER-MONGOLIA; PROVINCE;

D O I：

10.3201/eid2302.151710

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

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.

引用

页码：184 / 194

页数：11

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