鞑靼斯坦共和国人畜布鲁氏菌病病灶调查

Olga Nazarova
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摘要

在过去三年中,俄罗斯联邦新诊断出的布鲁氏菌病发病率有所上升。在畜牧业发达的地区,布鲁氏菌病仍然是一个重要问题;但在国内其他地区,也有动物和人类发病的记录。 文章描述了鞑靼斯坦共和国新谢什明斯基市地区一个农民农场爆发的布鲁氏菌病,148 头牛和 4 名农场员工染病。该病由流产布鲁氏菌引起。对疫情流行和流行病学调查图、卫生和流行病学调查行为以及工人工作条件的卫生和健康特征进行了分析。此外,还提供了 4 名患有布鲁氏菌病的农场工人的病史数据。 这次流行病最有可能的原因是未经许可进口牛只,而人类疾病则是由于农场工人不遵守工作条件和个人防护措施造成的。 结论目前,布鲁氏菌病病例多发生在流行地区。然而,如果任何地区的兽医和卫生控制存在缺陷,就有可能发生流行病,这对国民经济造成的损害和可能感染的人群(主要是职业风险人群)都构成了严重威胁。这种疾病没有明显的症状,只有当医生提高警惕,通过对 "高危 "人群进行实验室检查来评估初步和定期体检的结果,并彻底收集流行病学史料时,才能怀疑这种疾病。
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INVESTIGATION OF A FOCUS OF BRUCELLOSIS AMONG ANIMALS AND PEOPLE IN THE REPUBLIC OF TATARSTAN
Over the past 3 years, the Russian Federation has seen an increase in the incidence of newly diagnosed brucellosis. The problem of brucellosis remains important in regions with developed livestock farming; however, cases of diseases in animals and humans can also be recorded in other regions of the country. The article describes an outbreak of brucellosis in a peasant farm in the Novosheshminsky municipal district of the Republic of Tatarstan, affecting 148 heads of cattle and 4 farm employees. The disease was caused by Brucella abortus. An analysis of maps of the epizootic and epidemiological survey of the outbreak, acts on the sanitary and epidemiological survey, and sanitary and hygienic characteristics of the working conditions of workers was carried out. Data from the case histories of 4 peasant farm workers with brucellosis are also presented. The most likely cause of the epizootic was the unauthorized import of cattle, and human diseases were caused by non-compliance with working conditions and personal protective measures for farm workers. Conclusion: Cases of brucellosis in our days are more often recorded in endemic areas. However, with defects in veterinary and sanitary control in any territory, epizootics are possible, which pose a serious danger both in terms of the damage they cause to the national economy and the possible infection of people, primarily belonging to professional risk groups. The disease does not have pathognomonic symptoms and can be suspected only if doctors are alert, evaluate the results of preliminary and periodic medical examinations with laboratory examinations of “at-risk” populations, and subject to a thorough collection of epidemiological history.
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