Article(id=1324050775797805300, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324050669933572771, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202512411, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1766505600000, receivedDateStr=2025-12-24, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793607904624, onlineDateStr=2026-11-02, pubDate=1778342400000, pubDateStr=2026-05-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793607904624, onlineIssueDateStr=2026-11-02, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793607904624, creator=13701087609, updateTime=1793607904624, updator=13701087609, issue=Issue{id=1324050669933572771, tenantId=1146029695717560320, journalId=1227665162245664772, year='2026', volume='53', issue='9', pageStart='1537', pageEnd='1728', issueExtLink='null', onlineDate='null', pubDate='1778342400000', pubDateStr='2026-05-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793607879384, creator='13701087609', updateTime=1793670100562, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1324311644528050975, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324050669933572771, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1324311644528050976, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324050669933572771, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=1697, endPage=1703, ext={EN=ArticleExt(id=1324050776053657845, articleId=1324050775797805300, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Epidemiological characteristics of human brucellosis in Hubei Province from 2010 to 2023, columnId=1228016573156360233, journalTitle=Modern Preventive Medicine, columnName=Disease Control and Prevention, runingTitle=null, highlight=null, articleAbstract=
Objective Based on the surveillance data of brucellosis in Hubei from 2010 to 2023, this study explores its epidemiological characteristics and contributing factors. The findings may serve as a decision-making reference for developing targeted prevention and control mechanisms and optimizing current intervention strategies.
Methods The data in this research were obtained from the National Notifiable Infectious Disease Surveillance Platform (China CDC Information System). Data organization and preliminary analysis were carried out using Excel, statistical analyses were performed with SPSS 25.0, and spatial geographic distribution maps were generated via ArcGIS 10.2 to visually present the epidemic distribution.
Results In 2010, the first case of human brucellosis was reported in Hubei. A total of 2 176 cases were reported from 2010 to 2023. The incidence showed a phased fluctuation trend: a budding phase in the initial period (2010—2013), followed by a significant increase in the early stage (2013—2016), a gradual decline in the mid-term (2016—2020), and a resurgence in the later period (2020—2023). The cases exhibited distinct seasonal clustering, and 67.2% of cases occurred between March and August. In terms of spatial distribution, except for Shennongjia, cases were reported in the other 16 cities (prefectures) of the province, and core high-incidence areas included Suizhou City, Jingmen City, Xiangyang City, Xianning City, and Huanggang City. The coverage rate of cases in counties and districts reached 93.2%. Demographic analysis revealed that people aged 40 to 69 accounted for 72.6% of cases, with a male-to-female ratio of 2.4:1. Occupational distribution was dominated by farmers (69.1%). The median diagnostic delay period (interval from symptom onset to diagnosis) was 9 days, showing a gradual shortening trend over the years. Suspected cases were most concentrated in Guangshui City and Suixian. A structural shift in case reporting sources was observed: the proportion of cases reported by municipal medical institutions increased, while the share from county-level institutions increased initially before declining. In contrast, the contribution from disease control centers saw a significant drop.
Conclusion From 2016 to 2020, the incidence of human brucellosis in Hubei continued to decline, indicating partial success in its ovine brucellosis eradication campaign launched in early 2015. However, a significant resurgence occurred post-2020, with the epidemic demonstrating geographical expansion from northern Hubei to southern Hubei and from eastern Hubei to western Hubei. It is imperative to establish a coordinated mechanism for zoonotic diseases through cross-sectoral collaboration to enhance the surveillance, prevention, and control of brucellosis.
, authors=Tian SHI
1, Fen-fen LI
1, Yin-bo LUO
1, Qi CHEN
1, Dan-qin HUANG
1, Li-jie ZHANG
2, Yang WU
1, authorsList=Tian SHI, Fen-fen LI, Yin-bo LUO, Qi CHEN, Dan-qin HUANG, Li-jie ZHANG, Yang WU, authorCompany=null, correspAuthors=Yang WU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1324050777412612354, articleId=1324050775797805300, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=2010-2023年湖北省人间布鲁菌病流行特征分析, columnId=1228016573844226129, journalTitle=现代预防医学, columnName=疾病预防控制, runingTitle=null, highlight=null, articleAbstract=
目的 基于湖北省2010-2023年布鲁菌病（简称布病）监测数据，探讨其流行病学特征并分析其原因，研究结果可为建立针对性防控机制和优化现有干预方案提供决策参考。
方法 本研究所用数据均提取自国家法定传染病监测平台（中国疾病预防控制中心信息系统），通过EXCEL完成原始数据整理与基础分析，采用SPSS 25.0软件实施统计学处理，同时借助ArcGIS 10.2软件构建空间地理分布图，实现疫情分布的可视化呈现。
结果 2010年湖北省首次报告人间布病病例，2010-2023年累积报告病例2 176例，其流行态势呈现阶段性波动特征：初期（2010-2013年）萌芽阶段，早期（2013-2016年）显著上升，中期（2016-2020年）逐步下降，后期（2020-2023年）出现反弹；病例具有明显季节性聚集特征，67.2%的病例发病时间集中于3-8月。空间分布上，除神农架外，其他16个市州均有病例，且随州市、荆门市、襄阳市、咸宁市、黄冈市为核心高发区域，全省县区覆盖率达93.2%。人口学特征显示，40～69岁人群占总病例数的72.6%，男女性别比为2.4∶1，职业分布以农民为主，为69.1%。全省延误诊断周期（发病-诊断时间间隔）的中位数为9 d，延误诊断周期的中位数呈逐年缩短趋势。疑似病例分布最多的县区为广水市和随县。病例报告来源结构发生转变，市级医疗机构占比有所上升，县级医疗机构占比呈先升后降趋势，疾控中心占比下降明显。
结论 2016-2020年湖北省人间布病发病率持续下降，说明湖北省于2015年初启动的羊布病净化行动取得一定防控成效，但2020年后疫情出现明显反弹，且地理分布呈现由鄂北向鄂南、鄂东向鄂西扩散的趋势。需构建跨部门合作的人畜共患病联防联控体系，持续加强布病的监测和防控。
, authors=史甜
1, 李粉粉
1, 罗银波
1, 陈琦
1, 黄丹钦
1, 张丽杰
2, 吴杨
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史甜（1997-），女，硕士，公卫医师，研究方向：急性传染病预防与控制
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=fZmMsr/kfG3EXvMj7ejwvQ==, magXml=kYJ7lKWA44zrJ8TI0ET+lQ==, pdfUrl=null, pdf=6k4aW4QYdcPOGIbW8Cdtog==, pdfFileSize=1203481, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=X3FfWtG77hfeyLNf4pl4ow==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=YXfw1I7Z5ZqL1KfkbOIO5w==, mapNumber=null, fund=null)}, authors=[Author(id=1324050777848819977, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1324050779576873227, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, authorId=1324050777848819977, language=EN, stringName=Tian SHI, firstName=Tian, middleName=null, lastName=SHI, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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1.湖北省疾病预防控制中心传染病防治所，湖北 武汉 430079)]), AuthorCompany(id=1324050777764933894, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, xref=2., ext=[AuthorCompanyExt(id=1324050777773322503, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, companyId=1324050777764933894, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
2.中国疾病预防控制中心研究员)])], figs=[ArticleFig(id=1324050782269616435, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=EN, label=Figure 1, caption=
The number of cases and incidence of human brucellosis in Hubei from 2010 to 2023, figureFileSmall=QyXFuFSuVI/wOfNa8n77ng==, figureFileBig=X3FfWtG77hfeyLNf4pl4ow==, tableContent=null), ArticleFig(id=1324050782370279732, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=CN, label=图1, caption=
湖北省2010-2023年人间布病病例数及发病率, figureFileSmall=QyXFuFSuVI/wOfNa8n77ng==, figureFileBig=X3FfWtG77hfeyLNf4pl4ow==, tableContent=null), ArticleFig(id=1324050784320631093, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=EN, label=Figure 2, caption=
Time distribution of brucellosis in Hubei from 2010 to 2023, figureFileSmall=/deq3Za8wtBsGUeKgy3hLA==, figureFileBig=6uWZ3t9sS0TKXo3D6cLhmw==, tableContent=null), ArticleFig(id=1324050784442265911, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=CN, label=图2, caption=
湖北省2010-2023年人间布病时间分布, figureFileSmall=/deq3Za8wtBsGUeKgy3hLA==, figureFileBig=6uWZ3t9sS0TKXo3D6cLhmw==, tableContent=null), ArticleFig(id=1324050784597455159, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=EN, label=Figure 3, caption=
Seasonal index radar chart of human brucellosis in Hubei from 2010 to 2023, figureFileSmall=cqe7xPpkREEzWFK/EDl3xA==, figureFileBig=BaE9vKRiTC6SYcXj31kLug==, tableContent=null), ArticleFig(id=1324050784714895672, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=CN, label=图3, caption=
湖北省2010-2023年人间布病季节指数雷达图, figureFileSmall=cqe7xPpkREEzWFK/EDl3xA==, figureFileBig=BaE9vKRiTC6SYcXj31kLug==, tableContent=null), ArticleFig(id=1324050784786198841, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=EN, label=Figure 4, caption=
Area distribution of human brucellosis incidence in Hubei from 2010 to 2023, figureFileSmall=A2SO5EpYAeySpjj6s7jcJQ==, figureFileBig=shXKtzKsK9gVAv7I+pSYsg==, tableContent=null), ArticleFig(id=1324050784870084922, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=CN, label=图4, caption=
湖北省2010-2023年人间布病地区发病率分布注：审图号为鄂S(2024）008号。
, figureFileSmall=A2SO5EpYAeySpjj6s7jcJQ==, figureFileBig=shXKtzKsK9gVAv7I+pSYsg==, tableContent=null), ArticleFig(id=1324050784949776699, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=EN, label=Figure 5, caption=
Gender and age distribution of brucellosis cases in Hubei from 2010 to 2023, figureFileSmall=bVX0xyLjeNRDLWolU/EXxg==, figureFileBig=/xGyxNeDHhc5oipZkLKgqA==, tableContent=null), ArticleFig(id=1324050785029468476, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=CN, label=图5, caption=
湖北省2010-2023年人间布病病例性别与年龄分布, figureFileSmall=bVX0xyLjeNRDLWolU/EXxg==, figureFileBig=/xGyxNeDHhc5oipZkLKgqA==, tableContent=null), ArticleFig(id=1324050785113354557, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=EN, label=Figure 6, caption=
Constituent of institutions reporting human brucellosis cases in Hubei from 2010 to 2023, figureFileSmall=Z0hK0j2JU8qSfTwbxGrrLA==, figureFileBig=nzRQizJdx0sg6+MstNSjiQ==, tableContent=null), ArticleFig(id=1324050785318875454, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=CN, label=图6, caption=
湖北省2010-2023年人间布病病例报告机构构成情况, figureFileSmall=Z0hK0j2JU8qSfTwbxGrrLA==, figureFileBig=nzRQizJdx0sg6+MstNSjiQ==, tableContent=null), ArticleFig(id=1324050785398567231, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=EN, label=Table 1, caption=
Occupational distribution of human brucellosis cases in Hubei from 2010 to 2023
, figureFileSmall=null, figureFileBig=null, tableContent=
| 职业 | 报告病例数 | 构成比（%） |
|---|
| 农民 | 1 504 | 69.1 |
| 家务及待业、离退人员 | 195 | 9.0 |
| 牧民 | 151 | 6.9 |
| 其他 | 88 | 4.0 |
| 学生、散居儿童 | 82 | 3.8 |
| 餐饮服务员 | 43 | 2.0 |
| 工人及农民工 | 42 | 1.9 |
| 干部职员 | 28 | 1.3 |
| 畜牧业相关 | 25 | 1.2 |
| 兽医及医务人员 | 18 | 0.8 |
), ArticleFig(id=1324050785469870400, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=CN, label=表1, caption=
湖北省2010-2023年人间布病病例职业分布
, figureFileSmall=null, figureFileBig=null, tableContent=
| 职业 | 报告病例数 | 构成比（%） |
|---|
| 农民 | 1 504 | 69.1 |
| 家务及待业、离退人员 | 195 | 9.0 |
| 牧民 | 151 | 6.9 |
| 其他 | 88 | 4.0 |
| 学生、散居儿童 | 82 | 3.8 |
| 餐饮服务员 | 43 | 2.0 |
| 工人及农民工 | 42 | 1.9 |
| 干部职员 | 28 | 1.3 |
| 畜牧业相关 | 25 | 1.2 |
| 兽医及医务人员 | 18 | 0.8 |
), ArticleFig(id=1324050785541173569, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=EN, label=Table 2, caption=
Outbreaks of human brucellosis in Hubei from 2010 to 2023
, figureFileSmall=null, figureFileBig=null, tableContent=
| 时间 | 地区 | 发病数
（例） | 活羊接触史 | 暴露途径 | 接触羊只染疫情况 | 羊只检疫情况 | 羊只来源 |
|---|
| 2011年8月 | 孝感市大悟县 | 8 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 2010年6月份开始陆续出现羊只流产和死胎，疫情发现时所有羊只已售完 | 未开展布鲁菌病检疫和疫苗接种 | 湖北随州 |
| 2013年4月 | 荆州市荆州区 | 3 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只82只，布病阳性检出率达67.0% | 未开展布鲁菌病检疫和疫苗接种 | 湖北宜昌 |
| 2013年7月 | 荆州市监利县 | 8 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只118只，布病阳性检出率达80.4% | 未开展布鲁菌病检疫和疫苗接种 | 湖北石首、钟祥 |
| 2014年4月 | 黄冈市蕲春县 | 6 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只130只，2012年下半年开始陆续出现羊只流产和死亡 | 未开展布鲁菌病检疫和疫苗接种 | 云南、山东 |
| 2015年3月 | 襄阳市宜城市 | 4 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只200多只，布病阳性检出率4.5% | 未开展布鲁菌病检疫和疫苗接种 | 山东 |
| 2016年5月 | 黄冈市罗田县 | 6 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只120多只，布病阳性检出率51.7% | 未开展布鲁菌病检疫和疫苗接种 | — |
| 2019年6月 | 咸宁市崇阳县、嘉鱼县 | 8 | 有，未采取防护措施 | 接触流产母羊、屠宰、剁肉 | 存栏羊只约200只，2019年元旦前后曾有母羊流产 | 未开展布鲁菌病检疫和疫苗接种 | 湖北十堰 |
), ArticleFig(id=1324050785654419778, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324050775797805300, language=CN, label=表2, caption=
湖北省2010-2023年人间布病暴发疫情情况
, figureFileSmall=null, figureFileBig=null, tableContent=
| 时间 | 地区 | 发病数
（例） | 活羊接触史 | 暴露途径 | 接触羊只染疫情况 | 羊只检疫情况 | 羊只来源 |
|---|
| 2011年8月 | 孝感市大悟县 | 8 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 2010年6月份开始陆续出现羊只流产和死胎，疫情发现时所有羊只已售完 | 未开展布鲁菌病检疫和疫苗接种 | 湖北随州 |
| 2013年4月 | 荆州市荆州区 | 3 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只82只，布病阳性检出率达67.0% | 未开展布鲁菌病检疫和疫苗接种 | 湖北宜昌 |
| 2013年7月 | 荆州市监利县 | 8 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只118只，布病阳性检出率达80.4% | 未开展布鲁菌病检疫和疫苗接种 | 湖北石首、钟祥 |
| 2014年4月 | 黄冈市蕲春县 | 6 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只130只，2012年下半年开始陆续出现羊只流产和死亡 | 未开展布鲁菌病检疫和疫苗接种 | 云南、山东 |
| 2015年3月 | 襄阳市宜城市 | 4 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只200多只，布病阳性检出率4.5% | 未开展布鲁菌病检疫和疫苗接种 | 山东 |
| 2016年5月 | 黄冈市罗田县 | 6 | 有，未采取防护措施 | 接触了羊的生产物和排泄物等 | 存栏羊只120多只，布病阳性检出率51.7% | 未开展布鲁菌病检疫和疫苗接种 | — |
| 2019年6月 | 咸宁市崇阳县、嘉鱼县 | 8 | 有，未采取防护措施 | 接触流产母羊、屠宰、剁肉 | 存栏羊只约200只，2019年元旦前后曾有母羊流产 | 未开展布鲁菌病检疫和疫苗接种 | 湖北十堰 |
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