Palombino R, Palumbo F, Petti A, Tagliafierro S, Mantovani A, Scorziello M
Osservatorio Epidemiologico Regione Campania, Naples, Italy.
Ann Ist Super Sanita. 1992;28(4):511-9.
A control programme for brucellosis in Campania was started in 1988, in the province of Caserta, and implied different actions at the regional and provincial levels. The section of the work described here regards the updating of the results obtained during the third year of the project activity. The action performed included experimentation of data sheets in the province of Caserta to gain information on the factors conditioning brucellosis, gathering and analysis of ISTAT data on the size of livestock population as an actual or potential source of infection for man, epidemiological surveillance of human cases, census of dairies, and public health measures taken by the Regional Council. The results show that improvement of human brucellosis surveillance is in progress, whereas the programme implementation has provided a clearer picture of the situation with better understanding of the factors affecting the disease occurrence. Such problems posed by the project management as difficult maintenance of sufficient collaboration between veterinarians and physicians, scarce participation of local and regional administrations, resistance opposed by some categories, and reduced availability of financial resources are also discussed.
1988年，坎帕尼亚大区在卡塞塔省启动了一项布鲁氏菌病控制计划，该计划在地区和省级层面采取了不同行动。此处描述的工作部分涉及项目活动第三年所取得成果的更新。所开展的行动包括在卡塞塔省试验数据表以获取有关布鲁氏菌病影响因素的信息、收集和分析意大利国家统计局关于牲畜数量的数据（作为人类实际或潜在感染源）、对人类病例进行流行病学监测、对奶牛场进行普查以及地区委员会采取的公共卫生措施。结果表明，人类布鲁氏菌病监测正在改进，而该计划的实施使情况更加清晰，对影响疾病发生的因素有了更好的了解。还讨论了项目管理所面临的问题，如兽医与医生之间难以维持充分合作、地方和地区行政部门参与度低、一些群体的抵制以及财政资源可用性降低等问题。
