Mukhtar Fatima, Kokab Farkhanda
Department of Community Medicine, Lahore Medical and Dental College, Pakistan.
J Ayub Med Coll Abbottabad. 2008 Jul-Sep;20(3):57-61.
Brucellosis is an occupational hazard with those particularly at risk either living in close proximity with animals or handling them. It is a public health problem in developing countries with adverse health implications both for animals and human beings as well as economic implications for individuals and communities. The Objectives were to estimate the seroprevalence of brucellosis among abattoir workers of Lahore District and to determine the association of brucellosis with nature of job of the workers.
Data was collected in April 2008. It was a cross-sectional study in which four main slaughterhouses in Lahore were included. The slaughterhouse workers were divided into seven strata based on their nature of job: meat sellers, slaughterers, animal keepers, drivers, cleaners, loaders and vets/paravets. A total of 360 such workers were selected using stratified random sampling technique. Sampling frames for different strata were prepared and from each frame, proportionate numbers, were selected through simple random method using random number tables. Data was obtained using a questionnaire. Additionally blood samples were collected and analyzed for anti-Brucella Immunoglobulin G (IgG) using enzyme-linked immunosorbent assay (ELISA) technique.
The seroprevalence of anti-Brucella IgG was found to be 21.7%. A statistically significant difference was observed between the immune status of the respondents and their nature of job (p = 0.005), age groups (p = 0.013), and duration of job (p = 0.003).
The disease is an important public health problem in Pakistan. The disease can be prevented in the slaughterhouse workers through the use of personal protective devices. Public health authorities should educate the general public regarding prevention of the disease with specific emphasis on people working in slaughterhouses.
布鲁氏菌病是一种职业危害,尤其对那些与动物密切接触或处理动物的人构成风险。在发展中国家,这是一个公共卫生问题,对动物和人类健康都有不利影响,同时也给个人和社区带来经济影响。目的是估计拉合尔地区屠宰场工人中布鲁氏菌病的血清阳性率,并确定布鲁氏菌病与工人工作性质之间的关联。
于2008年4月收集数据。这是一项横断面研究,纳入了拉合尔的四个主要屠宰场。屠宰场工人根据其工作性质分为七个层次:肉类销售者、屠宰工、动物饲养员、司机、清洁工、装卸工以及兽医/准兽医。采用分层随机抽样技术共选取了360名此类工人。为不同层次准备了抽样框架,并使用随机数表通过简单随机方法从每个框架中选取相应数量的样本。通过问卷调查获取数据。此外,采集血样并使用酶联免疫吸附测定(ELISA)技术分析抗布鲁氏菌免疫球蛋白G(IgG)。
发现抗布鲁氏菌IgG的血清阳性率为21.7%。在受访者的免疫状态与其工作性质(p = 0.005)、年龄组(p = 0.013)以及工作时长(p = 0.003)之间观察到具有统计学意义的差异。
该疾病在巴基斯坦是一个重要的公共卫生问题。通过使用个人防护设备可在屠宰场工人中预防该疾病。公共卫生当局应就该疾病的预防对公众进行教育,尤其要重点关注在屠宰场工作的人员。