Seroka D, Seroka W
Zakład Epidemiologii Państwowego Zakładu Higieny w Warszawie.
Przegl Epidemiol. 1993;47(4):393-8.
National eradication programme of bovine Brucellosis in Poland has reduced prevalence below 0.5%. The last cow-abortion incidence caused by Brucella abortus bovis was recognized in 1982. The registered cases of human brucellosis (610 during 1986-1992) represent chronic occupational infections in man acquired earlier, when bovine brucellosis was common in Poland. Actually, some of victims show no serological evidence of infection. Present small risk of infection permits to stop or to limit (only veterinarians) continuous (enough expensive) prospective serological examinations of occupational groups exposed to possible brucellosis in Poland. The interchange of information and surveillance data between Veterinary and Health Service is mostly essential for prevention of humans. When brucellosis is suspected or reported among animals--the medical service should be alerted to the possibility of the human infection.
波兰的全国牛布鲁氏菌病根除计划已将患病率降至0.5%以下。上一次由牛种布鲁氏菌引起的奶牛流产事件发生在1982年。登记的人类布鲁氏菌病病例(1986 - 1992年期间有610例)代表了人类早期获得的慢性职业感染,当时牛布鲁氏菌病在波兰很常见。实际上,一些受害者没有感染的血清学证据。目前感染风险较小,因此可以停止或限制(仅针对兽医)对波兰可能接触布鲁氏菌病的职业群体进行持续(成本高昂)的前瞻性血清学检查。兽医和卫生服务部门之间的信息交流和监测数据对于预防人类感染至关重要。当怀疑或报告动物感染布鲁氏菌病时,应提醒医疗服务部门注意人类感染的可能性。