连云港确诊2例炭疽病人 被病牛传染 Lianyungang 2 cases diagnosed anthrax patient was beef infection

　　

疾控专家：江苏不会大面积流行 Disease control experts：Jiangsu not a pandemic

　　金陵晚报讯 10多年未见的传染病炭疽再度出现在江苏。昨天，记者从连云港卫生局网站获悉，赣榆县赣马镇半路村2名村民感染皮肤炭疽病，感染源为外省输入性病牛。对此，中国微生物学会人畜共患病原学专业委员会委员、江苏省疾控中心副主任朱凤才教授告诉金陵晚报记者，该病可防可治，从目前看，炭疽不会在江苏大面积流行。

Jinling evening news-not seen in more than 10 years of anthrax infection again in jiangsu。yesterday，The reporter learned from lianyungang health bureau web site，GanYuXian gan horse town village two villagers along the skin anthrax infection，Source of infection for provincial input venereal cattle。this，The Chinese society of microbiology zoonoses original learn specialized committee、Jiangsu province, deputy director of the centers for disease control and ZhuFengCai professor told jinling evening news reporter，The disease can prevent remedy，Look from current，Anthrax in jiangsu area not popular。

　　

江苏发现两例炭疽病人 Jiangsu found two cases of anthrax patient

　　连云港卫生局网站称，7月25日早晨，一辆从外省来的运牛车抵达赣榆县赣马镇半路村，当地村民在卸牛过程中发现一头病牛，将其宰杀。之后，参与屠宰的有7人陆续出现局部皮肤肿胀等症状。

Lianyungang health bureau web site says，The morning on July 25,，A car from the cart to the provincial arrived in GanYuXian gan horse town halfway village，Local villagers cattle in the process of discharging found a cattle，Will the slaughter。after，Participate in the slaughtering seven people have appear the symptom such as local skin swelling。

　　8月3日，当地医院确诊其中两名村民感染皮肤炭疽病，另5人症状不典型，被列为医学观察对象。专家表示，皮肤炭疽病具有一定的潜伏期。

August 3,，The local hospital diagnosed two of the villagers skin anthrax infection，The other five people atypical symptoms，Is listed as medical observation object。Experts say，Skin anthrax has some of the incubation period。

　　据推断，村民可能是从牛身上传染过来，再加上医生判断、实验室生理检验都需要一个过程。考虑到可能具有一定的传染性，7名接触者目前正在连云港市传染病医院隔离治疗。

According to infer that，The villagers may come from cattle infection，Plus the doctor judgment、The laboratory test physiological needs a process。Considering the may have certain infectivity，Seven of the contact of lianyungang city is currently infectious disease hospital treated in isolation。

　　此外，所有与患者有过接触的医护人员正在实施“居家观察”措施，对村镇的非接触者也采取了消毒和知识普及工作，村里的水源、屠宰地和土地都进行了消毒。

In addition，All patients had contact with the medical personnel are implemented“Observed that occupy the home”measures，The town of the contact person also took disinfection and knowledge popularization，The village water、Slaughter and land is disinfected。

　　

此次炭疽病是皮肤炭疽 The anthrax is skin anthrax

　　江苏省疾控中心主任周明浩说，炭疽是由炭疽杆菌引起的一种古老的人畜共患疾病，属乙类传染病、二类动物疫病。牛、羊、骆驼、骡等食草动物是其主要传染源。与吸入性炭疽不同，皮肤炭疽通常散发，可以治愈，部分甚至能够自愈。

Jiangsu province, director of the center for disease control ZhouMingHao said，Anthrax is caused by anthrax a kind of old both human beings and livestock disease，Of b class infectious diseases、Of an animal epidemic of class ii。cattle、sheep、camels、Mules grazing animals is the main source。Inhalation anthrax and different，Skin anthrax usually send out，Can cure，Part can even self-healing。

　　炭疽分为皮肤炭疽、肺炭疽、肠炭疽等，皮肤炭疽最为多见，约占95%，可分炭疽痈和恶性水肿两型。炭疽痈多见于面、颈、肩、手和脚等裸露部位皮肤，初为丘疹或斑疹，第2日顶部出现水疱，内含淡黄色液体，周围组织硬而肿，第3一4日中心区呈现出血性坏死，稍下陷，周围有成群小水疱，水肿区继续扩大。第5一7日水疱坏死破裂成浅小溃疡，血样分泌物结成黑色似炭块的干痂，痈下有肉芽组织形成炭疽痈。周围组织有非凹陷性水肿。黑痂坏死区的直径大小不等，自1一2cm至5一6cm，水肿区直径可达5一20cm，坚实、疼痛不著、溃疡不化脓等为其特点。继之水肿渐退，黑痂在1一2周内脱落，再过1一2周愈合成疤。发病1一2日后出现发热、头痛、局部淋巴结肿大及脾肿大等。

The anthrax into the skin anthrax、Pulmonary anthrax、Intestinal anthrax, etc，The most frequent skin anthrax，About 95%，Can divide the anthrax carbuncle and malignant edema two model。The anthrax carbuncle in face、neck、shoulder、His hands and feet, and other body parts exposure to the skin，As new papule or macula，The second day appear blisters on top，Contains light yellow liquid，The surrounding tissue hard and swollen，3 4, present a central hemorrhagic necrosis，Slightly sinking，Successful group around blister，Edema area continues to expand。5 a 7 blisters necrosis broke into shallow small ulcers，Blood secretion black like carbon block form of dry scabs，Under the carbuncle has granulation tissue anthrax carbuncle form。In the surrounding tissue of edema。Black necrotic area size) diameter scab，From 1 to 5 cm a 2 a 6 cm，Edema area diameter can be up to 5 a 20 cm，solid、Pain not the、Don't wait for the ulcer fluid characteristics。La edema gradually retreated，Black scab in 1 a 2 weeks off，Another 1 a 2 weeks into scar healing。1 a future of 2 appear fever、headache、Local lymph node enlargement and spleen enlargement, etc。

　　

不会在江苏大面积流行 Not a pandemic in jiangsu province

　　炭疽病在江苏省非常少见，江苏省疾病预防控制中心副主任朱凤才教授告诉记者，炭疽不是江苏的主流传染病，在江苏偶尔发生。这次的疫情处理已经比较完善，应该不会在江苏出现大面积的流行。

Anthrax is extremely rare in jiangsu province，Jiangsu province, deputy director of the centers for disease control and prevention ZhuFengCai professor told reporters，Anthrax is not the mainstream of jiangsu infectious diseases，In jiangsu occasionally happen。The disease treatment has been more perfect，Should not be in jiangsu a massive pop。

　　朱凤才教授告诉记者，在1995年、1998年发现的两起炭疽疫情都是因为洪水，牛因为饮用了疫水感染了炭疽杆菌，继而传染给人，不过，都已经控制了。

ZhuFengCai professor told reporters，In 1995、In 1998 the two anthrax outbreak since found all because of the flood，Cows drinking water because the epidemic disease infected with anthrax，And then spread to people，but，Have control。

　　据介绍，该病在我国每年都有发生，近2年全国每年报告发病数都在300例左右。该病是可防、可控、可治的，只要不接触、宰杀、食用病死和不明原因死亡的牛、羊等牲畜，就不会感染发病。同时也提醒广大市民，一旦发现牛、羊等动物发病或异常死亡，要及时报告动物卫生监督机构，不要购买病死牛羊肉及制品，如有不适症状，要及时就诊。

According to introducing，The disease in our country has occurring in every year，Nearly two years the number of incident cases reported annually in 300 cases of or so。The disease is to prevent、controllable、Can treat the，As long as no contact、killed、Edible ill and unexplained death cows、Sheep and cattle，Won't the infected。Also warned that the general public，Once found cattle、The sheep of animals such as abnormal or death，To timely report animal health supervision institutions，Don't buy ill beef and mutton and products，If have symptoms，Hospital promptly to。

　　

炭疽病的发病率如何？ The incidence of anthrax？

　　炭疽病在大多数工业化国家并不流行，最多现于常有动物患上炭疽病的农业地区。人与人间传播通常是因为职业关系要处理受感染动物的农业及野生生物工作者。在中国大陆，这个病没有这么罕见。

Anthrax in most industrialized countries is not popular，Now in most often suffer from anthrax animal farming region。Person-to-person transmission usually because professional relationship to deal with infected animals agricultural and wildlife workers。In mainland China，This illness is not so rare。

　　根据卫生部的公布，2012年7月全国法定传染病发病、死亡统计表的数据显示：炭疽发病34例。

According to the department of health announced，In July 2012 the national infectious disease、Death statistics data shows：34 cases of anthrax。

　　2011年8月，辽宁省鞍山海城市、岫岩县、东港市由于当地居民私自屠宰或接触病牛，导致皮肤炭疽传染病疫情，自8月6日出现病例至9月9日鞍山宣布解除炭疽病疫情为止，35例传染者都得到治愈，无伤亡。

August 2011，Anshan Haifa in liaoning province、Xiuyan county、DongGangShi since local residents who slaughtered or contact with infected cow，Cause the skin anthrax outbreaks，Since August 6, cases appear to September 9, announce the termination of anthrax outbreak in anshan so far，35 patients infected have been cured，No casualties。

　　2005年7月29日沈阳市报告了疑似皮肤炭疽病例，至8月7日，共报告皮肤炭疽病例12例，死亡1人。

On July 29, 2005 reported suspected of skin anthrax cases，To August 7,，Skin anthrax cases were reported in 12 cases，Death 1 person。

　　这次疫情所有患病者在近期均从事过牛的饲养、屠宰、剥皮、加工、运输等工作，全部患者均直接或间接接触过病死牛肉或牛皮。

The outbreak in all people with the recent are engaged in the breeding of cattle、slaughtering、skinning、processing、Transportation work，All patients are direct or indirect contact with ill beef or cowhide。

　　

现在牛肉还能吃吗？ Now the beef also can eat？

　　那么，现在牛肉还能再吃吗？对此，朱凤才教授告诉记者，市民无需恐慌，该病的传播必须经过接触才会感染上，也就是说，人只有皮肤破损，接触了病牛身上的炭疽杆菌，才有可能发病。

so，Now the beef to eat？this，ZhuFengCai professor told reporters，Citizens is no need to panic，The spread of the disease must through the contact will infections，That is，People only skin damage，Contact with cattle disease of anthrax，Could the disease。

　　现在，市民到市场买牛肉回家吃是安全的。回家后，烧熟煮透，对人体是没有什么危害的。感染炭疽的危险人群主要在宰杀人群，因为宰杀，小刀手很容易有伤口，如果是病牛，那传染上炭疽的几率相对要大。

now，Citizens to the market to buy beef back home for is safe。After coming home，Heat them cooked，There is no harm to human body。Anthrax infection of the main risk in killing people，Because the slaughter，A knife to hand it's easy to have the wound，If is beef，The relative risk of anthrax infected。

　　

炭疽病如何传播？ Anthrax how to spread？

　　炭疽杆菌可引发皮肤、胃肠及肺部的感染。

Anthrax can cause skin、The gastrointestinal and lung infection。

　　感染途径包括：皮肤破损使细菌得以进入、吞下细菌和吸入含炭疽孢子的雾化微粒。

Infection ways including：Skin damage that bacteria to enter、Swallow bacteria and inhaled anthrax spores by atomization of particles。

　　

炭疽病有何症状？ What are the symptoms of anthrax？

　　皮肤炭疽病：最常见。细菌侵入皮肤伤口，便会感染这种疾病。患者的皮肤患处开始会凸起和痕癢，继而发展为中央部分呈黑色的无痛溃疡；附近的淋巴腺可能会出现肿胀。皮肤炭疽病经适当的治疗是可以痊愈的。

Skin anthrax：The most common。Bacteria to enter the skin wounds，Will be infected with the disease。Patients with skin diseases will start the tongue and itch，Then the central part is for the development of the black painless ulcer；Nearby lymph may be swelling。Skin anthrax the proper treatment can be cured。

　　吸入性炭疽病(肺炭疽病)：罕见。开始的跟感冒类似，但数天后，会出现严重的呼吸困难症状，甚至可能会休克。如不及早治疗，吸入性炭疽病的患者多会死亡。

Inhalation anthrax(Pulmonary anthrax)：rare。Start with a cold of similar，But after several days，Will appear serious difficulty breathing symptoms，Even may shock。If not treated early，Inhalation anthrax patients will die。

　　肠炭疽病：早期症状包括恶心、无食欲、呕吐、腹痛、发热及严重腹泻。肠炭疽如果不及早治疗，也会致命。

Intestinal anthrax：Early symptoms include nausea、No appetite、vomiting、Abdominal pain、Fever and severe diarrhea。Intestinal anthrax if not treated early，Also can be deadly。

　　

如何预防炭疽？ How to prevent the anthrax？

　　A:避免接触受感染动物或受污染的动物制品；

A: avoid contact with infected animals or contaminated animal products；

　　B:适当处理伤口；

B: appropriate management of the wound；

　　C:保持良好的个人、食物及环境卫生；

C: maintain good personal、Food and environmental hygiene；

　　D:处理食物前须洗净双手；

D: processing food must wash hands before；

　　E:食用彻底洗净及煮熟的食物。(记者 李花 报道)

E: edible thoroughly abluent and cooked food。(Reporter LiHua reported)