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深圳市盐田区登革热疫情防控脆弱性调查

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目的 评估深圳市盐田区登革热防控体系能力,为强化登革热疫情防控的薄弱环节提供科学依据.方法 从全区选取4个区域,采用入户调查、专业机构访谈及问卷调查方法,调查评估辖区登革热疫情的输入风险、发现能力及扩散风险.结果 输入风险方面:海关通过主动申报进行登革热筛查,全区流动人口比例高、国际游客数量多和输入病例发病率居全市之首;发现能力方面:大梅沙村居民对登革热的知晓率最低(42.31%),暗径新村次之(50.75%),89.47%辖区居民出现症状时会选择就医,全区医务人员登革热流行病学史知晓率较低(14.61%),社康中心未配备非结构蛋白1(NS1)检测试剂;扩散风险方面:大梅沙村居民的防蚊意识较低(66.67%),安装纱窗率仅11.54%,布雷图指数显示大梅沙村为高风险地区(BI=26),中英街社区中风险(BI=18),暗径新村低风险(BI=6),渔民新村相对安全(BI=3).结论 盐田区面临登革热输入风险高,居民和医务人员对疾病认知不足,检测能力有限等问题,需加强全区防控措施和提高防蚊意识.
Investigation on the vulnerability of dengue fever prevention and control in Yantian District,Shenzhen
Objective To evaluate the ability of the dengue fever prevention and control system in Yantian Dis-trict,Shenzhen,and provide scientific basis for strengthening the weak links in dengue fever prevention and control.Method Four areas were selected from the whole district,and household surveys,professional agency interviews,and questionnaire surveys were conducted to investigate and assess the risk of dengue fever importation,detection capability,and spread risk in the jurisdiction.Results Import risk:Customs conducted dengue fever screening through active decla-ration,and the proportion of migrant population in the district was high,the number of international tourists was large,and the incidence rate of imported cases ranked first in the city.Detection capability:Residents in Dameisha Village had the lowest awareness rate of dengue fever(42.31%),followed by residents in Anjing New Village(50.75%),89.47%of residents in the jurisdiction would seek medical treatment when they had symptoms,the awareness rate of dengue fever epidemiologi-cal history among medical staff in the whole district was low(14.61%),and the community health center was not equipped with non-structural protein 1(NS1)detection reagents.Diffusion risk:Residents in Dameisha Village had a low awareness of mosquito prevention(66.67%),and the rate of installing window screens was only 11.54%,the Breteau Index showed that Dameisha Village was a high-risk area(BI=26),Zhongying Street Community was a medium-risk area(BI=18),Anjing New Village was a low-risk area(BI=6),and Yumin New Village was relatively safe(BI=3).Conclusions Yantian District faces a high risk of dengue fever importation,with residents and medical staff lacking sufficient knowledge of the disease and limited detection capabilities.It is necessary to strengthen prevention and control measures throughout the district and raise awareness of mosquito prevention.

ShenzhenDengue feverEpidemic prevention and controlVulnerability

熊华威、陈汉青、黄宇城、叶燕芬、万佳、刘阳、林凯、张振、孔东锋

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深圳市疾病预防控制中心,广东 深圳 518073

深圳市现场流行病学培训项目

深圳市盐田区疾病预防控制中心

河源市疾病预防控制中心

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深圳市 登革热 疫情防控 脆弱性

2024

华南预防医学
广东省疾病预防控制中心 中华预防医学会

华南预防医学

CSTPCD
影响因子:1.061
ISSN:1671-5039
年,卷(期):2024.50(11)