首页|贵港市一起登革热疫情流行病学调查和防制效果评估

贵港市一起登革热疫情流行病学调查和防制效果评估

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目的 总结贵港市2019年一起登革热疫情流行病学特征和应急处置的工作效果,为今后有效防制登革热提供技术支持。方法 收集2019年贵港市桂平市一起登革热疫情相关数据,并分析有关天气、旅游及外出流动人员、本地居民登革热IgG监测和病媒伊蚊登革病毒PCR监测、伊蚊密度监测的数据,确定暴发的原因并制定预防措施,评价本次应急处置的工作成效。结果 本起登革热疫情从2019年9月25日开始至11月11日结束,首发病例为输入性病例,共报告病例136例,其中输入病例32例,本地病例104例,罹患率3。07/10万。感染者以农民和离退休者居多;发病的空间分布呈现高度聚集,桂平市西山镇130例,占病例的95。59%。输入性病例输入地有广东省(19例)、南宁市(11例)、越南(1例)、防城港(1例)。参考贵港市2015-2019年气温、降水量、游客量等数据,本市接待国内游客的大幅度增长可能是本次疫情暴发的原因。监测的120名本地居民登革热IgG为阴性,17份伊蚊登革病毒核酸均为阴性,疫区应急监测布雷图指数为28,应急消杀后降至4。7,双层叠帐法成蚊密度0。5(只/人·h)。结论 本次登革热疫情是由输入性病例导致本地社区暴发,广东及南宁市为输入性病例主要输入地区。应急消杀后有效控制了蚊虫密度,未发现蚊虫携带登革病毒,普通居民未发现既往感染情况。
Epidemiology of a dengue fever epidemic in Guigang City and assessment of prevention effect
Objective To summarize the epidemiological characteristics of dengue fever epidemic in Guigang City in 2019 and the assessment of the emergency response effect,provide technical support for the effective prevention of dengue fever in the future.Methods The data related to a dengue fever epidemic in Guiping City,Guigang in 2019,was collected and the data about weather,travel and outgoing mobile personnel,local residents dengue IgG monitoring and PCR for dengue virus in Aedes aegypti,Aedes aegypti density,to determine the cause of the epidemic and formulate preventive measures,and to evaluate the effectiveness of this emergency response and disposal.Results This dengue epidemic happened in September 25 to November 11,2019,the first case was imported,a total of 136 cases were reported,including 32 imported cases and 104 local cases,with an incidence rate of 3.07/100,000 people.The number of infected people was mostly farmers and retirees.The spatial distribution of the epidemic showed a high degree of aggregation,with 130 cases in Xishan Town,Guiping City,accounted for 95.59%.Imported cases were imported from Guangdong Province(19 cases),Nanning City(11 cases)Vietnam(1 case)and Fangchenggang(1 case).Referring to Guigang's 2015-2019 data on temperature,precipitation and tourist arrivals,the substantial increase in the city's reception of domestic tourists may be the cause of this outbreak.The 120 local residents monitored were negative for dengue IgG,17 pools of Aedes aegypti dengue virus nucleic acid were negative,the Brett index of emergency monitoring in the outbreak area was 28,which decreased to 4.7 after the emergency abatement.The density of adult mosquitoes in the double-layered stacked-tent method was 0.5 person.h.Conclusion This dengue fever epidemic was caused by imported cases leading to local community outbreak,with Guangdong and Nanning were the main imported areas for imported cases.Mosquito density was effectively controlled after emergency disinfestation,no mosquitoe was found to be carrying dengue virus,and no previous infections was found in the local population.

Dengue feverAedes aegyptiBrett indexEffectiveness evaluation

梁正林、梁耀富、邓星超、林愈凤

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贵港市疾病预防控制中心流病科,广西贵港 537100

登革热 伊蚊 布雷图指数 效果评估

2024

中国国境卫生检疫杂志
中国质检报刊社

中国国境卫生检疫杂志

CSTPCD
影响因子:0.415
ISSN:1004-9770
年,卷(期):2024.47(2)
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