在加拿大安大略省使用的Mpox疫情控制指标:5月21日至2022年12月10日
Austin Zygmunt1,2, Andrea Saunders1, Christine Navarro1,3
1Public Health Ontario, Toronto, ON, Canada.
Journal of medical virology
|December 6, 2023
概括
公共卫生专家确定了控制mopox疫情的关键指标. 在满足这些标准后,安大略省宣布其mopox疫情已经结束,为未来的公共卫生反应提供了一个模型.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病控制和控制传染病
背景情况:
- 全球mpox (麻疹) 疫情于2022年5月开始,有超过91,000例病例,主要发生在与男性发生性关系的男性 (gbMSM) 中.
- 缺乏确定的标准使全球公共卫生当局对mopox疫情的声明变得复杂.
研究的目的:
- 定义和实施基于专家共识的指标,以控制mopox疫情.
- 建立宣布mopox疫情结束的标准.
主要方法:
- 专家共识确定了五个主要的mopox疫情控制指标:传染病例<5,生殖数<1.0,翻倍时间>42天,检测阳性<5%,以及零星的非gbMSM病例.
- 用了52天的监测期 (两个潜伏期加上报告延迟) 来确保初步实现后的指标稳定性.
主要成果:
- 安大略省实现了所有五个mopox疫情控制指标.
- 在2022年12月10日,安大略省的mopox疫情在持续低活动和稳定的指标之后宣布结束.
结论:
- 开发的mopox疫情控制指标为管理和宣布mopox疫情结束提供了一个框架.
- 这些指标可以通过其他司法管辖区来适应未来的本地化mopox事件.
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