返回旅行者中 Chikungunya 感染:地理哨兵网络的结果,2005-2020年
Rachel Bierbrier1,2, Emilie Javelle3,4, Francesca F Norman5,6
1Division of Dermatology, Department of Medicine, McGill University, Montreal, Quebec, Canada.
Journal of travel medicine
|January 10, 2024
概括
国际旅行者在全球不同目的地经常感染蚊子传播的疾病 - - chikungunya. 旅行前的咨询和传播者预防措施对于预防这种衰弱的疾病至关重要.
科学领域:
- 流行病学 流行病学
- 旅行 医学 旅行 医学
- 传染性疾病 传染性疾病
背景情况:
- Chikungunya 是一个重要的旅行相关疾病,具有扩大地理范围和长期健康问题的潜力.
- 了解旅行相关的奇孔古尼亚流行病学可以为预防策略提供信息,包括旅行者教育和疫苗接种.
- 由于这种疾病的全球传播和长期发病率,它构成了公共卫生挑战.
研究的目的:
- 分析国际旅行者中 chikungunya 感染的流行病学.
- 为了确定与 chikungunya 获取相关的关键地区和旅行模式.
- 为旅行者预防小孔古尼亚的公共卫生战略提供信息.
主要方法:
- 分析了2005年至2020年期间在GeoSentinel网站报告的旅行者中确诊和可能发生的奇孔古尼亚病例.
- 病例定义包括与实验室确认 (病毒隔离,核酸检测,血清学) 兼容的临床病史或单次阳性血清学可能的病例.
- 收集关于人口统计,旅行史,旅行原因和临床表现的数据.
主要成果:
- 包括1202名携带 chikungunya 的旅行者,其中大多数感染是在加勒比海,东南亚,中南亚和南美洲获得的.
- 2014年,2015年和2019年报告的峰值病例数量主要在游客和访问朋友或亲戚的人群中.
- 常见的症状包括肌肉骨疼痛 (98.8%),发烧 (68.7%) 和皮疹 (35.5%);32.3%的旅行者进行了旅行前咨询.
结论:
- 在全球近100个目的地,国际旅行者可以获得奇昆古尼亚.
- 将载体预防措施和推疫苗纳入旅行前咨询中,对于前往流行地区或风险地区的旅行者来说至关重要.
- 对于公共卫生官员和临床医生来说,与旅行相关的奇孔古尼亚的持续监测至关重要,以实施有针对性的保护措施并限制疾病传播.
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