在东帝汶报告了首次确诊的奇孔冈雅疫情,2024年
Filipe de Neri Machado1, Anthony D K Draper2,3,4, Anferida Monteiro Fernandes2
1Instituto Nacional de Saúde Pública de Timor-Leste, Comoro, Timor-Leste.
Communicable diseases intelligence (2018)
|April 9, 2024
概括
东帝汶在2024年1月经历了首次奇孔古尼亚病毒 (CHIKV) 爆发,报告了195例PCR阳性病例. 这凸显了该地区迫切需要加强蚊子传播疾病控制和应对战略的迫切需要.
科学领域:
- 医学昆虫学 医学昆虫学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 奇孔古尼亚病毒 (CHIKV) 是一种蚊子传播的疾病,在100多个国家流行,由Aedes蚊子传播.
- 东帝汶是一个发展中国家,面临着蚊子传播疾病的风险,例如登革热病毒 (DENV).
- 东帝汶的CHIKV实验室诊断能力有限,直到2021年,阻碍了当地病例的识别.
研究的目的:
- 报告东帝汶首次公认的 Chikungunya 病毒疫情.
- 以病例数,人口统计和地理分布来描述最初的CHIKV疫情.
- 强调需要改善东帝汶的蚊子传播疾病控制和应对.
主要方法:
- 使用CHIKV的聚合酶链反应 (PCR) 进行监测和实验室确认.
- 对2024年1月期间报告的病例进行了回顾性分析.
- 收集有关病例人口统计和位置的流行病学数据.
主要成果:
- 在2024年1月1日至31日期间,东帝汶报告了195例PCR阳性CHIKV病例.
- 没有记录住院病例或死亡病例;中位数年龄为17岁,51%为男性.
- 埃尔梅拉市的发病率最高,尽管迪利报告了最多的病例.
结论:
- 东帝汶首次爆发的CHIKV疫情强调了强有力的蚊子传播疾病控制的必要性.
- 策略应包括尽量减少蚊子繁殖地点,促进早期诊断和治疗.
- 考虑感染Wolbachia的蚊子可能有助于减少CHIKV,DENV和寨卡病毒的传播.
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