在商业航空旅行中传播麻疹的风险
Samantha Swisher1,2, George Pourakis1, Alida M Gertz1
1Division of Global Migration Health, National Center for Emerging and Infectious Zoonotic Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Journal of travel medicine
|August 30, 2025
概括
在飞机上传播麻疹存在风险,尤其是未接种疫苗的人. 常规接种疫苗是航空旅行期间防治麻疹疫情的最佳防御措施,因为暴露后的预防措施往往未得到充分利用.
科学领域:
- 公共卫生
- 流行病学
- 传染性疾病
背景情况:
- 在飞机上传播麻疹是有证据的担忧.
- 在飞行中接触麻疹后,接触调查是常见的.
- 需要更新有关传播风险和应对策略的证据.
研究的目的:
- 审查和更新有关商业航空旅行中麻疹传播风险的证据.
- 根据飞行中麻疹暴露事件的公共卫生反应.
主要方法:
- 在八个数据库中搜索有关麻疹和航空旅行的文章和预印件 (2004-2023年).
- 包括商业航班中麻疹暴露事件的初始数据的研究.
- 对飞行特征,接触调查和结果的提取数据;评估偏差风险.
主要成果:
- 19 篇文章符合纳入标准,描述了 ≥182 个航班的调查.
- 70例二次麻疹病例与144例指数病例有关.
- 73% 的已知疫苗接种状态的二次病例未接种疫苗;发现暴露后预防的吸收率较低.
结论:
- 麻疹在飞机上传播是一个已确定的风险,影响未接种疫苗的人和坐在指标病例附近的人.
- 在暴露后提供预防方面存在障碍;常规疫苗接种是关键.
- 研究设计往往限制了接触调查的有效性.
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