我国登革热疫情防控与媒介伊蚊的综合治理

孟凤霞, 王义冠, 冯磊, 刘起勇

doi:10.11853/j.issn.1003.4692.2015.01.002

中国媒介生物学及控制杂志 >

2015 , Vol. 26 >Issue 1: 4 - 10

DOI: https://doi.org/10.11853/j.issn.1003.4692.2015.01.002

创刊30周年纪念

我国登革热疫情防控与媒介伊蚊的综合治理

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1. 中国疾病预防控制中心传染病预防控制所媒介生物控制室, 传染病预防控制国家重点实验室, WHO媒介生物监测与管理合作中心, 北京102206;
2. 上海市浦东新区疾病预防控制中心

孟凤霞,女,博士,研究员,硕士生导师,主要从事媒介生物防制和昆虫毒理与抗药性研究,Email: mengfengxia@icdc.cn

收稿日期: 2015-01-22

网络出版日期: 2015-02-20

基金资助

国家科技重大专项课题(2012ZX10004-219)

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Review on dengue prevention and control and integrated mosquito management in China

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1. WHO Collaborating Centre for Vector Surveillance and Management, State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China;
2. Shanghai Pudong New Area Center for Disease Control and Prevention

Received date: 2015-01-22

Online published: 2015-02-20

Supported by

Supported by the Major National Science and Technology Projects of China(No. 2012ZX10004-219)

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摘要

登革热是一种急性蚊传病毒病,发生在全球热带和亚热带地区,多数患者的症状与流感类似。目前,重症登革热正困扰着一些亚洲和拉美国家,该病是导致这些区域儿童住院和死亡的首要因素。媒介蚊虫控制是登革热控制的唯一有效途径。该病的发生特点是传播迅猛、发病率高、人群普遍易感。目前,我国广泛存在登革热媒介伊蚊,由于经济快速发展,人员交流和货物流通频繁,气候变暖,加之周边国家登革热高发等原因,处于登革热发生高峰期。在登革热疫情处置中,各地都积累了自己的疫情处置经验、对面临的一系列亟待解决问题有了更多的思考。该文通过对国内外登革热媒介控制经验的收集和整理,结合多年疫情处置的实践与思考,在登革热流行特点、媒介伊蚊控制技术、杀虫剂使用情况、抗药性产生现状、媒介伊蚊的综合治理和国内外的防控经验等方面进行了整理和综述,供登革热疫情处置及其媒介伊蚊的预防控制参考。

关键词： 登革热; 白纹伊蚊; 埃及伊蚊; 杀虫剂; 抗药性; 综合治理

本文引用格式

孟凤霞, 王义冠, 冯磊, 刘起勇 . 我国登革热疫情防控与媒介伊蚊的综合治理[J]. 中国媒介生物学及控制杂志, 2015 , 26(1) : 4 -10 . DOI: 10.11853/j.issn.1003.4692.2015.01.002

Abstract

Dengue found in tropical and sub-tropical climates worldwide is a mosquito-borne viral infection. The infection causes flu-like illness, and occasionally develops into a potentially lethal complication called severe dengue. Severe dengue is a leading cause of serious illness and death among children today, severe dengue affects most Asian and Latin American countries and has become a leading cause of hospitalization and death among children in these regions. Its prevention and control solely depends on effective vector control measures. In China, the characteristics of dengue is rapid spread, high prevalence as well as the massive susceptibility. Due to the ubiquitous distribution of vector Aedes mosquitoes, economic boost, frequent migration of people and movement of freights global warming and the prevalent dengue infection in neighboring countries, this infection has gone to its peak in Guangdong province in 2014. Local governments and agencies had gained lots of experiences and ideas in dealing with the disease outbreak. In this paper, with the domestic and foreign experiences in mosquito management we have culled and gathered, combined with our opinions formulated in the dispose of dengue outbreak, we present a review on the character of dengue epidemic, the technology applied on Aedes control, the insecticides used, the insecticides resistance, the integrated methods used in mosquito control in China and other countries. Thus, the review will provide a useful reference on dengue outbreak management and Aedes mosquito control in China.

Key words： Dengue fever; Aedes albopictus; Aedes aegypti; Insecticide; Insecticide resistance; Integrated vector management

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