媒介生物传染病

云南省瑞丽及景洪市2006-2018年登革热疫情特征比较研究

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  • 1. 山东第一医科大学公共卫生学院, 山东 泰安 271016;
    2. 中国疾病预防控制中心传染病预防控制所, 传染病预防控制国家重点实验室, 北京 102206;
    3. 潍坊市疾病预防控制中心, 山东 潍坊 261061
徐名芳,女,在读硕士,主要从事登革热影响因素和阈值的研究工作,E-mail:Xumingf078@163.com

收稿日期: 2020-12-25

  网络出版日期: 2021-06-20

基金资助

国家卫生健康委委托项目(气候变化健康风险评估策略与技术研究);中国疾病预防控制中心传染病预防控制所公共卫生突发应急反应机制运行项目(131031102000180007)

Comparison of characteristics of dengue fever epidemic between Ruili and Jinghong, Yunnan province, China, 2006-2018

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  • 1. School of Public Health, Shandong First Medical University, Tai'an, Shandong 271016, China;
    2. State Key Laboratory of Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China;
    3. Weifang City Center for Disease Control and Prevention, Weifang, Shandong 261061, China

Received date: 2020-12-25

  Online published: 2021-06-20

Supported by

Supported by the National Health Commission-commissioned Research (Strategy and Technology Research on Climate Change Health Risk Assessment) and National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention (No.131031102000180007)

摘要

目的 比较云南省瑞丽和景洪市登革热流行特征,为两市登革热精准防控提供依据。方法 收集2006-2018年云南省瑞丽及景洪市登革热本地和输入病例信息,采用SPSS 22.0和R 3.6.2软件进行统计学分析。结果 2006-2018年,瑞丽市共报告登革热病例3 022例,其中输入病例占59.13%(59.00%为境外输入),本地病例占40.87%;景洪市报告的3 923例病例中,输入病例占3.08%(其中3.01%为境外输入病例),本地病例占96.92%;瑞丽市输入病例数是景洪市的14.77倍,两市输入病例年龄主要集中在16~45岁,主要来源于东南亚国家,尤其是缅甸。两市的输入病例和本地病例在性别、年龄、职业和发病至诊断间隔时间上差异均有统计学意义(χ2=7.529、14.169、201.686,均P<0.05;χ2=18.342、43.723、557.247,均P<0.001;Mann-Whitney U=75 032.500、2 116 735.000,均P<0.001)。结论 瑞丽市登革热病例境外输入较多,景洪市以本地病例为主;建议两市相关部门加强登革热病例监测,及时发现、隔离、治疗和采取疫情处置措施。

本文引用格式

徐名芳, 岳玉娟, 刘小波, 王君, 刘国军, 刘起勇, 张钦凤 . 云南省瑞丽及景洪市2006-2018年登革热疫情特征比较研究[J]. 中国媒介生物学及控制杂志, 2021 , 32(3) : 318 -323 . DOI: 10.11853/j.issn.1003.8280.2021.03.012

Abstract

Objective To compare the characteristics of dengue fever epidemic between Ruili and Jinghong in Yunnan province, China, and to provide a basis for the precise prevention and control of dengue fever in the two cities. Methods The information about local and imported cases of dengue fever was collected in Ruili and Jinghong, Yunnan province from 2006 to 2018, and SPSS 22.0 and R 3.6.2 softwares were used for statistical analysis. Results From 2006 to 2018, Ruili reported a total of 3 022 cases of dengue fever, of which 59.13% were imported cases (59.00% were imported from abroad) and 40.87% were local cases. Among 3 923 cases in Jinghong, imported cases accounted for 3.08% (3.01% were imported from abroad), and local cases accounted for 96.92%. The number of imported cases in Ruili was 14.77 times that in Jinghong. The imported cases in both cities were mainly 16 to 45 years old, and mostly from Southeast Asian countries, especially Myanmar. There were statistically significant differences in sex, age, occupation, and the interval from disease onset to diagnosis of either imported or local cases between the two cities (χ2=7.529, 14.169, and 201.686, all P<0.05; χ2=18.342, 43.723, and 557.247, all P<0.001; Mann-Whitney U=75 032.500 and 2 116 735.000, both P<0.001). Conclusion Most of cases of dengue fever are imported in Ruili but local in Jinghong. Authorities of the two cities should strengthen the surveillance of cases of dengue fever, promptly detect, isolate, and treat cases, and take measures to deal with the epidemic in time.

参考文献

[1] World Health Organization.Dengue:guidelines for diagnosis,treatment,prevention and control:new edition[M]. Geneva:World Health Organization,2009:3-13.
[2] Dute J. World Health Organization-revision of the international health regulations[J]. Eur J Health Law,2005,12(3):269-271. DOI:10.1163/157180905774857989.
[3] Whitehorn J,Yacoub S. Global warming and arboviral infections[J]. Clin Med (London,England),2019,19(2):149-152. DOI:10.7861/clinmedicine.19-2-149.
[4] 吴海霞,刘小波,刘起勇. 我国病媒生物防控现状及面临的问题[J]. 首都公共卫生,2018,12(1):4-6.DOI:10.16760/j.cnki.sdggws.2018.01.002.Wu HX,Liu XB,Liu QY. Current situation and challenge of vector control in China[J].Cap J Public Health,2018,12(1):4-6.DOI:10.16760/j.cnki.sdggws.2018.01.002.
[5] 刘起勇.媒介生物可持续控制策略和实践:新中国70年媒介生物传染病控制成就[J].中国媒介生物学及控制杂志,2019,30(4):361-366. DOI:10.11853/j.issn.1003.8280.2019.04.001.Liu QY. Sustainable vector management strategy and practice:achievements in vector-borne diseases control in new China in the past seventy years[J].Chin J Vector Biol Control,2019,30(4):361-366. DOI:10.11853/j.issn.1003.8280.2019.04.001.
[6] Degallier N,Favier C,Boulanger JP,et al. Imported and autochthonous cases in the dynamics of dengue epidemics in Brazil[J]. Rev Saude Publica,2009,43(1):1-7. DOI:10.1590/s0034-89102009000100001.
[7] Huang X,Williams G,Clements AC,et al. Imported dengue cases,weather variation and autochthonous dengue incidence in Cairns,Australia[J]. PLoS One,2013,8(12):e81887. DOI:10.1371/journal.pone.0081887.
[8] Liu KK,Hou X,Wang XG,et al. The driver of dengue fever incidence in two high-risk areas of China:a comparative study[J]. Sci Rep,2019,9(1):19510. DOI:10.1038/s41598-019-56112-8.
[9] 杨明东,姜进勇,郑宇婷,等. 云南省边境地区埃及伊蚊分布调查[J]. 中国媒介生物学及控制杂志,2015,26(4):406-408. DOI:10.11853/j.issn.1003.4692.2015.04.020.Yang MD,Jiang JY,Zheng YT,et al. Distribution survey on Aedes aegypti in the border areas of Yunnan province,China[J]. Chin J Vector Biol Control,2015,26(04):406-8. DOI:10.11853/j.issn.1003.4692.2015.04.020.
[10] 刘可可,刘小波,孙继民,等.2005-2017年广东和云南省登革热高发区本地登革热流行病学特征比较研究[J].中国媒介生物学及控制杂志,2019,30(2):154-157,179. DOI:10.11853/j.issn.1003.8280.2019.02.009.Liu KK,Liu XB,Sun JM,et al. Epidemiological characteristics of indigenous in the high-risk areas of Guangdong and Yunnan provinces,China,from 2005 to 2017:a comparative study[J]. Chin J Vector Biol Control,2019,30(2):154-157,179. DOI:10.11853/j.issn.1003.8280.2019.02.009.
[11] 姜进勇,郭晓芳,唐烨榕,等. 云南省2004-2014年输入性登革热病例监测与防控对策分析[J]. 中国媒介生物学及控制杂志,2016,27(01):5-8. DOI:10.11853/j.issn.1003.4692.2016. 01.002.Jiang JY,Guo XF,Tang YR,et al. Surveillance and control of imported dengue cases in Yunnan from 2004 to 2014[J]. Chin J Vector Biol Control,2016,27(01):5-8. DOI:10.11853/j.issn. 1003.4692.2016.01.002.
[12] 王成岗,刘起勇,姜宝法.中国登革热患者发病至确诊间隔时间及其影响因素分析[J].中华流行病学杂志,2012,33(10):1064-1066. DOI:10.3760/cma.j.issn.0254-6450.2012.10.016.Wang CG,Liu QY,Jiang BF. Time between the onset and diagnosis of dengue fever and related influencing factors in China[J].Chin J Epidemiol,2012,33(10):1064-1066. DOI:10.3760/cma.j.issn.0254-6450.2012.10.016.
[13] 赵忠辉,岳玉娟,吴海霞,等. 云南省西双版纳州景洪市居民登革热认知现状初步研究[J]. 中国媒介生物学及控制杂志,2020,31(3):249-53. DOI:10.11853/j.issn.1003.8280.2020. 03.001.Zhao ZH,Yue YJ,Wu HX,et al. A preliminary study on the current awareness of dengue fever in residents of Jinghong,Xishuangbanna prefecture,Yunnan province,China[J].Chin J Vector Biol Control,2020,31(3):249-53. DOI:10.11853/j.issn.1003.8280.2020.03.001.
[14] Mala S,Jat MK. Implications of meteorological and physiographical parameters on dengue fever occurrences in Delhi[J]. Sci Ttotal Environ,2019,650(Pt 2):2267-2283. DOI:10.1016/j.scitotenv.2018.09.357.
[15] Wu SJ,Ren HY,Chen WH,et al. Neglected urban villages in current vector surveillance system:evidences in Guangzhou,China[J]. Int J Environ Res Public Health,2019,17(1):2. DOI:10.3390/ijerph17010002.
[16] Sang SW,Yin WW,Bi P,et al. Predicting local dengue transmission in Guangzhou,China,through the influence of imported cases,mosquito density and climate variability[J]. PLoS One,2014,9(7):e102755. DOI:10.1371/journal.pone. 0102755.
[17] 岳玉娟,任东升,刘小波,等. 2014-2018年中国登革热病例空间特征及相关关系研究[J].中国媒介生物学及控制杂志,2020,31(5):517-520.DOI:10.11853/j.issn.1003.8280.2020. 05.003.Yue YJ,Ren DS,Liu XB,et al. A study on spatial characteristics and correlations of different types of dengue cases in mainland China,2014-2018[J]. Chin J Vector Biol Control,2020,31(5):517-520.DOI:10.11853/j.issn.1003.8280.2020.05.003
[18] 李曼. 云南瑞丽市2014-2017年登革病毒基因型及临床特征研究[D].大理:大理大学,2019.DOI:10.27811/d.cnki.gdixy. 2019.000040.Li M. Study on the genotype and clinical features of dengue virus in Ruili city of Yunnan from 2014-2017[D].Dali:Dali University,2019. DOI:10.27811/d.cnki.gdixy.2019.000040.
[19] 李亚平,陈国才,杨瑞清,等. 瑞丽口岸17例登革热感染者流行病学调查及疫情处理[J]. 中国国境卫生检疫杂志,2007,30(5):281-283. DOI:10.3969/j.issn.1004-9770.2007.05.005.Li YP,Chen GC,Yang RQ,et al. Reporton 17 cases of dengue fever among entry-exit personnel at Ruili port and its disposal[J].Chin J Fron Health Quarant,2007,30(5):281-283. DOI:10.3969/j.issn.1004-9770.2007.05.005.
[20] 帕岩回,胡挺松,张海林,等. 2016年云南畹町口岸地区登革热疫情的病原学和流行病学调查[J]. 中国国境卫生检疫杂志,2017,40(4):234-238. DOI:10.16408/j.1004-9770.2017. 04.002.Pa YH,Hu TS,Zhang HL,et al. Investigation on pathogen and epidemiology of dengue fever epidemic in Wanding port area of Yunnan province,China in 2016[J]. Chinese Frontier Health Quarantine,2017,40(4):234-238. DOI:10.16408/j.1004-9770.2017.04.002.

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