李华昌, 潘虹, 冯云, 邓伟, 杨贵荣, 杨平, 施靖, 张海林. 2015年云南省临沧市登革热暴发的流行病学调查[J]. 疾病监测, 2016, 31(7): 561-565. DOI: 10.3784/j.issn.1003-9961.2016.07.007
引用本文: 李华昌, 潘虹, 冯云, 邓伟, 杨贵荣, 杨平, 施靖, 张海林. 2015年云南省临沧市登革热暴发的流行病学调查[J]. 疾病监测, 2016, 31(7): 561-565. DOI: 10.3784/j.issn.1003-9961.2016.07.007
LI Hua-chang, PAN Hong, FENG Yun, DENG Wei, YANG Gui-rong, YANG Ping, SHI Jing, ZHANG Hai-lin. Epidemiological survey of an outbreak of dengue fever in Lincang, Yunnan, 2015[J]. Disease Surveillance, 2016, 31(7): 561-565. DOI: 10.3784/j.issn.1003-9961.2016.07.007
Citation: LI Hua-chang, PAN Hong, FENG Yun, DENG Wei, YANG Gui-rong, YANG Ping, SHI Jing, ZHANG Hai-lin. Epidemiological survey of an outbreak of dengue fever in Lincang, Yunnan, 2015[J]. Disease Surveillance, 2016, 31(7): 561-565. DOI: 10.3784/j.issn.1003-9961.2016.07.007

2015年云南省临沧市登革热暴发的流行病学调查

Epidemiological survey of an outbreak of dengue fever in Lincang, Yunnan, 2015

  • 摘要: 目的 阐明云南省中缅边境地区临沧市2015年登革热(dengue fever,DF)流行病学特征及登革病毒血清型。方法 收集DF病例资料,采集患者急性期血清标本,用反转录-聚合酶链反应(reverse transcription-polymerase chain reaction,RT-PCR)法检测登革病毒核酸,并进行登革病毒C/PreM区核苷酸序列测定和分析。结果 2015年临沧市共报告登革热病例211例,其中本地感染病例100例(47.39%),输入性病例111例(52.61%;缅甸输入110例,泰国输入1例)。本地流行地区为耿马县孟定镇,该流行区中埃及伊蚊为优势种,流行月份为7-11月。年龄分布以20~59岁组为主,最小2岁,最大81岁。男女性别比为1.37:1。职业分布以农民(45.02%)和商业服务(19.43%)居多。211例DF病例从发病到诊断的时间间隔中位数为2.75 d。经登革病毒核酸检测和序列测定,从患者血清中获得7株病毒的C/PreM区基因核苷酸序列。进化分析表明,这7株病毒均为登革1型病毒(本地感染5例,缅甸输入2例),均与2014年云南省瑞丽市登革1型病毒以及缅甸、泰国和柬埔寨的登革1型病毒具有较近的亲缘关系。结论 2015年临沧市发生了输入性和本地感染并存的DF流行,临沧市和缅甸均存在登革1型病毒的流行,来自缅甸北部的DF输入性病例是引起DF本地流行的主要原因。加强输入性病例的监测和管理以及蚊虫控制是防止本病再次流行的关键措施。

     

    Abstract: Objective To understand the epidemiological characteristics of an outbreak of dengue fever and serotype of dengue virus in Lincang at Sino-Myanmar border area in Yunnan province in 2015. Methods The data about dengue fever cases in Lincang were collected. Serum samples in acute phase were collected from the patients for the detection of the viral nucleic acid with RT-PCR. The phylogenetic tree based on nucleotide sequence of C/PreM gene fragments of dengue viruses was analyzed. Results A total of 211 cases of dengue fever were reported in Lincang in 2015, in which 100 were local cases (47.39%), 111 were imported cases (52.61%), i.e., 110 from Myanmar, 1 from Thailand. The disease mainly occurred in Gengma of Lincang where Aedes aegypti was predominant. Dengue fever mainly occurred during July-November. The majority of patients were aged 20-59 years, the youngest was 2 year-old and the oldest was 81 year-old. The male to female ratio was 1.37:1. The dengue fever cases were mainly distributed in farmers (45.02%) and people engaged in commercial service (19.43%). The median of interval between the onset of illness and diagnosis was 2.75 days. The nucleotide sequences of C/PreM of 7 virus strains were obtained. Phylogenetic analysis indicated that the 7 strains belonged to serotype 1, including 5 local strains and 2 imported strains from northern Myanmar. All the 7 strains shared high homology with the strains from Ruili of Yunnan province in 2014, and Myanmar, Thailand and Cambodia. Conclusion During the outbreak of dengue fever in Lincang in 2015, both local cases and imported cases were detected. Dengue virus serotype 1 circulated both in Myanmar and Lincang of China in 2015. The transmission of dengue fever from northern Myanmar was the main cause of local dengue fever epidemic in Lincang. It is necessary to strengthen the surveillance and management of the imported cases of dengue fever and mosquito control to prevent dengue fever outbreak in Lincang.

     

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