凌锋, 范伟忠, 林君芬, 严菊英, 吕华坤, 傅涛, 孙继民. 浙江省义乌市一起登革热暴发疫情流行病学调查[J]. 疾病监测, 2010, 25(9): 757-759. DOI: 10.3784/j.issn.1003-9961.2010.09.028
引用本文: 凌锋, 范伟忠, 林君芬, 严菊英, 吕华坤, 傅涛, 孙继民. 浙江省义乌市一起登革热暴发疫情流行病学调查[J]. 疾病监测, 2010, 25(9): 757-759. DOI: 10.3784/j.issn.1003-9961.2010.09.028
LING Feng, FAN Wei-zhong, LIN Jun-fen, YAN Ju-ying, LV Hua-kun, FU Tao, SUN Ji-min. Epidemiological survey on a dengue fever outbreak in Yiwu, Zhejiang province[J]. Disease Surveillance, 2010, 25(9): 757-759. DOI: 10.3784/j.issn.1003-9961.2010.09.028
Citation: LING Feng, FAN Wei-zhong, LIN Jun-fen, YAN Ju-ying, LV Hua-kun, FU Tao, SUN Ji-min. Epidemiological survey on a dengue fever outbreak in Yiwu, Zhejiang province[J]. Disease Surveillance, 2010, 25(9): 757-759. DOI: 10.3784/j.issn.1003-9961.2010.09.028

浙江省义乌市一起登革热暴发疫情流行病学调查

Epidemiological survey on a dengue fever outbreak in Yiwu, Zhejiang province

  • 摘要: 目的 调查分析2009年浙江省义乌市登革热暴发疫情的流行病学特征、影响因素及病原体的可能来源。 方法 利用现场流行病学调查和疫情报告数据以及病毒分离株的序列信息,分析、阐明本次登革热的流行病学特点及影响因素;从感染者体内分离病毒并进行病毒序列测定。 结果 2009年7月20日至10月4日义乌市共报告登革热确诊病例294例,主要集中在8月下旬至9月上旬,多数病例发生在4个村(社区),共涉及5个镇(街道)的16个村(社区),发病具有时间和空间的聚集性特征,病例均具有登革热临床特征,无死亡病例。从病毒分离株的序列分析表明,本次登革热暴发为登革3型病毒引起,该病毒可能来源为东南亚地区。 结论 本次登革热暴发流行为输入性病例引起的本地流行。外界病毒传入、高白纹伊蚊密度和医务人员对登革热的不熟悉可能是导致该起登革热暴发流行的主要原因。

     

    Abstract: Objective To analyze the epidemiological characteristics, related factors and infection source of a dengue fever outbreak in Yiwu. Methods The field epidemiological survey was conducted and the virus isolation from the patients was performed for virus sequencing. Results Totally 294 dengue fever cases (no death) were confirmed in Yiwu from 20 July to 4 October,2009, the cases were mainly occurred during late August and mid September in 4 villages and affected 16 villages. The time and spatial clustering features of the outbreak were obvious. The cases were with typical clinical manifestation of dengue fever. The sequencing of the isolates indicated that the outbreak was caused by dengue virus type 3, which might come from the South East Asia. Conclusion The outbreak was caused by the imported case. The introduction of virus from foreign country, high density of mosquito vector(Aedes albopictus) and missed diagnosis might be the major influence factors.

     

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