马飞飞, 郭立春, 杜道法, 吴朝学, 郭慧芬, 田志华, 赵坚, 涂文校. 塞拉利昂埃博拉病毒病流行特征分析[J]. 疾病监测, 2015, 30(11): 982-986. DOI: 10.3784/j.issn.1003-9961.2015.11.021
引用本文: 马飞飞, 郭立春, 杜道法, 吴朝学, 郭慧芬, 田志华, 赵坚, 涂文校. 塞拉利昂埃博拉病毒病流行特征分析[J]. 疾病监测, 2015, 30(11): 982-986. DOI: 10.3784/j.issn.1003-9961.2015.11.021
MA Fei-fei, GUO Li-chun, DU Dao-fa, WU Chao-xue, GUO Hui-fen, TIAN Zhi-hua, ZHAO Jian, TU Wen-xiao. Epidemiological characteristics of Ebola virus disease epidemic in Sierra Leone[J]. Disease Surveillance, 2015, 30(11): 982-986. DOI: 10.3784/j.issn.1003-9961.2015.11.021
Citation: MA Fei-fei, GUO Li-chun, DU Dao-fa, WU Chao-xue, GUO Hui-fen, TIAN Zhi-hua, ZHAO Jian, TU Wen-xiao. Epidemiological characteristics of Ebola virus disease epidemic in Sierra Leone[J]. Disease Surveillance, 2015, 30(11): 982-986. DOI: 10.3784/j.issn.1003-9961.2015.11.021

塞拉利昂埃博拉病毒病流行特征分析

Epidemiological characteristics of Ebola virus disease epidemic in Sierra Leone

  • 摘要: 目的 分析塞拉利昂埃博拉病毒病(Ebola virus disease,EVD)疫情流行特征,总结该国疫情未能及时控制原因,为今后我国新发和输入性传染病防控工作提供借鉴。 方法 收集世界卫生组织和塞拉利昂卫生部官方网站公布的疫情资料,采用描述性流行病学方法进行分析。 结果 至2015年3月1日,塞拉利昂共报告EVD病例11 446例,死亡3546人,发病率为180.6/10万,死亡率为55.9/10万。塞拉利昂疫情时间分布可分为五个阶段:悄然而缓慢传播阶段、暴发阶段、快速上升阶段、快速下降阶段、波动式缓慢下降阶段。疫情首发地区为西南部的凯拉洪,之后输入至西北部的坡特洛科,继而蔓延至全国。有登记信息的病例(10 903例)数据显示,女性发病率高于男性(P=0.01),年龄越大发病率越高(2=2136.07,P0.001)。医务人员发病率高于全国,有统计学意义 (P0.001)。 结论 塞拉利昂疫情未能及时控制的原因主要有:经济水平落后、文化习俗、防控资源不足、早期防控措施落实不到位等。该国疫情应对经验对我国今后新发和输入性传染病防控有重要的借鉴意义。

     

    Abstract: Objective To understand the epidemiological characteristics of Ebola virus disease (EVD) epidemic in Sierra Leone and the reasons for epidemic control failure, provide evidence for the prevention and control of emerging and imported communicable disease in China in future. Methods Descriptive epidemiological analysis was conducted on the EVD epidemic data published by World Health Organization (WHO) and the Ministry of Health and Sanitation of Sierra Leone. Results A total of 11 446 EVD cases were reported, including 3546 deaths, as of 1 March 2015. The morbidity was 180.6/lakh, the mortality was 55.9/lakh. Five stages of the epidemic were observed, i.e. silent and slow transmission, outbreak, sharp rise, sharp decline and decline in fluctuating. The EVD cases were first reported in Kailahun in southeastern area, then in Port Loko in northwestern area. EVD spread rapidly to all the areas in the country. The data revealed sex differences in the incidence (P=0.01), however the morbidity increased with age (2=2136.07,P0.001). The morbidity in health workers was higher than national level (P0.001). Conclusion The main reasons for failure in control of the epidemic in Sierra Leone included: the fall behind economy, traditional custom, limited prevention and control resources and poor implementation of early prevention and control measures. The lessons learnt from EVD prevention and control in Sierra Leone are important for the prevention and control of emerging and imported communicable diseases in China.

     

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