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目的评估社区登革热防控措施实施情况,为优化登革热疫情响应和适应机制提供建议。方法 2014年4-6月,在广州市荔湾区、越秀区、海珠区和白云区采用个体深入访谈及小组访谈法,调查居民、感染者、疾病预防控制部门、医院、街道城管(爱卫会)、消毒站、居委会等工作人员93人,了解各部门对登革热防治、疫情响应与适应机制的认识及建议。结果登革热主要暴发于人口密集、蚊虫孳生地与栖息地等处;社区主要采取“自上而下”的干预措施;防治机构和患者对登革热的防治认识存在差距;社区主要依靠居委会清除蚊媒孳生地,居民参与较少;入户蚊媒调查面临困难且影响结果的准确性;登革热检测的收费制度及防治人员业务认知程度影响登革热及时发现和疫情应对,社区成蚊杀灭工作效果欠佳。结论登革热高风险地区应建立长效综合干预适应机制,开展疫情监测与预警,组织居民参与社区媒介生物综合治理,做好应急响应工作。
Objective To evaluate the implementation of community dengue fever prevention and control measures and provide suggestions for optimizing the response and adaptation mechanism of dengue fever. Methods From April to June of 2014, in-depth interviews and panel interviews were conducted in Liwan District, Yuexiu District, Haizhu District and Baiyun District in Guangzhou to investigate the relationship between residents, infected persons, disease prevention and control departments, hospitals, ), Disinfection stations, neighborhood committees and other staff 93 people to understand the departments of prevention and treatment of dengue, epidemic response and adaptation mechanism awareness and recommendations. As a result, dengue fever mainly occurred in densely populated areas, mosquitoes breeding places and habitats, etc. The community mainly adopted “top-down” interventions; prevention and treatment agencies and patients had a long way to go to prevent and control dengue fever; Media breeding places, residents less involved; home mosquito vectors survey difficult and affect the accuracy of the results; dengue fever detection fee system and prevention and control personnel business awareness of timely detection of Dengue Fever and epidemic response, community adult mosquito killing effect Poor. Conclusion High-risk dengue areas should establish a long-term comprehensive intervention adaptation mechanism to carry out epidemic situation monitoring and early warning, organize residents to participate in community integrated management of vector organisms, and do a good job of emergency response.