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目的分析泉州市登革热和基孔肯雅热防控态势,提出应急策略。方法回顾性分析泉州市2004—2013年报告的登革热和基孔肯雅热病例调查和监测资料,分析防控成效。结果 2004—2013年共报告登革热59例,基孔肯雅热2例,均为输入性,病例大多来自东南亚国家。病例输入高峰为7~10月,从入境到确诊平均5d,初诊到确诊平均4d。出入境检验检疫部门诊断发现率为14.3%,医疗单位首诊诊断率42.9%。泉州市存在蚊媒白纹伊蚊,其布雷图指数平均3.80。结论登革热/基孔肯雅热病例呈常年输入态势,病例确诊时效较长,出入境检验检疫部门和医疗机构的发现能力有待提高。应建立以白纹伊蚊繁殖期和病例输入高峰期的风险评估为重点,强化一线医务和检疫人员的流行病学观念,实验室在登革热检测排查时须关注基孔肯雅热,警惕两者合并感染。
Objective To analyze the prevention and control of Dengue Fever and Chikungunya in Quanzhou and put forward the emergency strategy. Methods The data of dengue and chikungunya in 2004-2013 report in Quanzhou were retrospectively analyzed and the prevention and control effects were analyzed. Results A total of 59 cases of dengue fever and 2 cases of chikungunya fever were reported from 2004 to 2013, all of which were imported. Most cases were from Southeast Asian countries. The peak of case input was from July to October, from the entry to the diagnosis of an average of 5d, the initial diagnosis to an average of 4d. Exit-exit inspection and quarantine departments found that the diagnosis rate was 14.3%, the first diagnosis of medical units 42.9%. Quanzhou mosquito Aedes albopictus existence, the Bretts index average 3.80. Conclusion The dengue / chikungunya fever cases have been imported year-round. The diagnosis of dengue fever and chikungunya fever has been carried out for a long period of time. The ability of the entry-exit inspection and quarantine authorities and medical institutions needs to be improved. The risk assessment of Aedes albopictus breeding season and case-entry peak should be emphasized to strengthen the epidemiological concepts of front-line medical staff and quarantine staff. The laboratory should pay attention to chikungunya during dengue detection and investigation and be wary of both Combined infection.