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(目的)根据1999年7月15日收到的韩国籍“皇家”号轮在航行中转发的电报,对其实施医疗救助。(方法)在组织医疗救护的同时,开展了流行病学调查、个案调查、医学监测、血片镜检疟原虫等工作。(结果)至1999年7月19日,“皇家”号轮本次共发生5例疟疾现症病人;2例带虫者。全船17名船员血检,发现阳性血片7份,阳性率为41.2％;6名发热船员血检,发现阳性血片5份,阳性率为83.3％。对现症病人和带虫者,为避免抗药性采用蒿甲醚根治疗法;对其它船员作假定性抗疟治疗,全部船员投放足量预防药(备用)。对货物(圆木)用体积分数为0.3％的敌敌畏行快速有效灭蚊,切断传播途径。(结论)本次调查、处理中,利用因特网等现代技术迅速获取有关流行病学资料,在本次疫情的顺利调查及时诊断方面,显示其重要性;快速有效灭蚊措施的落实,切断了传播途径是本次疫情扑灭的关键。
(Purpose) To provide medical assistance to the telegraphs transmitted during the voyage on the basis of rounds of ROK Royal Family received on July 15, 1999. (Methods) At the same time of organizing medical aid, epidemiological investigation, case investigation, medical monitoring and blood mirror were used to carry out the work on Plasmodium. (Results) By July 19, 1999, a total of 5 cases of malaria were present in the “Royal” round and 2 cases were infected with malaria. Seven crew members of the ship blood tests, found that seven positive blood film, the positive rate was 41.2%; 6 fever crew blood tests found positive blood 5, the positive rate was 83.3%. For patients with existing disease and parasites, artemether root-based therapy was used to avoid drug resistance; hypothetical antimalarial treatment was performed on other crew members and adequate doses of prophylactic (alternative) were given to all crews. The goods (logs) with a volume fraction of 0.3% of dichlorvos line quickly and effectively eliminate mosquitoes, cut off the route of transmission. (Conclusions) In this investigation and treatment, the rapid access to epidemiological data using modern technologies such as the Internet has shown its importance in the timely investigation of the epidemic and its timely diagnosis. The implementation of rapid and effective anti-mosquito measures has cut off the spread of epidemics The route is the key to fighting out the epidemic.