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目的探讨中国大陆第一例人感染高致病性禽流感感染来源,分析、总结疫情发现与报告、标本采集等方面的经验与不足,为人感染高致病性禽流感防治提供科学依据。方法运用现场流行病学调查与描述流行病学方法。结果患者是由于暴露于病死禽及其所污染的环境而感染;临床医护人员标本采集意识较低、居民对禽流感防治知识及其危害认识不足。结论本例人感染高致病性禽流感为“禽—人”传播,尚无足够的证据证明存在“人传人”现象;建议加大对临床医护人员和居民尤其是农村居民禽流感相关知识的培训,增强临床医护人员对人禽流感的敏感性和标本采集意识,提高普通居民参与禽流感防治的主动性和积极性。
Objective To investigate the origin and origin of human infection of HPAI in mainland China, analyze and summarize the experience and shortcomings in the detection and reporting of epidemic situation and specimen collection, and provide a scientific basis for the prevention and control of HPAI. Methods Using on-site epidemiological investigation and description of epidemiological methods. Results The patients were infected due to exposure to diseased birds and their contaminated environment. The awareness of clinical medical staff in collecting specimens was low, and residents’ awareness of prevention and treatment of avian influenza was insufficient. Conclusions In this case, human being infected with HPAI was transmitted as “bird-human”, and there is not enough evidence to prove the existence of “human transmission”. It is suggested to increase the knowledge about the bird flu among clinicians and residents, especially rural residents Training, enhance the sensitivity of clinical staff to bird flu and the awareness of specimen collection, and enhance the initiative and enthusiasm of ordinary residents in the prevention and treatment of avian influenza.