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頁籤選單縮合
題 名 | 臺灣花東地區恙蟲病流行病學特性分析=Epidemiology of Scrub Typhus in Eastern Taiwan, 2001~2012 |
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作 者 | 劉明經; 李美珠; 蘇怡鳳; 王任鑫; 葉元麗; | 書刊名 | 疫情報導 |
卷 期 | 30:16 2014.08.26[民103.08.26] |
頁 次 | 頁316-321 |
分類號 | 412.4 |
關鍵詞 | 恙蟲病; 發生率; 流行病學特性; Scrub typhus; Incidence; Epidemiological features; |
語 文 | 中文(Chinese) |
中文摘要 | 花蓮與臺東兩縣(以下簡稱花東),為全臺恙蟲病好發地區,本文統計 2001至 2012年間恙蟲病病例相關資料,探討花東恙蟲病流行病學特徵,以提供防治之參考,期能有效降低疫情。12年間恙蟲病年平均通報數約占全國的19.8%,確診病例數約占全國的 25.7%;發生率每十萬人口 17.26,為全國每十萬人口發生率 1.65之 10.5倍;而花東發生率最高之年齡層為 40至 59歲,職業別多為無業(39.1%)與農林漁牧業(24%)。此外,花東兩縣月平均確診病例數曲線呈現相似之趨勢,分別於5至7月及11至隔年1月形成兩波高峰。境內各鄉鎮疾病嚴重度較高者為花蓮縣之光復鄉、瑞穗鄉、富里鄉、卓溪鄉,以及臺東縣之蘭嶼鄉、卑南鄉、太麻里鄉、延平鄉、鹿野鄉等 9鄉鎮。鑑於花東地理幅員遼闊、族群多元、土地面積使用以農林為主(75%)與當地居民之職業別與生活型態息息相關,恙蟲病之防治策略仍以持續監測高風險鄉鎮、加強高風險地區醫療院所通報警覺性、提供衛生宣導媒材,並對特定高風險區域加強溝通,以期逐步降低感染風險並防止地緣性群聚之發生。 |
英文摘要 | Hualien and Taitung counties are endemic for scrub typhus in Taiwan. Cases in the period of 2001 to 2012 were analyzed to investigate the epidemiological features of scrub typhus in eastern Taiwan. Annually, 19.8% of all cases in Taiwan were reported in eastern Taiwan, whereas 25.7% of all confirmed cases were identified in eastern Taiwan. The incidence rate was 17.26 per 100,000 populations in eastern region, which is 10.5 times higher than in Taiwan as a whole. The highest prevalent age group was 40 to 59 years old, of which jobless people and farming–fisheries industry people were 39.1% and 24%, respectively. Besides, trend of monthly confirmed case numbers was similar between Hualien and Taitung, with two peaks in May-July, and October-January. This study indicated that nine townships had high risk of scrub typhus, including Guangfu, Rueisuei, Fuli, Jhuosi, Lanyu, Beinan, Taimali, Yanping, and Luye townships. To reduce the risk of infection of scrub typhus in eastern Taiwan, the measurements to control scrub typhus should be emphasized as following continuous monitoring for the: high risk townships, strengthening the case reporting from clinic in high risk townships, providing materials for education, and increasing communication to the high risk townships. |
本系統中英文摘要資訊取自各篇刊載內容。