頁籤選單縮合
題名 | 2008~2013年國人自中港澳地區境外移入法定急性傳染病概況=Establishing Core Capacities of the Designated Port of Entry for International Health Regulations 2005 at Kaohsiung Port |
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作 者 | 張嘉瑋; 陳必芳; 吳麗珠; 何麗莉; 吳怡君; | 書刊名 | 疫情報導 |
卷期 | 31:2 2015.01.27[民104.01.27] |
頁次 | 頁27-34 |
分類號 | 412.4 |
關鍵詞 | 中國大陸; 大三通; 食物或飲水傳染; 境外移入傳染病; |
語文 | 中文(Chinese) |
中文摘要 | 自2008年12月15日實施大三通,正式開放人員搭乘直航的飛機與船舶來往臺灣與大陸主要城市,國人往返兩岸的頻率明顯增加,而中國大陸部份地區生活環境及衛生條件較為低落,使得傳染病容易流行,提高國人於中國大陸感染傳染病並帶回臺灣境內的可能性。為了解國人自中港澳地區境外移入法定急性傳染病的疾病分布以及個案的特徵等,本研究自疾病管制署法定傳染病通報系統蒐集發病年份介於2008年至2013年,且自中港澳地區境外移入法定急性傳染病之中華民國國籍確診個案。除統計國人自中港澳地區境外移入各急性傳染病確定病例數,及人口學與旅遊相關變項的分布外,並分析大三通(2009至2013年)後國人於中港澳地區得病率趨勢。 研究結果顯示自中港澳三地境外移入法定急性傳染病的國人,其感染地主要來自中國大陸,且以食物或飲水傳染病得病率最高,而感染者主要集中於出境目的為商務、年齡層為30-59歲男性之國人。大三通之後國人5年間於中港澳三地得病比率無明顯上升或下降趨勢 (p=.42);於中國大陸地區得病比率同樣無明顯上升或下降的趨勢 (p=.48)。由於不同出國安排方式的族群對於疾病管制署所提供的疫情資訊可近性有所差異,如何針對不同出國安排方式的族群,增加其對即時疫情資訊的可近性,提高旅遊當地流行疫情的敏感度及避免從事感染高風險的活動,是未來於旅遊醫學政策希望突破的方向。 |
英文摘要 | On December 15, 2008, the full implementation of direct air and sea transport, namely Major Three Direct Links, between major cities of Mainland China and Taiwan was officially launched. The number of cross-Strait travelers has increased since then. As a result, the number of Taiwanese nationals, who are at risk of infection and may import the infectious diseases to Taiwan also on the rise due to the fact that infectious diseases are easily spread in some areas of Mainland China, where living environments and hygienic conditions are still under improvement. We analyzed the characteristics and the disease distribution of cases, whose onset dates are between 2008 and 2013, by collecting confirmed cases of Taiwanese travelers with acute infections in Mainland China, Hong Kong and Macao, from the National Notifiable Disease Surveillance System. This study was conducted to evaluate the case numbers, demographic characteristics and travel-related factors of confirmed Taiwanese cases, and the trend in incidence of disease from 2009 to 2013 after the full implementation of Major Three Direct Links. The results showed that Mainland China was the major area where Taiwanese travelers with notifiable acute infectious disease imported. Food and water-borne diseases were the most common imported infectious diseases. Male travelers among 30-59-year-old group with business purpose were the major population. Nevertheless, no increasing or decreasing trend in disease incidence was observed among Taiwanese travelers visiting Mainland China/Hong Kong/Macao (p=.48) and those visiting Mainland China (p=.42) during the five years (2009-2013) after full implementation of Major Three Direct Links. Since travelers may have different accessibilities to information on international epidemic diseases offered by Taiwan CDC due to different travel arrangements, the prospective orientation of travel medicine policy is expected to help travelers be alert to the local disease epidemics and avoid practicing high risk activities by increasing the accessibility on international disease epidemics in different populations. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。