頁籤選單縮合
題名 | 腸病毒D68型疫情風險評估報告=Risk Assessment of Enterovirus D68 in Taiwan |
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作者 | 簡淑婉; 李佳琳; 劉定萍; Jian, Shu-wan; Lee, Chia-lin; Liu, Ding-ping; |
期刊 | 疫情報導 |
出版日期 | 20151110 |
卷期 | 31:21 2015.11.10[民104.11.10] |
頁次 | 頁517-526 |
分類號 | 412.471 |
語文 | chi |
關鍵詞 | 不明原因嚴重呼吸道感染; 腸病毒; 風險評估; 急性無力脊髓炎; 急性無力肢體麻痺; |
中文摘要 | 美國於2014年8月起發生大規模腸病毒D68型(EV-D68)感染疫情,甚至出現急性無力脊髓炎(acute flaccid myelitis, AFM)關連性病例,之後在加拿大及歐洲等國家陸續報告出類似病例,我國與歐美國家互動頻繁,加上國內原具有腸病毒週期性流行疫情,因此,亟需評估EV-D68對我國影響範圍及可能衝擊。本文參考國際間風險評估架構及EV-D68風險評估報告,蒐集對國人感染風險、國內流行可能性、疾病嚴重性、治療與控制、防治政策等資訊,評估結果顯示,我國於腸病毒流行期具有發生EV-D68零星病例甚至群聚事件可能性,但感染後出現嚴重呼吸道感染及AFM病例之風險低。另我國在EV-D68監測機制上,對於重症病患監測,需對不明原因嚴重呼吸道感染及具肢體麻痺等神經症狀病患及群聚事件加強監測,並於腸病毒流行季間,提升醫師警覺性,落實加強宣導手部衛生及環境清潔等衛教工作。 |
英文摘要 | Enterovirus D68 (EV-D68) was associated with a widespread outbreak of severe respiratory disease since August 2014 in the US and acute flaccid myelitis during the 2014 outbreak. Some regions in Canada and European countries have also reported sporadic cases of laboratory-confirmed EV-D68 infections. Frequent travelling between the US, Europe and Taiwan posed a threat to Taiwan during enterovirus season, which triggered the risk assessment on EV-D68. We estimated the probability and population-level impact of EV-D68 infections in Taiwan by referring to the risk assessment reports on EV-D68, the international risk assessment framework and algorithm, viral characteristics, global epidemiology, susceptibility of the population and other information currently available. To date, the available information and scientific evidence indicated that the likelihood of any sporadic cases and clusters due to EV-D68 in Taiwan is medium, while the risk that sporadic case of severe respiratory illness and acute flaccid myelitis detected is due to EV-D68 is very low. EV-D68 detection and surveillance in Taiwan should be considered and enhanced in persons with severe unexplained acute respiratory disease or unexplained neurological symptoms. We recommended that healthcare professionals should be vigilant about preventing the spread of EV-D68, perform wash hands correctly and maintain a hygienic environment during enterovirus seasons. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。