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| 題 名 | 茲卡病毒感染症疫情現況與風險評估=Risk Assessment on Zika Virus Infection in Taiwan |
|---|---|
| 作 者 | 簡淑婉; 李佳琳; 劉定萍; 簡淑婉; 劉定萍; 李佳琳; | 書刊名 | 疫情報導 |
| 卷 期 | 32:11 2016.06.07[民105.06.07] |
| 頁 次 | 頁225-235 |
| 分類號 | 412.471 |
| 關鍵詞 | 茲卡病毒; 小頭症; 格林-巴利症候群; 斑蚊; 孕婦; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 茲卡病毒疫情自2015年起於中南美洲迅速擴散,世界衛生組織已宣布巴西與法屬玻里尼西亞發生小頭症及神經系統異常病例,符合國際間關注的公共衛生緊急事件(Public Health Emergency of International Concern, PHEIC)。迄今多國已出現本土疫情,且現有資訊多指向茲卡病毒感染與小頭症間可能具因果關係下,我國與美洲或東南亞等具病毒流行國家互動頻繁,且又存在可傳播茲卡病毒之斑蚊,亟需評估茲卡病毒感染症對我國之影響範圍及可能衝擊。本文參考國際間風險評估架構及報告,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。結果顯示,不排除我國未來再次出現散發病例,另東南亞流行區若出現大規模疫情,恐提高我國南高屏地區出現群聚事件可能性;感染者出現重症可能性低,惟須注意孕婦感染對胎兒發育影響及病患併發神經系統異常之衝擊。建議加強宣導孕婦及計畫懷孕婦女延後前往疫區,及避免經性接觸感染,若必須前往疫區,應避免蚊蟲叮咬;另自流行區旅客,返國28天內應避免捐血及採取安全性行為,或避免性接觸。我國已將茲卡病毒感染症列入法定通報,並成立署層級指揮中心,經由加強醫療整備、境外防疫、邊境檢疫及病媒控制策略,應可降低疫情入侵之風險。 |
| 英文摘要 | The geographical distribution of Zika virus has spread explosively since 2015. In February 2016, WHO declared that the clusters of microcephaly and neurological disorders reported in Brazil and French Polynesia constituted a Public Health Emergency of International Concern (PHEIC). Evolving Zika virus epidemic and scientific evidence of a causal link between Zika virus and neurological disorders, adding to that competent mosquito vectors had inhabited in Taiwan, a few Asian countries are Zika endemic, and frequent travelling between countries in America, Southeast Asia and Taiwan, posed a threat to Taiwan that prompted the risk assessment. We estimated the probability and population-level impact of Zika virus disease in Taiwan by referring to risk assessments on Zika virus disease, the international risk assessment framework and algorithm, viral characteristics, global epidemiology, disease severity and other information currently available. To date, the evidence indicated that sporadic cases of Zika are expected in the future. The likelihood of Zika clusters reported in Taiwan depending on the evolution of Zika in Southeast Asia. The sickness is usually mild while the impact on infected pregnant women about their fetuses developing brain abnormalities and patients developing neurological complications should be monitored. |
本系統中英文摘要資訊取自各篇刊載內容。