頁籤選單縮合
題名 | 東南亞國家登革熱疫情流行趨勢與分析=Dengue Fever in Southeast Asia |
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作者 | 王小棋; 李佳琳; 劉定萍; 傅宗襁; 王小棋; 傅宗襁; 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236-245 |
分類號 | 412.4923 |
關鍵詞 | 登革熱; 登革熱重症; 東南亞國家; 境外移入; |
語文 | 中文(Chinese) |
中文摘要 | 近50年來,登革熱疫情於全球快速攀升,其中70 %病例分布於東南亞國家,氣溫升高或國際間人口移動頻繁等因素,造成各國疫情呈一致性連動發展趨勢;系統性分析東南亞國家疫情發展,有助於推估國內境外個案移入發生趨勢,並可做為邊境檢疫與社區防疫參考。本文蒐集近八年WHO及東南亞國家衛生部公布之報告病例數,分析結果顯示,東南亞各國近年疫情發展均呈逐年上升趨勢,尤以印尼、菲律賓、泰國等疫情最為嚴峻;每3–5年出現一次疫情高峰循環週期,每年5–10月為多數國家好發季節,登革熱或登革出血熱病例年齡以15歲以下或20–44歲青壯年為主;致死率呈逐年下降或持平趨勢,死亡年齡有攀升趨勢。整體而言,東南亞國家登革熱好發季節性亦正值國人出遊旺季,為國人赴東南亞國家感染風險最高傳染病之一。我國境外移入個案數與東南亞國家疫情規模趨勢有關,監測東南亞國家疫情發展可供國內預測疫情之參考;然現行各國公布訊息不夠即時或完整,加上各國對於重症、登革出血熱定義有所差異性,疾病負擔比較仍有其限制,建議與各國建立疫情資訊互享機制,以降低訊息收集及比較困難等問題。 |
英文摘要 | Dengue fever has spread substantially over the past 50 years, with 70% of cases in Southeast Asia. High temperature, international population movement and socioeconomic factors affect the epidemic dynamics of dengue fever worldwide. We systematically reviewed the epidemic pattern in Southeast Asia to estimate the trends of imported dengue fever and, if necessary, enhance entry screening at airports in Taiwan. Based on the information released by WHO and public health authorities of Southeast Asian countries in 2007–2014, the trend of dengue fever surged, particularly in Indonesia, Thailand and the Philippines. The major epidemics occurred at 3–5 year intervals and the dengue epidemic season ranges roughly from May to October. Most dengue and dengue hemorrhagic fever cases were children under15 years of age and adults 20–44 years of age. The case fatality rate of dengue has declined or remained the same while the age of dengue death has increased annually. Overall, Taiwanese traveling to Southeast Asia during the epidemic season have higher risk of contracting dengue fever. Monitoring the epidemic dynamics in Southeast Asia helps to estimate the trend of imported cases in Taiwan. The irregularity of dengue statistics publications and divergent case definitions of severe dengue/dengue hemorrhagic fever among countries limit the international comparison of disease burden. We recommend that information exchange framework of infectious diseases should be established to improve data completeness and standardization. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。