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| 題 名 | 印尼移工增列入國傷寒、副傷寒及桿菌性痢疾健康檢查之政策評估=Assessment of Compulsory Examination for Typhoid Fever, Paratyphoid Fever And Bacillary Dysentery in Indonesian Migrant Labors |
|---|---|
| 作 者 | 黃志傑; 吳麗珠; 冷偉緒; 張育菁; 何麗莉; 吳怡君; | 書刊名 | 疫情報導 |
| 卷 期 | 34:24 2018.12.18[民107.12.18] |
| 頁 次 | 頁381-387 |
| 分類號 | 412.4 |
| 關鍵詞 | 傷寒; 副傷寒; 桿菌性痢疾; 印尼; 移工; Typhoid fever; Paratyphoid fever; Bacillary dysentery; Indonesia; Migrant workers; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 傷寒、副傷寒及桿菌性痢疾為腸道傳染病,多發生於自來水不普及或環境衛生條件較差的地區,在熱帶、亞熱帶地區為地方性流行病。我國於2009年發生印尼移工境外移入傷寒突發疫情,遂公告自2009年10月15日起,印尼移工入國後三日內健康檢查(簡稱入國三日健檢)增列傷寒檢查。由於傷寒糞便檢查可同時篩檢副傷寒桿菌及痢疾志賀氏桿菌,陸續發現印尼移工桿菌性痢疾個案,自2011年10月15日起,傷寒、副傷寒及桿痢檢查全部納入印尼移工入國後三日內健檢項目,並持續辦理迄今。本文整理2012年至2017年期間外籍移工罹患傷寒、副傷寒及桿痢之概況,並就印尼移工入國健檢增列腸道致病菌篩檢項目之成果進行評估,發現該項政策實施前,印尼移工腸道傳染病境外移入病例大多於入境後因病就診通報,容易造成疫情社區傳播事件;而在政策實施後,部份的個案可經健檢發現,尤其桿痢最為顯著,衛生機關防疫措施得以及早介入,對於攔阻病例進入社區有所助益。自2012年迄今,印尼移工每年經由入國三日健檢篩獲傷寒、副傷寒及桿痢個案平均82例,約占印尼移工境外移入病例之95.5%,顯見該措施具有成效,有助預防腸道疫病在國內傳播的風險。 |
| 英文摘要 | Typhoid fever, paratyphoid fever, and bacillary dysentery are enteric infectious diseases which occur commonly in area under poor sanitary conditions or without tap water supply, and are also endemic in tropical and subtropical region. A typhoid fever outbreak related to Indonesian migrant labors occurred in Taiwan in 2009, so Taiwan government had implemented the health examination of typhoid fever within 3 days of arrival for Indonesian migrant labors since Oct 15, 2009. Many Indonesian migrant labors were found infected with bacillary dysentery through stool examination for typhoid fever. As a result, the examination of paratyphoid fever and bacillary dysentery were also included in Indonesian migrant labors’ health examination within 3 days of arrival since Oct 15, 2011. We assessed the epidemiology of the three enteric infectious diseases among foreign labors in Taiwan during 2012 and 2017. Before implementing the examination policy, the majority of Indonesian migrant labors with enteric infections could not be notified until they sought medical treatment for illness, which could lead to disease spread in community. After policy implementation, the infected cases could be identified through health examination, especially for bacillary dysentery. The possibility of community spread could be lowered with immediate preventive measures by public health bureaus. In 2012–2017 the annual average number of confirmed aforementioned enteric infection among Indonesian migrant labors identified by health examination within 3 days of arrival was 82, which was about 95.5% of all confirmed imported enteric infection among Indonesian migrant labors. This showed that the policy was effective in reducing the risk of domestic epidemics of enteric infection. |
本系統中英文摘要資訊取自各篇刊載內容。