頁籤選單縮合
題 名 | 2017年臺南市登革熱防治策略執行成效初探=Preliminary Study on Outcomes of Dengue Fever Prevention and Control Strategies, Tainan City, 2017 |
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作 者 | 周宜樺; 王欽賢; 賴俊麟; 蔡遠鵬; 謝瑞煒; 李翠鳳; | 書刊名 | 疫情報導 |
卷 期 | 36:14 2020.07.21[民109.07.21] |
頁 次 | 頁198-206 |
分類號 | 412.42 |
關鍵詞 | 登革熱; 臺南市; 病媒蚊密度監測; 區里防治; NS1快篩院所; Dengue fever; Tainan City; Vector surveillance; NS1 antigen rapid test institution; Prevention district; |
語 文 | 中文(Chinese) |
中文摘要 | 2017年臺南市汲取2015年登革熱大流行疫情教訓,逐步建構完整防治作為。首先彙集每週登革熱疫情地理資訊系統誘卵桶數據,進行動員孳生源清除、複查及預防性化學防治,成功撲殺120萬7千餘隻蚊蟲。其次,推廣參與登革熱NS1抗原快篩試劑院所,由2015年的22家增至2017年共259家,並將隱藏期控制在3日內,降低社區傳播風險。再者,積極發展以區公所為防疫主責調度指揮之防治機制,平時列管高風險區域,繪製防疫地圖,以掌握轄內風險概況。並定期及於雨後動員區里清除孳生源,在遭遇疫情時,能迅速反應動員提升第一線防疫效能。更藉國家衛生研究院國家蚊媒傳染病防治研究中心與疾病管制署南區管制中心合署辦公之利,發展多元化防治策略,如:誘殺桶、捕蚊機、學校教育深耕計畫及防疫資訊共享等,讓防治工作在地扎根。透過中央、地方及學術三方合作,平時運用多種監測工具,建立病媒蚊密度監測機制,利於掌握社區風險概況。並以區公所為防治體系的基石,提升社區民眾及醫療院所之自主防疫意識,有效防範登革熱於未然,創下自1998年以來首次零本土登革熱病例之紀錄。如能持續保存精進,相關防治策略實可作為其他城市之參考。 |
英文摘要 | Learning from experience of dengue outbreaks in Tainan City in 2015, the Tainan health authorities collected weekly Ovitrap data through GIS, and had taken integrated control strategies, including eliminating mosquito habitats, on-site survey, and use of preventive pesticide, in 2017. With this effort, the authorities successfully smashed more than 1.2 million mosquitoes. Furthermore, the number of healthcare facilities providing NS1 antigen rapid test increased from 22, in 2015 to 259 in 2017. The patient hidden period, defined as the interval between symptom onset and notification, decreased to less than 3 days. The health authorities established district-level command centers, responsible for epidemic prevention, monitoring the high-risk spots, mapping the epidemic area, and evaluating the risk profile. Besides, after rain, command centers immediately mobilized personnel and other resources to manage the environmental sanitation, breeding site elimination and chemical control for mosquitoes. Finally, Tainan City cooperated with academic research units to develop diversified prevention strategies, such as Gravitrap, mosquito trap, and education in schools. The authorities established a scientific and systematic vector monitoring mechanism to prevent dengue fever infections, and thus no further domestic case was notified in Tainan in 2017. We recommended that other health authorities following the strategies of Tainan government, and seting up vector surveillance mechanism to eliminate vector breeding sources and effectively lower mosquito density. |
本系統中英文摘要資訊取自各篇刊載內容。