頁籤選單縮合
題 名 | 2017年臺灣高病原性禽流感案例場家禽相關工作人員禽流感病毒抗體血清流行病學調查=Serosurveillance on Poultry-Related Workers at Highly Pathogenic Avian Influenza-Infected Farms/Slaughterhouse in Taiwan, 2017 |
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作 者 | 林欣怡; 楊季融; 許書禎; 林育如; 鄒宗珮; 劉銘燦; 陳昶勳; | 書刊名 | 疫情報導 |
卷 期 | 37:17 2021.09.14[民110.09.14] |
頁 次 | 頁263-272 |
分類號 | 412.42 |
關鍵詞 | 禽流感; 家禽相關工作人員; 血清流行病學調查; Avian influenza; Poultry-related workers; Seroepidemiological survey; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究以2017年間國內高病原性禽流感病毒(Highly pathogenic avian influenza, HPAI)感染案例場中可能接觸病/死家禽的工作人員與動物防疫人員等高暴露風險族群為研究對象,利用問卷及血清抗體檢測,瞭解及推估研究對象感染禽流感之風險。 研究使用之問卷由疾病管制署設計,並由訪員於2018年1–4月間對研究對象進行回溯性問卷調查及血液檢體採集,續以H5N8亞型(A/goose/Taiwan/01003/2015)抗原為代表病毒株進行血球凝集抑制試驗(Hemagglutination inhibition assay, HI),另回顧研究對象於健康監測期間是否曾出現急性呼吸道感染症狀。 本研究共計收案241人,研究對象之工作別以養禽場業者或員工居多(27.4%),男性佔 63.5%,年齡平均為44.8歲,工作時使用率最高之防護裝備為口罩(88.4%)與手套(85.9%)。另研究對象之健康監測資料顯示,追蹤期間均未出現急性呼吸道症狀。H5N8禽流感病毒血清抗體效價(HI titer)為1:40、1:20及≤1:10分別有6人(2.5%)、85人(35.3%)及150人(62.2%)。如以HI titer 1:40為抗體效價切點,則「口罩」之使用率具統計上顯著差異(p value = 0.02)。本研究依據HI titer檢驗與健康監測結果顯示,2017年間禽流感病毒感染高暴露風險族群之風險低,惟對於可能暴觸病/死家禽之相關工作人員仍應持續籲請落實工作時個人安全防護並定期接種季節性流感疫苗。 |
英文摘要 | In order to investigate the extent and risk factors of avian-to-human transmission by highly-pathogenic avian influenza (HPAI) viruses, we conducted a nation-wide serological survey targeting poultry workers who exposed to HPAI in poultry farms and slaughterhouses outbreaks in 2017. A retrospective survey was conducted between January and April 2018. Trained interviewers surveyed the poultry workers with a questionnaire and collected their blood samples. A H5N8 virus strain A/goose/Taiwan/01003/2015 was selected as the representative antigen, and hemagglutination inhibition (HI) assay was used to analyze serum samples. Presence of acute respiratory symptoms within 10 days after the last poultry exposure was also recorded by local health authorities. A total of 241 participants were enrolled and the majority were poultry farm (27.4%) or slaughterhouse (22%) workers. The mean age was 44.8 years, and 63.5% were male. Masks (88.4%) and gloves (85.9%) were the most commonly used personal protective equipment (PPE) at work. None of them had acute respiratory symptoms during the follow-up period. Six (2.5%), 85(35.3%) and 150 (62.2%) had HI titer of 1:40, 1:20 and ≦1:10, respectively. Workers with HI titer of 1:40 were less likely to wear masks at work (p = 0.02). We conclude that the risk of avian-to-human infection of HPAI among poultry workers in Taiwan were low in 2017. Adherence to proper PPE use at work and annual seasonal influenza vaccination should be encouraged to minimize the risk of infection. Routine seroepidemiological survey among high-risk groups is of optimal importance. |
本系統中英文摘要資訊取自各篇刊載內容。