頁籤選單縮合
題 名 | 2019年宜蘭縣首起本土漢他病毒出血熱個案調查報告=The First Indigenous Hantavirus Case, Yilan County, 2019 |
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作 者 | 劉明經; 林育如; 劉美玲; 許玉霞; 董曉萍; 徐迺維; 謝瑞煒; | 書刊名 | 疫情報導 |
卷 期 | 37:24 2021.12.21[民110.12.21] |
頁 次 | 頁372-378 |
分類號 | 412.42 |
關鍵詞 | 漢他病毒出血熱; 外籍漁工; 溝鼠; 國內港埠檢疫; Hemorrhagic fever with renal syndrome ; HRFS; Foreign fishing crew; Rattus norvegicus; Quarantine of domestic ports; |
語 文 | 中文(Chinese) |
中文摘要 | 2019年8月,宜蘭縣某醫院通報印尼籍25歲男性漁工疑似漢他病毒出血熱。個案罹病初期以嘔吐、腹瀉、發燒症狀求診,後合併急性腎衰竭等,入住加護病房照護。經衛生福利部疾病管制署二採血清學證實漢他病毒抗體陽性,為宜蘭縣歷年首例漢他出血熱本土病例。個案住院約兩週後痊癒且出院。衛生單位於接獲通報時,即啟動港埠與其周邊社區防疫措施。經調查發現個案工作漁船環境髒亂,且捕獲之溝鼠檢驗出漢他病毒抗體陽性,顯示感染地為漁船之可能性。惟因個案可登岸至社區,亦無法排除於社區內被感染之可能。建議地方主管機關依現行作業流程與衛生、環保、漁政單位共同建立杜絕鼠患與其媒介傳染病發生之風險管理機制,以維護港埠環境衛生。 |
英文摘要 | On August 2019, a 25-year-old foreign fishing crew from Indonesia was reported by a hospital in Yilan county as a suspect case of hemorrhagic fever with renal syndrome (HFRS). He had early symptoms of fever, diarrhea, and vomiting, followed by complications of acute renal failure and was soon transferred to the intensive care unit. The blood samples tested for HFRS was conducted by Taiwan Centers for Disease Control and the case was confirmed with positive hantavirus antibodies. The case was hospitalized for two weeks and was the first indigenous hantavirus case in Yilan county. The health bureau immediately activated prevention control measures at the port and its surrounding community. Working environment of the case on the fishing boat was messy and greasy. One caught rat (Rattus norvegicus) was positive for hantavirus antibody, which indicated that the fishing boat could be the source of infection. However, infection could also occur in the community because foreign fishing crews were allowed to enter the community. Therefore, we recommended that the local authority should establish a risk management mechanism with current prevention and control procedures to eliminate the rodent population and rodent infestation in domestic ports. |
本系統中英文摘要資訊取自各篇刊載內容。