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頁籤選單縮合
題名 | 2015年至2020年中臺灣恙蟲病流行病學分析報告=Epidemiological Analysis of Scrub Typhus, Central Taiwan, 2015-2020 |
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作者姓名(中文) | 張祐鈞; 王功錦; 林敏琮; 柯靜芬; 吳智文; | 書刊名 | 疫情報導 |
卷期 | 39:7 2023.04.11[民112.04.11] |
頁次 | 頁93-100 |
分類號 | 412.42 |
關鍵詞 | 中臺灣; 恙蟲病; 發生率; 危險因子; Central Taiwan; Scrub typhus; Incidence; Risk factor; |
語文 | 中文(Chinese) |
DOI引用網址 | 10.6524/EB.202304_39(7).0001 |
中文摘要 | 人類恙蟲病係經由帶有恙蟲病立克次體的恙蟎幼蟲叮咬而感染。本文統計分析2015年至2020年間中臺灣恙蟲病病例相關資料,以瞭解流行病學及高風險族群。中臺灣總計273例確定病例,其中3例境外移入,其餘皆為本土感染。每十萬人口發生率呈現波動變化,臺中市與彰化縣的確定病例以旅遊接觸草叢及登山健行感染為主,感染地點主要在中臺灣以外縣市。南投縣的確定病例以農務感染為主,感染地點主要在縣內山地鄉鎮之信義鄉與仁愛鄉為主。另2019年臺中市有一位環保局清潔隊員感染恙蟲病,經疫調推測可能因為工作無適當個人防護而遭感染,後續臺中市政府進行工作地滅鼠及民眾衛教,未再發現相關病例。避免被恙蟎附著叮咬是預防恙蟲病的最重要措施,所以需要向民眾宣導在戶外活動接觸草叢時,應做好個人防護措施,如出入草叢處活動,應穿著淺色長袖衣褲或使用經衛生署核可之防蚊蟲藥劑,且離開草叢後應儘快換洗衣物及沐浴,就可減少感染的機會。 |
英文摘要 | Scrub typhus is a rickettsial disease transmitted to humans through the bite of chigger mites infected with Orientia tsutsugamushi. We analyzed the data of the cases in central Taiwan from 2015 to 2020 to find out the epidemiology and high-risk groups of scrub typhus infections. A total of 273 confirmed cases were identified, and 3 of them were imported cases. The risk factors of scrub typhus infection in Taichung and Changhua were hiking in the mountainous area and exposure to brushwood or grassy areas, whereas in Nantou the agricultural exposure. In 2019, one worker from the environmental protection bureau was infected with scrub typhus. The investigation showed that the patient might have been infected due to the lack of proper personal protection at work. Taichung City Government then held educational training for the general population and implemented rodent control measures, and no further cases were reported. The most important measure to prevent scrub typhus infection is avoiding contact with infected chiggers. Therefore, it is important to educate people that personal protection measures should be taken when approaching high-risk areas in outdoor activities. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。