頁籤選單縮合
題 名 | 2014-2018年桃園國際機場發燒篩檢站境外移入登革熱病例之流行病學分析=International Travel and Dengue Fever at The Taoyuan International Airport, Taiwan, 2014-2018 |
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作 者 | 曾靖媛; 陳孟妤; 許椀琳; 陳美蓉; 吳智文; 巫坤彬; | 書刊名 | 疫情報導 |
卷 期 | 39:16 2023.08.22[民112.08.22] |
頁 次 | 頁238-244 |
分類號 | 412.42 |
關鍵詞 | 發燒篩檢; 登革熱; 桃園機場; 邊境檢疫; 境外移入; Fever screening; Dengue; Airport; Border quarantine; Imported; |
語 文 | 中文(Chinese) |
DOI | 10.6524/EB.202308_39(16).0001 |
中文摘要 | 我國自2003年起於國際港埠對入境旅客進行發燒篩檢,並針對有疑似症狀、旅遊史之旅客進行登革熱採檢及相關檢驗。為了解桃園國際機場發燒篩檢站攔檢之登革熱個案之流行病學特徵,本研究蒐集2014–2018年由桃園國際機場入境經發燒篩檢後確診為登革熱個案,分析其人口學、入境日期、出國(來臺)目的、感染國家及主訴症狀等變項,並依國籍別作比較。本研究共納入645例個案, 男性347例(54%),年齡中位數32歲(範圍5–73歲),611例(94.7%)個案感染國家為東南亞國家。本國籍個案有291例,出國目的以自助旅行為最多(96例,33%),其次為個人商務/公務(77例,26%);外國籍個案354例,來臺目的以自助旅行為最多(121例,34%),其次為來臺工作之外籍移工(118例,33%)。626例(97%)個案耳溫測量≧38℃,僅269例(42%)主訴自覺有發燒症狀,110例(17%)個案主訴無任何不適症狀。外國籍旅客主訴無症狀的比例較本國籍高(20% vs. 13%, p<0.05)。本研究發現機場攔檢之登革熱個案症狀多為不典型或無症狀,檢疫人員在攔檢時,無論旅客是否有症狀,應依旅客的來自國家及出國(或來臺)的目的進行登革熱篩檢的評估。建議旅客出國前可透過多元管道查詢預防蟲媒疾病相關衛教資訊,對外國籍旅客應提供入境後就醫之管道及母國語言衛教單張,以減少登革熱之感染及傳播。 |
英文摘要 | Imported dengue infections leading to subsequent local outbreaks continue to be a public health concern in Taiwan. Taiwan Centers for Disease Control has implemented fever screening at international airports for early detection of febrile travelers who may have infectious diseases. We evaluated characteristics in inbound passengers diagnosed with dengue to identify at-risk groups and provide health promotion. Febrile travelers from dengue-endemic countries have been requested for dengue tests at airports since 2003 in Taiwan. A confirmed case was defined as a febrile traveler with a positive result in any of the following tests: dengue non-structural protein 1 (NS1) antigen, RT-PCR, or ≥ 4-fold increase in antibody titers. We enrolled dengue cases reported by quarantine officers at the Taoyuan International Airport during 2014–2018. Data on demographics, travel destinations, reasons for travel, and clinical symptoms were analyzed and compared between citizens and non-citizens. We identified 645 imported dengue cases, including 291 citizens and 354 non-citizens. Among them, 347 (54%) were male and the median age was 32 years (range: 5–73 years). Three hundred (47%) cases were detected during July – October; 611 (95%) had traveled to or from countries in Southeast Asia. Independent travel was the most common reason for travel (n = 217, 34%). Among non-citizens, 118 (33%) were migrant workers. Of 626 cases with fever (tympanic temperature ≥ 38℃), 269 (42%) had self-reported febrile illness. Other symptoms included respiratory symptoms (29%), gastrointestinal symptoms (4%), and rash (3%). Non-citizen cases were more likely to report no symptoms compared to citizen cases (20% vs. 13%, p<0.05). Quarantine officers should consider dengue screening for febrile travelers based on travelers’ countries of departure and reasons for travel, regardless of their subjective symptoms. We recommended that preventive strategies, including health education before traveling and health service provision to foreigners, be implemented to reduce the risks of contracting and spreading dengue. |
本系統中英文摘要資訊取自各篇刊載內容。