云南省边境地区传染病跨境传播防控现状调查
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摘要
目的分析云南省传染病跨境传播的现状和防控措施,为监测和防控传染病跨境传播提供依据。方法以问卷调查、深入访谈和权威网站查询的方式收集云南省及其接壤国家传染病监测和防控信息,通过传染病疫情网络直报系统收集云南省2005—2017年境外输入性传染病个案,用EpiInfo 7.2进行统计学分析,用风险矩阵法评估境外传染病输入风险。结果 2017年云南省接壤的越南发生登革热181 054例、寨卡病毒病26例,缅甸发生登革热27 000例、乙脑306例,老挝发生登革热10 302例。2005—2017年云南省报告从缅甸、老挝、越南输入性疟疾、登革热等共8 252例,输入病例波动上升;2017年云南省报告登革热2 576例,发病率5.40/10万;疟疾326例,均为输入性病例;报告麻疹331例,其中德宏州和临沧市边境县报告232例,占全省病例的70.09%。云南省16个州(市)急性传染病跨境传播风险评估结果为:2个州(市)极高风险、3个州(市)高风险、5个州(市)中风险、5个州(市)低风险、1个州(市)极低风险。结论云南省边境地区急性传染病跨境传播的风险持续存在,需针对接壤国家传染病流行特点开展传染病监测和防控,有效控制传染病的跨境传播。
Objective To analyze the current situation and prevention of cross-border transmission of infectious diseases in Yunnan province,and to provide evidence for the surveillance,control and prevention of infectious diseases in border areas.Methods Through questionnaire surveys,in-depth interview and searching on website,the surveillance,prevention and control information of infectious diseases in Yunnan and neighboring countries had been collected.The imported cases in Yunnanwere collected from the Infectious Diseases Report System of China.The data was analyzed by using EpiInfo 7.2 software.The risk matrix method was used to evaluate the risk of imported infectious diseases.Results In 2017,there were 181 054 cases of Dengue fever and 26 cases of Zika fever had been reported in Vietnam,27 000 cases of Dengue fever and 306 cases of Japanese encephalitis in Myanmar,and 10 302 cases of Dengue fever in Laos.From 2005 to 2017,a total of 8 252 cases of malaria and dengue fever imported from Myanmar,Laos and Vietnam.In 2017,a total of 2 576 cases of Dengue fever had been reported in Yunnan,with incidence rate was 5.4 per 100 thousand.Among the cases,the 326 cases of malaria were all importedof the 331 cases of measles were reported in the neighboring counties in Dehong and Lincang.The risk assessment of cross-border infectious diseases indicated that 2 prefectures were extremely high risk,3 prefectures were high risk,5 prefectures were middle risk,and low risk in 5 prefectures,extremely low risk in1 prefecture of Yunnan.ConclusionThe risk of infectious disease cross-border spread persisted in Yunnan province.The surveillance,prevention and control should be strengthen based on the characteristics of infectious diseases in neighboring countries,to stop the cross-border spread of infectious diseases effectively.
Objective To analyze the current situation and prevention of cross-border transmission of infectious diseases in Yunnan province,and to provide evidence for the surveillance,control and prevention of infectious diseases in border areas.Methods Through questionnaire surveys,in-depth interview and searching on website,the surveillance,prevention and control information of infectious diseases in Yunnan and neighboring countries had been collected.The imported cases in Yunnanwere collected from the Infectious Diseases Report System of China.The data was analyzed by using EpiInfo 7.2 software.The risk matrix method was used to evaluate the risk of imported infectious diseases.Results In 2017,there were 181 054 cases of Dengue fever and 26 cases of Zika fever had been reported in Vietnam,27 000 cases of Dengue fever and 306 cases of Japanese encephalitis in Myanmar,and 10 302 cases of Dengue fever in Laos.From 2005 to 2017,a total of 8 252 cases of malaria and dengue fever imported from Myanmar,Laos and Vietnam.In 2017,a total of 2 576 cases of Dengue fever had been reported in Yunnan,with incidence rate was 5.4 per 100 thousand.Among the cases,the 326 cases of malaria were all importedof the 331 cases of measles were reported in the neighboring counties in Dehong and Lincang.The risk assessment of cross-border infectious diseases indicated that 2 prefectures were extremely high risk,3 prefectures were high risk,5 prefectures were middle risk,and low risk in 5 prefectures,extremely low risk in1 prefecture of Yunnan.ConclusionThe risk of infectious disease cross-border spread persisted in Yunnan province.The surveillance,prevention and control should be strengthen based on the characteristics of infectious diseases in neighboring countries,to stop the cross-border spread of infectious diseases effectively.
引文
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[20]樊帆,丁峥嵘,李琼芬,等.2016年云南省脊髓灰质炎疫情输入传播风险评估[J].疾病监测,2017,32(7):548-552.
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[22]郑克勤,李洪,舒扬,等.云南省跨国婚姻中缅甸籍妇女传播艾滋病的风险评估及对策探讨[J].皮肤病与性病,2009,31(1):47-49.
[23]尹授钦,丰俊,夏尚,等. 2012-2014年云南省边境地区输入性疟疾病例流行特征分析[J].中国血吸虫病防治杂志,2016,28(3):252-257.
[24]毛祥华,邓艳,董莹,等.云南省输入性疟疾病例时间分布特征分析[J].中国血吸虫病防治杂志,2017,29(4):445-448.
[2]卢冉,尹洁,林燕,等.2013-2017年云南省边境地区输入性传染病流行病学特征分析[J].现代预防医学,2018,45(14):2505-2509.
[3]赵世文,陆林,刘晓强.简析云南省边境地区疾病监测及突发事件处置模式[J].现代预防医学,2008(6):1026-1033.
[4]尹授钦,夏尚,周兴武,等.云南省边境地区疟疾传播风险评估[J].中国寄生虫学与寄生虫病杂志,2016,34(3):255-260.
[5] United Nations Development Programme. The Government of the Socialist Republic of Viet Nam And The United Nations in Viet Nam,ONE OPEN,2012[EB/OL]. http://www.undp.org/.
[6] World Health Organization.WHO Country Cooperation Strategy Myanmar 2014-2018[EB/OL]. https://www.who.int/countries/mmr/en/.
[7] World Health Organization.World health statistics 2017[EB/OL].https://www.who.int/topics/statistics/en/.
[8] World Health Organization.The World Health Organization in Viet Nam,2018[EB/OL]. https://www.who.int/countries/vnm/en/.
[9] World Health Organization.World health statistics 2018:monitoring health for the SDGs,sustainable development goals. 2018[EB/OL]. https://www.who.int/gho/publications/world_health_statistics/2018/en/.
[10]闫世春,王晓平,安莹,等.风险矩阵法在传染病类突发公共卫生事件风险评估中的应用[J].中国公共卫生管理,2013,29(6):787-788.
[11] World Health Organization.Global Health Observatory(GHO)data,2018[EB/OL]. https://www.who.int/gho/about/en/.
[12] International Society for Infectious Diseases,the Program for Monitoring Emerging Diseases,2018[EB/OL]. https://www.isid.org/promed-report-map-q2/.
[13]中国疾病预防控制中心公共卫生监测和信息服务中心.中国甲乙丙类传染病疫情动态简介[J].疾病监测,2018,33(1):1.
[14]徐明江,张新花,梁文杰.中国与东盟国家医疗保障体系比较研究[J].医学与哲学(A),2013,34(12):67-69.
[15]刘万洋,刘炯,陈杰,等.发展中国家公共卫生监测[J].中国卫生事业管理,2003(12):763-764.
[16]孙丽娟,宫开庭.越南医疗卫生体制发展与改革概述[J].中国卫生经济,2015,3409):93-95.
[17] World Health Organization.World health statistics 2016:monitoring health for the SDGs,sustainable development goals,2016[EB/OL].https://www.who.int/topics/statistics/en/.
[18] WHO and UN partner. Lao People's Democratic Republic:WHO statistical profil,2016[EB/OL].https://www.who.int/topics/statistics/en/.
[19]叶莎莎,张新花,施丹,等.中国与东盟国家卫生筹资体系比较研究[J].现代医院管理,2016,14(4):33-37.
[20]樊帆,丁峥嵘,李琼芬,等.2016年云南省脊髓灰质炎疫情输入传播风险评估[J].疾病监测,2017,32(7):548-552.
[21]李琼芬,刘晓强,聂绍发.云南跨国边境地区突发公共卫生事件应对机制[J].中国公共卫生,2008,24(7):859.
[22]郑克勤,李洪,舒扬,等.云南省跨国婚姻中缅甸籍妇女传播艾滋病的风险评估及对策探讨[J].皮肤病与性病,2009,31(1):47-49.
[23]尹授钦,丰俊,夏尚,等. 2012-2014年云南省边境地区输入性疟疾病例流行特征分析[J].中国血吸虫病防治杂志,2016,28(3):252-257.
[24]毛祥华,邓艳,董莹,等.云南省输入性疟疾病例时间分布特征分析[J].中国血吸虫病防治杂志,2017,29(4):445-448.