广西柳州市常见蚊媒传染病流行风险评估研究.docVIP

广西柳州市常见蚊媒传染病流行风险评估研究 吕榜军 陈蔚恩 梁忠福 俞泉宇 余钧池 柳州市疾病预防控制中心 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 通过开展蚊媒传染病综合监测, 并开展风险评估, 为蚊媒传染病防控提供依据。方法 蚊媒传染病分析采用描述性流行病学方法;成蚊密度监测采用诱蚊灯法, 白纹伊蚊专项监测采用诱蚊诱卵器法。利用聚合酶链式反应技术 (PCR) 检测方法对收集到的蚊虫开展登革病毒、乙脑病原学检测;风险评估利用曾晓巩的病媒生物风险评估体系并适当增加指标。结果 柳州市2005-2016年共报告3种蚊媒传染病计149例, 年均发病率0.35/10万, 其中乙型脑炎72例、疟疾74例、登革热3例;2016年311月共捕获雌性蚊9 535只, 以致倦库蚊为优势种群占86.49% (8247/9 535) , 其它依次为中华按蚊占6.50% (620/9 535) 、骚扰阿蚊占4.16% (397/9 535) 、白纹伊蚊占2.84% (271/9535) ;诱蚊诱卵器平均指数达20.45, 公园平均指数最高25.40, 花鸟市场最低6.26;共捕获到的8 247只致倦库蚊用螺旋管分成成224份标本进行乙脑病毒核酸检测, 结果显示有9份为阳性, 阳性率4.02%;对捕获到的271只白纹伊蚊分装成14份进行登革热病毒核酸检测, 结果均为阴性。综合判断乙型脑炎、疟疾风险评价指数为低危险度风险, 登革热为中等危险度风险。结论 开展蚊媒传染病风险评估是可行的;柳州市登革热存在一定风险, 需要加强蚊媒传染病监测和蚊媒孳生环境的综合治理。 关键词： 蚊媒传染病; 流行特征; 综合监测; 风险评估; 作者简介：吕榜军 (1977-) , 男, 副主任医师, 主要研究方向:传染病预防与控制, E-mail:lujun05@163.com 收稿日期：2017-05-18 基金：广西卫计委科技项目 (Z2016016) Study on the integrated monitoring and risk assessment of main mosquito-borne diseases in Liuzhou City of Guangxi LV Bangjun CHEN Weien LIANG Zhongfu YU Quanyu YU Junchi Liuzhou City Center for Disease Control and Prevention; Abstract： Objective To provide evidence for prevention and control of mosquito-borne diseases by integrated monitoring and conducting risk assessment of mosquito-borne diseases. Methods The data of mosquito-borne diseases were analyzed by the method of descriptive epidemiology; the lamp-trapping method was used for mosquito monitoring; and the mosq-ovitrap was used for Aedes albopictus monitoring; detection of Dengue virus and epidemic encephalitis B in mosquito by Poymerase Chain Reaction; risk assessment was completed using the methld proposed by ZENG Xiaogong. Results A total of 149 cases of mosquito-borne diseases were reported accumulatively in Liuzhou during 2005-2016 with the annual average incidence of 0. 35/100000, and there were 72 cases with epidemic encephalitis B, 74 cases with malaria, 3 cases with dengue fever. From March to November 2016, 9 536 mosquitoes