2017年埃塞俄比亚索马里地区克布里达尔区登革热疫情流行病学描述

Mikias Alayu, Fikirte Girma, Mengistu Biru, T. Teshome, Desalegn Belay
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摘要

登革热是由登革热病毒(DENV)引起的,登革热病毒是黄病毒科黄病毒属的一员。这种病毒是由被感染的埃及伊蚊传播的。登革热有四种血清型,从登革热1型到登革热4型。登革热是最重要的再次出现的虫媒病毒性疾病之一,世界上一半以上的人口面临此病的风险。从2013年开始,埃塞俄比亚报告了1.2万多例病例。采用描述性横断面研究设计描述2017年5月至6月向埃塞俄比亚公共卫生研究所报告的kebrihar地区登革热暴发数据。运用Microsoft excel软件对比率、比例和比率进行分析,并以叙述、频率分布和图表的形式呈现结果。索马里地区克布里达尔区共报告了101例登革热病例。68.3%(69/101)为男性,9.9%(10/101)为住院病例。登革热病毒阳性率为76.9%(10/13)。病例中位年龄为27岁(IQR: 22 - 38)。病死率为零,发病率为每10万人86例。18.8%(19/101)的病例有出血。所有病例报告说,他们有开放的水容器,在发烧前6个月没有向房屋喷洒,蚊帐使用率为30.7%。男性和50 - 54岁的个体是高发人群。卫生部区域卫生局和区卫生局应开展病媒和环境控制活动。
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Epidemiological Description of Dengue Fever Outbreak in Kebridhar District, Somali Region, Ethiopia – 2017
Dengue fever is caused by dengue virus (DENV), a member of the genus Flavivirus, family Flaviviridae. The virus is transmitted by the infected female mosquito called Aedes aegypti. There are four serotypes, DENV1 through DENV4. Dengue fever is one of the most important re-emerging arboviral disease, more than half of the world’s population are at risk of this disease. Starting from 2013 over 12,000 cases were reported from Ethiopia. Descriptive cross-sectional study design was applied to describe dengue fever outbreak data from Kebridhar District reported to Ethiopian Public Health Institute from May to June 2017. Ratios, proportions and rates were analyzed by using Microsoft excel and findings were presented by narrations, frequency distributions and graphs. A total of 101 dengue fever cases were reported from Kebridhar District of Somali Region. Sixty-eight-point three percent (69/101) were males and 9.9% (10/101) cases were hospitalized. The positivity rate of dengue virus was 76.9% (10/13). The median age of cases was 27 years (IQR: 22 – 38). The case fatality rate was zero and the attack rate was 86 cases per 100,000 population. Eighteen-point eight percent (19/101) cases had bleeding. All cases reported that, they had open water containers, no spraying of houses for six months prior to the onset of the fever and bed net utilization rate was 30.7%. Males and 50 – 54 years old individuals were highly affected groups. Ministry of Health Regional Health Bureau and District Health Office should work on vector and environmental control activities.
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