深圳市盐田区登革热疫情防控脆弱性调查

doi:10.12183/j.scjpm.2024.1025

华南预防医学 ›› 2024, Vol. 50 ›› Issue (11): 1025-1029.doi: 10.12183/j.scjpm.2024.1025

深圳市盐田区登革热疫情防控脆弱性调查

熊华威^1,4, 陈汉青^2,4, 黄宇城^3,4, 叶燕芬¹, 万佳¹, 刘阳¹, 林凯², 张振¹, 孔东锋¹

1.深圳市疾病预防控制中心,广东深圳 518073;
2.深圳市盐田区疾病预防控制中心;
3.河源市疾病预防控制中心;
4.深圳市现场流行病学培训项目

收稿日期:2024-06-05 出版日期:2024-11-20 发布日期:2024-12-04
通讯作者: 孔东锋,E-mail：316764183@qq.com
作者简介:熊华威（1987—）,男,大学本科,主管医师,研究方向：传染病预防与控制;陈汉青（1989—）,男,大学本科,主管医师,研究方向：传染病预防与控制。熊华威和陈汉青同为第一作者
基金资助:
深圳市医学重点学科（公共卫生重点专科）（SZXK064）; 深圳市‘医疗卫生三名工程’项目资助（SZSM202011008）; 广东省医学科学技术研究基金项目（A2024230）

Investigation on the vulnerability of dengue fever prevention and control in Yantian District, Shenzhen

XIONG Huawei^1,4, CHEN Hanqing^2,4, HUANG Yucheng^3,4, YE Yanfen¹, WAN Jia¹, LIU Yang¹, LIN Kai², ZHANG Zhen¹, KONG Dongfeng¹

1. Shenzhen Center for Disease Control and Prevention, Shenzhen, Guangdong 518073, China;
2. Yantian District Center for Disease Control and Prevention;
3. Heyuan Center for Disease Control and Prevention;
4. Shenzhen Field Epidemiology Training Program

Received:2024-06-05 Online:2024-11-20 Published:2024-12-04

摘要/Abstract

摘要： 目的评估深圳市盐田区登革热防控体系能力,为强化登革热疫情防控的薄弱环节提供科学依据。方法从全区选取4个区域,采用入户调查、专业机构访谈及问卷调查方法,调查评估辖区登革热疫情的输入风险、发现能力及扩散风险。结果输入风险方面：海关通过主动申报进行登革热筛查,全区流动人口比例高、国际游客数量多和输入病例发病率居全市之首;发现能力方面：大梅沙村居民对登革热的知晓率最低（42.31%）,暗径新村次之（50.75%）,89.47%辖区居民出现症状时会选择就医,全区医务人员登革热流行病学史知晓率较低（14.61%）,社康中心未配备非结构蛋白1（NS1）检测试剂;扩散风险方面：大梅沙村居民的防蚊意识较低（66.67%）,安装纱窗率仅11.54%,布雷图指数显示大梅沙村为高风险地区（BI=26）,中英街社区中风险（BI=18）,暗径新村低风险（BI=6）,渔民新村相对安全（BI=3）。结论盐田区面临登革热输入风险高,居民和医务人员对疾病认知不足,检测能力有限等问题,需加强全区防控措施和提高防蚊意识。

关键词: 深圳市, 登革热, 疫情防控, 脆弱性

Abstract: Objective To evaluate the ability of the dengue fever prevention and control system in Yantian District, Shenzhen, and provide scientific basis for strengthening the weak links in dengue fever prevention and control. Method Four areas were selected from the whole district, and household surveys, professional agency interviews, and questionnaire surveys were conducted to investigate and assess the risk of dengue fever importation, detection capability, and spread risk in the jurisdiction. Results Import risk: Customs conducted dengue fever screening through active declaration, and the proportion of migrant population in the district was high, the number of international tourists was large, and the incidence rate of imported cases ranked first in the city. Detection capability: Residents in Dameisha Village had the lowest awareness rate of dengue fever (42.31%), followed by residents in Anjing New Village (50.75%), 89.47% of residents in the jurisdiction would seek medical treatment when they had symptoms, the awareness rate of dengue fever epidemiological history among medical staff in the whole district was low (14.61%), and the community health center was not equipped with non-structural protein 1 (NS1) detection reagents. Diffusion risk: Residents in Dameisha Village had a low awareness of mosquito prevention (66.67%), and the rate of installing window screens was only 11.54%, the Breteau Index showed that Dameisha Village was a high-risk area (BI=26), Zhongying Street Community was a medium-risk area (BI=18), Anjing New Village was a low-risk area (BI=6), and Yumin New Village was relatively safe (BI=3). Conclusions Yantian District faces a high risk of dengue fever importation, with residents and medical staff lacking sufficient knowledge of the disease and limited detection capabilities. It is necessary to strengthen prevention and control measures throughout the district and raise awareness of mosquito prevention.

Key words: Shenzhen, Dengue fever, Epidemic prevention and control, Vulnerability

中图分类号:

R183.5

熊华威, 陈汉青, 黄宇城, 叶燕芬, 万佳, 刘阳, 林凯, 张振, 孔东锋. 深圳市盐田区登革热疫情防控脆弱性调查[J]. 华南预防医学, 2024, 50(11): 1025-1029.

XIONG Huawei, CHEN Hanqing, HUANG Yucheng, YE Yanfen, WAN Jia, LIU Yang, LIN Kai, ZHANG Zhen, KONG Dongfeng. Investigation on the vulnerability of dengue fever prevention and control in Yantian District, Shenzhen[J]. South China Journal of Preventive Medicine, 2024, 50(11): 1025-1029.

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深圳市盐田区登革热疫情防控脆弱性调查

Investigation on the vulnerability of dengue fever prevention and control in Yantian District, Shenzhen

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