目的总结2014年广西南宁市登革热暴发疫情特点及处置经验,为制定有效的登革热防控措施提供依据。方法收集南宁市2014年6~12月登革热暴发疫情及其处置的相关资料,并进行分析。结果2014年南宁市共报告登革热722例,其中输入性病例13例,本地病例709例。首例病例为输入性病例,疫情集中暴发在9月22至10月18日,平均单日暴发患者为20.70例。主要暴发地点在兴宁区、西乡塘区、青秀区、江南区,共695例占96.26%。患者男女性别比为1:1.41,发病年龄最小1岁,最大82岁,以15~〈45岁青壮年为主。职业以商业服务、家务、待业和离退人员为主。多数患者临床起病急,临床分型均为轻型;以发热、乏力、头痛、肌痛、关节痛、颜面潮红为主要表现;血标本基因分型主要为登革热病毒I型。疫情暴发时蚊媒密度为房屋指数为91.67,容器指数为24.90,布雷图指数为338.89,经消杀后均达到控制要求。结论南宁市登革热疫情是由输入性病例引起的本地登革热感染暴发。政府主导下各部门联防联控、快速灭蚊是成功处置登革热暴发疫情的关键。
Objective To summarize the characteristics and management of dengue fever outbreak in Nanning of Guangxi in 2014,and to provide the basis for formulating the effective measures of dengue fever prevention and control. Methods The data about dengue fever outbreak and its management in Nanning from June to December in 2014 were collected and analyzed. Results Totally 722 cases of dengue fever were reported in Narming in 2014,including 13 imported eases and 709 lecal cases. The first case was imported. The peak of the outbreak was from September 22 to October 18 ,with an average case of 20.70 per day. The common outbreak areas were distributed in Xingning District, Xixiangtang District,Qingxiu District and Jiangnan District,accounting for 96. 26% (totally 695 eases). The male-to-female ratio was 1 : 1.41. The youngest and oldest onset ages were 1 year and 82 year respectively. The patients were common in young adult aged 15 - 〈45 years. The occupations of patients mainly included business and service,housework, unemployment and retirees. Most patients had acute onset, and all of the cases were clinically classificated as the mild. The main clinical manifestations were fever, fatigue, headache, myalgia, arthrodynia and facial blushing. The main genotype of blood specimen was dengue fever virus type I. The house index, container index and Breteau index were 91.67,24.90 and 338.89,respectively, during the outbreak, and they met the requirement of controlling after disinfection. Conclusion The outbreak of dengue fever in Nanning is a local outbreak caused by the imported cases. The key to successful management of dengue fever outbreak is prevention, control and rapid mosquito eradication by the government-dominated alliance of various departments.