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摘要


登革熱是一種透過蚊蟲叮咬而傳染的急性病毒性傳染病,每年都對許多熱帶與亞熱帶地區造成極大的社會經濟與疾病的負擔。目前全世界有125個國家的人生活在登革熱流行區,每年也造成近4億人感染登革熱,與造成21.000人因登革熱死亡。對於登革熱,目前尚無成功有效的疫苗與藥物。根據我國疾病管制署的統計,2015年5月1日到10月5日,全國共有20,972例本土案例,已確定有56例死亡案例是與登革熱相關。登革熱的擴散增快被認為是當代的氣候動態、全球化、旅遊、貿易、社會經濟的改變、移民與登革病毒的演化所致。有效控制病媒蚊的孳生是登革熱防治的重心,防疫如同作戰,任何疫情發生於社區均必須視之為一種危機,並採取適當的危機處理機制。登革熱防治必須採取社區總動員方式,透過多重管道作好民眾教育,凝聚社區的共識,由政府各單位為主幹,配合民眾主動參與,於同一時間內將病媒蚊的孳生源、盡量清除,才能有效地防止登革熱在社區內造成流行。

關鍵字

登革熱 社區防治

並列摘要


Dengue is an acute mosquito-borne viral infection that places a significant socioeconomic and disease burden on many tropical and subtropical regions of the world annually. Transmission of dengue disease is now present in every World Health Organization region of the world and more than 125 countries are known to be dengue endemic. It infects about 400 million people per year and leads to about 21,000 deaths annually. There is no available effective vaccine or drug therapy. According to the statistic report of Taiwan Center for Disease Control, there are 20,972 cases of dengue reported in Taiwan from May first to October 5th of 2015, and causes at least 56 deaths. The expansion of dengue epidemics is expected to increase due to factors such as the modern dynamics of climate change, globalization, travel, trade, socioeconomics, settlement and also viral evolution. Effective vector control is the mainstay to prevent and control dengue disease. Infection prevention is like a war, we have to consider every infection outbreak in community as a crisis and take some adequate crisis management. In order to prevent dengue outbreak in the community, we need total involvement of whole community, education through multiple channels, cohering community consensus, taking government organization as stem, accompanying active participation of community, and then effectively eradicate the vector in the same time period as possible.

並列關鍵字

dengue fever community control

參考文獻


洪敏南、陳瑞光、許寶仁等:2014年臺灣登革死亡病例剖析。疫情報導 2015;31:419­30. [Hung MN, Chen JK, Hsu PJ, Chen TC, Lin CY, Chen YS, Liu JW. Fatal cases in the 2014 dengue epidemic in Taiwan. Taiwan Epidemiology Bulletin 2015;31(17)419-30.]"
Lin TH: Surveillance and control of Aedes aegypti in epidemic areas of Taiwan. Gaoxiong Yi Xue Ke Xue Za Zhi 1994;10 Suppl:S88-93."
Guzman MG, Kouri G: Dengue: an update. Lancet Infect Dis 2002;2:33-42."
Gubler DJ: Dengue, Urbanization, and Globalization: The Unholy Trinity of the 21(st) Century. Trop Med Health 2011;39(Suppl 4):3-11."
WHO: Dengue: Guidelines for treatment, prevention and control. Geneva: World Health Organization, 2009."

被引用紀錄


陳真美、鄭珮如、黃靖詒、簡吟靜、白家柔、蔡昱暉、莊惠萍(2016)。社區為夥伴模式於社區健康評估之運用台灣醫學20(6),559-569。https://doi.org/10.6320/FJM.2016.20(6).1

延伸閱讀


  • 馮明珠、盧柏樑(2003)。登革熱病患的護理護理雜誌50(2),87-91。https://doi.org/10.6224/JN.50.2.87
  • (2015)。登革熱簡介與預防首都中醫報導(27),4-4。https://www.airitilibrary.com/Article/Detail?DocID=P20121015003-201509-201510010003-201510010003-4-4
  • 譚偉恩、盧信吉(2015)。流行性疾病與公衛治理:以登革熱的防治為例戰略安全研析(123),40-48。https://doi.org/10.30382/SSA.201507_(123).0005
  • 李杰(2019)。Dengue Fever內科學誌30(3),204-212。https://doi.org/10.6314/JIMT.201906_30(3).05
  • (2008). Dengue Fever. Statistics Of Communicable Diseases and Surveillance Report Republic China, (), 115-117. https://doi.org/10.30170/SCDSRRC.200812.0033

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