2023年上海市浦东新区某住宅小区乌桕黄毒蛾幼虫引发的皮疹暴发事件调查

doi:10.11853/j.issn.1003.8280.2024.06.017

中国媒介生物学及控制杂志 ›› 2024, Vol. 35 ›› Issue (6): 719-722.DOI: 10.11853/j.issn.1003.8280.2024.06.017

2023年上海市浦东新区某住宅小区乌桕黄毒蛾幼虫引发的皮疹暴发事件调查

刘婧怡^1,2, 顾盈培^1,2, 元永艇^1,2, 于思雨^1,2, 刘俊^1,2, 葛鸽^1,2, 李慧慧^1,2, 刘汉昭^1,2

1. 上海市浦东新区疾病预防控制中心病媒生物控制与寄生虫病防制科, 上海 200136;
2. 复旦大学浦东预防医学研究院, 上海 200136

收稿日期:2024-01-31 出版日期:2024-12-20 发布日期:2024-12-20
通讯作者: 刘汉昭,E-mail:liuhanzhao641983@163.com
作者简介:刘婧怡,女,医师,主要从事病媒生物防制研究工作,E-mail:438594777@qq.com
基金资助:
上海市浦东新区卫生系统学科带头人培养计划（PWRd2023-12）；上海市浦东新区卫生健康委公共卫生高峰学科-传染病学（PWYggf2021-01）；上海市加强公共卫生体系建设三年行动计划（2023—2025年）重点学科（GWVI-11.1-02-传染病学）

Investigation of rash outbreak caused by larvae of Euproctis bipunctapex in a residence community in Pudong New Area, Shanghai, China, 2023

LIU Jing-yi^1,2, GU Ying-pei^1,2, YUAN Yong-ting^1,2, YU Si-yu^1,2, LIU Jun^1,2, GE Ge^1,2, LI Hui-hui^1,2, LIU Han-zhao^1,2

1. Department of Vector Control and Parasitic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention, Shanghai 200136, China;
2. Fudan University Pudong Institute of Preventive Medicine, Shanghai 200136, China

Received:2024-01-31 Online:2024-12-20 Published:2024-12-20
Supported by:
Health System Discipline Leader Training Plan of Shanghai Pudong New Area (No. PWRd2023-12);Public Health Highland Subject of Pudong Health Commission of Shanghai (No. PWYggf2021-01);Shanghai's Three-year Action Plan to Strengthen the Construction of Public Health System (2023-2025) Key Disciplines (No. GWVI-11.1-02. Infectious Diseases)

摘要/Abstract

摘要： 目的调查2023年上海市浦东新区某住宅小区内居民出现聚集性不明原因皮疹的病因,分析发病的危险因素。方法 2023年7月对事件发生小区出现症状的居民进行个案调查,针对小区开展环境调查,描述病例的流行病学特征,进行病例对照研究,鉴定虫种,采用SPSS 26.0软件对不同组别数据采用χ²检验进行统计学分析。单因素logistic回归分析用于危险因素分析。结果病例聚集的楼栋前乌桕树及路灯上发现大量鳞翅目幼虫,鉴定为乌桕黄毒蛾。病例红疹最多的部位为上肢（84.34%）,最少的部位为头面部（7.23%）。距离过敏源<50、50～100、>100 m范围内居民的红疹罹患率分别为81.32%、75.00%、25.00%,距离过敏源不同距离范围内的居民红疹罹患率差异有统计学意义（χ²=26.407,P<0.001）。不同年龄组中罹患率最高的是>60岁年龄组,其次是>50～60岁年龄组和>20～30岁年龄组。曾在过敏源50 m范围内停留[OR=14.79,95%置信区间（CI）：5.73～38.17,P=0.001]和最近1个月在小区空地晾晒过被子、衣物（OR=2.37,95% CI：1.05～5.36,P=0.038）是发生皮疹的危险因素。结论 2023年上海市浦东新区某住宅小区内居民出现的聚集性不明原因皮疹为一起由乌桕黄毒蛾幼虫引起的过敏性皮疹事件,乌桕黄毒蛾幼虫毒毛可随风飘散接触人体皮肤引起过敏性皮疹,在乌桕黄毒蛾幼虫毒毛飘散范围内晾晒被子也会导致过敏性皮疹。

关键词: 皮疹, 乌桕黄毒蛾, 暴发, 现场流行病学

Abstract: Objective To explore the cause of and risk factors for an clusters of unexplained rashes of residents occurred in a residence community in Pudong New Area, Shanghai, China in 2023. Methods Case studies were conducted on symptomatic residents in July 2023. Environmental surveys were carried out on the community. Epidemiological characteristics of cases were described. Meanwhile, case-control studies were conducted, and pest species were identified. SPSS 26.0 software and Chi-square test were used to statistically analyze the data of different groups. Univariate logistic regression analysis was used for risk factor analysis. Results A large number of Lepidoptera larvae were found on the Chinese tallow trees and street lamps in front of the building where the cases gathered, and they were identified as Euproctis bipunctapex. The body part with the highest incidence rate of rashes was the upper limbs (84.34%), and that with the lowest incidence rate of rashes was the head and face (7.23%). The attack rates of rashes among residents living less than 50 meters, between 50 meters and 100 meters, and greater than 100 meters away from allergens were 81.32%, 75.00%, and 25.00%, respectively, with significant differences (χ²=26.407, P<0.001). The highest attack rate was observed in the age group of >60 years, followed by the age groups of >50-60 years and >20-30 years. Staying within 50 meters away from allergens [odds ratio (OR)=14.79, 95% confidence interval (CI): 5.73-38.17, P=0.001] and drying quilts and clothes in the open space of the community in the last month (OR=2.37, 95% CI: 1.05-5.36, P=0.038) were risk factors for rashes. Conclusions This clusters of unexplained rashes that occurred in residents in a residence community in Pudong New Area, Shanghai in 2023 is an outbreak of allergic rash caused by larvae of E. bipunctapex, whose poisonous hairs are dispersed by the wind and cause allergic rashes in contact with human skin. Drying quilts within the dispersing range of the poisonous hairs of larvae of E. bipunctapex also causes allergic rashes.

Key words: Clusters of rash, Euproctis bipunctapex, Outbreak, Field epidemiology

中图分类号:

R392.8
R18

刘婧怡, 顾盈培, 元永艇, 于思雨, 刘俊, 葛鸽, 李慧慧, 刘汉昭. 2023年上海市浦东新区某住宅小区乌桕黄毒蛾幼虫引发的皮疹暴发事件调查[J]. 中国媒介生物学及控制杂志, 2024, 35(6): 719-722.

LIU Jing-yi, GU Ying-pei, YUAN Yong-ting, YU Si-yu, LIU Jun, GE Ge, LI Hui-hui, LIU Han-zhao. Investigation of rash outbreak caused by larvae of Euproctis bipunctapex in a residence community in Pudong New Area, Shanghai, China, 2023[J]. Chinese Journal of Vector Biology and Control, 2024, 35(6): 719-722.

参考文献

[1] Zhang JL, Wang Y, Ding JQ. List of pest insects on Triadica sebifera[J]. For Pest Dis, 2015, 34（5）:25-35. DOI:10.3969/j.issn.1671-0886.2015.05.006. （in Chinese）张家亮, 王毅, 丁建清. 乌桕害虫名录[J]. 中国森林病虫, 2015, 34（5）:25-35. DOI:10.3969/j.issn.1671-0886.2015.05.006.
[2] Su C, Jing J, Wang MM, et al. Effects of host plants on food consumption and development of Euproctis bipunctapex （Hampson）（Lepidoptera, Lymantriidae） [J]. Chin J Appl Entomol, 2015, 52（3）:686-693. （in Chinese）苏超, 景军, 王猛猛, 等. 寄主植物对乌桕黄毒蛾取食量及生长发育的影响[J]. 应用昆虫学报, 2015, 52（3）:686-693.
[3] Li XY, Zhou ZF, Zhou J, et al. Epidemiological survey of caterpillar dermatitis outbreak caused by Euproctis plana larva in a primary school in Shenzhen, Guangdong, 2013[J]. Dis Surveill, 2014, 29（7）:571-573. DOI:10.3784/j.issn.1003-9961.2014.07.017.（in Chinese）李学云, 周志峰, 周洁, 等. 2013年广东省深圳市某小学漫星黄毒蛾幼虫致皮炎暴发疫情的流行病学调查[J]. 疾病监测, 2014, 29（7）:571-573. DOI:10.3784/j.issn.1003-9961.2014.07.017.
[4] Ying XJ, Zhu XC, Guo WJ, et al. Investigation of a dermatitis outbreak caused by poisonous eucleid caterpillars[J]. Chin J Vector Biol Control, 2013, 24（5）:469-471. DOI:10.11853/j.issn.1003.4692.2013.05.028. （in Chinese）应锡钧, 竺小春, 过伟军, 等. 一起由毒刺蛾幼虫引起的皮疹暴发调查[J]. 中国媒介生物学及控制杂志, 2013, 24（5）:469-471. DOI:10.11853/j.issn.1003.4692.2013.05.028.
[5] Han FA, Hu Y, Gong YH, et al. Observation on modality of pathogenicity Lepidoptera Euileidae caterpillar and the clinic symptom of sufferer eucleid caterpillar dermatitis[J]. Jiangsu J Prev Med, 2005, 16（1）:13-16. DOI:10.3969/j.issn.1006-9070.2005.01.005. （in Chinese）韩方岸, 胡云, 龚玉华, 等. 致病性鳞翅目刺蛾幼虫形态及皮炎患者临床症状研究[J]. 江苏预防医学, 2005, 16（1）:13-16. DOI:10.3969/j.issn.1006-9070.2005.01.005.
[6] Han FA, Hu Y, Liu Y, et al. Epidemiological investigation on tea caterpillar dermatitis outbreak[J]. Chin J Parasit Dis Con, 2001, 14（2）:92-93. DOI:10.3969/j.issn.1673-5234.2001.02.029. （in Chinese）韩方岸, 胡云, 刘远, 等. 镇江市暴发茶毛虫皮炎的流行病学调查[J]. 中国寄生虫病防治杂志, 2001, 14（2）:92-93. DOI:10.3969/j.issn.1673-5234.2001.02.029.
[7] Qin ZH, Li ZP, Han YM. Investigation on morphology of pathogenic Eucleidae larva and toxigenic spine[J]. Chin J Parasit Dis Con, 1998, 11（3）:217-219. （in Chinese）秦志辉, 李朝品, 韩玉敏. 致病性刺蛾幼虫及其毒刺的形态观察[J]. 中国寄生虫病防治杂志, 1998, 11（3）:217-219.
[8] Zhao ZL. Fauna Sinica, Insecta Vol. 30 Lepidoptera:Lymantriidae[M]. Beijing:Science Press, 2003:442-443. （in Chinese）. 赵仲苓. 中国动物志昆虫纲第三十卷鳞翅目毒蛾科[M]. 北京:科学出版社, 2003:442-443.
[9] Li ZP, Qin ZH, Lu WY, et al. Study on the ecology of pathogenic Eucleidae larva[J]. J Anhui Univ Sci Technol, 1997, 17（4）:63-67. （in Chinese）李朝品, 秦志辉, 芦王英, 等. 致病性刺蛾幼虫的生态研究[J]. 淮南矿业学院学报, 1997, 17（4）:63-67.
[10] Xie X, Wang SH, Wang QY, et al. Investigation and monitoring and control of Pantana phyllostachysae in Menghai County[J]. For Inventory Plann, 2020, 45（3）:65-68. DOI:10.3969/j.issn.1671-3168.2020.03.013. （in Chinese）谢翔, 王仕华, 王巧燕, 等. 勐海县刚竹毒蛾调查监测及防治技术研究[J]. 林业调查规划, 2020, 45（3）:65-68. DOI:10.3969/j.issn.1671-3168.2020.03.013.
[11] Chen B, Xiong XP, Li Y, et al. An epidemiological survey of a caterpillar dermatitis outbreak caused by Perina nuda[J]. J Trop Med, 2020, 20（1）:116-118, 127. DOI:10.3969/j.issn.1672-3619.2020.01.026. （in Chinese）陈兵, 熊新平, 李苑, 等. 一起由榕透翅毒蛾幼虫引起皮炎暴发的流行病学调查[J]. 热带医学杂志, 2020, 20（1）:116-118, 127. DOI:10.3969/j.issn.1672-3619.2020.01.026.
[12] Ruan JR, Zhong CY, Huang JF. Epidemiological survey of outbreak of atopic dermatitis caused by Porthesia scintillans larva in a middle school in Xiamen[J]. Dis Surveill, 2017, 32（6）:528-530. DOI:10.3784/j.issn.1003-9961.2017.06.020. （in Chinese）阮菁如, 钟春燕, 黄佳峰. 福建省厦门市某中学双线盗毒蛾幼虫致过敏性皮炎暴发的流行病学调查[J]. 疾病监测, 2017, 32（6）:528-530. DOI:10.3784/j.issn.1003-9961.2017.06.020.

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2023年上海市浦东新区某住宅小区乌桕黄毒蛾幼虫引发的皮疹暴发事件调查

Investigation of rash outbreak caused by larvae of Euproctis bipunctapex in a residence community in Pudong New Area, Shanghai, China, 2023

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