Analysis of imported chikungunya fever cases detected at frontier ports of Guangdong Entry-Exit Inspection and Quarantine Bureau

doi:10.11853/j.issn.1003.4692.2013.04.025

Abstract

Abstract:

Objective To analyze the imported chikungunya fever cases detected at the frontier ports of Guangdong Entry-Exit Inspection and Quarantine Bureau and to provide a basis for control of imported infectious diseases. Methods Surveillance was conducted in the entry passengers at the frontier ports of Guangdong Entry-Exit Inspection and Quarantine Bureau from 2008 to 2011, and epidemiological investigation was carried out in the feverish passengers from the epidemic area of chikungunya fever. The blood samples of suspected cases were collected for laboratory test, and the information of positive cases were analyzed. Results Eleven cases of chikungunya fever, all from the epidemic area of chikungunya fever, were detected; of these imported cases, 9 were in the period of disease while passing the frontier ports, and the other 2 were in incubation period and had an onset in the observation period after entry. The mean age of the 11 cases was 40.2 years; most of them were young and middle-aged males. The primary detection method was fever surveillance. There were no secondary cases. Conclusion Control measures against chikungunya fever are properly taken by Guangdong Entry-Exit Inspection and Surveillance Bureau at frontier ports, thus effectively preventing the transmission of chikungunya virus through frontier ports.

Key words: Chikungunya fever, Surveillance, Imported, Port

摘要：

目的分析广东出入境检验检疫局口岸检出的输入性基孔肯雅热病例的监测情况,为输入性传染病防控工作提供参考依据。方法以广东出入境检验检疫局口岸2008－2011年入境人员作为调查对象,对来自基孔肯雅热流行区的发热人员进行流行病学个案调查,判定染疫嫌疑的采集样本送检,对阳性病例资料和检出情况进行分析。结果 11例病例均来自基孔肯雅热流行区;均为输入性病例,其中9例入境时在发病,2例入境后医学观察期间发病;平均年龄40.2岁,以男性中青年为主;体温监测是主要检出手段;未发生二代病例。结论广东出入境检验检疫局口岸防制基孔肯雅热的措施适当得力,能有效阻止基孔肯雅病毒通过口岸进行传播。

关键词: 基孔肯雅热, 监测, 输入性, 口岸

CLC Number:

R373.3

HUANG Li, ZHANG Xian-guang, ZHANG Wen, DENG Jing, LIN Shao-jia, WU Hui-ming, HUANG Ji-cheng, DAI Jun, PAN De-guan, HUANG Guo-wei, CHEN Yan-ling. Analysis of imported chikungunya fever cases detected at frontier ports of Guangdong Entry-Exit Inspection and Quarantine Bureau[J]. Chines Journal of Vector Biology and Control, 2013, 24(4): 357-360.

黄鹂, 张显光, 张文, 邓荆, 林少佳, 吴惠明, 黄吉城, 戴俊, 潘德观, 黄国卫, 陈艳玲. 广东出入境检验检疫局口岸输入性基孔肯雅热监测分析[J]. 中国媒介生物学及控制杂志, 2013, 24(4): 357-360.

References

[1] Powers AM, Logue CH. Changing patterns of Chikungunya virus:re-emergence of a zoonotic Arbovirus
[J]. J Gen Virol,2007,88(9):2363-2377.

[2] Simon F, Savini H, Parola P. Chikunyunya: a paradigm of emergence and globalization of vector borne diseases
[J]. Med Clin North Am,2008,92(6):1323-1343.

[3] Robinson MC. An epidemic of virus disease in Southern province, Tanganyika Territory,in 1952-1953
[J]. Trans R Soc Trop Med Hyg,1955,49(1):28.

[4] Ross RW. The Newala epidemic.Ⅲ. The virus:isolation,pathogenic properties and relationship to the epidemic
[J]. J Hyg,1956,54(2):177-191.

[5] Powers AM, Brault AC, Tesh RB,et al. Remergence of chikungunya and o'nyong-nyong viruses: evidence for distinct geographical lineages and distant evolutionary relationships
[J]. J Gen Virol,2000,81(2):471-479.

[6] 邱云李,戈静,闫晗,等. 皇岗口岸入境旅客对健康申报制度认知程度的调查
[J]. 中国国境卫生检疫杂志,2010,33(2):96-99.

[7] 高伟明. 论突发传染病疫情防控中的公民义务
[J]. 法商研究,2010,27(1):20-29.

[8] 聂维忠. 入境人员不如实申报健康状况应负的法律责任
[J]. 中国国境卫生检疫杂志,2009,32(4):234-235.

[9] 黄彤文,刘春芳,徐媛,等. 深圳口岸红外热成像体温监测结果分析
[J]. 中国国境卫生检疫杂志,2009,32(4):253-259.

[10] Rezza G,Nicoletti L,Angelini R, et al. Infection with Chikungunya virus in Italy: an outbreak in a temperate region
[J]. The Lancet, 2007,370(9602):1840-1846.

[11] Panning M, Grywna K, van Esbroeck M, et al. Chikungunya fever in travelers returning to Europe from the Indian Ocean region,2006
[J]. Emerg Infect Dis,2008,14(3):416-422.

[12] Gould EA, Gallian P, de Lamballerie X, et al. First cases of autochthonous dengue fever and chikungunya fever in France: from bad dream to reality
[J]. Clin Micro Infect,2010,16(12):1702-1704.

[13] Bonn D. How did chikungunya reach the Indian Ocean?
[J]. Lancet Infect Dis,2006,6(9):543.

[14] D'Ortenzio E, Grandadam M, Balley dier E, et al. A226V strains of Chikungunya virus, Réunion Island,2010
[J]. Emerg Infect Dis, 2011,17(2):309-310.

[15] Ho K, Ang LW, Tan BH, et al. Epidemiology and control of chikungunya fever in Singapore
[J]. J Infect,2011,62(4):263-270.

[16] Cordel H, Investigation G. Chikungunya outbreak on Reunion: update
[J]. Euro Surveill,2006,11(3):e060302.3.

[17] 施华芳,张海林,自登云,等. 云南首次从患者体内分离出基孔肯雅病毒
[J]. 中国人兽共患病杂志,1990,6(1):2-3.

[18] 董必军,陈文州,李秀维,等. 首次从海南岛蚊虫和蝙蝠中分离出2株基孔肯雅病毒
[J]. 中国媒介生物学及控制杂志,1993,4(3):205-208.

[19] 张海林,施华芳,刘丽华,等. 从云南省蝙蝠中分离基孔肯雅病毒及血清抗体调查
[J]. 病毒学报,1989,5(1):31-36.

[20] 米竹青,张海林,施华芳,等. 云南基孔肯雅病毒血清流行病学调查
[J]. 中国人兽共患病杂志,1993,9(2):36-37.

[21] Zheng K, Li J, Zhang Q, et al. Genetic analysis of Chikungunya viruses imported to mainland China in 2008
[J]. J Virol,2010,7(1):8.

[22] 林苗,李华,黄吉城,等. 广东出入境检验检疫局发现中国内地首例输入性基孔肯雅热病例
[J]. 中国国境卫生检疫杂志,2008,31(4):221-223.

[23] 张彦,刘起勇. 我国基孔肯雅热的流行状况
[J]. 中国媒介生物学及控制杂志,2011,22(3):289-292.

[24] 黄文丽,张海林,米竹青,等. 基孔肯雅病毒云南株的动物敏感性研究
[J]. 大理医学院学报,1998,7(4):13-15.

[25] 张海林,张云智,米竹青,等. 白纹伊蚊和埃及伊蚊经卵传递基孔肯雅病毒的研究
[J]. 病毒学报,1990,9(8):222-226.

[26] 张云智,张海林,米竹青,等. 云南白纹伊蚊感染和传播基孔肯雅病毒的研究
[J]. 中国媒介生物学及控制杂志,1996,7(2):122-134.

[27] 刘起勇. 环境有害生物防治
[M]. 北京:化学工业出版社,2004:15-16.