ラオスにおけるデング熱及びデング出血熱の流行状況と対策 : デング感染症サーベイランスの試み
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概要
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Since November 1992, control programs of viral infection, especially dengue fever (DF)/dengue hemorrhagic fever (DHF) were started in Vientiane municipality and Khammouane province in Lao PDR under the Japan International Cooperation Agency-Laos primary health care project. Programs for strengthening of the dengue surveillance were conducted in points of (1) sensitivity, (2) specificity, (3) appropriate size and (4) availability. Through these programs, new surveillance system and dengue network were tried in the both provinces. In 1994, DF/DHF outbreaks occurred in Vientiane and Khammouane with 1,590 and 489 cases respectively. The outbreaks in the both provinces started from rural areas where were believed to be dengue-free areas. The surveillance system enabled early detection of outbreaks and smooth information flow that permitted the prompt implementation of control measures such as vector control, health education to the community and active epidemiological survey. In addition, mobile team was organized in Khammouane to treat patients in remote areas. As a result, vector population and reported dengue cases decreased, and in Khammouane, fatal cases decreased after appropriate case management. The dengue infection was confirmed at a laboratory in Khammouane for the first time. All serotype and type 2 and 4 of dengue viruses were isolated in Vientiane and Khammouane respectively, indicating that both provinces are at the DHF risk areas. These findings support the effectiveness of the surveillance system and emphasize the necessity to continue programs of strengthening the surveillance for dengue control.
- 琉球医学会,Ryukyu Medical Associationの論文
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関連論文
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