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2013年,河南禹州市首次发生输入性登革热暴发,通过启动联防联控机制,开展宣传教育、快速杀灭成蚊和消除蚊媒孳生地等措施,使登革热暴发流行得到有效控制。本次疫情控制存在如下问题:(1)对突发公共卫生事件发生缺乏足够认知;(2)疫情处置专业技能滞后与疫情控制需求反差;(3)疫情处置未能做到全面覆盖不留死角;(4)疫区处置盲目施药污染环境现象严重;(5)环境卫生差为病媒生物提供大量生存条件。思考输入性登革热暴发原因:(1)社会人员流动性增大出入境人员逐年递增是输入性登革热暴发的社会隐患;(2)城市扩张和发展导致媒介孳生场所和范围呈扩大趋势;(3)出国劳务人员卫生素质差并缺乏对传染病的个人防范意识。探讨输入性登革热控制对策:(1)搞好出国人员健康教育及其科普知识宣传;(2)开展入境人员疫情检验检疫监测和媒介监测;(3)搞好环境治理和蚊虫控制;(4)加强登革热科普知识宣传搞好灭蚊做好个人防护;(5)检验检疫部门联合当地疾控部门做好防制技能培训及其药械储备。
In 2013, the first outbreak of imported dengue occurred in Yuzhou City, Henan Province. Effective measures were taken to control the outbreak of dengue fever by initiating the joint prevention and control mechanism, carrying out propaganda and education, rapidly killing adult mosquitoes and eliminating mosquito breeding sites. The epidemic control has the following problems: (1) the lack of adequate knowledge of public health emergencies; (2) the lag in the professional skills of the epidemic disposition and the need of controlling the epidemic; (3) the overall coverage of the epidemic can not be fully covered Dead spots; (4) the epidemic area blind handling pesticide pollution of the environment is serious; (5) poor sanitation for the vector to provide a large number of living conditions. Reflections on the causes of imported dengue outbreaks: (1) Increased mobility of social workers Increasing numbers of entry-exit workers are a social risk to imported dengue outbreaks; (2) Urban expansion and development have led to a widening of the breeding grounds and range of media; (3) Poor quality of health workers abroad and the lack of personal awareness of infectious diseases. (2) carry out the inspection and quarantine inspection and media monitoring of the epidemic of persons entering the country; (3) do a good job in environmental governance and mosquito control; (4) do a good job in the prevention and control of imported dengue fever; (5) The inspection and quarantine departments should work together with the local disease control departments to train their prevention and control skills and reserve their drugstores.