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[捷克共和国输入性传染性感染的通报病例]

[Notified cases of imported transmisssible infections in the Czech Republic].

作者信息

Dlhý J, Benes C

出版信息

Epidemiol Mikrobiol Imunol. 2007 Feb;56(1):23-32.

PMID:17427751
Abstract

OBJECTIVES

Based on analysis of epidemiological characteristics, to determine trends in the incidence of imported transmissible diseases in the Czech Republic and to draw attention to the epidemiological significance of international tourism and migration.

MATERIAL AND METHODS

In cooperation with the National Reference Centre for Epidemiological Data Analysis, National Institute of Public Health Prague, the nationwide Epidat information system databases from 1993 to 2005 were analyzed using software Epi Info version 6.04d.

RESULTS

Between 1993 and 2005, altogether 12,091 cases of transmissible diseases were imported into the Czech Republic from 168 countries in the world. The notified annual incidence of imported infections ranges from 206 to 1,714 cases. The highest percentage of cases was imported by Czech tourists (50.7 %) while 40 % of the notified cases were imported into the Czech Republic by foreigners. The period 1998-2004 for which the data on Czech tourism to other countries are available is characterized by increase in the absolute number of imported cases while the relative incidence of imported cases per 100,000 population traveling to other countries shows a downward trend. The highest numbers of cases were imported from Viet Nam (1,258 cases), Slovakia (1,155 cases) and India (786 cases). When considering Czech tourism to other countries for which the corresponding data are available, the highest rates of imported diseases in 1998-2004 were linked to the travels to Tunisia (1.18 imported cases per 1,000 tours), Bulgaria (0.69 per 1,000 tours) and Turkey (0.65 per 1,000 tours). The leading diagnosis of imported cases was salmonellosis (22%), followed by campylobacteriosis (10%) and trichuriasis (8%).

CONCLUSION

Analysis of the Epidat information system databases for reporting transmissible diseases enables assessment of trends in imported infections in the Czech Republic as a point of departure for estimation of health risk from tourism and migration.

摘要

目的

通过分析流行病学特征,确定捷克共和国输入性传染病发病率的趋势,并提请注意国际旅游和移民的流行病学意义。

材料与方法

与布拉格国家公共卫生研究所国家流行病学数据分析参考中心合作,使用Epi Info 6.04d软件分析了1993年至2005年全国范围的Epidat信息系统数据库。

结果

1993年至2005年期间,捷克共和国共从世界168个国家输入了12091例传染病病例。通报的输入性感染年发病率在206至1714例之间。病例中比例最高的是由捷克游客输入的(50.7%),而通报病例中有40%是由外国人输入到捷克共和国的。1998 - 2004年期间有捷克到其他国家旅游的数据,其特点是输入病例的绝对数量增加,而每10万前往其他国家旅行的人口中输入病例的相对发病率呈下降趋势。病例数量最多的是从越南输入(1258例)、斯洛伐克(1155例)和印度(786例)。考虑到有相应数据的捷克到其他国家的旅游情况,1998 - 2004年输入疾病发生率最高的与前往突尼斯的旅行有关(每1000次旅行中有1.18例输入病例)、保加利亚(每1000次旅行中有0.69例)和土耳其(每1000次旅行中有0.65例)。输入病例的主要诊断是沙门氏菌病(22%),其次是空肠弯曲菌病(10%)和鞭虫病(8%)。

结论

对Epidat信息系统报告传染病的数据库进行分析,能够评估捷克共和国输入性感染的趋势,以此作为估计旅游和移民带来的健康风险的出发点。

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