School of Population Health, The University of Queensland, Herston, Queensland, Australia.
Epidemiol Infect. 2013 Nov;141(11):2328-34. doi: 10.1017/S0950268813000058. Epub 2013 Feb 1.
Sensitive surveillance systems are crucial for effective control of infectious disease outbreaks, and regional surveillance could provide valuable data to supplement global systems, improve sensitivity and timeliness of reporting, or capture otherwise undetected outbreaks. In New Zealand (NZ), there are no endemic arboviral diseases in humans, and the majority of dengue cases are imported from neighbouring Pacific Islands where comprehensive surveillance systems are under development. From 1997 to 2009, 679 cases of dengue were reported in NZ (74·2% acquired from the Pacific Islands), and the patterns of reported incidence of dengue acquired from different islands closely reflected local reported incidence in those areas. NZ is therefore in a unique position to provide early alerts on dengue outbreaks in the Pacific Islands. Such a strategy would reduce disease burden in both the Pacific Islands and NZ, and provide a model for transnational collaboration in disease surveillance with regional as well as global benefits.
敏感监测系统对于传染病爆发的有效控制至关重要，区域监测可以提供有价值的数据来补充全球系统，提高报告的敏感性和及时性，或发现否则无法检测到的疫情。在新西兰（NZ），人类没有地方性虫媒病毒病，大多数登革热病例是从正在开发综合监测系统的邻近太平洋岛屿输入的。1997 年至 2009 年，新西兰报告了 679 例登革热病例（74.2%是从太平洋岛屿输入的），从不同岛屿报告的登革热发病率模式与当地的报告发病率密切相关。新西兰因此处于一个独特的地位，可以对太平洋岛屿的登革热疫情提供早期警报。这种策略将减少太平洋岛屿和新西兰的疾病负担，并为具有区域和全球效益的疾病监测跨国合作提供模式。
