Malik Mamunur Rahman, Mnzava Abraham, Mohareb Emad, Zayed Alia, Al Kohlani Abdulhakeem, Thabet Ahmed A K, El Bushra Hassan
World Health Organization, Egypt.
World Health Organization, Egypt.
J Epidemiol Glob Health. 2014 Sep;4(3):203-11. doi: 10.1016/j.jegh.2014.01.004. Epub 2014 Mar 15.
Little is known about the occurrence of chikungunya fever in the Eastern Mediterranean Region of the World Health Organization (WHO). In January 2011, the Ministry of Public Health and Population (MoPH&P) of Yemen reported to WHO an increasing number of "dengue-like" acute febrile illnesses of unknown origin from one of its coastal governorates. An epidemiological investigation was conducted in Al-Hudaydah governorate between 23 and 26 January 2011 by a joint team of WHO, the MoPH&P of Yemen and the U.S. Naval Medical Research Unit (NAMRU-3) in Cairo, Egypt. The investigation led to the detection of an outbreak of chikungunya in Yemen which was the first time ever from any of the 22 countries in the Eastern Mediterranean Region of WHO. Appropriate public health control measures were strengthened following the investigation, and the outbreak was contained. This paper provides a short description of the outbreak and its epidemiological characteristics and highlights the important lessons that were learned for early detection and control of chikungunya in countries where competent vectors for transmission of the virus exist.
对于世界卫生组织(WHO)东地中海区域基孔肯雅热的发生情况,人们了解甚少。2011年1月,也门公共卫生和人口部向WHO报告称,该国一个沿海省份出现了越来越多不明病因的“登革热样”急性发热疾病。2011年1月23日至26日,WHO、也门公共卫生和人口部以及位于埃及开罗的美国海军医学研究单位(NAMRU - 3)组成的联合小组,在荷台达省开展了一项流行病学调查。调查发现也门暴发了基孔肯雅热疫情,这是WHO东地中海区域22个国家中首次出现此类疫情。调查后加强了适当的公共卫生控制措施,疫情得到了控制。本文简要描述了此次疫情及其流行病学特征,并着重介绍了在存在该病毒有效传播媒介的国家中,早期发现和控制基孔肯雅热所吸取的重要经验教训。