Guo Yu-Hong, Lai Sheng-jie, Liu Xiao-Bo, Li Gui-Chang, Yu Hong-Jie, Liu Qi-Yong
WHO Collaborating Centre for Vector Surveillance and Management, State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
Division of Infectious Diseases, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing 102206, China; Department of Geography and Environment, University of Southampton, Southampton SO17 1BJ, UK.
Acta Trop. 2016 Apr;156:17-21. doi: 10.1016/j.actatropica.2015.12.011. Epub 2015 Dec 29.
China experienced an unprecedented outbreak of dengue fever in 2014, the National Health and Family Planning Commission of the People's Republic of China (NHFPC) carried out a series of supervision work on integrated vector management (IVM), and Chinese Center for Disease Control and Prevention (China CDC) conducted a rapid detection on vector density in some areas with high dengue incidence. The goal of this study was to explain the effect of these actions, which play an important role for dengue control, and we wish to give a good example for dengue control in China, even in the world.
Compare mosquito vector density with Breteau Index (BI) and dengue incidence after or along with control work vs. before. Data was entered and analyzed by Microsoft Excel 2007 and SPSS19.0.
Average value of BI from 22.82 in September dropped to 3.93 along with supervision and rapid detection. BI showed a significant decrease (paired sample t-test, t=3.061, P=0.018≺0.05). Dengue incidence decreased gradually along with supervision and rapid detection.
Supervised work on IVM by NHFPC and the rapid detection on dengue vector Aedes by China CDC promoted to cut down the dengue vector density, then reduced dengue incidence; both played an important role for dengue control throughout China in 2014.
2014年中国经历了前所未有的登革热疫情，中华人民共和国国家卫生和计划生育委员会（国家卫计委）开展了一系列关于综合媒介管理（IVM）的监督工作，中国疾病预防控制中心（中国疾控中心）对一些登革热高发地区的媒介密度进行了快速检测。本研究的目的是阐释这些行动的效果，这些行动对登革热防控起到了重要作用，我们希望能为中国乃至世界的登革热防控提供一个良好范例。
将控制工作开展后或进行过程中的蚊虫媒介密度与布雷图指数（BI）以及登革热发病率与之前进行比较。数据通过Microsoft Excel 2007和SPSS19.0录入并分析。
随着监督和快速检测工作的开展，BI的平均值从9月的22.82降至3.93。BI呈现出显著下降（配对样本t检验，t = 3.061，P = 0.018≺0.05）。随着监督和快速检测工作的开展，登革热发病率逐渐下降。
国家卫计委对IVM的监督工作以及中国疾控中心对登革热媒介伊蚊的快速检测促使登革热媒介密度降低，进而降低了登革热发病率；二者在2014年中国全国的登革热防控中都发挥了重要作用。
