Vasquez Diego, Palacio Ana, Nuñez Jose, Briones Wladimir, Beier John C, Pareja Denisse C, Tamariz Leonardo
Diego Vasquez and Jose Nuñez are with the Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador. Ana Palacio and Leonardo Tamariz are with the Department of Medicine, Miller School of Medicine, University of Miami, Miami, FL. Wladimir Briones is with the Ministerio de Salud Publica del Ecuador, Quito, Ecuador. John C. Beier is with the Department of Public Health Sciences, Miller School of Medicine, University of Miami. Denisse C. Pareja is with the Geriatric Research Education and Clinical Center, Veterans Affairs Medical Center, Miami.
Am J Public Health. 2017 Jul;107(7):1137-1142. doi: 10.2105/AJPH.2017.303769. Epub 2017 May 18.
To evaluate the impact of the April 2016 7.8-magnitude earthquake in Ecuador on the incidence of Zika virus (ZIKV) cases.
We used the national public health surveillance system for reportable transmissible conditions and included suspected and laboratory-confirmed ZIKV cases. We compared the number of cases before and after the earthquake in areas closer to and farther from the epicenter.
From January to July 2016, 2234 patients suspected of having ZIKV infection were reported in both affected and control areas. A total of 1110 patients had a reverse transcription-polymerase chain reaction assay, and 159 were positive for ZIKV. The cumulative incidence of ZIKV in the affected area was 11.1 per 100 000 after the earthquake. The odds ratio of having ZIKV infection in those living in the affected area was 8.0 (95% CI = 4.4, 14.6; P < .01) compared with the control area and adjusted for age, gender, province population, and number of government health care facilities.
A spike in ZIKV cases occurred after the earthquake. Patients in the area closest to the epicenter had a delay in seeking care.
评估2016年4月厄瓜多尔发生的7.8级地震对寨卡病毒（ZIKV）病例发病率的影响。
我们使用国家公共卫生监测系统来报告应报告的传染病情况，并纳入了疑似和实验室确诊的ZIKV病例。我们比较了震中附近和较远地区地震前后的病例数。
2016年1月至7月，受灾地区和对照地区共报告了2234例疑似ZIKV感染患者。共有1110例患者进行了逆转录-聚合酶链反应检测，其中159例ZIKV呈阳性。地震后受灾地区ZIKV的累积发病率为每10万人11.1例。与对照地区相比，居住在受灾地区的人感染ZIKV的比值比为8.0（95%CI = 4.4, 14.6；P <.01），并对年龄、性别、省份人口和政府医疗设施数量进行了调整。
地震后ZIKV病例数激增。震中附近地区的患者寻求治疗出现延迟。
