Codrington John, Roosblad Jimmy, Baidjoe Amrish, Holband Natanael, Adde Antoine, Kazanji Mirdad, Flamand Claude
Academic Hospital, Paramaribo, Suriname.
Academich Hospital Paramaribo, Clinical Chemistry, Paramaribo, Suriname.
PLoS Curr. 2018 May 10;10:ecurrents.outbreaks.ff0f6190d5431c2a2e824255eaeaf339. doi: 10.1371/currents.outbreaks.ff0f6190d5431c2a2e824255eaeaf339.
Since the identification of ZIKV in Brazil in May 2015, the virus has spread extensively throughout the Americas. Cases of ZIKV infection have been reported in Suriname since October 2, 2015.
A laboratory-based surveillance system was quickly implemented according to previous experience with the emergence of chikungunya. General practitioners and public health centers located in different districts of Suriname were asked to send blood samples from suspicious cases to Academic Hospital for molecular diagnosis of Zika virus infection. We investigated Zika-related laboratory data collected during surveillance and response activities to provide the first outbreak report in Suriname in terms of time, location and person.
A total of 791 molecularly confirmed cases were reported during a 48-week interval from October 2015 to August 2016. The majority of ZIKV-positive cases involved women between 20 and 39 years of age, reflecting concern about Zika infection during pregnancy. The outbreak peaked in mid-January and gradually spread from the district of Paramaribo to western coastal areas.
This report provides a simple and comprehensive description of the outbreak in Suriname and demonstrates the utility of laboratory data to highlight the spatiotemporal dynamics of the outbreak in that country.
自2015年5月在巴西发现寨卡病毒以来，该病毒已在美洲广泛传播。自2015年10月2日起，苏里南已报告寨卡病毒感染病例。
根据先前应对基孔肯雅热疫情的经验，迅速实施了基于实验室的监测系统。要求位于苏里南不同地区的全科医生和公共卫生中心将可疑病例的血样送往学术医院，以进行寨卡病毒感染的分子诊断。我们调查了在监测和应对活动期间收集的与寨卡相关的实验室数据，以便从时间、地点和人员方面提供苏里南的首份疫情报告。
在2015年10月至2016年8月的48周期间，共报告了791例经分子确诊的病例。大多数寨卡病毒阳性病例为年龄在20至39岁之间的女性，这反映出人们对孕期寨卡病毒感染的担忧。疫情在1月中旬达到高峰，并从帕拉马里博区逐渐蔓延至西部沿海地区。
本报告对苏里南的疫情进行了简单而全面的描述，并证明了实验室数据在突出该国疫情时空动态方面的作用。
