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寨卡病毒:墨西哥社会保障研究所的流行病学监测。

Zika virus: Epidemiological surveillance of the Mexican Institute of Social Security.

机构信息

Division of Epidemiological Surveillance of Communicable Diseases, Instituto Mexicano del Seguro Social (IMSS), Ciudad de México, México.

Unit of Primary Health Care, IMSS, Ciudad de México, México.

出版信息

PLoS One. 2019 Feb 11;14(2):e0212114. doi: 10.1371/journal.pone.0212114. eCollection 2019.

Abstract

INTRODUCTION

At the end of 2015, the first cases of Zika were identified in southern Mexico. During 2016, Zika spread as an outbreak to a large part of the country's coastal zones.

METHODOLOGY

The Zika epidemiological surveillance system records cases with clinical symptoms of Zika virus disease (ZVD) and those confirmed by means of a reverse polymerase chain reaction (RT-PCR) assay. This report includes the suspected and confirmed cases from 2016. Incidence rates were estimated by region and in pregnant women based on the proportion of confirmed cases.

RESULTS

In total, 43,725 suspected cases of ZVD were reported. The overall incidence of suspected cases of ZVD was 82.0 per 100,000 individuals and 25.3 per 100,000 Zika cases. There were 4,168 pregnant women with suspected symptoms of ZVD, of which infection was confirmed in 1,082 (26%). The estimated incidence rate of ZVD for pregnant women nationwide was 186.1 positive Zika cases per 100,000 pregnant women.

CONCLUSIONS

The incidence of Zika in Mexico is higher than that reported previously in the National System of Epidemiological Surveillance. Positive cases of Zika must be estimated and reported.

摘要

简介

2015 年底,首例 Zika 病例在墨西哥南部被发现。2016 年,Zika 作为疫情爆发并传播到该国大部分沿海地区。

方法

Zika 流行病学监测系统记录有 Zika 病毒病(ZVD)临床症状的病例和通过逆转录聚合酶链反应(RT-PCR)检测确诊的病例。本报告包括 2016 年的疑似和确诊病例。根据确诊病例的比例,按地区和孕妇分别计算发病率。

结果

共报告了 43725 例疑似 ZVD 病例。疑似 ZVD 总发病率为 82.0/10 万,疑似 Zika 病例为 25.3/10 万。有 4168 名孕妇出现疑似 ZVD 症状,其中 1082 例(26%)感染得到确诊。全国孕妇 Zika 发病率估计为每 10 万名孕妇中有 186.1 例 Zika 阳性病例。

结论

墨西哥 Zika 发病率高于国家流行病学监测系统之前报告的发病率。必须估计和报告 Zika 阳性病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaca/6370238/f59e07ab525e/pone.0212114.g001.jpg

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