UMR ESPACE 7300, CNRS, Aix Marseille University, Avignon Université, Université Nice Sophia-Antipolis, F-13545, Aix-en-Provence, France.
UMR MIVEGEC, IRD, CNRS, University of Montpellier, Centre IRD de Montpellier, F-34394, Montpellier, Cedex 5, France.
BMC Public Health. 2019 Jul 31;19(1):1014. doi: 10.1186/s12889-019-7317-9.
Many tropical countries are currently experiencing dengue (DEN), chikungunya (CHIK) and also more recently Zika (ZIKA) epidemics (particularly in Latin America). Although the risk of transmission and spread of these infections in temperate regions remains a controversial issue, vector-borne diseases have been widely reported in the media and have been the focus of preventive strategies by national and international policy-makers and public health authorities. In this context, we wanted to determine the extent of risk perception in infectious diseases (ID) physicians of the current and future risk of arboviral disease introduction, autochthonous case development and epidemic scenarios in France, Western Europe.
To this aim, we developed an original standardized questionnaire survey which was disseminated by the French Infectious Diseases Society to ID physician members.
We found that ID physicians perceived the risk of introduction and outbreak development of DEN, CHIK and ZIKA in France to be low to medium-low. Generalized Linear Model(s) identified medical school training, the extent of professional experience, and awareness of the French national plan regarding arboviral infections as significant predictors for lower risk perception among respondents.
Despite the fact that arboviral diseases are increasingly being imported into France, sometimes resulting in sporadic autochtonous transmission, French ID physicians do not perceive the risk as high. Better communication and education targeting health professionals and citizens will be needed to enhance the effectiveness of the French national plan to prepare against arboviral diseases.
许多热带国家目前正在经历登革热（DEN）、基孔肯雅热（CHIK）和最近的寨卡热（ZIKA）疫情（特别是在拉丁美洲）。尽管在温带地区这些感染的传播和扩散风险仍然存在争议，但媒介传播疾病已在媒体上广泛报道，并成为国家和国际政策制定者和公共卫生当局预防策略的重点。在这种情况下，我们想确定法国和西欧传染病（ID）医生对当前和未来虫媒病毒病传入、本地病例发生和流行情景风险的感知程度。
为此，我们开发了一个原始的标准化问卷调查，由法国传染病学会向 ID 医生成员分发。
我们发现，ID 医生认为 DEN、CHIK 和 ZIKA 在法国的传入和暴发发展风险为低至中低。广义线性模型确定医学院培训、专业经验程度以及对法国国家虫媒病毒感染计划的认识是受访者风险感知较低的重要预测因素。
尽管虫媒病毒病不断传入法国，有时导致散发性本地传播，但法国 ID 医生并未将风险视为高风险。需要更好地针对卫生专业人员和公民进行沟通和教育，以提高法国国家计划预防虫媒病毒病的有效性。
