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2019冠状病毒病,澳大利亚:流行病学报告第15号(截至澳大利亚东部标准时间2020年5月10日23:59的报告周)

COVID-19, Australia: Epidemiology Report 15 (Reporting week to 23:59 AEST 10 May 2020).

出版信息

Commun Dis Intell (2018). 2020 May 15;44. doi: 10.33321/cdi.2020.44.43.

DOI:10.33321/cdi.2020.44.43
PMID:32438898
Abstract

Confirmed cases in Australia notified up to 10 May 2020: notifications = 6,971; deaths = 98. The incidence of new cases of COVID-19 has reduced dramatically since a peak in mid-March. The reduction in international travel, social distancing measures and public health action have likely been effective in slowing the spread of the disease, in the Australian community. Cases of COVID-19 continue to be notified by jurisdictions, albeit at a slowed rate. Testing rates over the past week have increased markedly, with a very low proportion of people testing positive. These low rates of detection are indicative of low levels of COVID-19 transmission. It is important that testing rates and community adherence to public health measures remain high to support the continued suppression of the virus, particularly in vulnerable high-risk groups and settings. In the past reporting week new cases in Australia are mostly considered to be locally acquired, consistent with the drop in international travel. Most locally-acquired cases can be linked back to a known case or cluster. Although the proportion of locally-acquired cases has increased, the overall rate of cases, regardless of place of acquisition, continues to decrease. The crude case fatality rate in Australia remains low (1.4%), compared with the WHO reported global rate (6.9%). The low case fatality rate is likely reflective of high case detection and high quality of health care services in Australia. Deaths from COVID-19 in Australia have occurred predominantly among the elderly and those with comorbidities, with no deaths occurring in those under 40 years. The highest rate of COVID-19 continues to be among people aged 60-79 years, with a third of these cases associated with several outbreaks linked to cruise ships. The lowest rate of disease is in young children, a pattern reflected in international reports. Internationally, cases continue to increase, with some areas such as Brazil and India showing a dramatic rise in reported cases. Although some low-income countries have currently reported few cases, it is possible that this is due to limited diagnostic and public health capacity, and may not be reflective of disease occurrence.

摘要

截至2020年5月10日澳大利亚通报的确诊病例:通报病例数 = 6971例;死亡98例。自3月中旬达到峰值以来,新冠病毒肺炎新增病例的发病率已大幅下降。国际旅行减少、社交距离措施和公共卫生行动可能有效地减缓了该疾病在澳大利亚社区的传播速度。尽管通报病例的速度有所放缓,但各辖区仍在继续通报新冠病毒肺炎病例。过去一周的检测率显著提高,检测呈阳性的人数比例非常低。这些低检测率表明新冠病毒的传播水平较低。重要的是,检测率和社区对公共卫生措施的遵守程度要保持在较高水平,以支持持续抑制病毒,特别是在脆弱的高风险群体和场所。在过去的报告周内,澳大利亚的新增病例大多被认为是本地感染的,这与国际旅行的减少相一致。大多数本地感染病例都可以追溯到已知病例或聚集性病例。尽管本地感染病例的比例有所增加,但无论感染地点如何,病例总数仍在继续下降。与世界卫生组织报告的全球病死率(6.9%)相比,澳大利亚的粗病死率仍然较低(1.4%)。低病死率可能反映了澳大利亚较高的病例检测率和高质量的医疗服务。澳大利亚新冠病毒肺炎死亡病例主要发生在老年人和患有合并症的人群中,40岁以下人群无死亡病例。新冠病毒肺炎发病率最高的仍是60-79岁的人群,其中三分之一的病例与几起与游轮相关的疫情有关。发病率最低的是幼儿,国际报告也反映了这一模式。在国际上,病例数继续增加,巴西和印度等一些地区报告的病例数急剧上升。尽管一些低收入国家目前报告的病例数很少,但这可能是由于诊断和公共卫生能力有限,不一定反映疾病的实际发生情况。

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