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孟加拉国考克斯巴扎尔地区罗兴亚难民中未报告的腮腺炎疫情的经验教训。

Lessons learned from an under-reported mumps epidemic among Rohingya refugees in Cox's Bazar District, Bangladesh.

机构信息

Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.

Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.

出版信息

Trans R Soc Trop Med Hyg. 2020 Sep 1;114(9):635-638. doi: 10.1093/trstmh/traa048.

DOI:10.1093/trstmh/traa048
PMID:32585031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7456598/
Abstract

BACKGROUND

In 2018, a large mumps epidemic coincided with an outbreak of diphtheria in refugee camps established in Bangladesh for the Rohingya people. These refugees did not receive a mumps-containing vaccine.

METHODS

Cases of mumps were reported to the WHO's Early Warning, Alert and Response System (EWARS) during the Rohingya refugee crisis. The authors present amalgamated epidemiological data of a major, previously under-reported, mumps epidemic.

RESULTS

In total, 19 215 mumps cases across a total of 218 facilities were reported to EWARS during 2018. The attack rate was 2.1% of the whole population. Of these cases, 7687 (40%) were in children aged <5 y. Mumps was more commonly seen among males than females.

CONCLUSION

Detailed reporting of outbreaks of all vaccine-preventable diseases is essential to ensure appropriate vaccination decisions can be made in future humanitarian crises.

摘要

背景

2018 年,在为罗兴亚人在孟加拉国建立的难民营中,麻疹疫情与白喉疫情同时爆发。这些难民没有接种含麻疹疫苗。

方法

在罗兴亚难民危机期间,世界卫生组织(WHO)的早期预警、警报和反应系统(EWARS)报告了麻疹病例。作者呈现了一次重大的、以前报告不足的麻疹疫情的综合流行病学数据。

结果

2018 年,共有 19215 例麻疹病例在总共 218 个设施中向 EWARS 报告。总人群发病率为 2.1%。其中,7687 例(40%)发生在年龄<5 岁的儿童中。麻疹在男性中的发病率高于女性。

结论

详细报告所有可通过疫苗预防的疾病的爆发对于确保在未来的人道主义危机中能够做出适当的疫苗接种决策至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722f/7456598/485d11941ff4/traa048fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722f/7456598/485d11941ff4/traa048fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722f/7456598/485d11941ff4/traa048fig1.jpg

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本文引用的文献

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World Health Organization Early Warning, Alert and Response System in the Rohingya Crisis, Bangladesh, 2017-2018.世界卫生组织在罗兴亚危机中的早期预警、警报和应对系统,孟加拉国,2017-2018 年。
Emerg Infect Dis. 2018 Nov;24(11):2074-2076. doi: 10.3201/eid2411.181237. Epub 2018 Nov 17.
2
Vaccine-preventable diseases in humanitarian emergencies among refugee and internally-displaced populations.难民和境内流离失所人群在人道主义紧急情况下可通过疫苗预防的疾病。
Hum Vaccin Immunother. 2015;11(11):2627-36. doi: 10.1080/21645515.2015.1096457.
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