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新型冠状病毒(2019-CoV)大流行期间行动管制令(MCO)对马来西亚半岛登革热病例的影响。

The impact of novel coronavirus (2019-CoV) pandemic movement control order (MCO) on dengue cases in Peninsular Malaysia.

作者信息

Rahim Mohd Hafiz, Dom Nazri Che, Ismail Sharifah Norkhadijah Syed, Mulud Zamzaliza Abd, Abdullah Samsuri, Pradhan Biswajeet

机构信息

Centre of Environmental Health & Safety, Faculty of Health Sciences, UITM Cawangan Selangor, Universiti Teknologi MARA (UiTM), 42300 Puncak Alam, Selangor, Malaysia.

Integrated Mosquito Research Group (I-MeRGe), UITM Cawangan Selangor, Universiti Teknologi MARA (UiTM), 42300 Puncak Alam, Selangor, Malaysia.

出版信息

One Health. 2021 Jan 29;12:100222. doi: 10.1016/j.onehlt.2021.100222. eCollection 2021 Jun.

Abstract

This study has highlighted the trend of recently-reported dengue cases after the implementation of the Movement Control Orders (MCOs) caused due to COVID-19 pandemic in Malaysia. The researchers used the dengue surveillance data published by the Malaysian Ministry of Health during the 3 phases of MCO (which ranged between 17th March 2020 and 28 April 2020) was used for determining the cumulative number of dengue patients. Thereafter, the dengue cases were mapped using the Geographical Information System (GIS). The results indicated that during the 42 days of MCO in Peninsular Malaysia, 11,242 total cases of dengue were reported. The daily trend of the dengue cases showed a decrease from 7268 cases that occurred before the MCOs to 4662 dengue cases that occurred during the initial 14 days of the COVID-19 pandemic (i.e., MCO I), to 3075 cases occurring during the MCO II and 3505 dengue cases noted during MCO III. The central peninsular region showed a maximal decrease in new dengue cases (52.62%), followed by the northern peninsular region (1.89%); eastern coastal region (1.25%) and the southern peninsular region (1.14%) during the initial MCO implementation. However, an increase in the new dengue cases was noted during the MCO III period, wherein all states showed an increase in the new dengue cases as compared during MCO II. The decrease in the pattern was not solely based on the MCO, hence, further investigation is necessary after considering different influencing factors. These results have important implication for future large-scale risk assessment, planning and hazard mitigation on dengue management.

摘要

本研究突出了马来西亚因新冠疫情实施行动管制令(MCO)后近期报告的登革热病例趋势。研究人员使用了马来西亚卫生部在MCO三个阶段(2020年3月17日至2020年4月28日)公布的登革热监测数据来确定登革热患者的累计数量。此后,使用地理信息系统(GIS)绘制登革热病例地图。结果表明,在马来西亚半岛实施MCO的42天里,共报告了11242例登革热病例。登革热病例的每日趋势显示,从MCO实施前的7268例下降到新冠疫情初期(即MCO I)的14天内出现的4662例登革热病例,再到MCO II期间出现的3075例以及MCO III期间记录的3505例登革热病例。在MCO实施初期,半岛中部地区新登革热病例下降幅度最大(52.62%),其次是半岛北部地区(1.89%)、东部沿海地区(1.25%)和半岛南部地区(1.14%)。然而,在MCO III期间新登革热病例有所增加,与MCO II期间相比,所有州的新登革热病例均有所增加。病例数下降的模式并非仅基于MCO,因此,在考虑不同影响因素后有必要进一步调查。这些结果对未来登革热管理的大规模风险评估、规划和危害缓解具有重要意义。

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