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[西班牙巴伦西亚市通报的虫媒病毒病病例的病媒管理(2016 - 2018年)。]

[Vector management of arbovirosis cases notified in the city of Valencia, Spain (2016-2018).].

作者信息

Bueno Marí Rubén, Quero de Lera Fermín

机构信息

Departamento de Investigación y Desarrollo (I+D). Laboratorios Lokímica. Paterna (Valencia). España.

Área de Parasitología, Departamento de Farmacia y Tecnología Farmacéutica y Parasitología. Universitat de València. Burjassot (Valencia). España.

出版信息

Rev Esp Salud Publica. 2021 May 10;95:e202105064.

PMID:33967267
Abstract

OBJECTIVE

Environmental management of imported arboviruses such as dengue (DENV), Zika (ZIKV) or Chikungunya (CHIKV) is a task of great significance for Public Health since the arrival and establishment of the competent vector Aedes albopictus (Asian tiger mosquito) in numerous cities of our country. There are recent examples of autochthonous transmission of some of these arboviruses in Spain probably linked to undetected and / or unmanaged imported cases.

METHODS

Vector management interventions were carried out in the city of Valencia (Spain) by the Health Service of the Valencia City Council between 2016 and 2018. These actions took place within the framework of a coordination protocol established with the Health authorities of the Valencia regional government.

RESULTS

A total of 21 arbovirus cases were reported and led to entomological surveillance and vector control interventions in the city of Valencia: 8 DENV, 7 CHIKV and 6 ZIKV. In 8 of these 21 cases (38%) the presence of Ae. Albopictus was detected within the risk zones established for each case.

CONCLUSIONS

Vector surveillance and control strategies associated with imported cases of arboviruses, provide accurate information on the environmental risks of amplification of these viruses and also allow reducing these risks through population control of vectors. Due to the short duration of the viremic phases, these interventions should be carried out as quickly as possible in order to reduce the hypothetical contact between the infected person and vector as much as possible.

摘要

目的

由于我国众多城市中出现了传播媒介白纹伊蚊(亚洲虎蚊)并得以定殖,对登革热(DENV)、寨卡病毒(ZIKV)或基孔肯雅病毒(CHIKV)等输入性虫媒病毒进行环境管理对公共卫生而言是一项意义重大的任务。近期在西班牙就有一些这些虫媒病毒本土传播的例子,可能与未被发现和/或未得到管控的输入病例有关。

方法

2016年至2018年期间,西班牙巴伦西亚市议会卫生服务部门在巴伦西亚市开展了媒介管理干预措施。这些行动是在与巴伦西亚地区政府卫生当局制定的协调协议框架内进行的。

结果

共报告了21例虫媒病毒病例,导致在巴伦西亚市开展了昆虫学监测和病媒控制干预措施:8例登革热病毒、7例基孔肯雅病毒和6例寨卡病毒。在这21例病例中的8例(38%)中,在为每个病例划定的风险区域内检测到了白纹伊蚊。

结论

与虫媒病毒输入病例相关的病媒监测和控制策略,提供了有关这些病毒环境增殖风险的准确信息,还能通过控制病媒数量来降低这些风险。由于病毒血症期持续时间较短,这些干预措施应尽快实施,以便尽可能减少感染者与病媒之间可能的接触。

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