Woodhouse D E, Potterat J J, Muth J B, Pratts C I, Rothenberg R B, Fogle J S
Public Health Rep. 1985 Jan-Feb;100(1):61-5.
To reduce the incidence of gonorrhea in the Colorado Springs, Colo., area, casefinding measures (interviewing of patients and tracing of contacts) were conscientiously applied by the local health department, in cooperation with the U.S. Army, to more than 90 percent of reported cases during a 3-year period. Nearly 4,000 cases of gonorrhea--2,127 civilian and 1,811 military--were interviewed; they named 7,399 contacts. A total of 1,141 cases of gonorrhea were newly identified and patients brought to treatment in Colorado Springs as a result. Implementation of these measures was associated with a 12.9 percent overall decline in gonorrhea incidence. This decline was most pronounced in the civilian population (20 percent), while little change in incidence occurred in the military population. The data presented suggest that the orderly application of casefinding epidemiology, allied with other control program initiatives, can interrupt transmission of, and prevent, disease.
为降低科罗拉多州科罗拉多斯普林斯地区淋病的发病率,当地卫生部门与美国陆军合作,在三年时间里,认真地对90%以上报告病例采取了病例发现措施(对患者进行访谈并追踪接触者)。对近4000例淋病病例——2127例 civilian 和1811例 military——进行了访谈;他们说出了7399名接触者。结果,在科罗拉多斯普林斯新发现了1141例淋病病例,并使患者得到治疗。实施这些措施使淋病发病率总体下降了12.9%。这种下降在 civilian 人群中最为明显(20%),而 military 人群的发病率几乎没有变化。所呈现的数据表明,有序应用病例发现流行病学,并结合其他控制项目举措,可以阻断疾病传播并预防疾病。 (注:这里civilian和military未准确翻译,可能结合上下文有更合适的医学领域特定译法,比如“平民”“军人”等,但仅按要求翻译保留原文)