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2023 - 2024年孟买新市镇的腮腺炎疫情:对卫生管理系统的启示

Mumps Epidemic in Navi Mumbai in 2023-24: Lessons for the Health Management System.

作者信息

Dharmapalan Dhanya, Gavhane Jeetendra, Patil Asmita, Shahane Satish, Warad Suhas, Yewale Yashank, Mody Praveen, Yewale Vijay, John T Jacob

机构信息

Pediatric Infectious Diseases, Apollo Hospitals, Navi Mumbai, Maharashtra, India. Correspondence to: Dr. Dhanya Dharmapalan, 9F, Malayagiri, Anushaktinagar, Mumbai 400094, Maharashtra, India.

Department of Pediatrics, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India.

出版信息

Indian Pediatr. 2024 Dec 15;61(12):1123-1126. Epub 2024 Sep 24.

PMID:39351836
Abstract

OBJECTIVE

To investigate the morbidity due to the mumps epidemic in Navi Mumbai region of Maharashtra during 2023-24 and identify the preventive strategies.

METHODS

An outbreak investigation was carried by pediatricians in Navi Mumbai, Maharashtra, India, between December 2023 and February 2024. A clinical case of mumps was defined as any person with acute onset of unilateral or bilateral, tender, swelling of the parotid or other salivary gland(s), lasting at least two days.

RESULTS

217 documented cases of mumps were investigated. Among them 197 (90.78%) had never received mumps vaccine, and 20 had received Measles-Mumps-Rubella vaccine (MMR) in the private sector. 185 children had been immunized with Measles-Rubella Vaccine (MR) in the National Immunization programme. The opportunity to vaccinate with the additional component of mumps had been missed during immunization with MR vaccine.

CONCLUSION

This outbreak investigation highlights the need to establish a Public Health Division in the Government for monitoring all contagious diseases in the community and the timely detection and control of all outbreaks.

摘要

目的

调查2023 - 24年马哈拉施特拉邦新孟买地区腮腺炎疫情的发病率,并确定预防策略。

方法

2023年12月至2024年2月期间,印度马哈拉施特拉邦新孟买的儿科医生进行了一次疫情调查。腮腺炎临床病例定义为任何单侧或双侧腮腺或其他唾液腺急性出现压痛性肿胀,且持续至少两天的人。

结果

对217例有记录的腮腺炎病例进行了调查。其中197例(90.78%)从未接种过腮腺炎疫苗,20例在私立部门接种过麻疹 - 腮腺炎 - 风疹疫苗(MMR)。185名儿童在国家免疫规划中接种过麻疹 - 风疹疫苗(MR)。在接种MR疫苗期间错过了接种腮腺炎额外成分疫苗的机会。

结论

本次疫情调查强调了政府设立公共卫生部门以监测社区所有传染病以及及时发现和控制所有疫情的必要性。

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