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2023年10月至2024年2月期间印度尼西亚雅加达猴痘的流行病学和临床特征

Epidemiological and Clinical Characteristics of Mpox in Jakarta, Indonesia During October 2023 to February 2024.

作者信息

Purnama Tri Bayu, Wagatsuma Keita, Supriadi Supriadi, Salamah Qonita Nur, Tang Julian W, Saito Reiko

机构信息

Faculty of Public Health, Universitas Islam Negeri Sumatera Utara, Medan, Indonesia.

Division of International Health (Public Health), Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.

出版信息

Disaster Med Public Health Prep. 2025 Jan 3;18:e333. doi: 10.1017/dmp.2024.329.

DOI:10.1017/dmp.2024.329
PMID:39749783
Abstract

OBJECTIVE

Mpox, a zoonotic disease, has emerged as a significant international public health concern due to an increase in the number of cases diagnosed in non-endemic countries. To support public health response efforts to interrupt Mpox transmission in the community, this study aims to identify epidemiological and clinical aspects of Mpox in Jakarta, Indonesia.

METHODS

The study collected Mpox data from the Provincial Health Department in Jakarta, Indonesia, from October 2023 to February 2024. This included the symptom characteristics and demographics of polymerase chain reaction (PCR)-confirmed and PCR-negative Mpox cases, which were then compared using the test.

RESULTS

Of the PCR-confirmed total of 58 Mpox cases, most were males (96.6%, 56/58). Of these, 67.2% (39/58) reported recent sexual activity within the 21 days prior to the disease onset date, with 41.4% (24/58) reporting only 1 sexual partner during that period. Among PCR-confirmed Mpox cases, common symptoms included fever (81.1%, 47/58), rash (63.8%, 37/58), and lesions (93.1%, 54/58).

CONCLUSIONS

The predominance of male Mpox cases indicates transmission within men who have sex with men (MSM) networks, while higher prevalence among individuals with HIV or syphilis is due to shared behaviors, highlighting the need for surveillance, contact tracing, and targeted public health interventions.

摘要

目的

猴痘是一种人畜共患疾病,由于非流行国家确诊病例数增加,已成为重大的国际公共卫生问题。为支持公共卫生应对措施以阻断社区内猴痘传播,本研究旨在确定印度尼西亚雅加达猴痘的流行病学和临床特征。

方法

该研究收集了2023年10月至2024年2月印度尼西亚雅加达省卫生部门的猴痘数据。这包括聚合酶链反应(PCR)确诊和PCR阴性猴痘病例的症状特征及人口统计学信息,然后使用检验进行比较。

结果

在PCR确诊的58例猴痘病例中,大多数为男性(96.6%,56/58)。其中,67.2%(39/58)报告在发病日期前21天内有近期性行为,41.4%(24/58)报告在此期间只有1个性伴侣。在PCR确诊的猴痘病例中,常见症状包括发热(81.1%,47/58)、皮疹(63.8%,37/58)和皮损(93.1%,54/58)。

结论

男性猴痘病例占主导表明在男男性行为者(MSM)网络中传播,而艾滋病毒或梅毒感染者中较高的患病率是由于共同行为,这凸显了监测、接触者追踪和有针对性的公共卫生干预措施的必要性。

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