Chen H L, Chen H Y, Horng C B
National Institute of Preventive Medicine, Department of Health, Executive Yuan Taipei, Taiwan, Republic of China.
Zhonghua Min Guo Wei Sheng Wu Ji Mian Yi Xue Za Zhi. 1993 Nov;26(4):166-70.
Although scrub typhus, a rickettsial exanthematous febrile disease, has designated as a reportable communicable disease in Taiwan since 1955, only Pescadores island, Hualien and Taitung counties had more reported and confirmed cases. Suspected dengue fever and scrub typhus serum specimens sent from the Bureau of Health and health stations to this institute from January 1991 to December 1992 were tested for antibody to scrub typhus by indirect fluorescent antibody technique (IFA). The results showed that: 1) there were serologically positive cases in many counties except Hsinchu and Iilan, 2) the disease occurred mostly from July to October, 3) more males than females were infected and their age ranged from 21 to 60 years old with a peak of the twenties and 4) higher incidence rate in children under five years old was observed in Pescadores and Orchid islands. The above data call the attention of people and physicians to be aware of the fact that there were probable scrub typhus cases in every county in Taiwan.
虽然恙虫病（一种立克次体性出疹发热疾病）自1955年起在台湾被列为须通报的传染病，但仅有澎湖列岛、花莲县和台东县有较多的报告及确诊病例。1991年1月至1992年12月从卫生局和卫生站送至本研究所的疑似登革热和恙虫病血清标本，采用间接荧光抗体技术（IFA）检测恙虫病抗体。结果显示：1）除新竹县和宜兰县外，许多县都有血清学阳性病例；2）该病大多发生在7月至10月；3）男性感染多于女性，年龄范围为21至60岁，二十多岁为发病高峰；4）在澎湖列岛和兰屿岛观察到五岁以下儿童发病率较高。上述数据提醒民众和医生注意，台湾各县可能都存在恙虫病病例这一事实。
