Montesano-Castellanos R, Ruiz-Matus C
Dirección General de Epidemiología, Secretaría de Salud (DGE, SSA), México.
Salud Publica Mex. 1995;37 Suppl:S64-76.
The clinical behavior of dengue fever in Mexico has changed, now with the occurrence of hemorrhagic cases. In response to the emergence of such cases, a specific epidemiologic surveillance system has been designed and implemented. This system includes the means to monitor the factors involved in the evolution of the disease. The identification and analysis of these factors is necessary to implement prevention and control measures. This paper presents the main components and procedures of the epidemiologic surveillance system for common and hemorrhagic dengue fever in Mexico, emphasizing the usefulness of the risk approach to predict the pattern of this disease. The model includes the collaboration of a multidisciplinary group. The Epidemiologic Surveillance State Committee, coordinated by the National Health System, participates in the collection and analysis of epidemiologic data, particularly data related to the population, the individual, the vector, the viruses and the environment.
墨西哥登革热的临床症状已发生变化,如今出现了出血热病例。针对此类病例的出现,已设计并实施了特定的流行病学监测系统。该系统包括监测疾病演变相关因素的手段。识别和分析这些因素对于实施预防和控制措施至关重要。本文介绍了墨西哥普通型和出血型登革热流行病学监测系统的主要组成部分和程序,强调了风险评估方法在预测该疾病模式方面的实用性。该模型包括一个多学科团队的协作。由国家卫生系统协调的流行病学监测国家委员会参与流行病学数据的收集和分析,特别是与人群、个体、病媒、病毒和环境相关的数据。