“杰马拉”轮船员群体性不明原因发热疫情的应急处置  

Emergency Treatment of Crew Members with Fever of Unknown Origin in SELENDANG GEMALA

作　　者：周伟[1] 于滢泉 于东子[1] 马赛[2] 

机构地区：[1]黄岛出入境检验检疫局,青岛266555 [2]山东出入境检验检疫局,青岛266071

出　　处：《口岸卫生控制》2009年第2期28-29,共2页Port Health Control

摘　　要：目的对一起船员群体性发热疫情进行应急处置,以查明疫情特征并防止疫情通过国境口岸传入国内,保护人体健康和稳定社会经济发展。方法对船舶上的所有船员进行流行病学调查,船舶环境进行消毒处理,并采集病人咽试子样品,将病人及时安全转移到医院,并将及时上报上级部门和通报地方卫生行政部门。结果10名发病船员中,确诊上呼吸道感染8例,其中并发支气管炎2例;隐性感染1例(病原学检测阳性);排除诊断1例。该次聚集性发病病例可能的致病微生物为呼吸道合胞病毒(实验室检测咽拭子标本9例,其中5例为呼吸道合胞病毒核算检测阳性)。结论对交通工具的管理者和交通员工进行防疫知识的培训对及早控制疫病的传播流行具有重大意义。检验检疫机构与地方卫生行政部门和医疗单位建立良好的合作关系,对应对口岸突发公共卫生事件至关重要。Objective Through the emergency treatment of a acteristics and prevent its introduction through border ports so case of colony febrile epidemic to identify the charas to protect public health and stabilize social economic development. Method： carry out epidemiologic investigations on all crew members, sanitize the vessel and after colleting throat swab samples from patients, transfer them to the hospital timely and safely and report to the supervision department and local administrative department. Result Among the 10 crew members with symptom, 8 were confirmed with upper respiratory tract infection （2 are complicated Respiratory infection）, 1 is insidious infected, 1 is excluded from infection. The cause of the clustering outbreak may be respiratory syncytical virus （5 of 9 samples are positive）. Conclusion Quarantine knowledge training for vehicle operators and supervisor has a great significance on early control of the epidemic. The good cooperation between the inspection and quarantine organizations and local hygiene department is of the utmost importance of dealing with emergency health issues.

关 键 词：船员 不明原因发热 流行病学调查 应急处置 

分 类 号：R181.8[医药卫生—流行病学]