中国内地报告首起本地感染猴痘疫情的调查处置  

Investigation and management of the first local mpox outbreak in inland China

作　　者：任振勇[1] 李丹 窦相峰[1] 贾蕾[1] 陈艳伟[1] 金昊源 孙玉兰[1] 李爽[1] 李仁清[1] 庞星火[1] 李夫 REN Zhenyong;LI Dan;DOU Xiangfeng;JIA Lei;CHEN Yanwei;JIN Haoyuan;SUN Yulan;LI Shuang;LI Renqing;PANG Xinghuo;LI Fu(Beijing Center for Disease Prevention and Control 100013,China)

机构地区：[1]北京市疾病预防控制中心,100013

出　　处：《首都公共卫生》2023年第5期266-269,共4页Capital Journal of Public Health

摘　　要：目的 描述中国内地报告首起本土猴痘疫情处置过程及防控措施,探讨其中的经验和教训,以期对今后猴痘疫情处置有所启示。方法 依据《猴痘防控技术指南(2022年版)》(以下简称指南)对疫情开展流行病学调查、溯源和密切接触者排查管理。结果 此次疫情是我国内地报告首起本地猴痘疫情。指示病例由北京市疾病预防控制中心及中国疾病预防控制中心的实验室确证,同时由北京市卫生健康委员会组织专家会诊后确诊病例。通过对指示病例详细的流行病学和行程轨迹、支付记录等大数据搜索,溯源成功,并判定密切接触者5人,其中高危性伴2人,医务人员3人(接诊指示病例);一般接触者4人,为指示病例的同办公室同事。对密切接触者开展21 d医学观察,期间第0、7、14、21天进行咽拭子样本检测;一般接触者进行21 d健康监测。结论 本起疫情参照新型冠状感染疫情处置模式,在疾控和多个部门配合下溯源成功并追踪管理密切接触者,并依据指南对病例进行强制隔离治疗及医学观察,我国内地报告的首起猴痘疫情得到有效控制。Objective To describe the treatment process as well as prevention and control measures in the first mpox epidemic reported in inland China,so as to provide enlightenment for the management of mpox epidemic in the future.Methods According to the Technical Guidelines for the Prevention and Control of Mpox(2022 edition)(abbreviated as the Guideline),the epidemiological investigation,source tracing,as well as the investigation and management of close contacts were carried out.Results The outbreak was the first indigenous mpox outbreak on the Chinese inland.The index case was confirmed by the laboratories of Beijing CDC and China CDC,and the confirmed diagnosis of the case was made by expert consultation organized by Beijing Municipal Health Commission.The big data searching with detailed epidemiological data,traccks of activity,payment records and other information of the index case were used and the source of infection was successfully traced.Five close contacts were identified,including 2 high-risk sex partners and 3 medical workers(receiving the index case).The general contacts were 4 people who worked in the same office with the index case.Close contacts were placed under medical observation for 21 days,during which pharyngeal swab samples were tested on day O,7,14 and 21.General contacts received health monitoring for 21 days.Conclusions Taking management method for coronavirus disease 2019 as reference,the source of the outbreak was successfully traced and the close contacts were identified and managed with the cooperation of disease control institutes and government agencies.The patients were received mandatory quarantine and treatment as well as medical observation.The first outbreak of mpox reported in inland China was thus controlled effectively.

关 键 词：猴痘 调查处置 措施建议 

分 类 号：R511[医药卫生—内科学]