关键词: Index case Lassa fever Mastomys natalensis Viral haemorrhagic fever

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Abstract:
UNASSIGNED: Lassa fever is a viral hemorrhagic disease caused by the Lassa virus, a single stranded RNA virus of the Arenavirus family. It is a zoonotic illness spread by rats of the speciesMastomys natalensis . Between weeks 1 and 17, (2017), 242 suspected Lassa fever cases were reported in Nigeria, with 58 laboratory confirmed cases and 46 fatalities (CFR, 19.01%) from 50 Local Government Areas (LGAs) in 20 States.
UNASSIGNED: We conducted an outbreak investigation and gathered a thorough clinical history of the index case as well as contacts, who were then followed up using the standard viral hemorrhagic fever contact monitoring form. Following that, blood samples were collected from this patient. A total of 54 contacts were tracked for 21 days and their temperatures were recorded using a clinical thermometer. Furthermore, an environmental evaluation of the Zabarmari community and the Madinatu Internally-displaced persons\' (IDP) camp was carried out.
UNASSIGNED: The index case was a 32-year-old woman who was internallydisplaced in Zabarmari community. Her symptoms began with fever and vaginal bleeding and progressed to bleeding from the nose, mouth, and urethra. There was a history of rat exposure as well as inadequate environmental sanitation and hygiene. Real Time PCR detected Lassa fever in the blood sample. The Borno State Ministry of Environment, in partnership with the Ministry of Health, undertook public health education on Lassa fever prevention and implemented excellent sanitary measures.
UNASSIGNED: Increased awareness creation on good infection prevention and control practices is crucial among internally-displaced person and health care providers to prevent occurrence and spread of the disease.
摘要:
拉沙热是由拉沙病毒引起的病毒性出血性疾病,Arenavirus家族的单链RNA病毒。这是一种由Mastomysnatalensis的大鼠传播的人畜共患疾病。在第1周和第17周(2017年)之间,尼日利亚报告了242例疑似拉沙热病例,58例实验室确诊病例和46例死亡(CFR,19.01%)来自20个州的50个地方政府区域(LGA)。
我们进行了疫情调查,并收集了索引病例和接触者的全面临床病史,然后使用标准的病毒性出血热接触监测表进行随访。在此之后,从该患者收集血液样本。总共跟踪了54名接触者21天,并使用临床温度计记录了他们的温度。此外,对Zabarmari社区和Madinatu境内流离失所者营地进行了环境评估。
索引病例是一名32岁的妇女,她在Zabarmari社区内流离失所。她的症状始于发烧和阴道出血,然后进展为鼻出血,嘴,还有尿道.有老鼠暴露的历史以及环境卫生和个人卫生不足。实时荧光定量PCR检测血样中的拉沙热。博尔诺州环境部,与卫生部合作,开展了预防拉萨热的公共卫生教育,并采取了出色的卫生措施。
提高对良好感染预防和控制措施的认识对于国内流离失所者和卫生保健提供者来说至关重要,以防止疾病的发生和传播。
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