Changing epidemiology of dengue hemorrhagic fever in Thailand

Changing epidemiology of dengue hemorrhagic fever in Thailand
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DOI:
10.1017/s0950268898001617
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发表时间:
1999-02-01
影响因子:
4.2
通讯作者:
Silarug, N
Silarug, N
中科院分区:
医学4区
文献类型:
--
作者:
Chareonsook, O;Foy, HM;Silarug, N

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登革出血热(DHF)和登革休克综合征(DSS)是可报告的疾病,是泰国儿童住院的第三大常见原因。对从公共卫生部收集的数据进行了趋势分析。泰国的登革出血热发病率一直上升,直到1987年才出现有史以来最大的流行病,每10万人中有325人患病。虽然这种疾病过去局限于大城市,但现在农村的发病率(每10万人中有102.2人)高于城市地区(1997年每10万人中有95.4人)。发病率最高的年龄有所增加,受影响最严重的年龄组现在是5-9岁(1997年为679/100000)。随着治疗的改善,病死率有所下降,目前仅为0.28%。
Dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS) are reportable diseases, the third most common causes for hospitalization of children in Thailand. Data collected from the Ministry of Public Health were analysed for trends. Rates of DHF increased in Thailand until 1987 when the largest epidemic ever, 325/100000 population, was recorded. Whereas the disease used to be confined to large cities, the rate is now higher in rural (102.2 per 100000) than urban areas (95.4 per 100000 in 1997). The age of highest incidence has increased, and the age group most severely affected is now those 5-9 years old (679/100000 in 1997). The case fatality rate has decreased with improved treatment and is now only 0.28 %.