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国际区域性疾病

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麻疹更新 2015年2月
原作者: Jon Mark Hirshon, 江利 发布日期:2015-12-07

Title: Measles Update February 2015
题目:麻疹更新 2015年2月
Author: Jon Mark Hirshon
作者:Jon Mark Hirshon
翻译:江利冰 校对:肖锋


From January 1st to January 30th, 2015, 102 people from 14 states were reported to have measles. This one month total is greater than the annual number of U.S. cases from 2002 to 2012. Most of these cases are related to a large outbreak from a Californian amusement park. Measles can spread in communities without adequate vaccination (low herd immunity). The majority of the people in the US who get measles are unvaccinated. However, measles remains common in many parts of the world.
从2015年1月1日至2015年1月30日,14个洲102例患者被诊断为麻疹。这一个月的麻疹诊断数量要比美国2002-2012年每年诊断麻疹的数量都要多。这些病例中大多数的案例和加利福尼亚州游乐场的一次大的爆发有关。麻疹会在没有充分免疫接种(群体免疫力低)的社区进行传播。美国麻疹患者,大多数是没有免疫接种的。但是在世界上很多地方,麻疹还是很普遍的。

Bottom Line:
As noted in the recent ACEP Fact Sheet, “A very high index of suspicion for Rubeola is necessary especially among patients with an exposure history, travel to foreign or domestic areas where disease is present, and those without adequate immunization. Immediate isolation of these patients should be considered in the ED or other outpatient healthcare setting.”
要点:
正如最近美国急救学会所强调的:“要高度怀疑麻疹,尤其是具有暴露史,国外旅游,或者本地麻疹流行地区旅游,免疫接种不充分的患者。无论是在急诊还是其他的门诊服务点,这些患者都应该立即隔离”

References
参考文献
http://www.cdc.gov/measles/cases-outbreaks.html
http://emergency.cdc.gov/han/han00376.asp
http://www.acep.org/measles/