台湾登革热的流行与控制

２０世纪以来，台湾历经１９１５－１９１６年，１９３１年、１９４２－１９４３年３次全岛性登革热大流行，此后３８年流行静息，１９８１年再度发生流行，至今尚未遏阻。１９９３年以前，以登革Ⅰ型病毒为主，１９９４年以后，病毒型别多样，台北、台南以Ⅰ型为主，而南部高雄地区则以Ⅲ型为主。调查显示，台湾登革热流行在南部以埃及伊蚊为主要是，而台中，台北则以白纹伊蚊为主要媒介。１９８８年１２月为控制登革热流行，台湾卫

The Epidemic and Control of Dengue Fever in Taiwan

There were three major outbreaks of dengue fever (1915-1916, 1931 and 1942-1943 respectively) in Taiwan. The disease reemerged in Taiwan since 1981. Etiological study showed that dengue virus Type-1 was the major type before 1993. But the virus varied since 1994, Type-1 in the north and south but Type-3 in the south (Gaoxiong City). The transmission vectors, Aedes aegypti was the principal one in the south, but Aedes albopictu in the center and the north. The Center for Prevention and Control of Dengue Fever was set up and the general plans of control dengue fever were formulated in Dec. 1988. The control activities have made some progress in epidemic surveillance, vector investigation, mosquitoes control, health education, serological test and medication etc. The plan for the second metaphase has been implementing.