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2013年台风海燕后菲律宾莱特省一起社区获得性胃肠炎暴发

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a 㧆ᕟᆒि⫳䚼ˈ㧆ᕟᆒ偀ሐᢝSta Cruz DŽ

2

013ᑈ11᳜8᮹ˈৄ亢⍋➩῾ᠿ㧆ᕟᆒЁ䚼ˈᇐ

㟈6000໮Ҏ⅏ѵˈ400໮ϛҎ䕀⿏ᅝ㕂ˈᑊ䗴 ៤110໮ϛ䯈᠓ሟ੠໻䞣ᄺ᷵ǃि⫳Ёᖗǃঞ݊

Ҫᓎㄥᤳ↕[1]DŽ

೼㦅⡍㽓䚼ˈ݅18ϾഄᏖ884 546Ҏষফ♒DŽϢ

݊ᅗফ♒ഄऎϡৠˈ㦅⡍Kanangaഄऎⱘᅝ㕂Ёᖗ

೼ৄ亢থ⫳ϸ໽ৢ᩸䫔ˈ᠔᳝♒⇥䛑䖨ಲњॳ᳝ԣ ᅙDŽ㱑✊Ϣ㦅⡍ϰ䚼੠㧼偀ⳕⳌ↨ˈ㦅⡍㽓䚼ⱘ♒

ᚙ䕗䕏[1]ˈԚᔧഄ㔎У⮒⮙ⲥ⌟᡹ਞˈҸҎᢙᖻDŽ಴

ℸˈKanangaᏖゟए䰶੠Kanangaݰᴥि⫳ᅸᓎゟњЏ

ࡼⲥ⌟ˈ᡹ਞ㰿ၦӴᶧ⮙ǃ⸈Ӹ亢੠㝍⋏⮙՟DŽ

ৄ亢⍋➩থ⫳ϝ਼ৢˈ㦅⡍ⳕKanangaഄऎ䗮 䖛 䆹 Џ ࡼ ⲥ ⌟ ㋏ 㒳 ᡹ ਞ ᗹ ᗻ 㚗 㙴 ♢ ⮙ ՟ ᭄ Ϟ छ DŽ 2013ᑈ11᳜ᳳ䯈݅᡹ਞ60՟⮙՟ˈϢএᑈৠ᳜Ⳍ↨

Ϟछ757%[2]DŽ಴ℸˈ㧆ᕟᆒि⫳䚼⌒ߎ䯳ӡᓔሩ⦄എ ᲈথ䇗ᶹˈҹᶹᯢ⭿ᚙᛳᶧᴹ⑤੠Ⳍ݇ॅ䰽಴㋴DŽ

ᮍ⊩

⌕㸠⮙ᄺ䇗ᶹ

⮙ ՟ ᅮ Н Ў ˖ ೼2013ᑈ11᳜11᮹ 㟇12᳜10᮹ ᳳ 䯈ˈKanangaഄऎሙ⇥ߎ⦄ᗹᗻ㝍⋏˄ı3⃵/24ᇣ

2013 ᑈৄ亢⍋➩ৢ㧆ᕟᆒ㦅⡍ⳕϔ䍋⼒ऎ㦋 ᕫᗻ㚗㙴♢ᲈথ

Ray Justin VenturaaˈEdzel MuhibˈVikki Carr de los ReyesaˈMa Nemia Sucalditoa੠Enrique Tayaga

䗮䆃԰㗙˖Ray Justin Ventura (e-mail: [email protected]

ᯊ˅ҹঞথ⛁ǃᙊᖗǃ਩৤៪㝍⮯Ёⱘӏԩ⮛⢊П ϔ㗙DŽ䗮䖛ಲ乒KanangaᏖゟए䰶੠Kanangaݰᴥि

⫳ᅸⱘए⭫䆄ᔩᓔሩ⮙՟Џࡼ᧰㋶DŽᇍ᳔߱᡹ਞⱘ 10՟ ⮙ Ҏ ᓔ ሩ 䯂 ो 䇗 ᶹ ˈ 䯂 ो ⍝ ঞ 亳 ક ǃ ∈ ⑤ ᲈ 䴆ҹঞ݊ᅗ⦃๗ॅ䰽಴㋴ㄝ䯂乬DŽ䞛⫼ArcGIS˄㕢೑

ࡴᎲRedlands˅㒬ࠊ৘ᴥⱘ㕍ᙷ⥛੠∈⑤ߚᏗഄ೒DŽ Ў偠䆕ⷨお؛䆒ˈᓔሩ1:2ⱘ䴲ऍ䜡⮙՟ᇍ✻ⷨ

おDŽ㗗㰥ࠄᅲ䰙䇗ᶹⱘᮍ֓ᗻˈ᳾ᇚ᠔᳝⮙՟㒇ܹ

ⷨおˈҙ䗝পᮍ֓䇗ᶹⱘ⮙՟԰Ўⷨおᇍ䈵DŽ⮙՟

ᆊЁ៪ԣഄ䰘䖥ⱘ݊ҪҎਬ԰Ўᇍ✻˗བᵰ݊ߎ⦄

ӏԩ㚗㙴䘧⮛⢊៪㒚㦠ᄺẔ⌟䰇ᗻ߭ќҹࠨ䰸DŽ⮙

՟ᇍ✻ⷨお䞛⫼᳈䆺㒚ⱘ䯂ोˈЏ㽕䇗ᶹ佂⫼∈ǃि

⫳дᛃ੠݊ᅗ⦃๗಴㋴ㄝݙᆍDŽ䞛⫼Epi Info 3.5.4ᇍ ᲈ䴆಴㋴䖯㸠↨䕗ߚᵤˈ䅵ㅫORؐ੠ৃֵऎ䯈DŽऩ಴

㋴ߚᵤথ⦄ⱘᰒ㨫಴㋴ݡ߽⫼໮಴㋴῵ൟ䖯㸠䗤ℹߚ ᵤDŽ

ᅲ偠ᅸẔ⌟

䞛 ⫼Denka˄ ᮹ ᴀ ˅ ⱘ ᖿ 䗳 䆞 ᮁ ᮍ ⊩ 䖯 㸠 䕂 ⢊ ⮙

↦Ẕ⌟ˈCTK˄㕢೑ࡴᎲ೷ഄѮહ˅ᮍ⊩Ẕ⌟䇎བ⮙

↦DŽ⮙՟ǃᇍ✻ǃҹঞሙԣ೼∈⑤䰘䖥ⱘሙ⇥ഛ䞛 䲚Ⳉ㙴ᣁᄤˈ⫼Cary-Blair෍ݏ෎ᓔሩᷛޚ㒚㦠෍ݏ Ẕ⌟DŽ

(2)

⃵ЎLonoyऎ˄AR = 4.46/1000Ҏ˅ 䖭ϸϾഄऎ䛑 Փ⫼Ꮦᬓկ∈㋏㒳˄೒2˅DŽ೼䇗ᶹⱘ39՟⮙՟Ёˈ 25՟Փ⫼Ꮦᬓկ∈㋏㒳ˈ72%᳾ᇍ佂∈䖯㸠⍜↦໘

⧚DŽ

⮙՟ᇍ✻ⷨお

⮙՟ᇍ✻ⷨおЁ㒇ܹњ39՟⮙՟੠61ৡᇍ✻DŽ᠔᳝ᇍ

✻ⱘ㒚㦠ᄺẔ⌟ഛЎ䰈ᗻDŽऩব䞣ߚᵤথ⦄ϝϾᰒ㨫

ॅ䰽಴㋴˖佂⫼∈᳾㒣໘⧚˄᳾∃࣪៪᳾❂⊌ˈ໮Ў Ꮦᬓ㞾ᴹ∈˅ǃ᮴३᠔䆒ᮑǃⳈ᥹Փ⫼⏅ѩ៪⊝∈԰

Ў佂⫼∈DŽ㒣໮ব䞣ߚᵤˈҙ佂⫼∈᳾㒣໘⧚䖭ϔ಴

㋴Ϣথ⮙Ⳍ݇ˈ᷵ℷORؐЎ18.17ˈϢ㉫ORؐ22.15 Ⳍ䖥˄㸼1˅DŽ

ᅲ偠ᅸẔ⌟

䖯 㸠 䕂 ⢊ ⮙ ↦ ੠ 䇎 བ ⮙ ↦ Ẕ ⌟ ⱘ4ӑ ᷛ ᴀ ഛ Ў 䰈 ᗻDŽ39ӑ⮙ҎⱘⳈ㙴ᣁᄤᷛᴀЁˈ11՟˄28%˅Ў㒚 㦠ᄺ䰇ᗻ˖ர∈⇨ऩ㚲㦠˄4՟ˈ10%˅ぎ㙴ᔃ᳆ᴚ 㦠˄3՟ˈ8%˅ˈ㒧㙴ᔃ᳆ᴚ㦠˄3՟ˈ8%˅ঞ㋶⇣

ᖫ䌎⇣㦠˄1՟ˈ3%˅DŽ᠔᳝ৡᇍ✻ⱘⳈ㙴ᣁᄤ㒚 㦠෍ݏഛЎ䰈ᗻDŽர∈⇨ऩ㚲㦠Ẕ⌟䰇ᗻⱘ4ৡ⮙՟ഛ ҹᏖᬓ㞾ᴹ∈Ў佂⫼∈⑤DŽ

݅䞛䲚11ӑ∈ḋˈ݊Ё3ӑ˄27%˅ர∈⇨ऩ㚲 㦠䰇ᗻ˄2ӑЎᏖᬓ㞾ᴹ∈প∈⚍ˈϔӑপ㞾Natubgan ᴥᶤ᠋˅DŽ3ӑ∈⑤ഛ᳾Ẕ⌟ࠄԭ∃DŽ

ᇍ䆹Ꮦկ∈㋏㒳ⱘϝϾপ∈⚍੠2Ͼ㪘∈∴ߚ߿

ϔ⃵ᗻ䞛䲚∈ḋ500↿छDŽݡ䗝পկ∈㋏㒳ⱘ6Ͼ∈

⑤ഄ˄PoblacionᴥˈNatubganᴥ੠Lonoyᴥ˅ߚ߿䞛 䲚500↿छ∈ḋDŽ∈ḋ䗕㟇㧆ᕟᆒ೑ᆊ⛁ᏺएᄺⷨお ᠔ᓔሩ㒚㦠ᄺẔ⌟DŽ೼ৄ亢♒ऎᓔሩᬥ♒Ꮉ԰ⱘ⨲຿

Ҏ䘧ЏНᬥᧈ䯳гᇍկ∈㋏㒳ⱘϝϾ∈⑤ഄ˄㪘∈

∴ˈNatubganᴥˈPoblacionᴥ˅ⱘ∈ḋ䖯㸠њԭ∃Ẕ

⌟DŽ

⦃๗䇗ᶹ

ᇍՓ⫼Ꮦᬓկ∈㋏㒳ⱘ⮙՟᡹ਞ᳔᭄催ⱘϝϾᴥ䖯㸠 њ⦃๗ᚙމ䇗ᶹDŽ

㒧ᵰ

⮙՟᡹ਞ

݅ থ ⦄105՟ ⮙ ՟ DŽ ᳔ ᮽ থ ⮙ ᮹ ᳳ Ў2013ᑈ11᳜ 11᮹ˈথ⮙催ዄЎ11᳜17᮹㟇20᮹˄೒1˅DŽ໮᭄

⮙՟˄101՟ˈ96%˅ߎ⦄∈ḋ㝍⋏ˈ4՟ߎ⦄㸔ᗻ 㝍⋏DŽ݊Ҫ⮛⢊੠ԧᕕࣙᣀ˖਩৤˄51%˅ˈথ⛁

˄47%˅ˈ㝍⮯˄32%˅DŽ48՟˄46%˅ԣ䰶⊏⭫ˈ ᮴⅏ѵ᡹ਞDŽ19՟೼ᅲ偠ᅸẔ⌟ࠡ᳡⫼䖛ᡫ⫳㋴DŽ

⮙ ՟ ᑈ 啘 Ў4Ͼ ᳜ 㟇61ቕ ˄ Ё ԡ ᭄ Ў2ቕ ˅ ˈ 51%Ў⬋ᗻDŽথ⮙᳔໮ⱘᑈ啘㒘Ў1–5ቕ˄9%˅DŽ Poblacionᴥⱘ㕍ᙷ⥛᳔催˄AR = 6/1000Ҏ˅ˈ݊

0 2 4 6 8 10

118 119 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1120 1122 1123 1124 1125 1126 1127 1128 1129 1130 122 123 124 125 126 127 128 129 1210 1211

⮙՟᭄⮙՟

থ⮙᮹ᳳ

থ⮙᮹ᳳ

೒1. 2013ᑈ11᳜11᮹–12᳜10᮹㦅⡍ⳕKanangaᏖᗹᗻ㚗㙴♢⮙՟থ⮙᮹ᳳߚᏗ˄n = 105˅

ৄ亢⍋➩

(3)

㸼1. 㦅⡍ⳕKanangaᏖᗹᗻ㚗㙴♢Ⳍ݇಴㋴ˈ2013ᑈ11᳜11᮹–12᳜10᮹

Ⳍ݇಴㋴* ⮙՟ ᇍ✻

㉫ORؐ95%ৃֵऎ䯈 ᷵ℷORؐ95%ৃֵऎ䯈

՟᭄ % ՟᭄ %

∈⍜↦ᮍ⊩

21.7 (7.6–62.1) 18.2 (4.8–68.8)

30 77 9 15

∃࣪៪❂⊌ 8 21 52 85 ३᠔䆒ᮑ

6.4 (1.3–32.9) 2.4 (0.25–22.6)

7 18 2 3

㟇ᇥϔ໘ 31 79 57 93

∈⑤

5.0 (1.2–20.1) 0.6 (0.14–2.67)

⏅ѩ៪⊝∈ 8 21 3 5

݊ᅗ 31 79 58 95

佁ࠡ⫼㙹ⱖ⋫᠟

0.8 (0.16–4.39)

35 90 54 89

4 10 5 8

֓ৢ⫼㙹ⱖ⋫᠟

0.4 (0.004–2.6)

34 87 55 90

3 8 2 3

Փ⫼ߔঝ

0.4 (0.1–1.2)

27 73 51 86

10 27 8 14

* 䯂ो㔎༅ㄨḜϡ䅵ܹড়䅵DŽ

೒2. 2013ᑈ11᳜11᮹–12᳜10᮹㦅⡍ⳕKanangaᏖ৘ᴥ㕍ᙷ⥛੠կ∈ߚᏗ˄n = 105˅

San Isidro Libertad

Santo Domingo

Lonoy Mahawan

Kawayan Monte Alegre

Tagaytay

Natubgan

Poblacion Rizal

Cacao

Santo Niño Tugbong

Libongao

Naghalin Hiluctogan

Monte Bello

Masarayao San Ignacio AguiƟ ng

Tongonan Lim-ao

೒՟

⏅ѩ៪⊝∈

Ꮦᬓկ∈㋏㒳

ᴥ㕍ᙷ⥛˄1000Ҏ˅

0.00 0.01–1.17 1.18–2.35 2.36–3.52 3.52–4.70 4.71–5.87 0 km 5 km 10 km

Philippines

ܡ䋷ໄᯢ˖೒Ёഄඳߦߚঞᷛ䆚ϡҷ 㸼WHOᇍӏԩ೑ᆊǃഄऎǃජᏖǃ乚

ഄ៪䖍⬠ԡ㕂ⱘᗕᑺDŽⱑ㒓ҷ㸼໻㟈 䖍๗ˈৃ㛑ᄬ೼ϔᅮѝ䆂DŽ

(4)

㱑✊䅸Ўர∈⇨ऩ㚲㦠ᰃᇐ㟈ℸ⃵ᲈথⱘॳ಴ˈ Ԛ䚼ߚ⮙՟ҡẔߎњぎ㙴ᔃ᳆ᴚ㦠ǃ㒧㙴ᔃ᳆ᴚ㦠ঞ

㋶⇣ᖫ䌎⇣㦠ㄝ⮙ॳDŽ䖭ѯ⮙ॳ᳈ᐌ㾕Ѣ亳⑤ᗻ⮒⮙

ᲈথˈԚϢ∈⑤ᗻᲈথӴ᪁г݋Ⳍ݇ᗻ[9,10]DŽ㱑✊∵

ᶧ∈⑤Ёгৃ㛑৿᳝䖭ѯ⮙ॳԧˈԚ↣Ͼ∈⑤া䞛䲚 њ500↿छⱘ∈ḋˈḋᴀ䞣໾ᇣˈϡ䎇ҹẔߎ䖭ѯ⮙

ॳDŽᔃ᳆ᴚ㦠ⱘẔ⌟䳔㽕໻䞣∈ḋˈϔ㠀ᴹ䇈䳔䞛䲚 4000㟇20 000↿छⱘ∈ḋҹᦤ催Ẕߎ⥛[11]DŽ㱑✊∈

ḋЁ᳾ẔߎҹϞ⮙ॳˈԚᴀ⃵䇗ᶹ᮴⊩ᥦ䰸ᴀ⃵ᲈথ ᰃ৺ᄬ೼໮Ͼᛳᶧᴹ⑤៪ৠᯊ䖬᳝݊ᅗᲈথ⭿ᚙথ

⫳DŽ

⬅Ѣᴀ⃵䇗ᶹ೼♒ᆇᴵӊϟ䖯㸠ˈ಴ℸᄬ೼ϔѯ ϡ䎇DŽ՟བˈ೼⮙՟ᇍ✻ⷨおЁ䚼ߚ䯂ोㄨḜ㔎༅˗

㱑✊᳝19ৡ⮙՟೼䞛ḋࠡ᳡⫼䖛ᡫ⫳㋴ˈԚᘏԧẔ

⌟䰇ᗻ⥛䕗ԢDŽ⬅Ѣ⮙՟ᇍ✻ⷨおЁ䗝ᢽњ⮙՟ⱘ䚏 ᆊ԰Ўᇍ✻ˈᴀⷨお᮴⊩䆘Ӌ৘ᴥⳌ݇ⱘϡৠॅ䰽಴

㋴DŽ⬅Ѣৄ亢ৢ৘ᴥҎষߚ↡থ⫳ব࣪ˈϡ໾〇ᅮˈ

೼㾷䇏৘ᴥ㕍ᙷ⥛ᯊᑨ䆹䇼ᜢDŽ

ᘏ㗠㿔Пˈᴀⷨお೼∈⑤੠⮙՟ЁẔߎৠϔ⮙

ॳˈৃҹ෎ᴀ⹂䅸ᲈথॳ಴DŽ佂⫼᳾㒣∃࣪੠❂⊌໘

⧚ⱘ㞾ᴹ∈Ϣথ⮙ᆚߛⳌ݇ˈᦤ⼎ᴀ䍋ᲈথЎ∈⑤Ӵ ᪁DŽᴀⷨお䖬ᦤ⼎ˈ೼᳾ᓎゟ♒⇥ᅝ㕂Ёᖗⱘফ♒䕗 䕏ഄऎҡ✊ৃҹߎ⦄ᗹᗻ㚗㙴♢ᲈথDŽ಴ℸ೼ᓔሩ♒

ৢि⫳ᑨᗹᎹ԰ᯊˈ㽕ᇍ᠔᳝ফ♒ഄऎᓔሩ♒ৢⲥ

⌟ˈ㗠ϡ㛑ҙ䩜ᇍ♒⇥ᅝ㕂ЁᖗDŽ᮴䆎կ∈㋏㒳ᰃ৺

ফᤳ៪ᅠདˈ᠔᳝ফ♒ഄऎഛᑨᇍ佂⫼∈䖯㸠❂⊌៪

∃࣪໘⧚DŽ♒ৢᑨᇍ᠔᳝կ∈㋏㒳ᓔሩᅮᳳⲥ⌟੠Ẕ

ׂˈ䰆ℶҎ㉏⌏ࡼ∵ᶧկ∈DŽ೼ᴀ⃵ᲈথЁˈ៥Ӏ䖬 ᦤߎᔧഄᑨ䜡໛∃఼࣪ᇍᏖᬓկ∈䖯㸠ᅮᳳ৿∃䞣Ẕ

⌟DŽ

߽Ⲟކさ

᮴DŽ 䌘䞥ᴹ⑤

ᴀ⃵ᲈথ䇗ᶹ㒣䌍⬅㧆ᕟᆒि⫳䚼ᦤկDŽ 㟈䇶

We are grateful for the cooperation and support of the Center for Health and Development-Eastern Visayas, local government of Kananga, Kananga Municipal Hospital, Kananga Municipal Health Office and town

⦃๗䇗ᶹ

Փ⫼Ꮦᬓ㞾ᴹ∈ⱘ22ϾᴥЁˈ᳝8Ͼᴥ㞾2012ᑈ䍋

↣਼ϸ⃵ҎᎹ⏏ࡴ∃ࠖᇍ㞾ᴹ∈䖯㸠⍜↦ˈৄ亢থ⫳

ৢг᳾ЁᮁDŽԚࡴ∃⍜↦ⱘ䞣੠乥⃵䛑ᰃ෎Ѣҹᕔ㒣 偠ˈ᳾ḍ᥂ټ∈㔤Ёⱘ∈䞣䖯㸠ϹḐ䅵ㅫDŽ㪘∈∴ټ 䞣੠ᔧᯊⱘټ∈䞣г᮴᭄᥂䆄ᔩDŽ⬅Ѣ㔎У䆩ࠖˈ෎

ሖि⫳䚼䮼ᇍ∈⑤ⱘẔ⌟г᳾ᅮᳳᓔሩDŽ᠔᳝佂⫼∈

⑤г᳾ᐌ㾘䖯㸠ᅮᳳ㒚㦠ᄺ੠⧚࣪Ẕ⌟DŽ

㞾 ᴹ ∈ ㋏ 㒳 Ё ⱘ 䚼 ߚ Џ 䗕 ∈ ㅵ ೼ ৄ 亢 Ё ফ

ᤳˈ[3–4]໽ৢᠡᕫҹׂ໡DŽ៥Ӏ೼ᲈথ䇗ᶹЁẔᶹњկ

∈㋏㒳ˈথ⦄∈ㅵⱘ⸈㺖໘ҡ᳾ᅠׂܼ໡ˈ⏋ܹњ⊇

∈DŽᇍҎᎹࡴ∃ⱘপ∈⚍∈㔤г䖯㸠њẔᶹˈ᳾থ⦄

⍜↦Փ⫼ⱘ∃ࠖDŽկ∈㋏㒳ⱘ∈य़ҙЎ10psiˈ㗠ϔ㠀

ᴹ䇈ᑨЎ20psiˈᦤ⼎䗕∈∈ㅵ㋏㒳ᄬ೼⏫ⓣDŽ

঺໪ˈৄ亢থ⫳ৢˈᶤᆊԣ᠋೼կ∈㋏㒳ⱘ݊Ё ϔϾ㪘∈∴๭䖍ׂᓎњЈᯊ䙓䲒ԣ᠔DŽ⬅Ѣ㔎У३᠔ 䆒ᮑˈ䆹᠋ᥦ֓ഛ೼䴆໽䖯㸠DŽᇍ䆹᠋ϝৡ᮴⮛⢊ܓ ス䞛䲚њⳈ㙴ᣁᄤ䖯㸠㒚㦠෍ݏˈ㒧ᵰᰒ⼎䰈ᗻDŽ

䅼䆎

䖭䍋ᗹᗻ㚗㙴♢ᲈথᕜৃ㛑⬅ர∈⇨ऩ㚲㦠ᓩ䍋ˈ 䗮䖛∵ᶧ∈⑤䖯㸠Ӵ᪁DŽ㞾ᴹ∈կ∈㋏㒳੠⮙՟ഛ Ẕߎৠϔ㒚㦠ˈЎ䆕ᯢᛳᶧᴹ⑤ᦤկњ᳝࡯䆕᥂DŽ ϡৠᴥᑘⱘ⮙՟ߚᏗг䇈ᯢˈՓ⫼Ꮦᬓ㞾ᴹ∈԰ЎЏ 㽕佂⫼∈⑤ⱘᴥᑘⱘ㕍ᙷ⥛᳔催˗᳾ᇍ佂⫼∈䖯㸠❂

⊌៪∃࣪⍜↦໘⧚ⱘҎ㕸Ё⮙՟↨՟催DŽ⮙՟ᇍ✻ⷨ

おᦤ⼎ˈ佂⫼∈᳾㒣໘⧚Ϣথ⮙ᆚߛⳌ݇ˈᦤ⼎∈⑤ Ӵ᪁DŽ᳝ⷨお䆕ᯢˈ❂⊌៪∃࣪໘⧚ᰃ᳝ᬜⱘ∈⍜↦

ᮍᓣ[3,4]DŽ

ர∈⇨ऩ㚲㦠Ў䴽݄⇣䰈ᗻݐᗻॠ⇻㒚㦠ˈᑓ⊯

ᄬ೼Ѣ∈⫳⦃๗ࣙᣀ佂⫼∈㋏㒳Ё[5]DŽர∈⇨ऩ㚲㦠 ᛳᶧ⮛⢊䲒ҹϢ݊ᅗॳ಴ᓩ䍋ⱘ㚗㙴♢Ⳍऎ߿[6,7]DŽ⬅

佂⫼∈੠亳ક∵ᶧᓩ䍋ⱘர∈⇨ऩ㚲㦠ᲈথҹᕔ᳝᳒

᡹䘧DŽ᳔䖥ˈЁ೑᳒᡹䘧ϔ䍋ৃ㛑⬅ர∈⇨ऩ㚲㦠ᇐ 㟈ⱘᄺ᷵ݙᲈথˈ݅381Ҏথ⮙ˈ⦃๗䇗ᶹᦤ⼎䆹ᄺ

᷵Փ⫼ⱘ㬀㦰⏙⋫⫼∈ᴹ㞾ᶤϔټ∈㔤ˈ㗠䆹∈㔤㹿 䰘䖥ⱘ∵∈≳∵ᶧ[8]DŽ䖭ϔᚙމϢᴀⷨお㉏ԐDŽ

ৄ亢থ⫳ৢˈ䚼ߚ㞾ᴹ∈䗕∈ㅵ⸈㺖ˈ㞾ᴹ∈∈

य़ϟ䰡ˈᦤ⼎∈ㅵ⸈㺖ᑊ᳾ᅠׂܼ㸹DŽ㒚㦠⮙ॳৃ㛑

⬅䖭ѯ⸈ᤳ໘䖯ܹկ∈㋏㒳DŽ㗠ৄ亢ৢ᳾೼㪘∈∴Ё

ࡴܹ䎇䞣∃⍜↦ࠖˈৃ㛑֗䖯њ㒚㦠⒟⫳DŽ

(5)

& Technology, 2008, 42:4255–4560. doi:10.1021/es7024802 pmid:18605541

5. Igbinosa IH et al. Emerging Aeromonas species infections and their significance in public health. Scientific World Journal, 2012, 2012:625023.

6. Agger WA, McCormick JD, Gurwith MJ. Clinical and microbiological features of Aeromonas hydrophila-associated diarrhea. Journal of Clinical Microbiology, 1985, 21:909–913. pmid:4008621 7. Llopis F et al. Epidemiological and clinical characteristics of

bacteraemia caused by Aeromonas spp. as compared with Escherichia coli and Pseudomonas aeruginosa. Scandinavian Journal of Infectious Diseases, 2004, 36:335–341.

doi:10.1080/00365540410020631 pmid:15287377

8. Zhang Q et al. A foodborne outbreak of Aeromonas hydrophila in a college, Xingyi City, Guizhou, China, 2012. Western Pacific Surveillance and Response Journal, 2012, 3:39–43.

doi:10.5365/wpsar.2012.3.4.018 pmid:23908938

9. Kuusi M et al. An outbreak of gastroenteritis from a non-chlorinated community water supply. Journal of Epidemiology and Community Health, 2004, 58:273–277. doi:10.1136/jech.2003.009928 pmid:15026434

10. Godoy P et al. Outbreak of gastroenteritis caused by Campylobacter jejuni transmitted through drinking water [in Spanish].

Medicina Clínica, 2002, 119:695–698. doi:10.1016/S0025- 7753(02)73545-8 pmid:12459108

11. Hänninen ML et al. Detection and typing of Campylobacter jejuni and Campylobacter coli and analysis of indicator organisms in three waterborne outbreaks in Finland. Applied and Environmental Microbiology, 2003, 69:1391–1396. doi:10.1128/

AEM.69.3.1391-1396.2003 pmid:12620821

residents during the field investigation. We also thank the laboratory staff of the Research Institute for Tropical Medicine for testing the samples.

ᓩ⫼ᴀ᭛ഄഔ˖

Ventura RJ et al. A community-based gastroenteritis outbreak after Typhoon Haiyan, Leyte, Philippines, 2013.

Western Pacific Surveillance and Response Journal, 2015, 6(1):1–6. doi:10.5365/wpsar.2014.5.1.010 খ㗗᭛⤂

1. Philippines: Typhoon Haiyan - Situation Report No. 29 (as of 3 January 2014). Manila, United Nations Office for the Coordination of Humanitarian Affairs, 2014 (http://reliefweb.int/

sites/reliefweb.int/files/resources/OCHAPhilippinesTyphoonHaiyan No29_02January2014.pdf, 12 December 2014).

2. Field Health Services Information System Morbidity Report:

2012–2013. Leyte, Kananga Municipal Health Office, 2014.

3. Guidelines for drinking-water quality - Volume 1:

Recommendations - Third edition incorporating first and second addenda. Geneva, World Health Organization, 2008, p. 110 (http://www.who.int/water_sanitation_health/dwq/gdwq3rev/en/, accessed 12 December 2014).

4. Clasen TF et al. Microbiological effectiveness and cost of boiling to disinfect drinking water in rural Vietnam. Environmental Science

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