2014年所罗门群岛一偏远地区的麻疹暴发调查

咏

⮍ᰃϔ⾡Ӵᶧᗻ催ǃ㒣ぎ⇨Ӵ᪁ⱘᗹᗻ⮙

↦ᗻ⮒⮙ˈߎ⮍ࠡৢ

4

໽ഛ݋᳝ӴᶧᗻDŽ┰

ӣᳳЎ

10–14

໽DŽ咏⮍ড়ᑊᑊথ⮛ᯊ⮙ᚙ ᕜ䞡ˈᑊথ⮛ࣙᣀЁ㘇♢ǃ㚎♢੠㛥♢^[1]DŽ

᠔ 㔫 䮼 㕸 ቯ ԡ Ѣ फ 㒀

6

ᑺ

—12ᑺ ˈ 2009ᑈ ᘏ

ҎষЎ515 870Ҏ^[2]DŽ2014ᑈ೼ᏈᏗѮᮄ޴ݙѮǃ᠔ 㔫䮼㕸ቯǃ⪺ࡾ䰓೒ᲈথњ咏⮍⭿ᚙ^[3]DŽ᠔㔫䮼㕸 ቯ ⱘ ㄀ ϔ ՟ ᡹ ਞ ⮙ ՟ Ў

2014ᑈ 7᳜ Ң Ꮘ Ꮧ Ѯ ᮄ ޴

ݙѮᔦ೑ⱘᮙ㸠㗙^[4]DŽ᠔㔫䮼㕸ቯⱘ10Ͼⳕӑഛ᳝⮙

՟᡹ਞˈ݅4563՟ˈ݊Ё9՟⅏ѵ^[3]DŽ䳡ሐѮᢝ˄᠔ 㔫䮼㕸ቯⱘ佪䛑˅ഄऎⱘথ⮙⥛᳔催˄349ϛ˅ˈ䆹

ഄि⫳᳡ࡵⱘৃঞᗻ䕗དDŽ

2014

ᑈ

8

᳜

10

᮹ˈ᠔㔫䮼㕸ቯϰ

Kwaio

ഄऎ᡹

ਞ њ 佪 থ 咏 ⮍ ⮙ ՟ ˈ ᰃ ᴹ 㞾 ϔ Ͼ ᇣ ᴥ ᑘ ⱘ

1

ቕ ঠ 㚲 㚢⮙՟DŽሑㅵ䳡ሐѮᢝ੠ϰ

Kwaio

ഄऎ㒣ᐌ᳝ᇥ䞣ǃ 乥 㐕 ⱘ Ҏ ਬ ⌕ ࡼ ˈ Ԛ ᑊ ᳾ ᇚ ᙷ ⮙ ܓ ス Ϣ 䳡 ሐ Ѯ ᢝ ⱘ 咏 ⮍ ᲈ থ 㘨 ㋏ 䍋 ᴹ DŽ ᴀ ᡹ ਞ ᦣ 䗄 њ ᔧ ഄ ⱘ 咏 ⮍

2014 ᑈ᠔㔫䮼㕸ቯϔأ䖰ഄऎⱘ咏⮍ᲈথ 䇗ᶹ

Jason Diau

^a

ˈChristopher Jimuru

^a

ˈJames Asugeni

^a

ˈLyndell Asugeni

^a

ˈMike Puia

^a

ˈJohn Maomatekwa

^a

ˈHumpress Harrington

^b

ˈDavid MacLaren

^c

ˈRick Speare

^cd

੠Peter D Massey

^e

䗮䆃԰㗙 Peter D Massey (⬉ᄤ䚂ㆅ: peter.massey@hnehealth.nsw.gov.au).

ᲈথᑨᇍᚙމҹঞ೼ϰ

Kwaio

ഄऎᓔሩⱘ咏⮍ᲈথ䇗 ᶹDŽ

ᮍ⊩

ⷨおഄ⚍

ϰ

K w a i o

ԡ Ѣ ᠔ 㔫 䮼 㕸 ቯ 偀 㦅 ศ ቯ ⱘ ϰ 䚼

˄೒1˅ˈ2009ᑈҎষЎ9509Ҏ^[2,5]ˈ໻䚼ߚሙ⇥

⫳ ⌏ ೼ ⊓ ⍋ ᴥ ᑘ DŽ 㑺

3000Ҏ ⫳ ⌏ ೼ 偀 㦅 ศ ቯ ⱘ ቅ

ऎᇣᴥ㨑ˈॳྟⱘᅫᬭऴ᥂Џᇐഄԡ^[6,7]DŽϰKwaio

≵᳝䘧䏃ˈሙ⇥䳔ℹ㸠៪㗙Ь⣀᳼㟳ࠡᕔ䰓ᠬӞ㧆

෎ⴷ໡Јए䰶˄AAH˅ˈ䆹ए䰶ᰃᔧഄⱘଃϔϔᆊए 䰶DŽ

⮙՟ᅮН

咏⮍⮙՟ᰃᣛ೼

2014

ᑈ

8

᳜

1

᮹㟇

2015

ᑈ

1

᳜

11

᮹

ᳳ䯈ˈࠡᕔ

AAH

ህ䆞ˈߎ⦄থ⛁੠᭥Ϭ⮍ˈৠᯊ݋

㒧ᵰ

⮙՟

ℸ⃵咏⮍⌕㸠থ⫳೼

2014ᑈ㄀32–50਼ˈ݅ 117՟

⮙՟˄೒2˅DŽ

50%⮙՟Ў⬋ᗻˈ 82%Ў18ቕঞҹ

ϟ DŽ ᠔ ᳝ ᡹ ਞ ⱘ ⮙ ՟ ˄

100%˅ ഛ ᳝ থ ⛁ ੠ ߎ ⮍ ˈ 90՟ ˄ 76.9%˅ ⱘ ⮙ ՟ ᳝ ઇ ௑ ˈ89՟ ˄ 76.1%˅

᳝ 㒧 㝰 ♢ DŽ $ $ + ᳡ ࡵ 䕪 ऎ ⱘ ᘏ থ ⮙ ⥛ Ў123 ϛ ˈ 偀 㦅 ศ ቯ ݊ Ҫ ഄ ऎ ݅ ᡹ ਞ

618՟ ⮙ ՟ ˄ থ ⮙ ⥛ Ў 4 2 . 8

ϛ ˅ ˈ

A A H

䕪 ऎ ሙ ⇥ Ϣ ݊ Ҫ ഄ ऎ ሙ ⇥ Ⳍ

↨ থ ⮙ ⱘ Ⳍ ᇍ ॅ 䰽 ᑺ ˄

R R

˅ Ў

2 . 8 8

˄

9 5 % C I 2.36–3.50˅

^[3]DŽ

0–4ቕ 㒘 ⱘ ⮙ ՟ ᳔ ໮ ˄ 41՟ ˅ ˈ

݊ Ё

1 0

՟ Ў

6

᳜ 啘 ҹ ϟ ˈ

0 – 4

ቕ 㒘 ⱘ থ ⮙ ⥛ Ў

278.5ϛDŽ

117՟咏⮍⮙՟Ёˈ66՟˄56.4%˅䳔㽕ԣ䰶⊏

⭫ˈ݊Ёቕҹϟऴ15.2%˄10/66˅ˈ1–4ቕऴ18.2%

˄12/66˅DŽ᠔᳝⮙՟Ёˈ11՟˄9.4%˅㹿䆞ᮁড়ᑊ

᳝㚎♢ˈ᳾᡹ਞ݊Ҫᑊথ⮛៪⅏ѵ⮙՟DŽ

᳝ઇ௑ǃवҪ៪㒧㝰♢㗙^[8]DŽ

AAH៪偀㦅ศቯⱘ݊

Ҫഄऎ᮴⊩䖯㸠ᅲ偠ᅸ⹂䆞DŽ⮙՟ҙձ᥂Јᑞᷛޚ䖯 㸠䆞ᮁDŽ

᭄᥂ᬊ䲚ǃ໘⧚ǃߚᵤ

䆄ᔩ↣ৡ⮙՟ⱘҎষᄺ⡍ᕕǃԣഔǃথ⮙ᯊ䯈ǃЏ㽕

⮛⢊ǃᑊথ⮛ঞԣ䰶ᚙމDŽՓ⫼䆄ᔩᴀⱏ䆄⮙՟ⱘ݋

ԧֵᙃˈ✊ৢ䕧ܹMicrosoft Excel 2010ᑊ䖯㸠ߚᵤDŽ ḍ᥂2009ᑈҎষ᱂ᶹ᭄᥂䅵ㅫথ⮙⥛੠Ⳍᇍॅ䰽ᑺঞ

݊95%ৃֵऎ䯈˄CI˅^[2,5]DŽ 䇷㿔ⲥ⌟

䗮䖛Ϣए䰶ህ䆞㗙៪䍊䲚ⱘ⼒ऎ៤ਬѸ䇜ǃϢᴥ䭓੠

໪ሩ᳡ࡵ䆞᠔ⱘᡸ⧚Ҏਬ䆓䇜ˈ㦋ᕫ᳝݇咏⮍⮙՟ⱘ Ӵ㿔DŽ⬅Ꮉ԰Ҏਬᬊ䲚ᴥᑘঞᴥ㨑Ёⱘৃ㛑咏⮍⮙՟

ⱘֵᙃˈᑊ᡹㒭ए䰶䮼䆞䚼੠߱㑻ि⫳ֱع˄

PHC

˅ ⱘ催㑻Ҏਬˈ✊ৢᇚ⮙՟ֵᙃ∛㓪Ў݀݅ि⫳ֵᙃᑊ

⫼Ѣᣛᇐ㸠ࡼDŽ

೒1. ᠔㔫䮼㕸ቯⱘϰKwaioഄ೒

⊼˖˄1˅䳡ሐѮᢝᰃ᠔㔫䮼㕸ቯⱘ佪䛑ˈAukiᰃ偀㦅ศቯⱘⳕӮDŽ˄2˅䰓ᠬӞ㧆෎ⴷ໡Јए䰶ԡѢ偀㦅ศቯϞˈЏ㽕ЎϰKwaioഄऎᦤկए⭫᳡

ࡵDŽ˄3˅ϰKwaioഄऎ᳝40໮Ͼᴥᑘ੠ᕜ໮ቅ䯈ᴥ㨑ˈ಴ᴥᑘ䯈䎱⾏ᕜ䖥㗠Ϩ᳝ѯቅ䯈ᴥ㨑䛑ᰃЈᯊᗻⱘˈ᠔ҹഄ೒Ϟ᳾ᷛ⊼৘Ͼᴥᑘ੠ᴥ

㨑DŽ

Auki

Atofi

Kawainaa’isi Kafurumu

East Kwaio

᠔㔫䮼㕸ቯ

偀㦅ศቯ

⦞⨮⍋ 䳡ሐѮᢝ

फ໾ᑇ⋟

ܡ䋷ໄᯢ˖೒Ёഄඳߦߚ ঞᷛ䆚ϡҷ㸼WHOᇍӏ ԩ೑ᆊǃഄऎǃජᏖǃ乚

ഄ៪䖍⬠ԡ㕂ⱘᗕᑺDŽⱑ 㒓ҷ㸼໻㟈䖍๗ˈৃ㛑ᄬ

೼ϔᅮѝ䆂DŽ

䰶ݙᛳᶧDŽԚᰃˈᄺ᷵ᑊ᳾݇䯁ˈ⼒ऎ⌏ࡼгҡ✻ᐌ 䖯㸠DŽ

ᇍ咏⮍⮙՟ⱘᆊᒁ៤ਬᦤկ05⭿㢫᥹⾡DŽए䰶݅

㒘៤њ

3

Ͼᇣ㒘˄↣ᇣ㒘

5

ৡᡸ຿˅೼ϰ

Kwaio

ഄऎ਼

䖍ᴥᑘЁᓔሩ

MR

᥹⾡DŽ㄀ϔ䕂᥹⾡ⱘⳂᷛҎ㕸Ў

6

᳜ 啘

–4

ቕܓスˈПৢᇍᄺ啘ܓス˄

4–18

ቕ˅ঞ

18

ቕҹϞ ៤Ҏᓔሩ᥹⾡DŽ݅䅵᥹⾡

2453

ࠖ

MR

⭿㢫DŽ៥ӀԄㅫ

6

᳜啘

–4

ቕܓス

MR

ᑨᗹ᥹⾡⥛Ў

73.5%

˄

496/675

˅DŽ

䅼䆎

䖛এकᑈЁˈҙথ㸼䖛ϸ㆛݇Ѣ໾ᑇ⋟ቯ೑咏⮍ᲈথ ⱘ᡹ਞ˄偀㒡ᇨ㕸ቯ੠᭤⌢˅ˈ䖭ϸ㆛᡹ਞЏ㽕ᦣ䗄 њ೑ᆊ㑻ⱘᑨᗹডᑨ^[9,10]DŽ៥Ӏ䖭ӑ᡹ਞЁᦣ䗄њ᠔ 㔫䮼㕸ቯϔϾأ䖰ഄऎⱘ咏⮍ᲈথˈ៥Ӏথ⦄ᴀ⃵⭿

ᚙЁ⮙՟ԣ䰶⥛䖰催Ѣ᮶ᕔথ㸼ⱘ໾ᑇ⋟ቯ೑咏⮍ᲈ থⱘ᡹䘧^[9]ˈ໻䚼ߚ⮙՟݋᳝থ⛁੠ߎ⮍ㄝ݌ൟⱘ咏

⮍Јᑞ㸼⦄DŽ೼أ䖰ഄऎˈ⬅Ѣए䰶ֱعҎਬ᳝䰤ए 䰶ᡸ⧚ϡᆍᯧ㦋ᕫˈ᠔ҹ⮙՟Џ㽕ձ䴴ᆊᒁ៤ਬⱘᡸ

⧚DŽأ䖰ഄऎⱘए䰶བ

AAH

ⱘህ䆞䞣䖙⣯๲ࡴˈᇐ㟈 ᇍֱعҎਬঞए⭫䆒ᮑⱘ䳔∖гᯢᰒ๲ࡴDŽ

಴໻䚼ߚ䰓ᠬӞ㧆ⱘ៤Ҏ೼AAHᎹ԰ˈ᠔ҹए䰶

໻㑺

50%

ⱘ咏⮍⮙՟ᴹ㞾ϰ

Kwaio

ⱘቅऎDŽ

AAH

䕪ऎⱘ໻䚼ߚᴥᑘ˄

37/40

˅䛑᡹ਞњ咏⮍⮙՟ˈ݊

Ё

Kwalakwala

ᴥҎষ

49

Ҏˈ㕍ᙷ⥛᳔催˄

38.8%

ˈ

19/49

˅DŽ

䇷㿔ⲥ⌟

䇷㿔ⲥ⌟ᰒ⼎ˈҙ೼Karfurumuⱘቅऎ᳝2՟⭥Ԑ咏⮍

⮙՟DŽ៥ӀԄ䅵೼Kwainaa’isiⱘቅऎˈ150–200ৡ ቕҹϟⱘܓス੠䴦ᇥᑈЁˈ໻ὖ᳝75%Ў⭥Ԑ咏⮍⮙

՟ˈԚᰃҪӀഛ᳾ࠄ$$+ህ䆞DŽ঺໪ˈ೼Kwainaa’isiഄ

ऎˈ䖬᡹ਞњ3՟ܓス咏⮍⅏ѵ⮙՟ˈԚ᳾䖯㸠ᅬᮍⱏ 䆄DŽ⬅Ѣ᮴⊩᥹㾺ࠄ䖭ѯ⮙՟ҹঞ⼒Ӯ᭛࣪಴㋴ⱘᕅ ડˈ᳔㒜䖬ᰃ᮴⊩ᇍӴ㿔䖯㸠䆕ᅲDŽ

咏⮍ᲈথⱘᑨᇍ

2014ᑈ8᳜ 24᮹ˈᔧഄ៤ゟњϔᬃ咏⮍ᲈথᑨᇍᇣ

㒘ˈ8᳜25᮹Ў᠔᳝䰓ᠬӞ㧆ⱘሙ⇥ᦤկ咏⮍亢⮍

⭿㢫˄MR˅᥹⾡ˈ࠽ԭ⭿㢫Ѣ8᳜26᮹Ў᡹ਞњϔ

՟咏⮍⮙՟ⱘᴥᑘ˄Canaanᴥ੠

Na’auᴥ˅ঞ਼䖍

ⱘ4Ͼᴥᑘⱘ6᳜啘–4ቕܓス䖯㸠᥹⾡DŽ䇷㿔ⲥ⌟Ѣ

2014ᑈ8᳜26᮹ᓔྟਃࡼDŽ

೒2. 2014ᑈ7–12᳜ࠄAAHህ䆞ⱘ咏⮍⮙՟᭄

0 2 4 6 8 10 12 14 16 18 20

32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

⮙՟᭄⮙՟᭄

⌕㸠਼

⌕㸠਼

ᚑੱ

15–19ቕ 10–14ቕ 5–9ቕ 0–4ቕ

߽Ⲟކさ

᮴

㒣䌍䌘ࡽ

ᴀ⃵䇗ᶹᕫࠄ

TDR

ǃ⛁ᏺ⮙ⷨおϢ෍䆁⡍⅞乍Ⳃⱘ㒣 䌍ᬃᣕˈгᕫࠄ㘨ড়೑ܓス෎䞥Ӯǃ㘨ড়೑থሩ乍 ⳂǃϪ⬠䫊㸠੠Ϫ⬠ि⫳㒘㒛ⱘ㘨ড়䌲ࡽ˄㒣䌍ো

1–811001688

DŽ 㟈䇶

៥Ӏᛳ䇶ҹϟ㒘㒛ᇍ᠔㔫䮼㕸ቯϰKwaioഄऎⱘሙ⇥ᦤ կⱘ乍Ⳃᬃᣕঞᣕ㓁ᓔሩⱘعᒋ֗䖯⌏ࡼˈ೼ℸ㸼⼎

䆮ᣮ䇶ᛣ˖䰓ᠬӞ㧆㘊⿷໡Јए䰶໾ᑇ⋟㘊⿷໡Ј໻

ᄺ̢䰓ᠬӞ㧆᷵ऎˈ䁍ྚᮃᑧܟ໻ᄺ੠Ѽ⡍ᮄ㣅Ḑ݄

Ҏ㉏عᒋЁᖗDŽ ᓩ⫼ᴀ᭛ഄഔ˖

Diau J et al. Measles outbreak investigation in a remote area of Solomon Islands, 2014. Western Pacific Surveillance and Response Journal, 2015, 6(3):17–21.

doi:10.5365/wpsar.2015.6.2.001

খ㗗᭛⤂

1. Heymann DL. Control of Communicable Diseases Manual 20th edition. Washington, DC, American Public Health Association, 2009, pp. 389–397.

2. Report on 2009 population and housing census: statistical bulletin 06/2011. Honiara, Government of Solomon Islands, 2011, p. 12 (http://catalog.ihsn.org/index.php/catalog/4595/

download/58455, accessed 29 July 2015).

3. World Health Organization Regional Office for the Western Pacific.

Measles Outbreak, Solomon Islands, Health Situation Report No. 7. Geneva, ReliefWeb, 2014 (http://reliefweb.int/report/

solomon-islands/measles-outbreak-solomon-islands-health- situation-report-no-7, accessed 29 July 2015).

4. World Health Organization. Health alert: suspected measles outbreak: Honiara, Solomon Islands, 23 July 2014. Geneva, Reliefweb, 2014 (http://reliefweb.int/report/solomon-islands/

health-alert-suspected-measles-outbreak-honiara-solomon- islands-23-july-2014, accessed 29 July 2015).

5. Oloifana-Polosovai H et al. A marked decline in the incidence of malaria in a remote region of Malaita, Solomon Islands, 2008 to 2013. Western Pacific Surveillance and Response Journal, 2014, 5:30–39. doi:10.5365/wpsar.2014.5.3.002 pmid:25320674

᠔ ᳝ ᴥ ᑘ Ё ˈ

Kwalakwala

ᴥ ⱘ 㕍 ᙷ ⥛ ᳔ 催

˄38.8%˅DŽKwalakwalaᴥⱘᕜ໮ᆊᒁ⬅ѢফӴ㒳㾖 ᗉᕅડ䰏⹡њ咏⮍⭿㢫᥹⾡DŽAAHए䰶ⱘPHC䚼䮼᡹

ਞˈ೼ᴀ⃵咏⮍ᲈথࠡˈ䆹ᴥⱘᆊᒁህϡᬃᣕ乘䰆᥹

⾡DŽ಴⭿ᚙᲈথ㦋পⱘ㒣偠ঞPHCҎਬᓔሩⱘعᒋ֗

䖯⌏ࡼˈᴥ䭓ঞ㗕ᑈҎ⦄೼Ꮖ㒣ᓔྟᬃᣕ乘䰆᥹⾡Ꮉ

԰DŽ

䇷㿔ⲥ⌟ৃ⫼ᴹᣛ⼎⮒⮙ⱘӴ᪁ঞ䳔㽕䞛পᑨᇍ ⱘ㣗ೈ^[11]DŽᴀ⃵䇗ᶹህথ⦄њᕜ໮ቅऎ᳾᡹ਞⱘ咏

⮍⮙՟ҹঞϔѯৃ㛑Ϣᲈথ᳝݇ⱘ⅏ѵ⮙՟ˈ㱑✊᳔

㒜᳾㛑䖯㸠ḌᅲDŽ䰸њᆊᒁԣഔϢए䰶ⱘ䎱⾏䕗䖰ҹ

໪ˈϔѯ໡ᴖⱘ⼒Ӯ᭛࣪䯂乬гӮᇐ㟈ቅऎሙ⇥᮴⊩

߽⫼ि⫳ֱع᳡ࡵ^[12]DŽᕜ໮ᆊᒁ䗮ᐌᰃܜ੼䆶Ӵ㒳ए

຿䖯㸠⊏⭫Ң㗠ᓊ䇃њࠄए䰶ⳟ⮙^[13]DŽ

Ϣ偀㦅ศቯ݊ҪഄऎⳌ↨ˈϰ

Kwaio

ഄऎⱘܓス 咏⮍⮙՟↨՟᳈催㗠Ϩ㕍ᙷ⥛г催ˈᦤ⼎䆹ഄऎⱘ咏

⮍⭿㢫᥹⾡⥛ϡ䎇ҹ乘䰆咏⮍ᲈথDŽ᠔㔫䮼㕸ቯⱘ咏

⮍⭿㢫᥹⾡⿟ᑣЎ

12

᳜啘ˈЏ㽕⬅ᬓᑰᦤկ᥹⾡᳡

ࡵˈ䖥ѯᑈ咏⮍⭿㢫᥹⾡⥛Ў

60%–80%

^[14]DŽЎᦤ催

੠㓈ᣕ咏⮍⭿㢫᥹⾡∈ᑇˈ

AAH

Ꮖࠊᅮњϔ㋏߫ᮄⱘ ㄪ⬹ˈࣙᣀᓎゟ᥹⾡䆄ᔩव㋏㒳ҹ䆚߿᳾⾡ܓスˈᦤ 催ܓス೼߱㑻ि⫳ֱع㋏㒳ⱘⱏ䆄ˈЎأ䖰ⱘᴥᑘᴥ 㨑ᦤկ᳈໮ⱘि᯳䆞ᅸˈ೼

AAH

੠ि᯳䆞ᅸᅲᮑᴎӮ

᥹⾡ˈՓ⫼䇷㿔ⲥ⌟ҹথ⦄ᑊϢ䴲ԣ䰶ߚ࿽ⱘܓスᆊ 䭓䖯㸠≳䗮ㄝDŽ䗮䖛ᴥ䭓੠݊Ҫ⼒ऎ乚㹪ᡒࠄ೼ᴥᑘ ঞᴥ㨑ߎ⫳ⱘܓスֵᙃˈ߽⫼䖭ѯֵᙃᣛᇐⳈ᥹໪ሩ

᳡ࡵDŽ

ᴀ᡹ਞⱘሔ䰤ᗻࣙᣀ⮙՟ᅮН᳾෎Ѣᅲ偠ᅸ⹂䆞

⮙՟DŽϔѯ⮙՟ৃ㛑㹿䫭䇃ߚ㉏DŽ⬅Ѣᓔሩⱘᰃ㹿ࡼ

ⲥ⌟੠ϔᇣ䚼ߚⱘЏࡼ⮙՟ⲥ⌟ˈ಴ℸৃ㛑Ӯⓣᥝϔ ѯ⮙՟DŽ঺໪г≵᳝䅵ㅫᴎ᭄᥂㋏㒳ᴹ䆄ᔩ᭄᥂DŽᲈ থᑨᇍⱘⳂᷛৃ㛑ᇍᔧഄᅲ䰙ᚙމᑊϡ⧚ᛇ^[15]DŽ⬅Ѣ ᴀ⃵䇗ᶹҙࣙᣀࠄAAHህ䆞ⱘ⮙՟ˈ᠔ҹৃ㛑᮴⊩ҷ 㸼⼒ऎⱘ᠔᳝⮙՟DŽ঺໪г᳾ᬊ䲚⮙՟ⱘ᥹⾡ֵᙃˈ 䖭ৃ㛑ᕅડᇍᲈথⱘ⏅ܹ⧚㾷DŽ

㒧䆎

ᴀ⃵ᲈথ㸼ᯢˈ咏⮍ҡ✊ᰃأ䖰ഄऎབϰ.ZDLRⱘ࿕

㚕DŽᴀ᡹ਞᔎ䇗њ⼒Ӯ᭛࣪ǃഄ⧚ԡ㕂ҹঞि⫳᳡ࡵ

ㄝ಴㋴བԩᕅડ咏⮍੠݊Ҫ㉏Ԑ⮒⮙ᲈথⱘথሩ੠᥻

ࠊDŽ

11. Samaan G et al.; World Health Organization Outbreak Response Team. Rumor surveillance and avian influenza H5N1. Emerging Infectious Diseases, 2005, 11:463–466. doi:10.3201/

eid1103.040657 pmid:15757567

12. MacLaren D. Culturally appropriate health care in Kwaio, Malaita, Solomon Islands: an action research approach. PhD [dissertation].

Queensland, Griffith University, 2007.

13. Massey PD et al. TB questions, East Kwaio answers:

community-based participatory research in a remote area of Solomon Islands. Rural and Remote Health, 2012, 12:2139.

pmid:23094978

14. Immunization epi country poster. Manila, World Health Organization Regional Office for the Western Pacific, 2010 (http://www.wpro.who.int/immunization/documents/epi_country_

poster_2010_SOL.pdf?ua=1, accessed 29 July 2015).

15. Minetti A et al. Measles outbreak response immunization is context- specific: insight from the recent experience of Médecins Sans Frontières. PLoS Medicine, 2013, 10:e1001544. doi:10. 1371/

journal.pmed.1001544 pmid:24223523 6. MacLaren D, Kekeubata E. Reorienting health services through

community health promotion in Kwaio, Solomon Islands.

Promotion & Education, 2007, 14:78–79. doi:10.1177/10253 823070140021701 pmid:17665704

7. MacLaren D et al. Incorporating sociocultural beliefs in mental health services in Kwaio, Solomon Islands. Australasian Psychiatry, 2009, 17(Suppl 1):S125–127. doi:10.1080/10398560902948381 pmid:19579125

8. WHO recommended standards for surveillance of selected vaccine-preventable diseases. Geneva, World Health Organization, 2003 (http://whqlibdoc.who.int/hq/2003/who_v&b_03.01.pdf, accessed 29 July 2015).

9. Hyde TB et al. Measles outbreak in the Republic of the Marshall Islands, 2003. International Journal of Epidemiology, 2006, 35:299–306. doi:10.1093/ije/dyi222 pmid:16299123

10. Centers for Disease Control and Prevention (CDC). Measles outbreak and response–Fiji, February–May 2006. MMWR.

Morbidity and Mortality Weekly Report, 2006, 55:963–966.

pmid:16960551