㟈㓪䕥ⱘֵ
WPSAR Vol 6, No 2, 2015 | doi: 10.5365/wpsar.2015.6.1.021
www.wpro.who.int/wpsar
1
a 㧆ᕟᆒˈ偀ሐᢝˈܟ剕ݍˈᢝ㧼㔫ˈि⫳㕆⌕㸠⮙ᄺ໘ˈ⦄എ⌕㸠⮙ᄺ䆁乍ⳂDŽ
b 㧆ᕟᆒˈ偀ሐᢝˈܟ剕ݍˈᢝ㧼㔫ˈि⫳㕆DŽ
c 㧆ᕟᆒˈ偀ሐᢝˈϪ⬠ि⫳㒘㒛㽓ᑇ⋟ऎඳࡲ݀ᅸˈि⫳ᅝܼᑨᗹ໘ˈᮄথӴᶧ⮙ⲥ⌟ᑨᗹ㒘DŽ ᡩ〓᮹ᳳ˖2015ᑈ3᳜30᮹˗থ㸼᮹ᳳ˖2015ᑈ6᳜11᮹
doi: 10.5365/wpsar.2015.6.1.021
2014 ᑈ㧆ᕟᆒ㋶㋶䋵⍋啳↦㋴Ё↦ᲈথ
䖥
ᳳˈ㧆ᕟᆒϰ㧼偀ⳕ䰓ߛ⡍ഄऎথ⫳ϔ 䍋⍋啳↦㋴Ё↦˄⍋啳Ё↦˅ᲈথˈĀ㽓ᑇ⋟ഄऎⲥ⌟ঞᑨᇍᴖᖫā˄
WPSAR
˅ 䘧 њ 䆹 џ ӊ ⱘ ⡍ ᕕ ˈ ᦣ 䗄 њ 亳 ⫼ ⍋ 啳 㙝 ⱘ ॅ 䰽 ᗻ[1]DŽ㗙ਞЁᔎ䇗ˈ݅থ⦄
68
՟⮙՟ˈ⮙⅏⥛Ў
6%
˄CFR
˅DŽℸˈ䆹䍋ᲈথ䇗ᶹ㒧ᵰᧁ⼎њ亳⫼⍋啳㙝佂⫼⍋啳∸Ϣথ⮙亢䰽П䯈ਜ⦄ࠖ䞣ডᑨ݇
㋏DŽ
2014ᑈ10᳜ˈ៥Ӏ㧆ᕟᆒ㋶㋶䋵Ӟ㔫䕯Liang
ᴥᓔሩњϔ䍋⍋啳↦㋴Ё↦ᲈথ䇗ᶹDŽЈᑞ⮙՟ᅮ НЎ㋶㋶䋵Ӟ㔫䕯Liangᴥ䑿ԧعᒋⱘᴥ⇥Ёˈ2014 ᑈ10᳜8᮹ü10᮹ᳳ䯈ߎ⦄Ϟ㝍⮯ǃᙊᖗǃ㝍⋏⮛⢊㗙[2]DŽ៥ӀӞ㔫䕯ऎए䰶ᶹ䯙њ᠔᳝Јᑞ⮙
՟ⱘए⭫䆄ᔩˈՓ⫼⦄എ䇗ᶹਬࠊᅮⱘᷛޚ䯂ो䆓䇜 њЈᑞ⮙՟DŽ៥ӀՓ⫼ᖂ䕃Excelᇍ᭄ᣝ✻ᑈ啘ǃᆊ ᒁऩԡǃ亳⫼亳⠽ⱘ⾡㉏┰ӣᳳ䖯㸠ߚሖৢߚᵤDŽ
33
ৡ亳⫼⍋啳㙝ⱘᴥ⇥Ё᳝݅6
՟Јᑞ䆞ᮁⱘ⍋啳↦㋴Ё↦⮙՟˄㕍ᙷ⥛
=18%
˅DŽ⮙՟ᑈ啘㣗ೈЎ
1
ቕ㟇48
ቕ˄Ёԡ᭄=19
ቕ˅DŽ6
՟⮙՟Ё᳝3
՟˄
50%
˅ ᰃ1–5
ቕ ⱘ ܓ ス ˈ4
՟ ˄66%
˅ Ў ⬋ ᗻ ˈImelda Deveraturda
abˈ Ray Justin Ventura
abˈ Vikki Carr de los Reyes
bˈ Ma Nemia Sucaldito
bˈ Michael O’Reilly
c Enrique Tayag
b䗮䆃㗙˖Imelda Deveraturda (䚂ӊ˖deveraturdamel@gmail.com)DŽ
5՟˄83%˅⮙՟ᴹ㞾ৠϔᆊᒁDŽ᠔᳝⮙՟ߎ⦄⮛
⢊ࠡ2ݙ䛑亳⫼䖛⍋啳㙝DŽ⮙՟Џ㽕⮛⢊ЎϞ㝍⮯
˄
83%
˅ ǃ ˄83%˅ ༈ ᰩ ˄ 67%
˅ DŽ ┰ ӣᳳ㣗ೈЎᇣᯊü45ᇣᯊ˄Ёԡ᭄
=4ᇣᯊ˅DŽ 4՟
˄66%˅⮙՟亳⫼⍋啳㙝∸ৢ5ᇣᯊݙߎ⦄⮛⢊ˈ
2՟˄ 33%˅ᲈ䴆ৢ44ᇣᯊ 45ᇣᯊП䯈ߎ⦄⮛
⢊DŽ⮙⅏⥛Ў50%˄1˅DŽ᠔᳝⅏ѵ⮙՟ഛᴹ㞾ৠϔ ᆊᒁDŽ3ৡ˄100%˅ܓス⮙՟˄<5ቕ˅ഛ⅏ѵˈ㗠
3ৡ៤Ҏ⮙՟ഛᄬ⌏DŽৠᯊˈϔ᠋ᆊᒁਞϸাᅴ⠽
⢫᳒ৗ䖛䆹ᆊᒁϔৡ⅏ѵ⮙՟ⱘ⠽ˈ䖭ϸা⢫亳
⫼ৢг⅏ѵDŽ
ḍ䇗ᶹ㒧ᵰˈ៥Ӏᡒࠄ亳⫼⍋啳㙝⫳ᄬὖ
⥛П䯈ⱘ݇㘨DŽҢ
2
ৡ⮙՟Ё䞛䲚њϸӑ㙯ᣁᄤḋᴀ䖯 㸠㒚㦠ݏˈথ⦄㟈⮙ᗻ⮙ॳԧDŽ䘫ធⱘᰃˈϢᕜ݊ҪϰफѮথ⫳ⱘ⍋啳㙝Ё↦ᲈথϔḋ[3]ˈ⬅Ѣ≵
᳝䎇ⱘᅲ偠ᅸ㛑ˈ៥Ӏ㛑䗮䖛ᅲ偠ᅸ䖯㸠↦㋴
⹂䅸ˈℸϡ㛑Ⳉ⹂䅸Ў⍋啳↦㋴Ё↦DŽ
ḍ䇗ᶹ㒧ᵰˈᴀᲈথⱘ⡍ᕕЎ˖˄1˅ᆊᒁ㘮 䲚ᗻ˗˄2˅┰ӣᳳਜঠዄߚᏗ˗˄3˅⅏ѵাথ⫳
ܓスЁDŽ⬅Ѣ⍋啳↦㋴Ё↦ⱘЈᑞ⮙՟ᅮН⡍ᓖᗻϡ
1. 2014 ᑈ 10 ᳜ 8–10 ᮹㧆ᕟᆒ㋶㋶䋵亳⫼⍋啳㙝∸ৢ⮙՟থ⮙ⱘᯊ䯈ߚᏗ˄ n = 6 ˅
0 1 2 3 4 5
0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 66 69 72
⮙՟᭄⮙՟᭄
┰ӣᳳ˄ᇣᯊ˅
┰ӣᳳ˄ᇣᯊ˅
ᱫ
ሽᵴ BᆊᒁЁᦤկⱘ⍋啳㙝
AᆊᒁЁᦤկⱘ⍋啳㙝∸
WPSAR Vol 6, No 2, 2015 | doi: 10.5365/wpsar.2015.6.1.021 www.wpro.who.int/wpsar
2
Deveraturdaㄝ 2014ᑈ㧆ᕟᆒ㋶㋶䋵⍋啳↦㋴Ё↦ᲈথ
ᔎˈℸ៥Ӏᓎ䆂ᓎゟ䕀䆞ᴎࠊˈ䕀ࠄ㛑ᓔሩ⍋啳↦
㋴Ё↦ᲈথ⹂䅸ⱘᅲ偠ᅸ䖯㸠Ẕ⌟DŽ㧆ᕟᆒҹঞ݊
Ҫϔѯᇚ⍋啳ᔧخϔ⾡ᐌ㾕亳⠽ⱘᆊЁˈ⦄᳝⊩ᕟ ডᇍᠥᴔ亳⫼⍋啳ˈ䖭ѯᆊϹḐᅲᮑ䆹⊩ᕟ߭
ৃҹ䰡Ԣ⍋啳↦㋴Ё↦ᇐ㟈ⱘথ⮙⅏ѵ[4]DŽ
߽Ⲟކさ
᮴ 㒣䌍
᮴
ᓩ⫼ᴀ᭛ഄഔ˖
Deveraturda I et al. Chelotoxism outbreak: Sorsogon, Philippines, October 2014. Western Pacific
Surveillance and Response Journal, 2015, 6(2):90–91.
doi:10.5365/wpsar.2015.6.1.021
খ㗗᭛⤂
1. Ventura RJ et al. Chelonitoxism outbreak caused from consuming turtle, Eastern Samar, Philippines, August 2013. Western Pacific Surveillance and Response Journal, 2015, 6(2). doi: 10.5365/
wpsar.2015.6.1.003
2. Chelonitoxism – clinical signs [Internet]. Tokyo, MedQA-jp , 2010.
3. Pavlin BI et al. Mass poisoning after consumption of a hawksbill turtle, Federated States of Micronesia, 2010. Western Pacific Surveillance and Response Journal, 2015, 6(1):25–32.
doi:10.5365/wpsar.2014.5.3.006
4. Republic Act No. 9147: Wildlife resources conservation and protection act. Quezon City, Eleventh Congress of the Philippines, 2001 (http://www.lawphil.net/statutes/repacts/ra2001/ra_9147 _2001.html, accessed 8 May 2015).