2014年8-9月日本登革热本地传播疫情

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ⷁ㆛᡹䘧

WPSAR Vol 5, No 4, 2014 | doi: 10.5365/wpsar.2014.5.3.007

www.wpro.who.int/wpsar

1

a ᮹ᴀ೑ゟӴᶧ⮙ⷨお᠔Ӵᶧ⮙ⲥ⌟Ёᖗˈ᮹ᴀϰҀǄ

b ᮹ᴀ೑ゟӴᶧ⮙ⷨお᠔⮙↦ᄺ䚼ˈ᮹ᴀϰҀǄ

c ᮹ᴀ೑ゟӴᶧ⮙ⷨお᠔एᄺᯚ㰿ᄺ䚼ˈ᮹ᴀϰҀǄ ᡩ〓᮹ᳳ˖2014ᑈ9᳜26᮹˗থ㸼᮹ᳳ˖2014ᑈ10᳜28᮹ doi: 10.5365/wpsar.2014.5.3.007

2 014ᑈ8᳜ᑩˈ᮹ᴀ᡹ਞ3՟ⱏ䴽⛁ᴀഄ⮙՟Ǆ

8᳜ᑩ㟇9᳜17᮹݅⹂䅸131՟ᴀഄ⮙՟Ǆሑㅵ ᮹ᴀ৘ഄഛ᳝⮙՟᡹ਞˈԚ໮᭄⮙՟থ⮙ࠡ᳒ࠄ 䖛ϰҀϔ᠔໻ൟ݀ು៪݊䰘䖥ˈ⮙↦㸔⏙ൟЎ1ൟǄ䖭 ᰃ᮹ᴀ䖥70ᑈᴹ佪䍋ⱏ䴽⛁ᴀഄ⭿ᚙǄᴀ᭛ᇚҟ㒡䆹䍋⭿ᚙⱘ߱ℹ䇗ᶹ㒧ᵰঞ݀݅ि⫳ᑨᇍ᥾ᮑǄ

ⱏ䴽⛁ᰃ⬅ϔ⾡೼Ѯ໾ഄऎᇸ݊ᰃϰफѮഄऎ ᑓ⊯ᄬ೼ⱘ咘⮙↦ᓩ䍋ⱘ㒣㱞ၦӴ᪁ⱘᗹᗻথ⛁ᗻ⮒

⮙Ǆሑㅵ඗ঞӞ㱞 Aedes aegypti 㹿䅸ЎᰃӴ᪁ⱏ䴽

⮙↦ⱘЏ㽕㱞⾡ˈ✊㗠ˈ೼᮹ᴀ໻䚼ߚഄऎˈ೼䕗Ў

⏽ᱪⱘᄷ㡖䞠ˈⱑ㒍Ӟ㱞 Aedes albopictusis гৃ៤ Ўⱏ䴽⮙↦ⱘӴ᪁ၦҟǄᛳᶧⱏ䴽⮙↦ৢӮߎ⦄থ

⛁ǃ༈⮯ǃ㙠㙝⮯੠៪ߎ⮍ㄝ⮛⢊ˈԚгৃ㛑㸼⦄Ў 䕏⮛៪᮴⮛⢊Ǆሑㅵ≵᳝⡍ᓖⱘ⊏⭫ᮍ⊩ˈԚা㽕೼

থ⮙ᮽᳳ㒭ќ䗖ᔧ⊏⭫ˈߎ⦄䞡⮛៪⅏ѵⱘৃ㛑ᗻϡ

໻Ǆ

ⱏ䴽⛁Ѣ 1999 ᑈ 4 ᳜㹿㒇ܹ᮹ᴀⱘ⊩ᅮ᡹ਞӴᶧ

⮙ǄЈᑞए⫳乏ᇚⱏ䴽⛁ᅲ偠ᅸ⹂䆞⮙՟ⱘҎষᄺǃ Јᑞঞᲈ䴆৆ㄝֵᙃ᡹ਞ㒭ഄᮍ݀݅ि⫳Ёᖗˈݡ⬅

ഄᮍ݀݅ि⫳Ёᖗ৥८⫳ࢇࡼⳕ Ministry of Health Labour and Welfare ˈㅔ⿄ MHLW ੠᮹ᴀ೑ゟӴᶧ⮙

ⷨお᠔ National Institute of Infectious Diseases ˈㅔ⿄

NIID ᡹ਞ

^[1]

Ǆ

䖥ᑈᴹˈ᮹ᴀ䗮䖛೑ᆊⲥ⌟㋏㒳݅᡹ਞ㑺200՟

ⱏ䴽⛁䕧ܹ⮙՟⍋໪ᮙ㸠ৢಲ೑থ⮙ˈ㒱໻໮᭄⮙

՟ᴹ㞾ϰफѮ

^[2,3]

Ǆሑㅵ᮹ᴀϞϔ⃵᡹ਞⱏ䴽⛁ᴀഄӴ ᪁⭿ᚙᰃ೼20Ϫ㑾40ᑈҷ

^[4]

ˈԚ䡈Ѣ䕧ܹ⮙՟᭄ϡᮁ

๲໮Ϩ䖥ᑈᴹ㕢೑

^[5]

ǃ⊩೑

^[6]

੠㨵㧘⠭

^[7]

ㄝ㒋㒋ߎ⦄ⱏ 䴽⛁⭿ᚙˈ಴ℸˈ᮹ᴀӮ৺ݡ⃵ߎ⦄ⱏ䴽⛁⭿ᚙ䖥ᑈ ᴹϔⳈ໛ফ݇⊼Ǆ2013ᑈ໣໽ϔৡᖋ೑ᮙ㸠㗙㹿ᗔ⭥

೼᮹ᴀᛳᶧⱏ䴽2ൟ⮙↦

^[8]

ˈ䱣ेMHLW੠NIIDᓔྟࠊ ᅮ䰆㣗ⱏ䴽⛁ᴀഄӴ᪁ⱘᑨᇍ᥾ᮑㅵ⧚ᣛफǄ

2014 ᑈ 8 ᳜ 27–28 ᮹ˈϰҀ੠ැ⥝ও᡹ਞ 3 ՟᮴⍋

໪ᮙ㸠৆ⱘⱏ䴽⛁ᴀഄ⮙՟Ǆ 3 ՟⮙՟ഛ೼থ⮙ࠡࠄ䖛

2014 ᑈ 8-9 ᳜᮹ᴀⱏ䴽⛁ᴀഄӴ᪁⭿ᚙ

Yuzo Arima

^a

, Tamano Matsui

^a

, Tomoe Shimada

^a

, Masahiro Ishikane

^a

, Kunio Kawabata

^a

, Tomimasa Sunagawa

^a

, Hitomi Kinoshita

^a

, Tomohiko Takasaki

^b

, Yoshio Tsuda

^c

, Kyoko Sawabe

^c

੠ Kazunori Oishi

^a

䗮䆃԰㗙˖YuzoArima (e-mail: arima@niid.go.jp)Ǆ

ϰҀϔ᠔໻ൟỂᵫ݀ು54݀之üYoyogi݀ುᑊ೼݀

ುݙ㹿㱞ᄤূ઀Ǆথ⮙᮹ᳳߚ߿Ў8᳜18᮹ǃ20᮹੠

24᮹ǄMHLW৥ߎ⦄ⱏ䴽⛁ᴀഄ⮙՟ⱘഄᮍ݀݅ि⫳

ᴎᵘথߎ乘䄺ˈ㽕∖Јᑞए⫳ֱᣕ䄺៦ǃথ⦄⮙՟ᯊ ঞᯊ᡹ਞˈৠᯊ䗮䖛ᅬᮍ䗨ᕘ੠ၦԧ৥݀ӫ䖯㸠ᅷӴ ᬭ㚆ˈᦤ催݀ӫ䰆㣗ᛣ䆚Ǆ

៾㟇 2014 ᑈ 9 ᳜ 17 ᮹ˈ݅᡹ਞ 131 ՟ⱏ䴽⛁ᴀഄ

⮙՟ˈ݊Ёϔѯ⮙՟ⱘথ⮙᮹ᳳᮽѢ᳔߱থ⦄ⱘ 3 ՟⮙

՟೒ 1 Ǆሑㅵ⮙՟ߚᏗѢ᮹ᴀϾওЁⱘ 17 Ͼওˈ Ԛ໮᭄⮙՟ [112/131(85%)] থ⮙ࠡ᳒ࠄ䖛 Yoyogi ݀ು

៪䰘䖥Ǆ⮙՟Ё 74 ՟ 56% Ў⬋ᗻˈ 57 ՟ 44% Ўཇ ᗻǄᑇഛᑈ啘Ў 26 ቕᑈ啘㣗ೈЎ 4–77 ቕǄ⬋ᗻ੠ཇ ᗻ⮙՟Ёˈ໮᭄Ў䴦ᇥᑈˈ 42 ՟ (32%) Ў 20 ໮ቕˈ 28

՟ (21%) Ў 10–19 ቕǄܓス੠㗕ᑈ⮙՟Ёˈҹ⬋ᗻЎ Џ˖ 5 ՟ 10 ቕҹϟⱘܓス⮙՟Ё᳝ 4 ՟Ў⬋ᗻˈ 11 ՟ 60 ቕҹϞⱘ㗕ᑈ⮙՟Ё᳝ 10 ՟Ў⬋ᗻǄ᡹ਞᯊ໮᭄⮙

՟Ў䕏⮛ˈ㸼⦄Ўথ⛁ǃ㙠㙝⮯੠݇㡖⮯Ǆ᮴⅏ѵ⮙

՟᡹ਞǄ⮙↦෎಴⌟ᑣ㒧ᵰᰒ⼎ˈᓩ䍋䆹䍋⭿ᚙⱘⱏ 䴽ൟ⮙↦ϢϰफѮ⌕㸠ⱘⱏ䴽⮙↦催ᑺⳌԐ

^[9]

Ǆ

㞾 Yoyogi ݀ು᠔䞛䲚ⱘ㱞㰿ᷛᴀЁгẔߎⱏ䴽⮙

↦Ǆ᳔߱ 3 ՟⮙՟᡹ਞৢˈࡴᔎњ㱞ၦⲥ⌟ˈ 9 ᳜ 3 ᮹

೼ Yoyogi ݀ು 10 Ͼഄ⚍䞛䲚њ㱞㰿ᷛᴀˈ݊ЁϾഄ⚍

ⱘ㱞㰿ᷛᴀЁẔߎⱏ䴽⮙↦

^[10]

Ǆ䖭ᰃ 2004 ᑈ䍋ϰҀ ᬓᑰᓔྟ೼Ͼ㱞ၦⲥ⌟⚍ᓔሩⲥ⌟ҹᴹ佪⃵㞾㱞㰿

ᷛᴀЁẔߎⱏ䴽⮙↦Ǆ䱣ৢˈ೼䎱 Yoyogi ݀ು 2 ݀䞠ⱘ

঺ϔᆊ໻ൟ݀ು Shinjuku Gyoen ݀ುЁѢ 9 ᳜ 19 ᮹䞛䲚 ⱘ㱞㰿ᷛᴀЁгẔߎⱏ䴽⮙↦ˈ䆹݀ುᏆѢ 9 ᳜ 7 ᮹݇

䯁

^[11]

Ǆ

ഄᮍ੠೑ᆊ݀݅ि⫳ᴎᵘᏆ䞛প᥾ᮑᑨᇍ䆹䍋ⱏ

䴽⛁ᴀഄӴ᪁⭿ᚙǄ䗮䖛Ѧ㘨㔥੠Ӵ㒳ᮍᓣ՟བ೼䝦

Ⳃഄ⚍ǃ᡹㒌ǃ⬉㾚থᏗ݀⼎থᏗ亢䰽≳䗮ֵᙃˈ

ⴔ䞡ᇍࡴᔎϾҎ䰆ᡸ᠋໪ᯊޣᇥⲂ㙸ᲈ䴆ᑊ⍖ᢍ偅

㱞ࠖ੠⍜䰸㱞㰿ᅇ⫳ഄᓔሩᅷӴǄMHLWЏࡼᦤկ

亢䰽≳䗮ֵᙃ

^[12]

ᑊϢഄᮍᴎᵘण䇗ঞᯊᬊ䲚ֵᙃǄϟ

থњׂ䅶ৢⱘⱏ䴽⛁⮙՟Јᑞㅵ⧚ᣛफǄNIIDϢড়԰

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WPSAR Vol 5, No 4, 2014 | doi: 10.5365/wpsar.2014.5.3.007 www.wpro.who.int/wpsar

2

Arimaㄝ 2014ᑈ᮹ᴀⱏ䴽⛁ᴀഄ⭿ᚙ

ᄺ੠ᯚ㰿ᄺⷨおǄ⬅Ѣ᮹ᴀ໻䚼ߚഄऎⱑ㒍Ӟ㱞ⱘ⌏

ࡼᳳҙࠄ 11 ᳜ˈ಴ℸⱏ䴽⛁ᴀഄ⮙՟᭄ᇚᕜᖿᓔྟϟ 䰡Ǆ✊㗠ˈ೼ϟϔᑈЁˈ䗮䖛ᨎᏺⱏ䴽⮙↦ⱘ㱞㰿៪

໘Ѣ⮙↦㸔⮛ᳳⱘ⮙՟ˈⱏ䴽⮙↦᳝ৃ㛑Ӯ೼᮹ᴀݡ

⃵ߎ⦄Ǆ 2020 ᑈ໣ᄷ༹䖤Ӯᇚ೼ϰҀВࡲˈ಴ℸ䆹䍋⭿ᚙ݋᳝䞡㽕ⱘ೑䰙݀݅ि⫳ᕅડˈ䳔㽕ᓔሩ᳝ᬜ ⱘⲥ⌟ᑊᇚⲥ⌟㒧ᵰ৥ഄऎঞܼ⧗ড়԰ӭԈ䖯㸠ᯢ⹂

ⱘǃᐌ㾘ᗻ䗮᡹Ǆ

߽Ⲟކさ

᳾⬇᡹Ǆ

෎䞥

᮴Ǆ 㟈䇶

ᛳ䇶ഄᮍ݀݅ि⫳Ёᖗ੠ওᏖ݀݅ि⫳णӮⱘᎹ԰Ҏ ਬǃ᡹ਞ⮙՟ⱘЈᑞए⫳ҹঞখϢ⭿ᚙᑨᇍⱘ݊Ҫ݀

݅ि⫳੠एࡵҎਬǄᛳ䇶ওᏖ݀݅ि⫳णӮ䖯㸠ᖿ䗳 ᅲ偠ᅸẔ⌟੠᡹ਞˈЎᖿ䗳䆘Ԅ੠ᑨᇍᦤկᬃᣕǄ᳔

ৢˈᛳ䇶८⫳ࢇࡼⳕ੠ϰҀᬓᑰ⿃ᵕ䞛পᑨᇍ᥾ᮑᑊ ঞᯊ䗮᡹ֵᙃǄ

ӭԈϔ䍋ˈЎ⮙↦Ẕ⌟ǃ㱞ၦ᥻ࠊǃ亢䰽䆘Ԅǃ⌕㸠

⮙ᄺ䇗ᶹǃࡴᔎⲥ⌟ֵᙃӴ᪁ㄝᦤկᡔᴃᬃᣕǄϰҀ ᬓᑰࡴᔎњ㱞ၦⲥ⌟ˈ೼ Yoyogi ݀ು๲ࡴњ㱞㰿䞛䲚ഄ

⚍

^[10]

ˈᑊѢ 9 ᳜ 4 ᮹᱖ᯊ݇䯁њ䆹݀ುǄ೼ Yoyogi ݀ು

੠ϰҀ݊Ҫϔѯ݀ು⫼ᴔ㰿ࠖ䖯㸠㱞ၦ᥻ࠊˈ䇗ᶹ㒧 ᵰᰒ⼎໮᭄݀ುⱘ㱞ၦᆚᑺ೼Փ⫼ᴔ㰿ࠖৢ᳝᠔ϟ䰡

᳾݀Ꮧ᭄᥂Ǆ

䆹䍋⭿ᚙⱘᑨᇍᄬ೼ϔѯሔ䰤ᗻǄᇮϡ⏙Ἦথ

⦄ᴀ⃵⭿ᚙ೼໮໻⿟ᑺϞձ䌪Ѣᛣ䆚๲ᔎǃⲥ⌟ǃẔ

⌟੠៪᡹ਞǄгϡ⏙Ἦⱏ䴽⮙↦೼ᴀഄߎ⦄ⱘ݋ԧ ᯊ䯈Ǆሑㅵࡴᔎⲥ⌟থ⦄њ᳈ᮽⱘ⮙՟ˈԚ៾㟇Ⳃࠡ

᠔᳝⮙՟ⱘথ⮙᮹ᳳഛᰮѢ2014ᑈ8᳜Ёᯀˈᦤ⼎

⮙↦ৃ㛑Ѣ䖥ᳳᠡߎ⦄Ǆ᮴䆎བԩˈ೼ϔϾ᳜ⱘᯊ 䯈ݙˈ100ԭ՟ⱏ䴽⛁⮙՟ഛϢ᮹ᴀⱘৠϔᆊජᏖ݀

ು᳝݇ˈ䖭ᰃ↟ᒌ㕂⭥ⱘǄℸ໪ˈ䖬ৃ㛑ᄬ೼⹂䅸أ

׮ˈ⬅Ѣ᳔߱᡹ਞⱘ⮙՟ഛϢYoyogi݀ು᳝݇ˈ᳒ࠄ䖛䆹݀ುⱘ⭥Ԑ⮙՟᳈᳝ৃ㛑ফࠄẔ⌟Ǆৢᴹᠡᓔྟথ

⦄Ϣ䆹݀ು᮴݇ⱘ⮙՟೒1ˈᦤ⼎ⱏ䴽⮙↦ⱘഄ⧚ߚ Ꮧ㣗ೈৃ㛑᳈Ўᑓ⊯Ǆ

⭿ᚙҡ೼থሩЁˈ㞾 Yoyogi ݀ುⱘ㱞㰿ЁẔߎⱏ 䴽⮙↦݋᳝䞡໻݀݅ि⫳ǃ⼒Ӯঞ㒣⌢ᕅડǄϔৡ᳒

এ䖛 Yoyogi ݀ುⱘ▇໻߽Ѯᮙ㸠㗙Ѣ 2014 ᑈ 9 ᳜Ң᮹ ᴀಲ೑ৢг㹿⹂䆞Ўⱏ䴽⛁⮙՟

^[13]

Ǆ䩜ᇍ䆹䍋⭿ᚙঞ

᳾ᴹⱘ䱤ᙷˈ䳔ᓔሩᣕ㓁ⲥ⌟ǃ亢䰽䆘Ԅҹঞ⌕㸠⮙

0 2 4 6 8 10 12

1ᣣ8᦬ 3ᣣ8᦬ 5ᣣ8᦬ 7ᣣ8᦬ 9ᣣ8᦬ 11ᣣ8᦬ 13ᣣ8᦬ 15ᣣ8᦬ 17ᣣ8᦬ 19ᣣ8᦬ 21ᣣ8᦬ 23ᣣ8᦬ 25ᣣ8᦬ 27ᣣ8᦬ 29ᣣ8᦬ 31ᣣ8᦬ 2ᣣ9᦬ 4ᣣ9᦬ 6ᣣ9᦬ 8ᣣ9᦬ 10ᣣ9᦬ 12ᣣ9᦬ 14ᣣ9᦬ 16ᣣ9᦬

⮙՟᭄⮙՟᭄

থ⮙᮹ᳳ

ᧂ෰䖛Yoyogi౏࿌

෰䖛Yoyogi౏࿌

೒1. 2014ᑈ8᳜1᮹–9᳜17᮹᮹ᴀⱏ䴽⛁ᴀഄӴ᪁⮙՟থ⮙ᯊ䯈ঞৃ㛑ᛳᶧഄ⚍ߚᏗn=128՟

* এ䖛Yoyogi݀ುⱘ⮙՟᭄ˈn=112՟˗᳾এ䖛Yoyogi݀ುⱘ⮙՟᭄ˈn=16՟Ǆ

᡹ਞ佪՟⮙՟

݇䯁Yoyogi݀ು

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WPSAR Vol 5, No 4, 2014 | doi: 10.5365/wpsar.2014.5.3.007

www.wpro.who.int/wpsar

3

2014ᑈ᮹ᴀⱏ䴽⛁ᴀഄ⭿ᚙ Arimaㄝ

Disease Bulletin, 2013, 18(50):pii=20661. pmid:

24342514

7. Sousa CA et al. Ongoing outbreak of dengue type 1 in the Autonomous Region of Madeira, Portugal: preliminary report.

Eurosurveillance: European Communicable Disease Bulletin, 2012, 17(49):pii=20333. pmid:23231893

8. Schmidt-Chanasit J et al. Autochthonous dengue virus infection in Japan imported into Germany, September 2013.

Eurosurveillance: European Communicable Disease Bulletin, 2014, 19(3):pii=2068. pmid:24480059

9. Takasaki T et al. Dengue virus 1 E gene for polyprotein, envelope region, partial cds, strain: D1/Hu/Saitama/NIID100/2014.

Nucleotide, GenBack: LC002828.1, 2014 (http://www.ncbi.nlm.

nih.gov/nuccore/LC002828, accessed 24 October 2014).

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fukushihoken.metro.tokyo.jp/iryo/kansen/dengue.html, accessed 9 October 2014).

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news/, accessed 9 October 2014).

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kenkou/kekkaku-kansenshou19/dengue_fever.html, accessed 9 October 2014).

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www.promedmail.org /direct.php?id=2771520, accessed 9 October 2014).

ᓩ⫼ᴀ᭛ഄഔ˖

Arima Y et al. Ongoing local transmission of dengue in Japan, August to September 2014. Western Pacific Surveillance and Response Journal, 2014, 5(4):27–

29. doi:10.5365/wpsar.2014.5.3.007

খ㗗᭛⤂

1. Infectious Disease Surveillance Center, National Institute of Infectious Diseases. Local transmission of dengue, Japan.

Infectious Diseases Weekly Report, 2014 (http://www.nih.go.jp/

niid/en/survei/2292-idwr/idwr-article-en/4973-idwrc-1434-en.

html, accessed 9 October 2014).

2. Nakamura N et al. Incidence of dengue virus infection among Japanese travellers, 2006 to 2010. Western Pacific Surveillance and Response Journal, 2012, 3:39–45. doi:10.5365/

wpsar.2011.2.3.002 pmid:23908911

3. Takasaki T. Imported dengue fever/dengue hemorrhagic fever cases in Japan. Tropical Medicine and Health, 2011, 39 Suppl:13–15.

doi:10.2149/tmh.2011-S07 pmid:22500132

4. Hotta S. Dengue vector mosquitoes in Japan: The role of Aedes albopictus and Aedes aegypti in the 1942–1944 dengue epidemics of Japanese Main Islands [in Japanese]. Medical Entomology and Zoology, 1998, 49:267–274.

5. Centers for Disease Control and Prevention (CDC). Locally acquired Dengue–Key West, Florida, 2009–2010. Morbidity and Mortality Weekly Report, 2010, 59:577–581. pmid:20489680

6. Marchand E et al. Autochthonous case of dengue in France, October 2013. Eurosurveillance: European Communicable