中国南方一起甲型H1N1流感暴发疫情的紧急控制与应对未来重大传染病暴发流行的思考

The Effective Method of Control A Great Epidimic Situation In future Based On The Successful Experience Of Control A New Type A Influenza （H1N1） Prevalence In south in China

目的根据2009年中国南方某单位一起新型甲型H1N1流感暴发，分析控制疫情成功中所采取的具体措施，探讨未来应对重大传染病流行的对策。方法疫情暴发经过；紧急启动疫情控制组；realtime RT-PCR法进行新型流感H1N1病毒核酸测定；控制措施：发热患者隔离救治，密切接触者医学观察和预防性服药，流行病学调查，住房及驻地周围消毒，健康防病知识宣教，心理恐慌治疗等。结果经12d成功控制暴发性流感疫情，202例发热患者治愈，保证友邻各单位的施工顺利完成。结论及时的报告、高效有力的指挥和各部通力的合作是控制疫情的关键；建立和完善高素质的传染病防治队伍是及时诊治和治愈病情的保证；制订合理长途转运、科学管理和演练计划是防止疫情发生和复燃的前提。

Objective To investigate the effective method of control a great epidemic situation in PLA in future based on the successful experience of control a new type A influenza （H1N1） prevalence in a company in the south China. Methods The epidemic situation break out process： start urgency control plan of epidemic situation; to detect the DNA of the new type A influenza by real time polymerase chain reaction （RT-PCR）. The control method, pyrexia sufferer were treated in an isolation circumstance, the contacted person took medicine and were observed by medical methods. All the correlative people were surveyed by epidemiology. The houses and the circumstance were disinfected. The medicine knowledge and healthy information was publicized. The psychological panic was cured in time. Results The epidemic situation of type A influenza （H1N1） prevalence was successfully controlled in 12 days. In the event 202 pyrexia person were cured all together and the neighborhood companies were in good condition. Conclusions Report of the fact in time and effective organization is the key in the control of a great epidemic situation. A excellent doctor team who are major in infection disease is the important factor of the correct diagnose and treatment. The precondition method to stop a epidemic situation is to make a good transport, management and drilling plan.