我国猴痘疫情防控面临的挑战和对策

Challenges and countermeasures for mpox epidemic prevention and control in China

2022年5月以来,全球110多个既往非流行区国家和地区暴发猴痘疫情,通过男男性行为人群(Men who have sex with men,MSM)性接触及其聚集性活动传播扩散。2023年6月2日我国发现首例本土猴痘病例,截至11月30日累计发现1610例,通过开展监测、病例及其密切接触者追踪调查管理、重点人群健康教育干预等监测防控措施,10月份以来境内猴痘疫情已降至较低水平,但仍持续面临境外输入及境内低水平传播风险。为达到终止猴痘暴发及阻断人传人疫情的防控目标,需进一步加强病例发现、传播链调查、潜在暴露者识别、重点人群干预等工作,持续引导重点人群行为改变、多渠道提升监测发现能力。

Since May 2022,there have been outbreaks of mpox in more than 110 previously non-endemic countries and regions around the world,spreading through sexual contact of men who have sex with men(MSM)and their congregate activities.On June 2,2023,China reported its first indigenous case of mpox.By November 30,a cumulative total of 1610 cases had been identified.After the government has carried out a battery of control measures,including monitoring,field investigation,tracking and managing close contacts,and health education and intervention for key populations,the outbreak of mpox in China has been reduced to a lower level since October.However,there are ongoing risks of importation from abroad and persistent local transmission.To achieve the goals of suspending human-to-human transmission,it is necessary to further strengthen the work of case detection,investigation of the transmission chain,identification of potentially exposed persons,and intervention for key populations.Additionally,continuous efforts to guide behavioral change among targeted groups and improve capabilities for multi-channel monitoring are essential.