ҡ§ҹʶҹóäغѵҡӹѡäԴغѵ Ǻä Ǻʶҹóä㹻Ѩغѹ ͧԴäԴغѵغѵԫ лСͺѺؤšѲ繻Ѩ·кҴͧäҧǴСҧҧ ԴšзعçкҸóآ ɰԨ ÷ͧ Сŧع㹻ա ԴäѴ СкҴͧäҧԹºѹعç (SARS) äѴ˭硫⡫觡ѧкҴ价š㹢й ѧ ֧ͧդӤѭҧ觷еͧἹûͧѹФǺäԴغѵغѵԫӢͧѺеͺʹͧ˵ءóкҴҨԴҧѹǧջԷҾ㹡äǺͧѹѧԴäѧǵ
"äԴغѵ"
ͧš (World Health Organization: WHO) ¢ͧäԴغѵ (Emerging infectious diseases) äԴͷغѵԡó٧ҡ㹪ǧҹ §Ҥѹ ѧ֧äԴͷԴҡ (New infectious diseases) äԴͷ辺㹾鹷 (New geographical areas) äԴغѵԫ (Re-emerging infectious diseases) äԴͷкҴʹյʧ仹ҹ» ѺкҴա
ҡ֡ԨٻẺͧäԴغѵӹǹ 335 ˵ءóԴ㹪ǧ ..1940-2004 äغѵԴҡ㹵ǧ 1980 繵 㹨ӹǹäغѵ 60.3 äԴͨҡѵ褹 ѡյ˵Ҩҡѵ ä Ѵ ʹ͡ 繵 äغѵ 54.3 ˵ҨҡẤԡ ʴ֧ͨŪվ繨ӹǹҡ äҧ ռšзѹѺѧ ɰԨ ҾǴ лѨ·ҧԷҧҡ ͡ҡѧ 鹷㹾ԡѴдѺҧ դ§٧Դäغѵ˵بҡѵŧйä ҡ§ҹԨػҡáШ·Ѿҡ÷š㹡õͺäغѵ ѧդǶ֧ ҧ ѡҾҧԷҡСѧä㹻ȷդ§·繵鹡Դäغѵդҡһ§ҡ
ʶҹóäԴغѵӤѭ㹻Ѩغѹ
Ѵ˭硫 Human Swine Influenza
Ѵ˭кҴ硫 Human Swine Influenza äѴ˭ԴҡѴ˭ (ѡ Influenza type A ǹ˭) ö繡ҡ´ѧѴ˭辺 ¾ѹ辺¤ H1N1 ¾ѹ H1N2 H3N1 H3N2 (¾ѹ H3N2 ѡԴҡкҴҡ) پѵһ (morbidity rate) ҧ٧ ѵҵ (mortality rate ) ҧ 1-4%
͡ä Family Orthomyxoviridae
㹡кҴ駹 ¾ѹ Influenza A/California/04/2009 (H1N1)
õԴ Դͷҧ Դµç зҧ ойä (ʴҡ)
õԴ褹 Ѻµçҡٷ ͷǴ ա§ҹõԴͨҡ褹 㹡óԴ (close contacts)
ѡɳҡ 㹤 纤 Ǵҧ Ǵ ˹ չ١ Ѵ١ Ҩоҡ÷ͧ ¹ ҨҼѺͨҡ ʴҡعç ҡعç ʹѡʺ֧ªԵ
ѡ ǵ Oseltamivir, Amantadine Rimantadine
Ԥѹ ѤչѴ˭Ĵ١öͧѹä 辺öŴعçͧä ҾҧԤѹкؤ ռŵͤعçͧä
ʶҹóä
Ѱԡ
- ..2519 ҡ 200 ªԵ 1
- .. 2531 ʤԹ 1 ªԵ
- .. 2548 ֧ Ҥ 2552 ա§ҹ 12 辺ªԵ
ʶҹóš ( ѹ ظ 29 ¹ .. 2552)
ҡ§ҹʶҹóͧš (WHO) кըӹǹ§ҹ·ԴäѴ˭ A/H1N1 ӹǹ 148 9 ȷš ѺԡѺѹҡͧԺѵԡ laboratory ӹǹ 91 ռªԵӹǹ 1 ǹ硫ѺѹռµԴͨӹǹ 26 ªԵ 7
ҧáѧա§ҹش§ҹѹҾԴѧռªԵ 1 ᤹Ҵ 13 3 2 ǫŹ 3 4 ѧ 5 (ٻ 1)
ͧš (last update : Monday, April 27, 2009)
ûͧѹ
- öѺзҹٷҹê ا١ͧѡآԺҧʹ ʨеس 70 ͧ
- ˹ҡҡ з駡дɪзŧѧ
- ҧʹ¹ʺ šҧ ѧ-
- ͧѹͧʹ
- شѡͻ ѧʵ ١ лҡ ͻͧѹ
äѴ˭ (Seasonal influenza)
˵ ԴҡѴ˭ 3 Դ (type) ʪԴ A 繪ԴԴкҴҧ ҧҧš ʪԴ B ԴкҴ㹾鹷дѺҤ ǹԴ C ѡ繡õԴͷʴҡҧʴҡ ԴкҴ
ʪԴ A 繪Դ (subtype) ᵡҧͧõչͧʷ¡ hemagglutinin (H) neuraminidase (N) Դ¢ͧ A 辺˵آͧõԴ㹤辺㹻Ѩغѹ A(H1N1), A(H1N2), A(H3N2), A(H5N1) A(H9N2) ǹʪԴ B 繪Դ
ʶҹóͧä 㹻 ..2550 ӹѡкҴԷѺ§ҹäѴ˭ 18,368 ѵһ 29.19 ͻЪҡʹ ٧һ ..2549 (繻շѵһµشͺ 10 )硹 (ٻ 2) ªԵ 15 ѵһµ 0.08 ٧شͺ 10
ӹѡкҴԷ Ǻä
Ĵ١Դä¹ ҡ㹪ǧҤСҾѹ ѧ¤ҧҡ㹪ǧĴٽ Զع¹֧Ȩԡ¹ (ٻ 3)
ӹѡкҴԷ Ǻä
ѵǹȪµ˭ԧ ҡѺ 1 : 1.1 ҡصӡ 15 ѵһ鹨ҡշҹҤҧҡ ¡ 0 - 4 ѵһ٧ش 54.16 ͻЪҡʹ 㹼˭ѵһ¹ŧ (ٻ 4) ªԵ 5 м˭ 10
ӹѡкҴԷ Ǻä |