今年，广东地区发生了我国有记录以来规模最大的基孔肯雅热疫情。截至8月16日的最近一周，广东省 新增报告830例基孔肯雅热本地个案。据统计，本次"基孔热"疫情广东已累计报告病例9933例。 白纹伊蚊在我国广泛存在，为何疫情暴发在广东？蚊媒传染病持续周期有多长？此次疫情何时能结束？ 全球变暖背景下，"基孔热"是否有成为地方流行病的风险？ 近日，新京报记者专访了在一线参与防控的中国疾控中心病媒生物首席专家刘起勇。 疫情进入下降期，但需警惕反弹风险 新京报：顺德地区从7月8日监测到境外输入引发的基孔肯雅热本地疫情，到现在已经一个多月了，现在 疫情进入什么阶段？ 刘起勇：从最近两周的新增病例数据来看，顺德基孔肯雅热疫情已进入下降期，从7月29日（408例）至 8月15日（66例），新增病例十七天连降，但仍需警惕可能的反弹风险。 新京报：蚊媒传染病疫情的走势一般有什么特点？满足哪些条件能够达到平台期然后下行？控制起来大 概需要多久时间? 刘起勇：蚊媒传染病疫情的走势及其控制受多种因素影响，疫情通常呈现季节性高峰（如夏秋的雨 季）、地域性集中和快速传播的特点，尤其在现代人员跨国跨省频繁流动背景下，疫情易扩散且存在输 入性风 ...

Core Viewpoint - The article emphasizes the importance of public awareness and preventive measures against dengue fever and chikungunya, particularly during the summer season when mosquito activity is high [3][7]. Group 1: Prevention Measures - Citizens are urged to eliminate mosquito breeding grounds by regularly checking for stagnant water in containers such as tires, flowerpot trays, and garbage bins [3][4]. - Proper management of water storage facilities is recommended, including covering water buckets and changing water regularly [4]. - Maintaining a clean environment by clearing drainage systems and filling in construction depressions to prevent water accumulation is essential [5]. Group 2: Personal Protection - Recommendations for home protection include installing screens on doors and windows, using mosquito nets while sleeping, and utilizing mosquito repellent products [6]. - When going outdoors, it is advised to wear light-colored long clothing and apply mosquito repellent containing DEET, especially during peak mosquito activity times [6]. Group 3: Health Monitoring - Individuals experiencing symptoms such as fever, joint pain, or rash are advised to seek medical attention immediately and avoid self-medicating with non-steroidal anti-inflammatory drugs [7]. - Community cooperation is encouraged in response to any reported cases of dengue fever or chikungunya in the neighborhood [7]. Group 4: Community Engagement - The article calls for active participation in community clean-up activities to maintain hygiene and monitor for potential mosquito breeding sites [8]. - It stresses the importance of obtaining disease prevention knowledge from official sources to avoid misinformation [9].

Core Viewpoint - The article emphasizes the importance of recognizing and differentiating between dengue fever and chikungunya, both transmitted by mosquitoes, and provides guidance on symptoms, management, and prevention strategies [2][16]. Group 1: Disease Differentiation - Dengue fever and chikungunya are both transmitted by Aedes mosquitoes, but they exhibit distinct symptoms and risks [2][16]. - Typical symptoms of dengue include sudden high fever lasting 2-7 days, severe headaches, muscle and joint pain, and potential bleeding [3]. - Chikungunya typically presents with high fever above 39°C, joint pain that can last for months, and a shorter fever duration [3]. Group 2: Management Guidelines - For fever above 39°C, it is crucial to manage temperature actively, avoiding aspirin due to its potential to worsen dengue bleeding and chikungunya joint damage, with acetaminophen recommended instead [5]. - Hydration is essential, with a daily intake of at least 2000 milliliters, and intravenous fluids may be necessary if vomiting prevents oral intake [6]. - Isolation and protective measures are vital during the first five days of illness to prevent mosquito bites and further transmission [8]. Group 3: Prevention Strategies - Effective prevention involves eliminating standing water where mosquitoes breed, with recommendations to regularly clean and empty containers that can hold water [10][11]. - Personal protection includes using mosquito nets, repellents, and wearing light-colored clothing to reduce mosquito attraction [12][13]. - Travelers to endemic areas should carry mosquito repellent and monitor their health for 12 days post-return, seeking medical attention if symptoms arise [15][16].

Core Viewpoint - Chikungunya fever is preventable, treatable, and controllable, and there is no need for panic; the key is to eliminate standing water, control mosquito populations, and prevent bites [1] Group 1: Disease Overview - Chikungunya fever is an acute mosquito-borne infectious disease caused by the chikungunya virus, primarily prevalent in Southeast Asia, South Asia, and Africa, transmitted by Aedes mosquitoes [2] - The Aedes aegypti mosquito is active during the day and can survive drought for months, making it an effective vector for human diseases [2] - The chikungunya virus has been reported in over 100 countries across Africa, the Americas, Asia, Europe, and islands in the Indian and Pacific Oceans [2] Group 2: Symptoms and Treatment - Symptoms of chikungunya infection include sudden high fever (over 39°C), symmetrical polyarthralgia, and rash, with mild cases being predominant [4] - High-risk groups, such as infants, elderly individuals over 65, and those with underlying health conditions, may experience severe symptoms [4] - There are no specific antiviral drugs for chikungunya; treatment is primarily supportive, including rest, hydration, and pain relief [4] Group 3: Prevention Measures - To prevent chikungunya, it is essential to avoid mosquito bites by eliminating breeding sites and using biological, physical, and chemical methods to control mosquito populations [7] - Recommendations for outdoor activities include wearing light-colored long sleeves and pants, using mosquito repellent, and avoiding prolonged stays in shaded or grassy areas [5] - After traveling to areas with a risk of infection, individuals should monitor their health for two weeks and seek medical attention if symptoms arise [5]

Core Viewpoint - The recent emergence of Chikungunya fever in some southern cities of China has raised public concern, but experts emphasize that the disease is preventable and controllable through effective mosquito control, water management, and bite prevention measures [1] Group 1: Disease Overview - Chikungunya fever is an acute infectious disease caused by the Chikungunya virus, primarily transmitted by Aedes mosquitoes [2] - The disease was first identified in Africa in 1952 and has since been reported in over 100 countries, mainly in Southeast Asia, Africa, Europe, and parts of the Americas [2] - Symptoms include sudden onset fever, joint pain, and rash, with joint pain often persisting for months in some patients [2][3] Group 2: Symptoms and Diagnosis - The main symptoms of Chikungunya fever include high fever (up to 39°C), severe joint pain, and rash, collectively referred to as the "Chikungunya triad" [3] - Chikungunya fever can be confused with dengue fever, as both are transmitted by Aedes mosquitoes; however, Chikungunya typically causes longer-lasting joint pain, while dengue poses a higher risk of severe complications [3] Group 3: Treatment and Management - In case of infection, management includes temperature control, with a recommendation to avoid aspirin due to the risk of bleeding, especially during dengue outbreaks [5] - Hydration is crucial, and patients are advised to use oral rehydration salts and maintain fluid intake [5] - Isolation and mosquito protection measures should be implemented within the first five days of illness to prevent further transmission [5] Group 4: Vulnerable Populations - Newborns and elderly individuals, particularly those with underlying health conditions, are at higher risk for severe complications from Chikungunya fever [6] - Newborns can contract the virus during delivery if the mother is viremic, potentially leading to serious conditions like myocarditis and encephalitis [6] Group 5: Prevention Strategies - Effective prevention of Chikungunya fever focuses on mosquito control, water management, and bite prevention [8] - Mosquito control can be achieved through various household insecticides, while water management involves eliminating standing water where mosquitoes breed [8] - Personal protective measures include installing screens, using mosquito nets, and applying repellents when outdoors [8]

Core Viewpoint - The article discusses the recent outbreak of Chikungunya fever in Guangdong, highlighting the number of reported cases, symptoms, and treatment recommendations [1][2]. Summary by Sections Recent Cases and Statistics - From July 20 to July 26, 2025, Guangdong reported 2,940 new local cases of Chikungunya fever, with no severe cases or deaths reported. The majority of cases were in Foshan (2,882 cases), followed by Guangzhou (22 cases) and others [1]. - As of July 26, 2025, the total number of reported local cases in Guangdong reached 4,824, all classified as mild, with 3,224 cases having recovered or been released from medical observation [2]. Transmission and Symptoms - Chikungunya fever is transmitted through bites from infected Aedes mosquitoes, primarily characterized by fever, severe joint pain, and rashes. Most symptoms are mild, with recovery typically occurring within 1 to 2 weeks, although some patients may experience chronic joint pain lasting months or years [2]. - All age groups are susceptible, but high-risk groups include newborns infected during the perinatal period, individuals aged 65 and older, and those with underlying health conditions such as hypertension, diabetes, or heart disease [2]. Treatment Recommendations - Treatment focuses on supportive care, including fever reduction, pain relief for arthritis, and alleviating rashes. The use of aspirin and other non-steroidal anti-inflammatory drugs is not recommended due to the risk of bleeding [3][4]. - In cases of fever, patients are advised to seek medical attention promptly, especially if they have a history of travel to areas with Chikungunya outbreaks or have been bitten by mosquitoes [5]. Comparison with Dengue Fever - Chikungunya fever shares similar transmission vectors and symptoms with Dengue fever, which is also currently a focus of prevention efforts. Patients exhibiting fever symptoms should consult a healthcare professional for proper diagnosis before self-medicating [5].

Core Insights - The article discusses the recent outbreak of Chikungunya fever in Guangdong, with a total of 4,824 reported local cases as of July 26, 2025, all classified as mild without severe cases or deaths reported [1][2] - The primary symptoms include fever, severe joint pain, and rash, with most patients recovering within 1 to 2 weeks [2] - The article emphasizes the importance of seeking medical attention for symptoms and provides guidance on treatment, highlighting the avoidance of certain medications like aspirin [3] Summary by Sections Outbreak Statistics - Guangdong reported 2,940 new local cases of Chikungunya fever from July 20 to July 26, 2025, with the majority in Foshan (2,882 cases) [1] - Cumulatively, there have been 4,824 cases this year, all mild, with 3,224 patients having recovered and discharged [1] Transmission and Symptoms - Chikungunya fever is transmitted by infected Aedes mosquitoes, with symptoms primarily including fever, joint pain, and rash [2] - All age groups are susceptible, but high-risk groups include newborns, elderly individuals over 65, and those with underlying health conditions [2] Treatment Recommendations - Treatment focuses on supportive care for fever, joint pain, and rash, with a recommendation against using non-steroidal anti-inflammatory drugs like aspirin due to bleeding risks [3] - Patients are advised to seek medical attention if they exhibit symptoms, especially if they have a history of travel to affected areas or mosquito bites [2][3]

Group 1 - The article discusses the outbreak of Chikungunya fever in Guangdong, highlighting a case where a patient initially mistook symptoms for gout before realizing it was caused by the Chikungunya virus transmitted by mosquitoes [1][2] - Chikungunya fever is an acute mosquito-borne viral disease characterized by symptoms such as fever, joint pain, and rash, with a typical incubation period of 1 to 12 days, usually around 3 to 7 days [2][4] - The disease does not spread from person to person through casual contact, but infected individuals need to be isolated to prevent mosquito transmission, as the virus can be present in the blood for up to a week [3][4] Group 2 - Symptoms of Chikungunya fever can be confused with those of dengue fever, but Chikungunya is noted for prolonged joint pain, while dengue poses a greater risk of severe complications such as bleeding or shock [4][6] - Vulnerable populations, including newborns, the elderly, and patients with chronic diseases, are at higher risk for severe outcomes from Chikungunya infection [6][7] - Preventive measures include eliminating standing water where mosquitoes breed, with a recommendation to spend a few minutes daily to remove potential breeding sites [7][8]

Summary of Key Points Core Viewpoint - Guangdong Province has reported a significant increase in local cases of Chikungunya fever, with a total of 2,940 new cases reported from July 20 to July 26, 2025, bringing the cumulative total for the year to 4,824 cases, all of which are mild with no severe cases or deaths reported [1][3]. Group 1: Case Statistics - From July 20 to July 26, 2025, Guangdong Province reported 2,940 new local cases of Chikungunya fever, with the majority in Foshan (2,882 cases) [1]. - As of July 26, 2025, the total number of reported local cases for the year reached 4,824, all classified as mild, with 3,224 cases having recovered and been discharged from medical observation [3]. Group 2: Disease Characteristics and Prevention - Chikungunya fever, along with dengue fever, is transmitted by Aedes mosquitoes and is characterized by fever, rash, and joint pain [3]. - The East Dongguan Disease Control Center emphasizes the importance of eliminating standing water to prevent mosquito breeding, which is crucial for controlling Chikungunya and dengue fever [3]. - Recommendations for the public include using mosquito repellent, wearing long sleeves and pants, installing screens on windows and doors, and maintaining cleanliness to reduce mosquito habitats [3].

Core Points - The article emphasizes the increased risk of vector-borne diseases during summer outdoor activities, particularly from mosquitoes and ticks, which can lead to illnesses such as dengue fever and Lyme disease [2][3] - The provincial disease control center has released a scientific prevention guide to help individuals stay healthy while enjoying outdoor activities [2] Summary by Category Vector-Borne Diseases - Common vector-borne diseases include dengue fever and chikungunya, which have early symptoms similar to common cold or flu, making them easy to overlook [2] - Symptoms of these diseases include high fever, headache, muscle and joint pain, and rash [2] - Tick bites may initially cause mild local reactions but can lead to serious symptoms if tick-borne diseases are contracted, including fever, headache, fatigue, and in severe cases, confusion and bleeding tendencies [2][3] Prevention Measures - To prevent dengue and chikungunya, it is advised to eliminate standing water in household items like vases and buckets, and to keep outdoor areas clean to avoid water accumulation [3] - Wearing long sleeves and pants, preferably in light colors, and using mosquito repellent on exposed skin are recommended when outdoors [3] - Installing screens on doors and windows and using mosquito nets while sleeping can provide physical barriers against mosquitoes [3] - For tick prevention, it is important to clear weeds and debris around gardens, avoid prolonged stays in tick-infested areas, and check for ticks on oneself and pets after outdoor activities [3]