2025.08. 02 本文字数：3327，阅读时长大约5.5分钟 作者 | 第一财经 林春挺 封图 | 佛山市到处可见揭示防控基孔肯雅热的灯箱、路牌 林春挺 摄 7月29日，一则公告让广东省佛山市备受关注。佛山市人民政府发布公告称：根据突发公共卫生事件 有关应急预案，结合当前佛山市基孔肯雅热疫情防控形势，决定启动佛山市突发公共卫生事件Ⅲ级响 应。 据《国家突发公共卫生事件应急预案》，根据突发公共卫生事件性质、危害程度、涉及范围，突发公 共卫生事件划分为特别重大（Ⅰ级）、重大（Ⅱ级）、较大（Ⅲ级）和一般（Ⅳ级）四级。 佛山市顺德区更是今年以来国内最早发现一起境外输入引起的基孔肯雅热本地疫情的地区。据《人民 日报》7月30日报道，中国今年首例基孔肯雅热报告社区是来自顺德区的乐从镇。 8月1日，第一财经记者来到乐从镇了解当地疫情现状。该镇最近发布了《关于免费开展基孔肯雅热 病毒核酸筛查工作的通知》，在网上引起关注。 在从广州前往佛山的出租车上，司机提醒第一财经记者要注意防护，穿上长袖衣服。 不过，当记者抵达佛山后，一路上看到这里一切如常。街上人来人往，许多市民甚至穿着短袖短裤在 路上行走，生活仿佛没有受到基孔肯雅 ...

Core Points - The Chikungunya virus has become a public health concern in Foshan, with a significant increase in confirmed cases reported [1][3] - The Foshan government has activated a Level III public health emergency response to manage the outbreak [3] - The virus is transmitted by Aedes mosquitoes, and the disease is characterized by fever and joint pain [6][10] Group 1: Current Situation - On August 1, Foshan reported 333 new confirmed cases of Chikungunya, bringing the total to over 6,000 cases as of July 31 [1][3] - The outbreak has also been reported in over 10 cities in Guangdong province, including Guangzhou and Yangjiang [3] - Hong Kong has reported its first imported case of Chikungunya, involving a 12-year-old boy [4] Group 2: Disease Characteristics - Chikungunya is an acute infectious disease caused by the Chikungunya virus, primarily transmitted through mosquito bites [6][10] - The disease is prevalent in tropical and subtropical regions, with a continuous expansion of its spread [6][8] - The incubation period for Chikungunya is typically 1 to 12 days, with joint pain being a significant symptom that can last for weeks or even months [12][14] Group 3: Prevention and Control Measures - There is currently no specific treatment for Chikungunya, and prevention focuses on reducing mosquito breeding sites and using repellents [14] - The Chinese Center for Disease Control and Prevention emphasizes the importance of public health measures to control mosquito populations [24][33] - In Foshan, biological control methods, such as releasing fish to consume mosquito larvae, are being implemented [31][33]

Core Viewpoint - The announcement by the Foshan Municipal Government to initiate a Level III public health emergency response due to the outbreak of Chikungunya fever has raised significant attention, indicating a serious public health concern in the region [1][10]. Group 1: Current Situation - Foshan's Shunde District is one of the earliest areas in China to report local cases of Chikungunya fever, with the first community case identified in Lecong Town [4]. - As of July 29, the number of confirmed cases in Shunde District has been increasing, with 408 new cases reported on that day, up from 357 on the previous day [10]. - Local medical resources are reported to be sufficient to handle the current situation, with hospitals managing to accommodate patients [8]. Group 2: Patient Experience - A 68-year-old patient, Mr. Chen, was hospitalized for Chikungunya fever, with a total hospital bill of 870 yuan for three days, primarily for tests and examinations [6]. - The treatment for Chikungunya fever is symptomatic, as there is no specific antiviral treatment available, and most patients recover within a week [7][12]. Group 3: Public Response and Preventive Measures - The local government has initiated free nucleic acid screening for Chikungunya virus to identify potential cases early, which has sparked discussions among residents [16]. - Despite the rising cases, many residents in Lecong Town appear to maintain a calm demeanor, continuing their daily activities with minor adjustments for mosquito protection [17]. - The local health authorities have encouraged residents to install mosquito nets and screens to prevent mosquito bites, especially during peak activity times [17]. Group 4: Ongoing Efforts - The local government is actively engaged in vector control measures, although recent rainy weather has complicated these efforts [11]. - The Guangdong provincial government has emphasized the need for collective action in combating the outbreak, recognizing the challenges ahead [18].

Core Insights - The first imported case of Chikungunya fever has been reported in Hong Kong, involving a 12-year-old boy, raising public concern about the disease and its transmission [1] Symptoms and Diagnosis - Initial symptoms often include fever, joint pain, and rash, with some patients presenting joint pain accompanied by rash as the first symptom [2][3] - Diagnosis requires three conditions: travel to an endemic area within the last 12 days, presence of symptoms such as fever, joint pain, or rash, and a positive nucleic acid test [3] Testing and Treatment - Free nucleic acid testing is available at the First People's Hospital of Foshan, with results provided within 3-4 hours [4] - Patients with positive nucleic acid tests must be isolated in a hospital, with discharge criteria for mild cases being either a negative nucleic acid test or completion of a 7-day illness period [6] Patient Management - Most current cases are mild, with symptoms often alleviating by discharge, although some may experience residual joint pain [6] - High-risk groups include infants, elderly individuals over 65, pregnant women, and those with chronic diseases or immunosuppression [6] Pediatric Care - Children under 14 are treated in a separate pediatric ward due to their unique treatment needs, as they may experience higher fevers and more complex rashes [8] Prevention and Control - There is currently no specific antiviral treatment for Chikungunya fever; management is primarily symptomatic [9] - Preventive measures focus on mosquito control, as the virus is transmitted through bites from infected Aedes mosquitoes [10]

Core Points - The first case of Chikungunya fever has been reported in Hong Kong, involving a 12-year-old boy, raising public concern about the disease [1] Group 1: Symptoms and Diagnosis - Initial symptoms of Chikungunya fever often include fever, joint pain, and rash, with some patients presenting joint pain and rash as the first symptoms [2] - Diagnosis requires three conditions: travel to an endemic area within the last 12 days, presence of symptoms such as fever or joint pain, and a positive nucleic acid test [2] Group 2: Treatment and Hospitalization - Patients with positive nucleic acid tests must be hospitalized for isolation, with discharge criteria for mild cases being either a negative nucleic acid test or completion of a 7-day illness period [4] - Currently, most cases are mild, with few reports of severe cases, but high-risk groups include infants, the elderly, pregnant women, and those with chronic diseases [4] Group 3: Pediatric Care and Hospital Preparedness - Children under 14 are treated separately in pediatric wards due to their unique treatment needs, as they are more prone to high fever and complex rashes [5] - The hospital has prepared for rapid expansion of pediatric care facilities to accommodate potential increases in cases [5] Group 4: Prevention and Treatment Protocols - There is no specific antiviral treatment for Chikungunya fever; management is primarily symptomatic, including fever reduction and pain relief [6] - Preventive measures focus on mosquito control, as the virus is transmitted through bites from infected mosquitoes [6] - Early detection and isolation are emphasized as key strategies to prevent community transmission [6]

首发症状或为关节痛 "多数患者表现为发热、关节痛、皮疹，但部分人首发症状并非发热，而是关节痛伴皮疹。"对于基孔肯雅热症状，周惠玲表示，皮疹出现较早，多为四肢、 躯干的隆起斑丘疹，皮肤充血者有"按压褪色缓慢"特征，胸前和四肢早期皮疹常见。 专家表示，确诊基孔肯雅热需满足三大条件：发病前12天内到过流行区，或居住地、工作场所周边有病例；出现发热、关节痛或皮疹等症状；病毒核酸检测 阳性。 周惠玲介绍，佛山市第一人民医院提供免费核酸检测，每日七个批次检测，3—4小时出结果。 据央视新闻，香港发现首例基孔肯雅热输入病例，患者为12岁男童。 当前，基孔肯雅热成为公众关注焦点。被蚊子叮咬后如何早期发现感染？核酸检测多久能确诊？住院多久可出院？羊城晚报记者专访佛山市第一人民医院感 染科副主任医师周惠玲，详解相关问题。 核酸阳性需住院隔离 为控制传染源，核酸阳性患者需集中隔离收治。轻症患者出院标准为：核酸转阴或病程满7天。"目前收治的多为轻症，出院时症状多缓解，仅少数残留轻微 关节痛。"周惠玲解释，这与病毒直接侵入关节复制、感染成骨细胞和滑膜组织，释放促炎细胞因子导致骨质破坏有关。关节痛主要累及踝、指、腕等远端小 关节，也可波 ...

Core Points - The National Health Commission and the National Administration of Traditional Chinese Medicine released the 2025 version of the Chikungunya fever diagnosis and treatment plan [1] Summary by Sections Clinical Features - Most patients develop a rash 2 to 5 days after onset [3] - Fever typically presents acutely, mainly as low to moderate fever, with higher fever more common in children, lasting 3 to 5 days [3] - Rashes are more common in children than in adults [3] - Severe cases are rare, but there have been reports of severe cases and deaths during outbreaks abroad [3] Transmission Pathways - The virus is primarily transmitted through bites from infected Aedes mosquitoes, mainly Aedes albopictus and Aedes aegypti [3] - There is potential for mother-to-child transmission, and in rare cases, transmission can occur through blood transfusions or contact with infected blood [3] - Not all individuals bitten by infected mosquitoes will contract the virus [3] Treatment Recommendations - For significant joint pain, rest and immobilization of affected joints are advised, avoiding heavy loads and intense activities [4] - Acetaminophen is recommended for high fever, while aspirin should be avoided [4] - For persistent joint pain after the acute phase, topical analgesics may be used [4] - Patients are advised to be hospitalized and isolated, with isolation lifted after 24 hours of normal temperature and negative nucleic acid tests [4] Traditional Chinese Medicine (TCM) Approaches - Recommended herbal formula for acute phase includes various herbs such as Guanghuoxiang, Gegen, and Qianghuo, with specific dosages and preparation methods [5] - External treatments include foot baths and compresses using specific herbs to alleviate symptoms [5] Prevention Measures - Key preventive measures include eliminating mosquito breeding sites and using repellents and mosquito nets [6] - Travelers to endemic areas should be aware of prevention strategies to avoid infection [6] - Recommended repellent ingredients include DEET, Picaridin, and oil of lemon eucalyptus, with specific concentration guidelines for different age groups [6]

基孔肯雅病毒并不是非常"抗打"，它对高温敏感，56℃加热30分钟即可被灭活；同时它也不耐酸，日常 生活中常用的消毒剂（如70%酒精、1%次氯酸钠溶液、含氯消毒剂、过氧乙酸、甲醛、戊二醛等）以 及紫外线照射均可有效杀灭病毒。这一特性提示我们，通过保持环境清洁、规范使用消毒剂及做好防蚊 措施，能有效降低病毒感染风险。 《方案》特别提醒，目前我国尚无可供使用的基孔肯雅病毒疫苗。预防主要措施包括及时清除蚊虫孳生 地，降低蚊媒密度；个人应使用蚊香、驱避剂、蚊帐等方式驱蚊、灭蚊和防蚊；前往基孔肯雅热流行区 的旅行者要提高防范意识，防止在境外感染基孔肯雅热。 病毒可直接侵入关节 发热、关节痛、皮疹是基孔肯雅热的三大主要特征。基孔肯雅热的临床表现潜伏期1至12天，通常为3至 7天。 其中，发热以中低热为主，部分患者可为高热，可伴畏寒、头痛、背痛、全身肌肉疼痛、畏光、恶心、 呕吐等，发热时间多为1到7天。儿童病例高热多见，发热持续3至5日。 深圳商报记者张妍 7月31日，国家卫生健康委员会、国家中医药管理局在官方网站发布《基孔肯雅热诊疗方案（2025年 版）》（以下简称《方案》）。该版《方案》是在2008年版基孔肯雅热诊断与治 ...

Macro Dynamics - The State Administration for Market Regulation will convert the pilot commission into a formal commission for conducting antitrust reviews of certain operator concentrations from August 1, 2025, after a successful pilot period from August 1, 2022, to July 31, 2025 [1] Financial Institutions - Zheng Yu has officially taken on the roles of Party Secretary, Chairman, and General Manager of Wukuang Securities, having previously served in various positions within the company [5] - Qingdao Bank reported a net profit of 3.065 billion yuan for the first half of 2025, representing a year-on-year increase of 16.05%, with total operating income of 7.662 billion yuan, up 7.5% [6] Market Data - On July 31, the three major indices fell by over 1%, with the Shanghai Composite Index down 1.18%, the Shenzhen Component Index down 1.73%, and the ChiNext Index down 1.66%. The total market turnover approached 2 trillion yuan, with over 4,200 stocks declining [7] - The financing balance of the two markets increased by 2.168 billion yuan, with the Shanghai Stock Exchange's balance at 1,001.228 billion yuan and the Shenzhen Stock Exchange's balance at 963.026 billion yuan [9] Company Dynamics - Industrial Fulian announced that there have been no significant changes in its main customers and products amid recent stock price fluctuations [13] - Sinopec expects a net profit of 20.1 billion to 21.6 billion yuan for the first half of 2025, a decrease of 39.5% to 43.7% year-on-year, due to factors such as a significant drop in international oil prices and intense market competition [14] - Heng Rui Medicine received approval for clinical trials of HRS-5041, a new drug for prostate cancer treatment, which shows potential in overcoming resistance compared to second-generation AR inhibitors [16]

根据方案，基孔肯雅热主要通过携带基孔肯雅病毒的伊蚊叮咬传播，可发生母婴传播，罕见情况下可经 输血或接触患者血液传播。人群对基孔肯雅病毒普遍易感，感染病毒后可获得持久免疫力。 新华社北京7月31日电国家卫生健康委、国家中医药局31日印发基孔肯雅热诊疗方案（2025年版），结 合国内外最新研究进展和诊疗经验，指导各级各类医疗机构提高规范化、同质化诊疗水平。 根据方案，基孔肯雅热目前尚无特异性治疗方法，以对症支持治疗为主，避免盲目使用抗菌药物，不推 荐使用糖皮质激素和免疫球蛋白。 （文章来源：新华社） 方案提出，预防主要措施包括及时清除蚊虫孳生地，降低蚊媒密度；个人应使用蚊香、驱避剂、蚊帐等 方式驱蚊、灭蚊和防蚊；前往基孔肯雅热流行区的旅行者要提高防范意识，防止在境外感染基孔肯雅 热。 ...