基孔肯亞熱 / Chikungunya Fever

香港衞生防護中心專題資料 | Centre for Health Protection专题资料

🦟 蚊媒傳染病 | Mosquito-borne Disease

📋 疾病概述 | Disease Overview

110+
受影響國家 Countries
2-12
潛伏期 (天) Incubation
自限性
Self-limiting

病原體 | Causative Agent

基孔肯亞熱是一種由基孔肯亞病毒引起的蚊媒傳染病。該疾病已在超過110個國家和地區發現,包括非洲、亞洲、歐洲、美洲及印度洋和太平洋的島嶼。

Chikungunya fever is a mosquito-borne viral disease caused by the chikungunya virus. The disease has been identified in over 110 countries in Africa, Asia, Europe, the Americas and islands in the Indian and Pacific Oceans.

💡 名稱由來 | Name Origin:

"基孔肯亞"來自非洲基馬克德語(Kimakonde),意思是"變成彎曲",描述了關節疼痛患者彎腰駝背的外觀。

🤒 病徵 | Clinical Features

主要症狀 | Main Symptoms

  • 發燒 | Fever
  • 關節疼痛 | Debilitating joint pain
  • 肌肉疼痛 | Muscle pain
  • 頭痛 | Headache
  • 噁心 | Nausea
  • 疲勞 | Fatigue
  • 皮疹 | Rash

高危群組 | High-Risk Groups

  • 長者(特別是65歲以上)| Elderly (particularly over 65)
  • 幼童(特別是1歲以下)| Young children (particularly under 1 year)
  • 孕婦 | Pregnant women
  • 有基礎疾病患者 | Patients with underlying medical conditions

康復預後 | Recovery

症狀通常為自限性,持續數天。大多數患者可完全康復。關節疼痛可持續數月甚至數年,但嚴重症狀和死亡個案罕見。

Symptoms are generally self-limiting and last for a few days. Most patients recover fully. Joint pain may persist for several months or even years, but severe symptoms and deaths are rare.

🦟 傳播途徑 | Mode of Transmission

主要傳播方式 | Primary Transmission

基孔肯亞熱主要通過受感染的雌性伊蚊叮咬傳播。當患者被蚊蟲叮咬後,蚊子會受到感染,再通過叮咬其他人傳播疾病。

Chikungunya fever is most commonly transmitted to humans through the bites of infective female Aedes mosquitoes.

香港情況 | Hong Kong Situation

在香港,並沒有發現白紋伊蚊(Aedes aegypti),但發現了可傳播疾病的亞洲虎蚊(Aedes albopictus)。這些蚊子在白天活動,早晨和傍晚時分較為活躍。

In Hong Kong, Aedes aegypti is not found, but Aedes albopictus is commonly found. These mosquitoes bite throughout daylight hours with peaks in early morning and late afternoon.

潛伏期 | Incubation Period

潛伏期為 2至12天,通常為 3至8天

其他傳播方式 | Other Transmission Routes

🛡️ 預防方法 | Prevention

⚠️ 香港暫無疫苗 | No Vaccine Available

目前香港沒有本地註冊的基孔肯亞熱疫苗。最佳預防措施是避免蚊蟲叮咬及防止蚊蟲滋生。

At present, there is no locally registered chikungunya fever vaccine in Hong Kong. The best preventive measure is to avoid mosquito bites and prevent mosquito proliferation.

避免蚊蟲叮咬 | Prevention of Mosquito Bites

防止蚊蟲滋生 | Prevention of Mosquito Proliferation

  • 每週更換花瓶的水一次 | Change water in vases once a week
  • 避免使用花盆碟 | Avoid using saucers underneath flower pots
  • 緊蓋儲水容器 | Cover water containers tightly
  • 確保冷氣機滴水盤沒有積水 | Ensure air-conditioner drip trays are free of stagnant water
  • 將用過的罐及瓶子放入有蓋垃圾桶 | Put all used cans and bottles into covered dustbins
  • 妥善存放食物及處理垃圾 | Store food and dispose of garbage properly

💊 治理方法 | Management

無特效藥 | No Specific Antiviral Treatment

基孔肯亞熱沒有特定的抗病毒藥物治療。治療主要針對緩解症狀。

There is no specific antiviral drug treatment for chikungunya fever. Treatment is directed primarily at relieving the symptoms.

治療方法 | Treatment Methods

就醫建議 | Medical Advice

如出現發燒、皮疹或關節疼痛等症狀,應盡快求醫,並告知醫生旅遊史。

If symptoms such as fever, rash or joint pain occur, seek medical advice promptly and provide travel details to the doctor.

✈️ 旅客建議 | Advice for Travellers

  • 採取預防措施避免蚊蟲叮咬 | Take preventive measures to avoid mosquito bites
  • 前往受影響地區前至少6週諮詢醫生 | Have medical consultation at least 6 weeks before the trip
  • 前往流行地區時攜帶便携式蚊帳 | Carry a portable bed net when travelling to endemic rural areas
  • 在蚊帳上噴灑含派卡瑞丁的殺蟲劑 | Apply permethrin on bed net (NOT on skin)
  • 返港後14天內應塗抹驅蚊劑 | Apply insect repellent for 14 days after arrival
  • 如有不適應立即求醫 | Seek medical attention promptly if feeling unwell

⚠️ 重要 | Important

研究表明,即使患者無症狀或症狀出現前,也可通過蚊蟲叮咬將病毒傳播給蚊子。因此,從受影響地區返港的旅客應在抵港後至少14天內避免蚊蟲叮咬。

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