孟加拉国10月登革热死亡人数创年内新高，专家预警疫情恐难在12月前显著缓解记者 Ruma Paul 报道 孟加拉国10月登革热死亡人数创年内新高，专家预警疫情恐难在12月前显著缓解。
Bangladesh recorded its highest monthly dengue death toll of the year in October, with experts warning the outbreak is unlikely to ease significantly before December. By Ruma Paul Bangladesh recorded its highest monthly dengue death toll of the year in October, with experts warning the outbreak is unlikely to ease significantly before December.
据卫生部数据，截至10月30日，今年登革热疫情已造成418人死亡，并导致超过13.3万例住院治疗。仅10月一月就占了173例死亡，超过了9月的148例，成为2026年迄今最致命的一个月。
The outbreak has killed 418 people and led to more than 133,000 hospital admissions this year as of October 30, according to health ministry data. October alone accounted for 173 deaths, surpassing September's 148 and making it the deadliest month of 2026 so far.
疫情激增之际，孟加拉国还在应对全球最严重的麻疹疫情，后者已造成1200多人死亡，给本已紧张的医疗系统带来额外压力。
surge comes as Bangladesh is also battling the world's worst measles outbreak which has killed more than 1,200 people, placing additional strain on an already stretched healthcare system.
医生表示，许多登革热患者是在出现严重并发症后才寻求住院治疗。达卡国立沙希德·苏赫拉瓦迪医学院医院院长米尔扎·戈拉姆·萨尔瓦尔称，该院目前正在治疗279名登革热患者，单日新增收治67例。
Doctors said many dengue patients were only seeking hospital admission after developing severe complications. At the state-run Shaheed Suhrawardy Medical College and Hospital in Dhaka, 279 dengue patients were being treated after 67 new admissions in a single day, hospital director Mirza Golam Sarwar said.
他说：“我们收治了许多休克患者。他们的血压有时低到无法测量，血氧水平也在下降。”
"We are getting many patients in shock. Their blood pressure is sometimes too low to measure, and their oxygen levels are dropping," he said.
内科专家 ABM 阿卜杜拉表示，再次感染以及诊断和治疗延误正在推高重症和死亡病例。
Medicine specialist ABM Abdullah said repeat infections and delays in diagnosis and treatment were driving severe cases and deaths.
他说：“以前得过登革热的人，如果再次感染，可能面临更高的重症风险，”他呼吁民众清除蚊虫滋生地，并在出现症状时尽快就医。
"People who have had dengue before may face a greater risk of severe illness if they become infected again," he said, urging people to eliminate mosquito breeding sites and seek care as soon as symptoms appear.
达卡居民费萨尔·费尔杜斯（Faisal Ferdous），33岁，分别于2017年、2024年和本月早些时候三度确诊登革热。“这一次，我和妻子都需要住院治疗，”现已在家康复的费尔杜斯说。
Dhaka resident Faisal Ferdous, 33, was diagnosed with dengue in 2017, 2024 and again earlier this month. "This time, both my wife and I needed hospital treatment," said Ferdous, who is now at home recovering.
费尔杜斯称，夫妇俩生病前不久，曾在医院陪护患有其他疾病的5岁儿子住院数日。
Ferdous said the couple fell ill shortly after spending several days at a hospital where their five-year-old son was being treated for an unrelated illness.
“每一次发作都很难熬，反复感染后，你会越来越担心重症风险，”他说。
"Every bout has been difficult, and after getting it repeatedly, you become increasingly concerned about the risk of severe illness," he said.
卫生专家警告，四种登革热病毒血清型同时流行正在增加重症风险。感染过一种病毒株的人日后可能感染另一种，从而增加并发症的可能性。孟加拉国尚未引入登革热疫苗，尽管当局正将其作为一项长期措施予以考虑。
Health experts warn that the circulation of all four dengue virus serotypes is increasing the risk of severe disease. People infected with one strain can later contract another, raising the likelihood of complications. Bangladesh has yet to introduce a dengue vaccine, although authorities are considering one as a longer-term measure.
贾汉吉尔纳加尔大学昆虫学家卡比鲁尔·巴沙尔表示，死亡人数不太可能继续以十月的速度上升，但传播很可能会持续到十一月。
Entomologist Kabirul Bashar of Jahangirnagar University said deaths were unlikely to continue rising at October's pace, but transmission would probably persist through November.
“我们可能会看到一些缓解，但登革热不太可能在十一月消失。任何下降幅度都可能很有限，十二月前不太可能出现显著好转，”他说。
"We may see some relief, but dengue is unlikely to disappear in November. Any decline is likely to be modest, with significant improvement unlikely before December," he said.
巴沙尔表示，蚊子将继续从早前降雨形成的孳生地中孳生出来，即使环境变得干燥，也会维持传播。他指出，降雨和湿度模式的变化（部分与气候变化有关）正在延长蚊子孳生季节，使伊蚊活跃时间更长。
Bashar said mosquitoes would continue emerging from breeding sites created by earlier rainfall, sustaining transmission even as conditions become drier. Changing rainfall and humidity patterns, partly linked to climate change, were extending mosquito breeding seasons and keeping Aedes mosquitoes active for longer, he said.