【摘要】 目的　分析 2 0 0 3年 3～ 6月间北京市东城区SARS流行特征。　方法　根据东城区疾病预防控制中心的疫情日报表 ,并从其他有关渠道 ,收集疫情资料信息。　结果　东城区首例输入性病例 3月 14日发病 ,3月 16日入院 ,4月初病例开始增多 ,4月中、下旬发病达高峰 ,5月上旬开始下降 ,5月 2 2日无新发确诊病例 ,5月 2 6日后 ,再无病例报告。全区共报告临床确诊SARS病人 3 93例 ,10岁以下年龄组无病人 ,其余各年龄组均有发病 ,其中 2 0～ 49岁年龄组发病人数占病例总数的 70 0 % ,平均发病年龄为 40 64岁。男女发病比例无显著差异。SARS发病有明显的家庭聚集现象。病例中东城区的病人占 66 9% ,外区、外省占 3 2 0 % ;驻区医院收治SARS病人 3 5 8人 ,占 91 0 9%。 3 93例病人中无接触史的占 3 3 3 %。医护人员感染SARS 79人 ,占病人总数的 2 0 10 %、其中区属四所医院 18名医护人员感染为 8 3 3 %。　结论　本次SARS流行 ,除 10岁以下年龄组外 ,普遍易感 ,其中以青壮年、老年人、医务人员更易罹患。与病人直接接触是主要的传播方式 ,家庭聚集传播明显。医院、工地是防控重地。本区制定的防控策略、措施及原则是有效的。更多还原

【Abstract】 Objective To describe epidemiological characteristics of severe acute respiratory syndrome (SRAS) in Dongcheng District, Beijing. Methods Data of SARS cases notified from Dongcheng District Center for Disease Control and Prevention(CDC) and supplemented by other channels were collected.. Result The epidemic in Dongcheng District started on March 14, with a peak during mid- and late April, and dropped from May 5, 2003. Totally, 393 cases notified were collected during this period in Dongcheng District, Beijing, Persons were all susceptible to SARS, 10 years old group has no SARS, with the highest proportion at ages of 20～49 years, which accounted for 70.0% of the total cases. The average age of the patients at their onset was 40.64 years. No gender difference in SARS cases was found, Familial aggregation phenomena were observed. Totally, SARS cases in Dongcheng District accounting for 66.9%, other districts or provinces accounting for 32.0%. Totally, 358 of the 393 notified cases(91.09%) were hosptalized at local hospitals under the jurisdiction of Dongcheng District. 79 cases of SARS occurred in health care workers, accounting for total SARS cases 20.0%, 18 cases of SARS occurred in health care workers of 4 local hospitals, 35 SARS of cases were dead, mortality rate was 9.16%. Incidence rate was 8.33% on the contacts person in quarantine. Conclusion SARS appeared epidemic in Dongcheng District, Beijing during March to June 2003. People were all susceptible to SARS exclude persons below 10 years old. Adolescents, adults and old People, as well as health care workers were liable to be infected. The major mode of transmission was exposure to SARS patients at a near distance in hospitals or families. Family aggregation phenomena were observed. Hospitals and construction sites were focus places to control and prevent SARS. The current available measures to prevent and control SARS in this district are proved to be effective.更多还原