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深圳市宝安区中小学校水痘暴发疫情流行病学特征及控制策略分析

Epidemiological characteristics and controlling strategy analysis of varicella outbreaks among primary and middle schools in Bao’an District,Shenzhen

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【作者】 马智超吴泰顺周小涛陈兵朱奕黄振宇李苑熊田甜李雯钦陈亿雄饶东平林淑芬

【Author】 Ma Zhi-chao,Jiang Xing,Wu Tai-shun,et al. (Bao’an District Centers for disease control and prevention,Shenzhen 518101,China)

【机构】 广东省深圳市宝安区疾病预防控制中心

【摘要】 目的了解深圳市宝安区2006~2011年中小学水痘暴发疫情的流行病学特征及规律,为水痘预防控制工作提供科学参考依据。方法对宝安区2006~2011年报告的中小学校水痘暴发疫情资料及数据进行分析,采用描述性流行病学方法。结果 2006~2011年深圳市宝安区中小学校水痘暴发疫情31起,累计发病774例,无死亡病例,累计罹患率3.43%;暴发疫情规模最少的为5例,最多的为143例,病例数<50例的疫情27起,占87.10%;暴发时间主要集中在3~5月,占71.58%;新安街道为暴发水痘病例最多的街道;男性罹患率为3.74%,女性为3.02%,差异有统计学意义(X~2=8.724,P<0.01);小学低年级(一年级~三年级)水痘暴发病588例占75.97%;水痘暴发疫情病例报告平均为8例(中位数)。结论 2006~2011年宝安区报告的中小学校水痘暴发疫情有逐年减少趋势,水痘暴发疫情防控较理想,控制水痘暴发的重点是小学低年级学生,须采取有针对性的措施,完善水痘疫情报告制度和监测,落实传染源隔离、对易感人群应急接种、消毒等措施是预防水痘暴发的重要措施。

【Abstract】 Objective To analyze the epidemiological characteristics and regularity of varicella outbreaks among primary and middle schools in Bao’an District of Shenzhen,2006-2011,and provide the scientific evidence for the prevention and control of varicella.Methods The data of varicella outbreaks among primary and middle schools reported during 2006-2011 in Bao’an District was analyzed by descriptive epidemiology.Results There were 31 varicella outbreaks involving 774 cases(without death) occurred in primary and middle schools in Bao’an District during the 2006-2011.The accumulative total attack rate was 3.43%.The number of cases in an outbreak ranged from 5 to 143.The outbreaks with cases less than 50 took up 87.10%of the whole outbreaks total.The incidence concentrated in March to May(71.58%).Xin’an Street got the most cases.The difference of the prevalence between male(3.74%) and female(3.02%) was statistically significant(χ~2=8.724,P<0.01).There were 558(75.97%) varicella cases occurred in early years of primary school(Grade 1~Garde 3 ).Varicella outbreaks report an average of 8 cases(median).Conclusion The varicella outbreaks among primary and middle schools which reported in Bao’an district during 2006 to 201 lshowed downward trend year by year.The early years of primary school students were target population in varicella outbreaks controlling.Specific measures should be taken to improve the reporting system and performance of varicella surveillance. Isolating the source of infection,emergency vaccination of susceptible populations,and disinfection are important measures to prevent the outbreak of varicella.

【关键词】 水痘暴发学生流行病学
【Key words】 VaricellaOutbreaksStudentEpidemiology
  • 【会议录名称】 2012深圳市预防医学会学术研讨会论文汇编
  • 【会议名称】2012深圳市预防医学会学术研讨会
  • 【会议时间】2012-12
  • 【会议地点】中国广东深圳
  • 【分类号】R179;R181.3
  • 【主办单位】深圳市预防医学会
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