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目的了解宜都市学校和托幼机构传染病聚集性疫情发生情况及特征,为制定学校和托幼机构聚集性疫情防治对策提供理论依据。方法对全市2010年学校和托幼机构聚集性疫情资料进行描述流行病学分析。结果 2010年宜都市学校和托幼机构共发生手足口病、水痘、流行性腮腺炎、上呼吸道感染、急性出血性结膜炎、病毒性脑炎聚集性疫情41起,共发病244例,平均为6例。手足口病聚集性疫情最多,占总事件数的56.10%(23/41),上呼吸道感染、急性出血性结膜炎、病毒性脑炎聚集性疫情发生最少,均占总事件数的2.44%(1/41)。托幼机构发生聚集性疫情最多,占65.85%(27/41)。除学校假期和12月外,其余月份均有聚集性疫情发生,发病高峰在3、4月。托幼机构、小学、中学发生聚集性疫情最多的乡镇分别为陆城城区、高坝洲镇、姚店镇。结论 2010年,宜都市学校和托幼机构发生传染病聚集性疫情多,但疫情涉及病例数少,手足口病发生聚集性疫情最多,托幼机构是发生聚集性疫情的主要场所。
Objective To understand the situation and characteristics of epidemic situation of communicable diseases in schools and nurseries in Yidu and provide a theoretical basis for formulating prevention and control measures of epidemic situation in schools and nurseries. Methods Descriptive epidemiological analysis of the aggregated epidemic data of schools and nurseries in the whole city in 2010 was conducted. Results In 2010, 41 cases of hand, foot and mouth disease, chickenpox, mumps, upper respiratory tract infection, acute hemorrhagic conjunctivitis and viral encephalitis occurred in Yidu schools and nurseries. There were 244 cases with an average of 6 cases. Hand-foot-mouth disease was the most common, accounting for 56.10% (23/41) of the total number of events, with the least incidence of upper respiratory tract infection, acute hemorrhagic conjunctivitis and viral encephalitis, accounting for 2.44% of the total number of events 1/41). Kindergartens and nurseries had the most concentrated epidemic situation, accounting for 65.85% (27/41). In addition to school holidays and December, the other months have gathered epidemic outbreak, the peak incidence in March and April. Kindergartens and nurseries, primary schools, secondary schools have the highest concentration of epidemic townships were Lucheng, Gaobazhou, Yao Dianzhen. Conclusion In 2010, Yidu school and kindergarten institutions had a large number of epidemic-related outbreaks of communicable diseases, but the number of cases of outbreaks was low, and the incidence of HFMD was the highest. The kindergartens were the main places where aggregated outbreaks occurred.