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目的:了解2008年杭州市手足口病社区防控措施落实情况。方法:5-6月份,分5次随机抽取共460例网络直报手足口病病人,电话了解病人社区管理工作的落实情况。结果:80.43%的病人受到了访视,其中上门访视占74.72%,电话访视占25.68%,57.84%的病家由社区责任医生落实了首次消毒,69.46%的病人开展了家庭随时消毒,90.81%的病人接受了健康教育,社区医生对91.89%的病例开展了每日病情追踪。5次抽查结果显示,社区医生的访视率和规范管理率在不断上升。结论:社区防控措施是控制手足口病疫情的重要措施之一,电话抽查作为一种全新的检查督导方式,对防控措施的落实起了较大作用。
Objective: To understand the 2008 implementation of community prevention and control measures of hand, foot and mouth disease in Hangzhou. Methods: From May to June, a total of 460 cases of hand-foot-mouth disease patients were randomly selected from the hospital in 5 batches and the implementation of patient community management was investigated by phone. Results: 80.43% of the patients were interviewed, of which 74.72% were home visits, 25.68% were telephone visits, 57.84% were first disinfected by community-responsible doctors, 69.46% were disinfected at any time, 90.81% of the patients received health education, and 91.89% of community doctors carried out daily disease tracking. Five random sampling results showed that community doctor’s visit rate and standard management rate are on the rise. Conclusion: The community prevention and control measures are one of the important measures to control the HFMD epidemic. Telephone spot checks as a new inspection and supervision method play a greater role in the implementation of prevention and control measures.