上海市杨浦区2012年手足口病聚集性疫情流行特征分析

来源 :中国预防医学杂志 | 被引量 : 0次 | 上传用户:qinpeizhen
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的分析上海市杨浦区2012年手足口病聚集性疫情流行特征,为制定手足口病防控措施提供科学依据。方法应用描述性流行病学方法,对杨浦区2012年手足口病聚集性疫情进行分析,计数资料用χ2检验,计量资料用方差分析,P<0.05为差异有统计学意义。结果 2012年杨浦区共报告手足口病聚集性疫情80起,波及18 384人,涉及病例337例,平均患病率1.83%,无重症、死亡病例。发生在中小学3起,占3.75%,为不同的3家学校,发生率为2.94%;发生在托幼机构77起,占96.25%,涉及托幼机构56家,发生率为52.83%。报告高峰在4~6月份。疫情的持续时间与疫情非及时处理(首发病例发病时间-停课时间间隔)(r=0.352,P=0.002)及发病人数(r=0.458,P<0.001)之间呈显著正相关,在控制发病人数影响后,疫情持续时间与疫情非及时处理的统计学相关性增强(r=0.385,P=0.001)。在因素不变的情况下,聚集性疫情每延迟处理2d,或发病人数每增加1人,疫情时间均会延长1d,即:y=0.09+0.81x1+0.51x2。采样的34起疫情中,由EV71、Cox A16、其他肠道病毒引起的疫情数分别为10(29.41%)、6(17.65%)和9起(26.47%)。结论防控的重点仍是托幼机构,加强全年监测,深入研究病原变异,督促学校做好晨检和及时上报工作,规范处置能很好的控制疫情的发展。 Objective To analyze the epidemic characteristics of HFMD in Yangpu District of Shanghai in 2012 and provide a scientific basis for the prevention and control measures of HFMD. Methods Descriptive epidemiological methods were used to analyze the HFMD epidemic in Yangpu District in 2012. Chi-square test was used to count data, and the measurement data were analyzed by ANOVA. P <0.05 was considered as statistically significant. Results In 2012, a total of 80 HFMD outbreaks were reported in Yangpu District, affecting 18,384 people. There were 337 cases involved, with an average prevalence rate of 1.83%. There were no severe cases or deaths. Occurred in 3 primary and secondary schools, accounting for 3.75%, for three different schools, the incidence was 2.94%; occurred in 77 kindergartens, accounting for 96.25%, involving kindergartens 56, the incidence was 52.83%. The report peaked from April to June. There was a significant positive correlation between the duration of the outbreak and the non-timely treatment of the outbreak (the onset time of the first case-time between closure) (r = 0.352, P = 0.002) and the number of patients (r = 0.458, P <0.001) After the impact of population, the statistical correlation between the duration of the outbreak and the non-timely treatment of epidemic situation was enhanced (r = 0.385, P = 0.001). Under the same factors, the epidemic situation will be prolonged by 1d every 2 days of delayed or 2-hour increase in the number of outbreaks, ie: y = 0.09 + 0.81x1 + 0.51x2. Of the 34 outbreaks sampled, the number of outbreaks caused by EV71, Cox A16 and other enteroviruses were 10 (29.41%), 6 (17.65%) and 9 (26.47%) respectively. Conclusion The focus of prevention and control is still nurseries and kindergartens, to strengthen the annual monitoring, in-depth study of pathogenic variation, and urge the school to do a good job of morning inspection and timely reporting, standardize the disposal can well control the development of the epidemic.
其他文献
棉子糖(raffinose)作为一种重要的可溶性碳水化合物广泛存在于高等植物中,并且参与植物抵抗各种非生物逆境胁迫。棉子糖合成酶(raffinose synthase,RS,EC2.4.1.82)是催化肌醇
目的分析宝石加工企业工作场所噪声危害的情况,了解工作场所中噪声危害的主要问题,提出解决的措施。方法对清远市某宝石加工企业工作场所进行噪声强度检测与评价,同时对575名
期刊
很多时候,我们需要完成一些比较繁复的计算任务,例如找出满足一组给定条件的单元格的最大值或最小值、合并多列数据、连接多列文本,一般情况下必须手工操作,或者借助复杂的函
期刊
随着经济社会的发展,中国养老保险面对的客观环境出现了一定的变化。一是中国人口老龄化快速发展,劳动力减少,使得职工在与企业谈判时处于更有利的地位;二是人均寿命延长,使得政府在养老金给付问题上存在着一定的负担。从2015年开始讨论的延迟退休政策相当于变相降低了职工在退休后获得的养老保障,使得职工缴纳养老保险的积极性降低;三是全球经济的波动使得中国企业利润下滑,在缴纳养老保险上存在困难。面对这些变化,科
本文通过对荣华二采区10
期刊
人力资本产权的实现既是一个重要的理论问题,也是一个迫切的实际问题。和谐劳动关系的构建需要我们转变资本主导型的企业治理模式,将人力资本放在与物质资本平等的位置上,在
锦绣香江花园曾荣获中国名盘、中国国际花园社区、全国优秀社区环境、国家3A示范社区、建设部智能化程度最高楼盘、环境指数最佳楼盘、广州十大明星楼盘、广州市诚信金牌楼盘、最佳别墅豪宅社区金奖、2003年广州金牌户型楼盘奖、2003引领中国城市住宅风尚企业、广东省诚信房地产企业、2004年广东民营企业100强、广东省物业管理优秀示范小区等众多奖项。
期刊