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去年五、六月间,在我市庐山区大桥乡中学等3所中小学校学生中暴发流行甲肝,罹患率高达3.86～11.64%,具有时间、地点和人群高度集中的特点。其中2所学校暴发甲肝系经水传播,1所学校系日常生活接触传播为主。三地防疫部门均采取了综合性防治措施,着重控制传染源及切断传播途径,但防治过程中仍存在不少问题。笔者认为今后必须进一步整顿乡村防疫网,及时报告疫情;推广抗 HAV-IgM 及粪便中 HAV 的检测,努力提高诊断水平;加强隔离消毒,从速更新消毒剂,避免医源性传播;坚持水改及粪管,做好一级预防。
In May and June last year, outbreaks of hepatitis A among three primary and secondary school students in Daqiao Township Middle School in Lushan District were as high as 3.86 to 11.64% with high concentration of time, place and population. Two outbreaks of hepatitis A were transmitted by water in schools, and one school was mainly exposed to daily life. The three epidemic prevention departments have taken comprehensive prevention and treatment measures, focusing on controlling the source of infection and cutting off the route of transmission, but there are still many problems in the prevention and control process. I believe that in the future we must further straighten out the village epidemic prevention network, timely reporting of the outbreak; to promote anti-HAV-IgM and fecal HAV testing, and strive to improve the diagnostic level; to strengthen isolation and disinfection, as soon as possible to update the disinfectant to avoid iatrogenic transmission; Manure, do a good job in prevention.