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[目的]探讨突发事件的相关因素,为有效控制突发事件的发生提供防治策略和依据。[方法]对2009年大连市中山区手足口病疫情资料和突发事件资料进行分析。[结果]2009年大连市中山区发生手足口病突发公共卫生事件7起,在6家托幼机构合计发病91例,无死亡,占同期全区手足口病发病总数270例的33.70%。7起中,6月发生1起、15例,7月发生3起、43例,8月发生3起、33例;公立幼儿园发生4起、51例,私立幼儿园3起、40例,罹患率分别为8.40%、17.94%(P<0.01)。检测91例患儿的粪便标本,8例EV71阳性。[结论]中山区的手足口病突发公共卫生事件均发生在幼儿园,可能由幼儿之间密切接触传播引起。
[Objective] To explore the related factors of emergencies and provide prevention and control strategies and evidences for effectively controlling the occurrence of emergencies. [Method] The data of epidemic situation and emergency of HFMD in Zhongshan District of Dalian City in 2009 were analyzed. [Results] In 2009, there were 7 public health emergencies of hand, foot and mouth disease in Zhongshan District of Dalian City. There were 91 deaths in 6 nurseries, accounting for 33.70% of the 270 cases of HFMD in the whole area. Among the 7 cases, 1 occurred in June, 15 cases occurred in 3 cases in July, 43 cases occurred in August and 33 cases in 33 cases. There were 4 public kindergartens, 51 cases, 3 private kindergartens, and 40 cases of attack rate Respectively, 8.40%, 17.94% (P <0.01). Stool samples from 91 children were tested, and 8 EV71 positive. [Conclusion] The public health emergencies of hand, foot and mouth disease in Zhongshan area all occurred in kindergartens, which may be caused by the close contact and transmission among young children.