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目的分析2010年北京市顺义区某中学风疹突发公共卫生事件发生原因,为制定预防控制措施提供依据。方法应用描述性流行病学方法对2010年顺义区某中学风疹突发公共卫生事件进行统计分析。结果该次疫情累计病例28例,96.43%的病例为初三年级学生。发病时间集中于3月24—27日。无免疫史和免疫史不详病例占64.29%。疫情发生主要原因是由于医院对疾病的诊断不规范,未及时发现报告;麻风腮疫苗接种率较低和学校相关传染病防控工作未落实。结论应通过培训提高该区临床医生诊断技术和传染病防控意识;教育和卫生主管部门均应重视和加强学校卫生工作的领导和管理,加强学校卫生专业队伍的建设和培养;强化免疫接种和学校常见传染病知识宣传。
Objective To analyze the causes of public health emergency of rubella in a middle school in Shunyi District of Beijing in 2010 and provide the basis for making prevention and control measures. Methods A descriptive epidemiological method was used to analyze the public health emergency of rubella in a middle school in Shunyi District in 2010. Results The cumulative total of 28 cases of this outbreak, 96.43% of the cases for the third grade students. The onset time focused on March 24-27. No history of immunization and immune history of unknown cases accounted for 64.29%. The main reason for the outbreak was due to the hospital’s non-standard diagnosis of the disease and the lack of timely reports. The vaccination rate of mumps vaccine was low and prevention and control of school-related infectious diseases were not implemented. Conclusions The diagnostic skills of clinicians and prevention and control of communicable diseases should be improved through training. The education and health authorities should pay attention to and strengthen the leadership and management of school health work, strengthen the construction and training of the school health professional team, strengthen the immunization and Common knowledge of infectious diseases in schools.