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目的了解该幼儿园水痘暴发疫情情况,描述其流行病学特征,查明此次疫情暴发原因,为当地有关部门针对性采取相关措施控制疫情继续蔓延提供依据。方法建立病例定义,开展病例搜索,运用流行病学基本方法,对2012年5~6月该幼儿园水痘暴发疫情资料进行统计分析。结果 2012年5月28日~6月18日该幼儿园发病16例,罹患率为8.38%;5月28日~6月3日发病6例,6月12日~6月18日发病10例;各年级、班级发病数差异有统计学意义。小班、中班4个班均有病例,大班、学前班无病例;中一班病例最多,为8例,罹患率34.78%,各发病班级水痘罹患率差异有统计学意义(P<0.05);病儿年龄以3岁、4岁为主。结论该幼儿园水痘暴发疫情已达突发公共卫生事件相关信息报告标准;当地应加强对农村私立幼儿园传染病报告和规范处置的综合监管工作;提高水痘疫苗接种率;疫情监测人员要增强业务能力和责任心,及早发现异常信息;加强对村医传染病报告的管理,防止漏报。
Objective To understand the epidemic situation of chickenpox outbreak in kindergarten, describe its epidemiological characteristics, find out the cause of the outbreak and provide the basis for relevant local departments to take pertinent measures to control the spread of the epidemic. Methods To establish a case definition, carry out case search, and use epidemiological methods to analyze the data of outbreaks of chickenpox in kindergarten from May to June in 2012. Results From May 28 to June 18, 2012, 16 cases of kindergarten were found, with an attack rate of 8.38%. Six cases were detected from May 28 to June 3, and 10 cases were from June 12 to June 18. There were significant differences in the number of classes in all grades and classes. There were no cases in the four classes of small class and middle class. There were no cases in large classes and preschools. Among the cases in the first class, there were 8 cases with the highest attack rate of 34.78%. There was a significant difference in the incidence of chickenpox among all classes (P <0.05) Children aged 3, 4-year-old. Conclusion The outbreak of chickenpox in kindergarten has reached the standard of reporting information related to public health emergencies. The local public health institutions should strengthen the supervision and management of infectious disease reporting and standardized treatment of private kindergarten in rural areas and improve the vaccination rate of chickenpox. Responsibility, early detection of abnormal information; strengthen the management of village medical infectious disease reports, to prevent omissions.