杨永梅, 严志伟. 20112020年上海市金山区托幼机构传染病发病特征分析[J]. 上海预防医学, 2022, 34(6): 571-576. DOI: 10.19428/j.cnki.sjpm.2022.21573
引用本文: 杨永梅, 严志伟. 20112020年上海市金山区托幼机构传染病发病特征分析[J]. 上海预防医学, 2022, 34(6): 571-576. DOI: 10.19428/j.cnki.sjpm.2022.21573
YANG Yongmei, YAN Zhiwei. Epidemic incidence features in the nurseries and kindergartens in Jinshan District, Shanghai from 2011 to 2020[J]. Shanghai Journal of Preventive Medicine, 2022, 34(6): 571-576. DOI: 10.19428/j.cnki.sjpm.2022.21573
Citation: YANG Yongmei, YAN Zhiwei. Epidemic incidence features in the nurseries and kindergartens in Jinshan District, Shanghai from 2011 to 2020[J]. Shanghai Journal of Preventive Medicine, 2022, 34(6): 571-576. DOI: 10.19428/j.cnki.sjpm.2022.21573

20112020年上海市金山区托幼机构传染病发病特征分析

Epidemic incidence features in the nurseries and kindergartens in Jinshan District, Shanghai from 2011 to 2020

  • 摘要:
    目的 了解上海市金山区托幼机构传染病发病特征,为类似地区开展托幼机构传染病精准防控提供支持。
    方法 整理上海市金山区2011年1月1日—2020年12月30日托幼机构传染病资料,采用发病率、发病顺位、发病月份等指标进行分析,并采用Joinpoint回归模型对不同年份发病率进行趋势分析。
    结果 2011—2020年上海市金山区托幼机构传染病上报数为5 257例,年平均发病率为3.28%。时期内每2~3年呈现一次发病高峰,每年4—6月和9—12月为当年发病高峰,主要为手足口病。发病顺位前3位为手足口病、疱疹性咽峡炎和水痘。Joinpoint趋势检验结果表明,金山区托幼机构总体传染病发病率无明显下降趋势,其中疱疹性咽峡炎、流感、感染性腹泻发病率具有明显上升趋势。
    结论 托幼机构应根据传染病发病特点有针对性地开展防控工作,建议在上海市托幼机构传染病月报表(沪卫健统25表)增加疱疹性咽峡炎的统计条目。

     

    Abstract:
    Objective To know the epidemic incidence features of the nurseries and kindergartens in Jinshan District, and to supply the scientific supporting data for the work of preventing and controlling the epidemic diseases in nurseries and kindergartens.
    Methods The epidemic incidence rate, diseases sequence, and time distribution in Jinshan District from Jan 1, 2011 to Dec 30, 2020 were subjected to descriptive epidemic analysis, and the incidence rate in different years was analyzed by the Model of Joinpoint.
    Results Between 2011 and 2020 in Jinshan nurseries and kindergartens, the epidemic incidence rate were 5 257 cases, with an annual average of 3.28%. It presented the peak every 2 or 3 years, and the yearly peak was distinctively from March to June and from September to December. The top three epidemic diseases were hand-foot-mouth diseases, herpangina and chicken pox. The trend analysis by Joinpoint showed that there is no obvious downtrend in the overall incidence of infectious diseases, but the incidence rate trend of herpangina, influenza, and infectious diarrhea apparently appeared rising.
    Conclusion The nurseries and kindergartens should prevent and control the epidemic incidence peak more targeted and effective. It should add the herpangina to the list of “The Nursery and Kindergarten Monthly Epidemic Report”.

     

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