王中王, 谢言, 张瑜, 孔令娜, 郑亦慧, 张宇艳. 上海1起新型冠状病毒感染学校聚集性疫情的调查[J]. 上海预防医学, 2023, 35(11): 1068-1073. DOI: 10.19428/j.cnki.sjpm.2023.22999
引用本文: 王中王, 谢言, 张瑜, 孔令娜, 郑亦慧, 张宇艳. 上海1起新型冠状病毒感染学校聚集性疫情的调查[J]. 上海预防医学, 2023, 35(11): 1068-1073. DOI: 10.19428/j.cnki.sjpm.2023.22999
WANG Zhongwang, XIE Yan, ZHANG Yu, KONG Lingna, ZHENG Yihui, ZHANG Yuyan. Epidemiological investigation of a school COVID-19 outbreak in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2023, 35(11): 1068-1073. DOI: 10.19428/j.cnki.sjpm.2023.22999
Citation: WANG Zhongwang, XIE Yan, ZHANG Yu, KONG Lingna, ZHENG Yihui, ZHANG Yuyan. Epidemiological investigation of a school COVID-19 outbreak in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2023, 35(11): 1068-1073. DOI: 10.19428/j.cnki.sjpm.2023.22999

上海1起新型冠状病毒感染学校聚集性疫情的调查

Epidemiological investigation of a school COVID-19 outbreak in Shanghai

  • 摘要:
    目的 分析1起新型冠状病毒奥密克戎变异株引起的学校聚集性疫情,为学校等集体单位的聚集性疫情处置提供参考。
    方法 收集2022年11月14日—12月20日上海市普陀区某校新型冠状病毒感染聚集性疫情相关资料,描述并分析病例的流行病学特征、二代病例罹患率及相应处置措施。
    结果 累计报告病例26例,包括学生14例(53.8%)、学生同住人12例(46.2%)。流行毒株为奥密克戎变异株BA.5.2分支。首发病例检测异常时间为11月14日,发病高峰为11月16—18日,学校二代病例的中位代间距为2(2,3) d。指示病例(病例1,学生)有明确的校外流行病学接触史,学校通过常规对重点人群筛查发现并即时开展了疫情处置。继发病例均在隔离管控中发现,其中学校二代病例为同班级暴露学生,三代病例为二代隔离病例的陪同人员,班级罹患率为36.8%(14/38),校内二代病例发病率为3.0%(13/428)。所有病例均未发生社会性传播。
    结论 早发现、多部门联合、及时隔离可有效阻断聚集性疫情传播。学校等集体性单位应加强传染病相关的健康教育和健康监测、人员密集场所的通风工作,定期开展公共区域的预防性消毒工作。

     

    Abstract:
    Objective To describe a COVID-19 outbreak due to SARS-CoV-2 Omicron variant in a school and provide suggestions for COVID-19 prevention and control.
    Methods Data on the COVID-19 outbreak in a school in Putuo District of Shanghai were collected from November 14 to December 20, 2022. Epidemiological characteristics, incidence rate of secondary cases and response measures were described and analyzed.
    Results A total of 27 COVID-19 cases were identified infected with SARS-CoV-2 Omicron BA.5.2 variant, including 14 students (51.9%) and 13 family members / teachers living with those students (48.1%). The first case occurred on November 14, with peak incidence during November 16-18. The median generation interval of the second generation cases was 2 (2,3) days. The index case (case 1, a student) had a clear contact history outside the school, which was found through routine examination in key populations in the school. Immediate management was conducted after the notification. All the second generation cases were exposed students in the same class with case 1, which were identified during the quarantine, whereas the third generation cases were their family members/teachers living with the second generation cases. The incidence rate within the class and school were 36.8% and 3.0%, respectively. No further social transmission was found outside the school.
    Conclusion Early detection, multi-sectoral collaboration, prompt control and quarantine measures are effective in containing SARS-CoV-2 transmission. Health promotion, surveillance, ventilation and prophylactic disinfection should be reinforced in schools, office buildings and other gathering places.

     

/

返回文章
返回