彭财伟, 杨丽萍, 刘彬辉. 湖州市南浔区某学校一起水痘暴发的流行病学调查[J]. 上海预防医学, 2022, 34(12): 1224-1228. DOI: 10.19428/j.cnki.sjpm.2022.20839
引用本文: 彭财伟, 杨丽萍, 刘彬辉. 湖州市南浔区某学校一起水痘暴发的流行病学调查[J]. 上海预防医学, 2022, 34(12): 1224-1228. DOI: 10.19428/j.cnki.sjpm.2022.20839
PENG Caiwei, YANG Liping, LIU Binhui. Field epidemiological investigation of a varicella outbreak in a school of Nanxun District, Huzhou[J]. Shanghai Journal of Preventive Medicine, 2022, 34(12): 1224-1228. DOI: 10.19428/j.cnki.sjpm.2022.20839
Citation: PENG Caiwei, YANG Liping, LIU Binhui. Field epidemiological investigation of a varicella outbreak in a school of Nanxun District, Huzhou[J]. Shanghai Journal of Preventive Medicine, 2022, 34(12): 1224-1228. DOI: 10.19428/j.cnki.sjpm.2022.20839

湖州市南浔区某学校一起水痘暴发的流行病学调查

Field epidemiological investigation of a varicella outbreak in a school of Nanxun District, Huzhou

  • 摘要:
    目的 分析浙江省湖州市南浔区某学校水痘暴发的流行病学特征和传播因素,评价防控措施效果,为更好地处置水痘暴发疫情提供借鉴。
    方法 采用现场流行病学调查方法收集资料,进行描述性流行病学分析,应用SPSS 22.0软件对数据进行统计学分析。
    结果 累计发生水痘80例,疫情全程持续68 d,出现4个发病高峰,共涉及21个班级,总罹患率为4.14%。疾病预防控制部门介入调查前的部分病例未及时采取隔离措施导致传染源在班级内传播,之后的期中考试安排又进一步导致疫情扩散,形成多个班级更大范围的传播。此次疫情突破性水痘病例占所有病例的48.75%,其中94.87%的突破性病例免疫史已经>5年,免疫史>5年突破性病例明显增加。同时,突破性水痘病例与无免疫史者发热和皮疹数的差异无统计学意义(P>0.05)。
    结论 及时报告和迅速果断处置疫情及严格落实防控措施是有效控制疫情的关键。

     

    Abstract:
    Objective To determine the epidemiological characteristics and transmission factors of a varicella outbreak in a school in Nanxun District of Huzhou City, and assess the effect of prevention and control measures, which may provide scientific evidence for improvement in the response to varicella outbreak.
    Methods Data were collected by field epidemiological survey and analyzed by descriptive epidemiology. Statistical analysis was performed by SPSS 22.0 software.
    Results A total of 80 varicella cases were identified in this outbreak, which lasted 68 days. There were four peaks of incidence, involving 21 classes. The total incidence rate was determined to be 4.14%. Before the public health intervention, some cases were not isolated in time, which led to the initial spread in the class. After the mid-term examination, the outbreak further spread to multiple classes. Breakthrough varicella cases accounted for 48.75% of all the cases in the outbreak, among which 94.87% had been vaccinated for more than five years. However, there was no significant difference in the incidence of fever and rash between the breakthrough cases and non-breakthrough cases(P>0.05).
    Conclusion Timely report, prompt response, and strict implementation of prevention and control measures remain crucial for effective containment of varicella outbreak.

     

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