摘要:
分析陕西省学校突发公共卫生事件的流行特征,为预防和控制学校突发公共卫生事件的发生提供依据.方法 采用描述流行病学方法,对2004-2015年陕西省报告的学校突发公共卫生事件进行分析.结果 2004-2015年,陕西省共报告357起突发公共卫生事件,其中77.3% (276/357)发生在学校.276起学校事件中,以一般级别(66.7%)和未分级事件(31.2%)为主.事件类别84.8%是呼吸道传染病事件,病种以腮腺炎(31.9%)、流行性感冒(21.7%)和水痘(20.7%)为主;其次是肠道传染病事件(8.3%),主要是手足口病(3.3%)和其他感染性腹泻(2.9%).2010年以后事件报告较为平稳.每年3-6月(50.4%)和9-12月(43.1%)是报告高峰.小学(54.0%)是学校事件的高发场所,其次是托幼机构(13.4%).农村地区发生的事件占学校事件总数的57.3%.事件信息来源中70.3%是医疗机构报告,4.0%是学校报告,而疫情人员主动发现仅占6.9%.事件2h内及时报告率为70.1%,其中呼吸道和肠道传染病事件的2h内及时报告率分别为68.1%和73.9%.结论 学校是突发公共卫生事件的高发场所,且以农村、小学多发,以呼吸道传染病事件为主.应重点加强农村地区学校传染病事件的预防和控制.
Abstract:
Objective To analyze the epidemical characteristics of school public health emergencies in Shaanxi Province.Methods The descriptive epidemiological method was conducted to analyze the school public health emergencies reported by Shaanxi Province from 2004 to 2015.Results A total of 357 events of public health emergency were reported in Shaanxi Province,among those 77.3% (276/357) were school incidents.About 66.7% of all these school incidents were moderate level,and 31.2% were ungraded level.84.8% were respiratory infectious diseases,including mumps (31.9%),influenza (21.7%) and chickenpox (20.7%);followed by intestinal infectious disease (8.3%),mainly Hand-Foot-Mouth disease (3.3%) and other infectious diarrhea (2.9%).After 2010,incident report rate was relatively stable,and the peak of school public health emergency during each year was from March to June (50.4%) and September to December (43.1%).More than half of events took place in primary schools (54.0%),followed by kindergartens (13.4%).About 57.3% of school events reported in rural areas.70.3% of the events were reported by medical institutions,4.0% were reported by schools and only 6.9% reported by public health staffs.Nearly 70.1% of the events were reported within 2 hours,68.1% of respiratory infectious diseases and 73.9% of intestinal infectious diseases were reported within 2 hours,respectively.Conclusion Schools are most common places where public health emergencies occur.Prevention strategies should focus on rural and primary schools,as well as respiratory infectious diseases.