学校结核病疫情流行状况及防控策略

孙明雷; 赵娟; 王晨; 邹丹丹; 刘俊萍; 刘智新; 梁立波; 关黎

doi:10.16835/j.cnki.1000-9817.2021.10.002

学校结核病疫情流行状况及防控策略

doi: 10.16835/j.cnki.1000-9817.2021.10.002

孙明雷¹,
赵娟¹,
王晨¹,
邹丹丹¹,
刘俊萍¹,
刘智新¹,
梁立波^{1, 2, ,},
关黎³

1.
哈尔滨医科大学卫生管理学院，黑龙江 150081
2.
国民健康社会风险预警协同创新中心
3.
黑龙江省传染病防治院

基金项目:

国家自然科学基金 71974049

国家自然科学基金 71673073

详细信息

作者简介:
孙明雷(1995-)，女，黑龙江哈尔滨人，在读硕士，主要研究方向为人群健康与结核病防控

通讯作者:
梁立波，E-mail：llbhit@163.com

中图分类号: R52 G478 R183
计量
- 文章访问数: 858
- HTML全文浏览量: 378
- PDF下载量: 158
- 被引次数: 0
出版历程
- 收稿日期: 2021-03-01
- 修回日期: 2021-06-09
- 网络出版日期: 2021-10-25
- 刊出日期: 2021-10-25

School tuberculosis epidemic and strategies for prevention and control

1.
College of Health Management, Harbin Medical University, Harbin(150081), China

摘要

摘要: 校园结核病疫情暴发不仅影响学生的正常学习秩序，对其心理产生极大影响，同时也可能形成严峻的社会问题。本文深入探讨了学校结核病疫情防控的薄弱环节，疾病预防控制机构、医疗机构、教育行政部门及学校等相关机构厘清各部门的工作职责，严格落实校园结核病防控法律法规及管理规范，多部门协调配合强化校园结核病疫情预警能力，提高相关人员结核病甄别水平及风险研判，落实学校及教职工健康体检及学生患者筛查、诊断、登记、治疗及追踪随访工作。加强各机构及公众的结核病防控意识，提高预防性服药的依从性。做到从被动发现学生患者到主动监测、积极预防的关口前移，减少学校结核病疫情的发生，从而推动中国结核病防控工作的顺利开展。
- 结核 /
- 疾病暴发流行 /
- 组织和管理 /
- 学生保健服务
Abstract: The outbreak of tuberculosis in campus shows a profound impact on academic learning and mental health of students, which might result in more serious social problems. The present editorial addresses weak links in the school tuberculosis prevention and control. Disease prevention and control institutions, medical institutions, education administrative departments and schools need to clarify work responsibilities, strictly implement the school tuberculosis prevention and control laws, regulations and management guidelines, and coordinate with multiple departments, with the aim to strengthen early warning capacity for campus tuberculosis, improve tuberculosis screening and risk assessment of relevant personnel, and implement the health checkup of schools and faculty, as well as the screening, diagnosis, registration, treatment and follow-up of students cases. To further improve tuberculosis control across China, strengthening the awareness of tuberculosis prevention and control among institutions and the public, and improving adherence to tuberculosis treatment, as well as moving forward from passive to active tuberculosis monitoring and early prevention, reducing the occurrence of tuberculosis outbreak in school should be prioritized, so as to promote the smooth development of tuberculosis prevention and control work in China.
- Tuberculosis /
- Disease outbreaks /
- Organization and administration /
- Student health services

HTML全文

参考文献(26)

[1]	BAYATI M, AKBARIAN R, KAVOSI Z, et al. Socioeconomic determinants of health in western pacific region: a panel data analysis[J]. Soc Welfare Q, 2013, 12(47): 111-130. http://refahj.uswr.ac.ir/article-1-1125-en.pdf
[2]	马斌忠, 赵金华, 李尔琛, 等. 青海省2011—2017年在校学生肺结核疫情分析[J]. 中国学校卫生, 2019, 40(1): 141-143. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201901043.htm MA B Z, ZHAO J H, LI E C, et al. Epidemic analysis of tuberculosis among school students in Qinghai Province from 2011 to 2017[J]. Chin J Sch Health, 2019, 40(1): 141-143. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201901043.htm
[3]	WHO. Global tuberculosis report 2020[R]. Geneva: WHO, 2020.
[4]	CHEN H, ZHANG K. Insight into the impact of the COVID-19 epidemic on tuberculosis burden in China[J]. Eur Respir J, 2020, 56(3): 2002710. http://www.researchgate.net/publication/343171215_Insight_into_impact_of_COVID-19_epidemic_on_tuberculosis_burden_in_China
[5]	路希维. 学校结核病暴发控制策略研究进展[J]. 中国防痨杂志, 2013, 35(9): 752-756. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201309036.htm LU X W. Research progress of control strategy on tuberculosis outbreak in school[J]. Chin J Antituberc, 2013, 35(9): 752-756. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201309036.htm
[6]	李雨昕. 湖南桃江县两所学校确诊90例肺结核病例[EB/OL]. [2017-11-25]. http://www.chinanews.com/sh/2017/11-25/8385331.shtml. LI Y X. Ninety cases of tuberculosis have been confirmed in two schools in Taojiang county, Hunan Province[EB/OL]. [2017-11-25]. http://www.chinanews.com/sh/2017/11-25/8385331.shtml.
[7]	俞昌宗. 扬州大学证实: 瘦西湖校区多名学生患肺结核住院[EB/OL]. [2020-01-03]. https://news.163.com/20/0103/02/F1UCG03N0001875P.html. YU C Z. Yangzhou University confirmed that a number of students in Slenghu Campus were hospitalized with tuberculosis[EB/OL]. [2020-01-03]. https://news.163.com/20/0103/02/F1UCG03N0001875P.html.
[8]	赵羽祺. 江苏师范大学通报22名学生患肺结核[EB/OL]. [2020-10-14]. https://my.weibo.com/media/4560035382560465. ZHAO Y Q. Jiangsu Normal University reported 22 cases of tuberculosis among its students[EB/OL]. [2020-10-14]. https://my.weibo.com/media/4560035382560465.
[9]	高风华, 李源, 边文建, 等. 淄博市2008—2017年学生肺结核流行特征及诊疗管理情况[J]. 中国学校卫生, 2018, 39(12): 1891-1894. doi: 10.16835/j.cnki.1000-9817.2018.12.038 GAO F H, LI Y, BIAN W J, et al. Epidemiological characteristics and diagnosis and treatment management of pulmonary tuberculosis among students in Zibo City from 2008 to 2017[J]. Chin J Sch Health, 2018, 39(12): 1891-1894. doi: 10.16835/j.cnki.1000-9817.2018.12.038
[10]	张小婉. 广东F市疾病预防控制中心应急能力提升研究[D]. 广州: 华南理工大学, 2019. ZHANG X W. Research on emergency response capacity of F city center for disease control and prevention in Guangdong[D]. Guangzhou: South China University of Technology, 2019.
[11]	唐文婧, 韦桂欢. 广西某高校入学新生结核病防治知识知晓率的调查[J]. 中国校医, 2018, 32(10): 766-768. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201810020.htm TANG W J, WEI G H. Investigation on the awareness rate of tuberculosis prevention knowledge among freshmen in a college in Guangxi[J]. Chin J School Doctor, 2018, 32(10): 766-768. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201810020.htm
[12]	刘瑶, 杨宏远, 代宜芳, 等. 结核病高流行县学校结核病筛查情况[J]. 中国学校卫生, 2019, 40(8): 1261-1263. doi: 10.16835/j.cnki.1000-9817.2019.08.040 LIU Y, YANG H Y, DAI Y F, et al. Tuberculosis screening in schools in high-endemic counties[J]. Chin J Sch Health, 2019, 40(8): 1261-1263. doi: 10.16835/j.cnki.1000-9817.2019.08.040
[13]	庞艳, 胡代玉, 吴成果, 等. 2015—2016年重庆市学校肺结核疫情监测结果[J]. 疾病监测, 2017, 32(8): 670-673. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJC201708013.htm PANG Y, HU D Y, WU C G, et al. Surveillance for tuberculosis in schools in Chongqing, 2015-2016[J]. Dis Surveill, 2017, 32(8): 670-673. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJC201708013.htm
[14]	王平霞, 朱小云. 大学生亚健康状况调查及其影响因素分析[J]. 价值工程, 2020, 39(21): 219-221. doi: 10.3969/j.issn.1006-4311.2020.21.090 WANG P X, ZHU X Y. Investigation on sub-health status of college students and analysis of its influencing factors[J]. Value Eng, 2020, 39(21): 219-221. doi: 10.3969/j.issn.1006-4311.2020.21.090
[15]	仝瑶瑶, 杨大志, 刘晖. 长春市高职高专学生生活方式与亚健康状态的关系[J]. 中国学校卫生, 2019, 40(12): 1796-1798. doi: 10.16835/j.cnki.1000-9817.2019.12.009 TONG Y Y, YANG D Z, LIU H. Life style and sub-health status of vocational college students in Changchun City[J]. Chin J Sch Health, 2019, 40(12): 1796-1798. doi: 10.16835/j.cnki.1000-9817.2019.12.009
[16]	教育部. 关于印发学校结核病防控工作规范(2017版)的通知[A/OL]. [2017-06-29]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201707/t20170727_310182.html. Ministry of Education of the People's Republic of China. Notice on the issuance of school tuberculosis prevention and control work norms(2017 edition)[A/OL]. [2017-06-29]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201707/t20170727_310182.html.
[17]	教育部. 关于印发《学校和托幼机构传染病疫情报告工作规范(试行)》的通知[A/OL]. [2006-04-06]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/200604/t20060406_81035.html. Ministry of Education of the People's Republic of China. Notice on the issuance of the Standards for the Reporting of Infectious Diseases in Schools and Kindergarteners (Trial)[A/OL]. [2006-04-06]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/200604/t20060406_81035.html.
[18]	谭晓萍, 陈秋子, 房宏霞, 等. 结核病预警信息系统在学校结核病聚集性疫情中的作用[J]. 结核与肺部疾病杂志, 2019, 8(2): 153-154. TAN X P, CHEN Q Z, FANG H X, et al. The role of the tuberculosis early warning information system in the school tuberculosis cluster epidemic[J]. J Tuberc Lung Dis, 2019, 8(2): 153-154.
[19]	李娅茹, 靳晓伟, 魏晓慧, 等. 一起学校结核病聚集性疫情的流行病学调查及处置[J]. 结核与肺部疾病杂志, 2020, 1(2): 89-92. https://www.cnki.com.cn/Article/CJFDTOTAL-FBJK202002020.htm LI Y R, JIN X W, WEI X H, et al. Epidemiological investigation and management of a tuberculosis cluster epidemic in a school[J]. J Tuberc Lung Dis, 2020, 1(2): 89-92. https://www.cnki.com.cn/Article/CJFDTOTAL-FBJK202002020.htm
[20]	齐怡, 路华跃, 杨连军, 等. 一起校园结核病暴发事件的回顾性分析[J]. 结核与肺部疾病杂志, 2014(3): 161-165. https://kns.cnki.net/KCMS/detail/detail.aspx?dbname=CJFDPREP&filename=FBJK201403008 QI Y, LU H Y, YANG L J, et al. The retrospective analysis of a tuberculosis outbreak in a middle school[J]. J Tuberc Lung Dis, 2014(3): 161-165. https://kns.cnki.net/KCMS/detail/detail.aspx?dbname=CJFDPREP&filename=FBJK201403008
[21]	孙洪林. 高校校园结核病防控薄弱原因分析及应对策略[J]. 社区医学杂志, 2016, 14(20): 71-73. https://www.cnki.com.cn/Article/CJFDTOTAL-SQYX201620033.htm SUN H L. Cause analysis and countermeasures of weak tuberculosis prevention and control in university campus[J]. J Commun Med, 2016, 14(20): 71-73. https://www.cnki.com.cn/Article/CJFDTOTAL-SQYX201620033.htm
[22]	张长桂, 周兴军, 姚晓燕, 等. γ-干扰素释放试验和PPD试验在处置学校结核病暴发疫情中的应用分析[J]. 中国学校卫生, 2016, 37(2): 311-313. doi: 10.16835/j.cnki.1000-9817.2016.02.048 ZHANG C G, ZHOU X J, YAO X Y, et al. Analysis of the application of interferon gamma release test and PPD test in the management of school tuberculosis outbreak[J]. Chin J Sch Health, 2016, 37(2): 311-313. doi: 10.16835/j.cnki.1000-9817.2016.02.048
[23]	郭晶. 浅析高校传染病特点及防控管理对策: 以结核病为例[J]. 山东广播电视大学学报, 2018(3): 80-81. doi: 10.3969/j.issn.1008-3340.2018.03.024 GUO J. A brief analysis of the characteristics of infectious diseases in colleges and universities and countermeasures for prevention and control: taking tuberculosis as an example[J]. J Shandong Radio TV Univ, 2018(3): 80-81. doi: 10.3969/j.issn.1008-3340.2018.03.024
[24]	丁守华, 万青灵, 潘恩春. 一起学校结核病聚集性疫情的流行病学调查[J]. 中国学校卫生, 2019, 40(9): 1423-1425. doi: 10.16835/j.cnki.1000-9817.2019.09.042 DING S H, WAN Q L, PAN E C. Epidemiological investigation of a clustered epidemic of tuberculosis in a school[J]. Chin J Sch Health, 2019, 40(9): 1423-1425. doi: 10.16835/j.cnki.1000-9817.2019.09.042
[25]	毛燕君, 鲁敏, 陈丹萍, 等. 从肺结核患病学生角度看高校结核病防控现状[J]. 上海护理, 2020, 20(6): 10-13. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202006004.htm MAO Y J, LU M, CHEN D P, et al. Current situation of tuberculosis prevention and control in colleges and universities from the perspective of students with pulmonary tuberculosis[J]. Shanghai Nurs, 2020, 20(6): 10-13. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202006004.htm
[26]	高谦, 梅建. 我国学校结核病预防与控制的思考[J]. 中国防痨杂志, 2020, 42(3): 195-199. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202003004.htm GAO Q, MEI J. Reflections on the prevention and control of tuberculosis among Chinese students[J]. Chin J Antituberc, 2020, 42(3): 195-199. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202003004.htm