Evaluation of tuberculosis prevention and control in schools of Chongqing from 2015 to 2020

PANG Yan; WU Chengguo; WANG Qingya

doi:10.16835/j.cnki.1000-9817.2021.12.003

Volume 42 Issue 12

Dec. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(12): 1768-1771, 1775

PANG Yan, WU Chengguo, WANG Qingya. Evaluation of tuberculosis prevention and control in schools of Chongqing from 2015 to 2020[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1768-1771, 1775. doi: 10.16835/j.cnki.1000-9817.2021.12.003

Citation:

PANG Yan, WU Chengguo, WANG Qingya. Evaluation of tuberculosis prevention and control in schools of Chongqing from 2015 to 2020[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1768-1771, 1775. doi: 10.16835/j.cnki.1000-9817.2021.12.003

Citation:

PDF( 392 KB)

Evaluation of tuberculosis prevention and control in schools of Chongqing from 2015 to 2020

doi: 10.16835/j.cnki.1000-9817.2021.12.003

Disrtict and County Control Division, Institute of Tuberculosis Prevention and Treatment of Chongqing, Chongqing(400050), China

Received Date: 2021-07-26
Rev Recd Date: 2021-08-18

Available Online: 2021-12-23

Publish Date: 2021-12-25

Abstract

Abstract

Objective To understand the current situation of school tuberculosis prevention and control system and the implementation of daily prevention and control measures, and to provide a reference for strengthening the prevention and control of tuberculosis in schools. Methods A random sampling method was used to select schools where on-site questionnaire survey was carried out, including 156 junior high schools, 78 senior high schools and 6 universities. SPSS 25.0 was used for descriptive analysis and chi square test. Results The average annual screening rates of junior high school, senior high school and university from 2015 to 2020 were 58.84%, 71.71% and 84.41% respectively, and the difference was statistically significant (χ²=61 247.39, P < 0.01). The average annual TB detection rates were 8.69/10⁵, 50.89/10⁵ and 36.51/10⁵ respectively, and the difference was statistically significant (χ²=101.20, P < 0.01). The screening rate of TB screening in 2015-2020 years increased by year(χ_trend²=70 052.10, 86 182.82, 22 213.56, P < 0.01). The detection rate of TB among junior high schools and high schools has been increasing year by year(χ_trend²=9.27, 12.23, P < 0.01). From 2015 to 2020, the proportion of tuberculosis screening, contact history, PPD and chest screening increased by year in junior high school and senior high school freshmen, and the difference was statistically significant (χ²=129.10, 118.10, 206.92, 37.67; 108.79, 84.90, 139.84, 51.82, P < 0.01). The proportion of chest X-ray screening in universities increased by year(χ_trend²=18.33, P < 0.01). In 2019, poor performance on TB control in universities mainly included, including the school responsibility system for tuberculosis prevention and control, the school's annual TB work plan and absenteeism registration and etiology tracing, the proportion was 50.00%, 0 and 16.67% respectively, compared with junior high school and senior high school, the difference was statistically significant(P < 0.05). The prevalence rates of junior high school, senior high school and university students were 33.75/10⁵, 90.10/10⁵ and 54.20/10⁵ respectively in 2019, and the difference was statistically significant (χ²=104.36, P < 0.01). Conclusion The proportion of TB screening for freshmen in Chongqing increased significantly during 2015-2020. High school students are still the focus of school-based tuberculosis prevention and control. Improving the proportion of tuberculosis screening, strengthening and standardizing physical examination and screening, and establishing a clear responsibility system for prevention and control are effective means to prevent and control the spread of tuberculosis on campus.
- Tuberculosis, pleural,
- Organization and administration,
- Prevalence,
- Students

FullText(HTML)

References(17)

References

[1]	World Health Oragnization. The top 10 causes of death[R]. Geneva: World Health Organization, 2018.
[2]	World Health Oragnization. World health for statistics 2020: monitoring health for the SDGs[R]. Geneva: World Health Oragnization, 2020.
[3]	陈卉, 夏愔愔, 张灿有, 等. 2014—2018年全国学生肺结核疫情变化趋势及特征分析[J]. 中国防痨杂志, 2019, 41(6): 662-668. doi: 10.3969/j.issn.1000-6621.2019.06.013 CHEN H, XIA Y Y, ZHANG C Y, et al. Epidemic trends and characteristics of pulmonary tuberculosis in students in China from 2014 to 2018[J]. Chin J Antituberc, 2019, 41(6): 662-668. doi: 10.3969/j.issn.1000-6621.2019.06.013
[4]	白丽琼. 是危机, 还是机遇: 湖南省桃江县发生学校结核病聚集性疫情的思考[J]. 实用预防医学, 2018, 25(1): 1-2, 61. doi: 10.3969/j.issn.1006-3110.2018.01.001 BAI L Q. A crisis or an opportunity: reflections of tuberculosis clusters in schools in Taojiang County, Hunan Province[J]. Pract Prev Med, 2018, 25(1): 1-2, 61. doi: 10.3969/j.issn.1006-3110.2018.01.001
[5]	成君, 夏愔愔, 刘二勇, 等. 学校结核病突发疫情处置的思考[J]. 中国防痨杂志, 2018, 40(2): 145-148. doi: 10.3969/j.issn.1000-6621.2018.02.006 CHENG J, XIA Y Y, LIU E Y, et al. Thinking on the disposal of tuberculosis outbreak in schools[J]. Chin J Antituberc, 2018, 40(2): 145-148. doi: 10.3969/j.issn.1000-6621.2018.02.006
[6]	国务院办公厅. 国务院办公厅关于印发"十三五"全国结核病防治规划的通知[J]. 中华人民共和国国务院公报, 2017(7): 32-37. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYB201707007.htm General Office of the State Council of the People's Republic of China. Notice of the General Office of the state council on issuing the 13th five-year plan of the national tuberculosis control[J]. Gazette of the State Council of the People's Republic of China, 2017(7): 32-37. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYB201707007.htm
[7]	国家卫生和计划生育委员会办公厅, 教育部办公厅. 关于印发学校结核病防控工作规范(2017版) 的通知[A]. 2017-06-29. General Office National Health and Family Planning Commission, General Office of the Ministry of Education. Standard of tuberculosis prevention and control in schools(2017)[A]. 2017-06-29.
[8]	国家卫生健康委员会办公厅, 国家发展改革委办公厅. 关于开展"十三五"全国结核病防治规划终期评估的通知[A]. 2020-08-31. General Office of the State Health Commission of the people's Republic of China, General Office of the national development and Reform Commission of the people's Republic of China. Circular on the final assessment of the 13th Five-Year national TB control program[A]. 2020-08-31.
[9]	成君. 《新生入学体检结核病检查规范》解读[J]. 中国防痨杂志, 2020, 42(9): 987-989. doi: 10.3969/j.issn.1000-6621.2020.09.018 CHENG J. Interpretation of the specification of tuberculosis examination for student entrance physical examination[J]. Chin J Antituberc, 2020, 42(9): 987-989. doi: 10.3969/j.issn.1000-6621.2020.09.018
[10]	疾病预防控制局. 关于印发中国学校结核病防控指南的通知[A]. 2020-10-16. Bureau of Disease Control of Prevention of the Ministry of Health of China. Notice on printing and issuing the guidelines for tuberculosis prevention and control in chinese schools[A]. 2020-10-16.
[11]	柳巍, 曾令城, 张慧, 等. 西安市大学新生结核病筛查结果分析[J]. 中国学校卫生, 2016, 37(2): 313-315. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201602053.htm LIU W, ZENG L C, ZHANG H, et al. Analysis of tuberculosis screening results of freshmen in Xi'an university[J]. Chin J Sch Health, 2016, 37(2): 313-315. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201602053.htm
[12]	魏倩, 王仕昌, 王美花, 等. 2017年山东省新生入学及教职工结核病筛查现况调查[J]. 预防医学论坛, 2020, 26(12): 903-911. https://www.cnki.com.cn/Article/CJFDTOTAL-YXWX202012008.htm WEI Q, WANG S C, WANG M H, et al. Analysis on current situation of tuberculosis screening among freshmen and teaching and administrative staff, Shandong Province, 2017[J]. Prev Med Trib, 2020, 26(12): 903-911. https://www.cnki.com.cn/Article/CJFDTOTAL-YXWX202012008.htm
[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]	庞艳, 刘英, 汪清雅, 等. 2016年重庆市学校结核病疫情流行概况分析[J]. 实用预防医学, 2018, 25(1): 10-13. doi: 10.3969/j.issn.1006-3110.2018.01.004 PANG Y, LIU Y, WANG Q Y, et al. Epidemic situation of tuberculosis in schools in Chongqing Municipality, 2016[J]. Pract Prev Med, 2018, 25(1): 10-13. doi: 10.3969/j.issn.1006-3110.2018.01.004
[15]	庞艳, 吴成果, 漆莉, 等. 2014—2019年重庆市学生结核病时空特征流行病学分析[J]. 疾病监测, 2021, 36(2): 167-171. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJC202102019.htm PANG Y, WU C G, QI L, t al. Spatial Temporal clustering of tuberculosis in students in Chongqing, 2014-2019[J]. Dis Surveill, 2021, 36(2): 167-171. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJC202102019.htm
[16]	陈静, 沈鑫, 潘启超. 明确职责关口前移规范防控: 《上海市学校结核病防控工作规范(2018版)》解读[J]. 上海预防医学, 2018, 30(10): 833-835. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201810008.htm CHEN J, SHEN X, PAN Q C. Clear responsibility, press forward and standardize prevention and control: interpretation of Work Specification for TB Prevention and Control in Schools of Shanghai (version 2018)[J]. Shanghai J Prev Med, 2018, 30(10): 833-835. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201810008.htm
[17]	李春, 郑海伦, 罗萍, 等. 2010—2019年北京市大兴区某中学高中部青海藏族集体来京学生肺结核疫情处置分析[J]. 中国防痨杂志, 2020, 42(12): 1318-1322. doi: 10.3969/j.issn.1000-6621.2020.12.013 LI C, ZHENG H L, LUO P, et al. Analysis on epidemic and management of tuberculosis among senior middle school students from Qinghai Tibetans in a school of Daxing District of Beijing from 2010 to 2019[J]. Chin J Antituberc, 2020, 42(12): 1318-1322. doi: 10.3969/j.issn.1000-6621.2020.12.013