Volume 46 Issue 6
Jun.  2025
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YAO Ying, YU Kuangming, SUN Jiayi, JIANG Siqing, WANG Hui. Risk assessment analysis of infectious disease prevention and control in schools of Shangcheng District, Hangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 868-872. doi: 10.16835/j.cnki.1000-9817.2025165
Citation: YAO Ying, YU Kuangming, SUN Jiayi, JIANG Siqing, WANG Hui. Risk assessment analysis of infectious disease prevention and control in schools of Shangcheng District, Hangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(6): 868-872. doi: 10.16835/j.cnki.1000-9817.2025165

Risk assessment analysis of infectious disease prevention and control in schools of Shangcheng District, Hangzhou

doi: 10.16835/j.cnki.1000-9817.2025165
  • Received Date: 2025-03-17
  • Rev Recd Date: 2025-04-29
  • Available Online: 2025-07-04
  • Publish Date: 2025-06-25
  •   Objective   To establish a risk assessment system for infectious disease prevention and control in schools in Shangcheng District, Hangzhou and determine risk levels for each school, and propose corresponding risk management measures, so as to provide a scientific reference for infectious disease prevention and control in primary and secondary schools.   Methods   Based on the Failure Mode and Effects Analysis (FMEA) method, potential failure analysis and current situation investigation of infectious disease prevention and control risks were conducted in 110 primary and secondary schools from 2022 to 2024 in Shangcheng District, Hangzhou. Risk levels were classified using K-Means cluster analysis.   Results   Through expert panel discussions using FMEA, 6 first-level indicators and 28 second-level indicators were identified. The top three risk priority numbers were implementation of required prevention and control measures for clustered infectious disease outbreaks in schools in the past three years (189.00), student morning/afternoon health checks (168.00), and reporting status of clustered infectious disease outbreaks in schools in the past three years (144.00). The comprehensive prevention scores of schools ranged from 61.00 to 98.00 (mean: 87.40). There were no statistically significant differences in the average scores(primary school: 88.17±7.39, nine-year consistent education: 86.26±7.68, junior high school: 85.55±8.20, and high school: 88.72±4.91) and risk level distribution of schools with different educational stages(F/H=0.95, 1.47, P>0.05).K-Means cluster analysis divided the schools into 5 risk levels with cluster centers at 93.25, 85.78, 79.69, 70.29, 61.00 (F=309.21, P < 0.05), with 80% of schools classified as low-risk or below.   Conclusion   The infectious disease prevention and control risk assessment system for primary and secondary schools can be established, and hierarchical management can be conducted according to school risk levels, thereby improving the efficiency and effectiveness of school infectious disease prevention and control, and enhancing the precision and sustainability of prevention efforts.
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