江苏省常州市某小学一起甲型H1N1流感暴发疫情的调查
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摘要
目的通过调查分析某小学一起甲型H1N1流感暴发疫情,总结流感防控经验。方法采用现场流行病学方法收集病例发病信息,使用RT-PCR进行流感病毒核酸检测。结果自发生首例病例之后,陆续出现了29例流感样病例,实验室检测甲型H1N1流感病毒核酸阳性。结论该疫情为一起甲型H1N1流感引起的暴发疫情,发病班级有一定的集中性,与学生抵抗力差、学校晨午检工作不规范、医疗机构对流感认识不足等有关。提示今后的工作重点要放在加强医疗培训、做好流感预警等方面。
Objective To summarize the experience of influenza prevention and control through investigating and analyzing a H1 N1 influenza outbreak in a primary school. Methods Epidemiological methods were used to collect case incidence information and RT-PCR was used for influenza virus nucleic acid detection. Results Since the first case occurred,29 cases of influenza-like cases have appeared. Besides,the laboratory tests showed that nucleic acid of A type H1 N1 influenza virus was positive. Conclusion This epidemic was an outbreak caused by a H1 N1 flu. The outbreak of influenza A( H1 N1) in student classes has a certain concentration,which is related to the poor resistance of the students,the nonstandard work of school examination in morning and at noon,and the lack of awareness of the influenza by medical institutions. It is suggested that the focus of future work should be on strengthening medical training and working well in influenza warning.
Objective To summarize the experience of influenza prevention and control through investigating and analyzing a H1 N1 influenza outbreak in a primary school. Methods Epidemiological methods were used to collect case incidence information and RT-PCR was used for influenza virus nucleic acid detection. Results Since the first case occurred,29 cases of influenza-like cases have appeared. Besides,the laboratory tests showed that nucleic acid of A type H1 N1 influenza virus was positive. Conclusion This epidemic was an outbreak caused by a H1 N1 flu. The outbreak of influenza A( H1 N1) in student classes has a certain concentration,which is related to the poor resistance of the students,the nonstandard work of school examination in morning and at noon,and the lack of awareness of the influenza by medical institutions. It is suggested that the focus of future work should be on strengthening medical training and working well in influenza warning.
引文
[1]张惠力,林琴,张建陶,等.常州市2010-2011年流行性感冒监测分析[J].医学动物防制,2014,30(8):841-844.
[2]张华君,郑水龙,张建陶. 2013-2015年常州市流感监测及质量评价[J].江苏预防医学,2017,28(2):179-190.
[3]王寅,周明浩,霍翔.扬州市2010-2013年流感流行病学特征分析[J].江苏预防医学,2015,26(5):25-29.
[4] PLESCHKA S. Overview of influenza viruses[J]. Curr Top Microbiol Immunol,2013,370(1):1-20.
[5]彭力荇,张华,雷洁贞. 2010-2014年云浮市流行性感冒病原学监测分析[J].实用预防医学,2016,23(11):1374-1377.
[6]周丽君,刘学成,吕强,等. 2011-2014年四川省流行性感冒监测结果分析[J].职业卫生与病伤,2016,31(1):24-27.
[7]安洲,程周祥,钱帮群,等. 2013-2015年芜湖市学校流感样病例暴发疫情的流行病学特征分析[J].现代预防医学,2016,43(22):4053-4056.
[8]苏晓东,刘丽娜,马述波.博山区某小学一起乙型流感暴发疫情的调查报告[J].泰山医学院学报,2014,35(12):1288-1289.
[9]朱成明.一起乙型流感暴发疫情调查分析[J].安徽预防医学杂志,2016,22(5):332-333.
[10]王建峰,曹俊贤,万鹏,等.西安市未央区某小学一起B型流感暴发的流行病学调查[J].医学动物防制,2017,33(11):1202-1204.
[11] LUBY SP,AGBOATWALLA M,FEIKIN DR,et al. Effect of handwashing on child health:a randomized controlled trial[J]. Lancet,2005,366(9481):225-233.
[12]陈聪,张建陶,沈洪兵,等.中小学校流感暴发现状及控制策略研究进展[J].江苏预防医学,2015,26(3):53-55.
[13]刘海博,陈达廷,李欣欣,等. 2014-2016年北京市大兴区流感聚集性疫情及疫苗保护率分析[J].现代预防医学,2017,44(19):3539-3541.
[14] JEFFERSON T,RIVETTI A,DI PC,et al. Vaccines for preventing influenza in healthy children[J]. Cochrane Database Syst Rev,2010,1(2):367-522.
[15]崔兰梅,田竞,阚震,等.一起小学乙型流感暴发疫情的调查分析[J].首都公共卫生,2016,10(4):184-185.
[2]张华君,郑水龙,张建陶. 2013-2015年常州市流感监测及质量评价[J].江苏预防医学,2017,28(2):179-190.
[3]王寅,周明浩,霍翔.扬州市2010-2013年流感流行病学特征分析[J].江苏预防医学,2015,26(5):25-29.
[4] PLESCHKA S. Overview of influenza viruses[J]. Curr Top Microbiol Immunol,2013,370(1):1-20.
[5]彭力荇,张华,雷洁贞. 2010-2014年云浮市流行性感冒病原学监测分析[J].实用预防医学,2016,23(11):1374-1377.
[6]周丽君,刘学成,吕强,等. 2011-2014年四川省流行性感冒监测结果分析[J].职业卫生与病伤,2016,31(1):24-27.
[7]安洲,程周祥,钱帮群,等. 2013-2015年芜湖市学校流感样病例暴发疫情的流行病学特征分析[J].现代预防医学,2016,43(22):4053-4056.
[8]苏晓东,刘丽娜,马述波.博山区某小学一起乙型流感暴发疫情的调查报告[J].泰山医学院学报,2014,35(12):1288-1289.
[9]朱成明.一起乙型流感暴发疫情调查分析[J].安徽预防医学杂志,2016,22(5):332-333.
[10]王建峰,曹俊贤,万鹏,等.西安市未央区某小学一起B型流感暴发的流行病学调查[J].医学动物防制,2017,33(11):1202-1204.
[11] LUBY SP,AGBOATWALLA M,FEIKIN DR,et al. Effect of handwashing on child health:a randomized controlled trial[J]. Lancet,2005,366(9481):225-233.
[12]陈聪,张建陶,沈洪兵,等.中小学校流感暴发现状及控制策略研究进展[J].江苏预防医学,2015,26(3):53-55.
[13]刘海博,陈达廷,李欣欣,等. 2014-2016年北京市大兴区流感聚集性疫情及疫苗保护率分析[J].现代预防医学,2017,44(19):3539-3541.
[14] JEFFERSON T,RIVETTI A,DI PC,et al. Vaccines for preventing influenza in healthy children[J]. Cochrane Database Syst Rev,2010,1(2):367-522.
[15]崔兰梅,田竞,阚震,等.一起小学乙型流感暴发疫情的调查分析[J].首都公共卫生,2016,10(4):184-185.