上海市某大型工厂风疹暴发的调查分析  

Investigation of an outbreak of rubella in a large factory in Shanghai

作　　者：肖绍坦 任亚萍[1] 彭毅[1] 张秀英[1] 费怡[1] 

机构地区：[1]上海市浦东新区疾病预防控制中心,上海200136

出　　处：《中国生物制品学杂志》2016年第5期507-510,共4页Chinese Journal of Biologicals

摘　　要：目的调查分析上海市某大型工厂风疹暴发的流行病学特征,以便及时采取有效的疫情控制措施。方法对2012年3~7月该厂301例风疹病例进行流行病学调查,采用描述性方法对本次风疹暴发疫情进行分析。结果此次疫情罹患率为6.26‰,暴发高峰出现在4月16~20日;主要分布于各厂区人员密集的第3、4层厂房;发病年龄以17~28岁为主,男性207例,女性94例,均痊愈;早期10例病例经ELISA法检测风疹病毒Ig M抗体均为阳性。流行病学调查结果表明,此次风疹疫情主要与环境、季节、人员流动、预防接种及健康等因素有关。结论本案例为一起典型的成人风疹暴发事件,人员密集程度高、工作生活环境通风不良易造成风疹暴发,做好流动人口以免疫接种为主的综合防治措施,可有效控制疫情蔓延。Objective To investigate the epidemiological features of an outbreak of rubella in a large factory in Shanghai to take effective measure to control the epidemic in time.Methods Epidemiological investigation was performed on the 301 cases of rubella in the factory in March to July,2012,and the epidemic was analyzed by descriptive method.Results The incidence rate of rubella in this outbreak was 6.26‰.The peak of outbreak appeared in April 16 to 20.The cases were mainly distributed in the floors 3 and 4 of workshops with high densities of population in various areas.A total of 207 male and 94 female workers were infected.All the Ig M against rubella virus were positive in the 10 cases at early stage of outbreak.Epidemiological investigation showed that the outbreak was associated with environment,season,floating population,vaccination and health.Conclusion A typical outbreak of rubella in adults in large enterprise was identified,which was mainly due to high density of population and poor ventilation in working place.Comprehensive measure such as emergency vaccination in floating population may control the spread of epidemic effectively.

关 键 词：风疹 疾病暴发 

分 类 号：R373.11[医药卫生—病原生物学] R181.23[医药卫生—基础医学]