停课对托幼机构手足口病暴发疫情控制效果评价  

Analysis on control effect of school closure after outbreaks of Hand-foot-mouth Disease( HFMD) in kindergarten

作　　者：段利娜[1] 李刚[2] 刘凤仁[2] 叶伟雄[2] 孙春云[2] 

机构地区：[1]广东省深圳市福田区疾病预防控制中心,518040 [2]深圳市龙岗区疾病预防控制中心

出　　处：《中国学校卫生》2016年第8期1203-1204,共2页Chinese Journal of School Health

摘　　要：目的探讨停课措施对托幼机构手足口病暴发疫情的控制效果,为提供科学、经济的疫情控制策略提供依据。方法收集2005—2014年龙岗区手足口病暴发疫情材料,按照初始报告病例数和初始波及班级数,进行1∶1匹配,比较停课组和非停课组疫情的新增病例数、新增班级数、终末罹患率、措施介入至疫情结束时间间隔。结果停课组新增病例中位数为2.00人;新增班级中位数为0个;终末罹患率中位数为6.97%,停课至疫情结束时间间隔中位数为5.50 d。非停课组新增病例中位数为1.00人;新增班级中位数为0.50个;终末罹患率中位数为6.24%,控制措施至疫情结束时间间隔中位数为4.00 d。停课组与非停课组新增病例数、新增班级数、终末罹患率、措施介入至疫情结束时间间隔差异均无统计学意义。结论停课措施对手足口病暴发疫情控制效果不明显。Objective By discussing the control effect of school closure after outbreaks of HFMD of kindergarten, and to provide scientific and economic evidence for disease prevention and control. Methods HFMD outbreaks of Longgang district from2005 to 2014 were collected, which were 1： 1 matched according to the same number of HFMD cases and classes reported initially,then the differences were observed between the closed and unclosed groups by comparing the number of the increasing new HFMD cases, the increasing new classes, the terminal rate and the time interval from taking control measures to the end of outbreaks. Results The median of new HFMD cases was 2.00, the median of new classes was 0, the median of terminal rate was 6.97%, the median of time interval from class closure to outbreak ending was 4.00 of closed group. The median of new HFMD cases was 1.00,the median of new classes was 0.50, the median of terminal rate was 6.24%, and the median time of interval from taking control measures to the end of outbreaks was 5.50 of unclosed group. There was no statistical difference between the closed and unclosed groups according to comparing the number of the increasing new HFMD cases, increasing new classes, terminal rate and the time interval from taking control measures to the end of outbreaks. Conclusion School closure made no evident effects on controlling disease after outbreak of HFMD.

关 键 词：综合预防 手足口病 疾病暴发流行 学生 

分 类 号：R174.6[医药卫生—妇幼卫生保健] R512.5[医药卫生—公共卫生与预防医学]