阜阳市首例新冠肺炎病例流行病学分析及早期防控措施思考  

Epidemiological analysis of the first confirmed case of COVID-19 in Fuyang City and thoughts on early epidemic prevention and control measures

作　　者：丁振涛[1] 胡允凯 孙良[1] 胡冰[1] DING Zhentao;HU Yunkai;SUN Liang;HU Bing(Fuyang Center for Disease Control and Prevention,Fuyang,Anhui 236000,China)

机构地区：[1]阜阳市疾病预防控制中心,安徽阜阳236030

出　　处：《中国农村卫生事业管理》2021年第5期367-371,共5页Chinese Rural Health Service Administration

基　　金：阜阳市科技局新冠肺炎疫情防控应急科技攻关项目。

摘　　要：目的回顾性分析阜阳市首例确诊新型冠状病毒肺炎病例流行病学特征及早期疫情防控措施,为后续疫情早期防控提供参考。方法采用描述性流行病学方法对阜阳市首例确诊新型冠状病毒肺炎病例进行分析,评价首例相关信息对早期疫情防控措施制定可能产生的影响。结果阜阳市首例新型冠状病毒肺炎病例,女性,42岁,快递物流长途货运人员,有武汉旅居史,无确诊患者、疑似患者接触史及菜市场接触史,感染的危险活动可能为逛街购物和在外就餐。患者发病当日症状为发热、寒战、乏力,呼吸道症状不明显,潜伏期可能为4天。发病到诊所就诊时间间隔2天,发病到确诊时间间隔为5天。首例病例确诊当日,阜阳市立即调整充实由市委、市政府统一领导的疫情防控指挥部,启动并完善联防联控工作机制,采取关口前移、集中救治、应急处置等一系列防控措施。结论阜阳市积极主动应对新冠肺炎疫情,加强早期病例尤其首例病例的信息分析和利用,有利于市县级防控措施的切实落实和优化。Objective To provide reference for the early prevention and control of the later outbreak of the epidemic, we retrospectively analyzed the epidemiological characteristics of the first confirmed COVID-19 case in Fuyang City and the measures for the early prevention.Methods A descriptive epidemiological method was used to analyze the first confirmed COVID-19 case in Fuyang City, and to evaluate the possible impact of the first-case information on the formulation of early epidemic prevention and control measures.Results The first case of COVID-19 in Fuyang City is a 42-year-old female, who is a long-distance freight forwarder with a history of travel in Wuhan but with no contact with the confirmed cases, the suspected cases or Wuhan seafood market. The risk of infection may be shopping for clothes and eating out.On the day of onset, the patient presented with fever, chills, and fatigue. The respiratory symptoms were not obvious and the incubation period might be 4 days.There was a 2-day interval between onset of illness and clinic visit and a 5-day interval between onset and diagnosis.On the day when the first case was confirmed, the Municipal Party Committee and the municipal government of Fuyang City immediately adjusted and strengthened the epidemic prevention and control headquarters, started and improved the joint prevention and control working mechanism, and adopted a series of prevention and control measures, including early prevention and control, centralized rescue and emergency management.Conclusions Fuyang’sproactive response to the outbreak of COVID-19 and the information analysis and utilization of the early cases, especially the first caseis beneficial to the implementation and optimization of COVID-19 prevention and control at the city and county level.

关 键 词：新型冠状病毒肺炎 首例病例 流行病学特征 防控措施 逛街 购物 就餐 发热症状 

分 类 号：R181.81[医药卫生—流行病学] R197.2[医药卫生—公共卫生与预防医学]