首页|上海口岸2023年出入境人员多病共防流行特征分析

上海口岸2023年出入境人员多病共防流行特征分析

扫码查看
目的 通过分析2019年新冠病毒感染疫情前后上海口岸出入境人员多病共防数据,掌握流行特征的变化,做好口岸多病共防工作。方法 对2023年和2018-2019年上海口岸出入境人员健康申报、检疫排查、流行病学调查数据及实验室检测结果等进行整理和分析。结果 和2018-2019年相比,2023年的出入境人员总数不足2019年新冠病毒感染疫情前的50%,而采样率、阳性样本数和总阳性率分别增加132。01%、10。18%和14。35%;呼吸道、消化道、虫媒及血液、接触及其他方式传播病原体的阳性数构成比依次为94。59%、4。15%、0。81%、0。38%,排名前3的疾病为甲型流感(87。00%)、乙型流感(6。50%)、肠出血性大肠杆菌感染(1。26%)。呼吸道病原体阳性数量的时间分布差异无统计学意义(U=47。000,Z=-1。444,P=0。149),而消化道(U=37。000,Z=-2。026,P=0。043)、虫媒及血液(U=18。500,Z=3。150,P=0。002)、接触及其他方式传播病原体(U=40。500,Z=-1。975,P=0。048)阳性数量的时间分布差异有统计学意义。病例来源地区的差异(x2=42。436,P<0。001)有统计学意义,来源地区以东亚最多(28。13%),其次为东南亚(27。59%);病例的性别比、年龄差异无统计学意义(U=33。000,Z=0。105,P=0。916)。结论 新冠病毒感染疫情后出入境人员总数减少,但多病共防监测效率明显提升;病原体仍以呼吸道传播病原体为主。
Analysis of the epidemic characteristics of multi-diseases prevention and control in exit-entry personnel at Shanghai port in 2023
Objective To analyze the changes in the epidemic characteristics of multi-diseases prevention and control before and after COVID-19 epidemic at Shanghai port,to obtain the differences of epidemic characteristics and im-plement and improve the multi-diseases prevention and control.Methods The data of health declaration,quarantine inspection,epidemiological survey and laboratory test of exit and entry personnel at Shanghai port in 2023 and 2018-2019,were collected and analyzed as multi-diseases prevention and control data.Results Compared with 2018-2019,the total amount of exit-entry personnel was less than 50%,while the sampling rate,positive sample number and total positive rate increased by 132.01%,10.18%and 14.35%.The percentage of positive pathogens for the res-piratory,digestive,vector & blood-borne,contact & other transmissions accounted for 94.59%,4.15%,0.81%and 0.38%of the total positive cases,respectively.Among these,influenza A had the highest proportion(87.00%),followed by influenza B(6.50%)and Enterohemorrhagic E.coli(EHEC)infection(1.26%).There was no statistical differ-ences in the temporal distribution of pathogen(U=47.000,Z=-1.444,P=0.149)counts for respiratory.In contrast,there were statistical differences in the temporal distribution for pathogen counts of pathogen transmitted by digestive(U=37.000,Z=-2.026,P=0.043),vector & blood-borne(U=18.500,Z=3.150,P=0.002),contact & others(U=40.500,Z=-1.975,P=0.048).There were statistical differences in the original areas of cases,original areas were mostly from East Asia(28.13%),followed by Southeast Asia(27.59%).There was no statistical differences in gender(x2=1.539,P=0.215)and age(U=33.000,Z=0.105,P=0.916)of the cases.Conclusion The total number of exit and entry personnel de-creased,but there was an enhancement in the efficiency of multi-diseases prevention and control surveillance.The respiratory pathogens were dominating pathogens.

Frontier portMulti-diseases prevention and controlHealth inspection and quarantineSmart Customs

程春明、易在炯、胡春立、张子龙、郁施伟、张冠楠、薛李明、田相廷、陆晔、田桢干

展开 >

上海国际旅行卫生保健中心(上海海关口岸门诊部),上海 201206

国境口岸 多病共防 卫生检疫 智慧海关

国家重点研发计划项目海关总署科研项目海关总署科研项目上海科委科研项目

2023YFC26053042022HK0152014HK08221142202100

2024

中国国境卫生检疫杂志
中国质检报刊社

中国国境卫生检疫杂志

CSTPCD
影响因子:0.415
ISSN:1004-9770
年,卷(期):2024.47(5)