首页|2017-2022年徐州市鼓楼区中小学生和幼托机构儿童传染病疫情特征分析

2017-2022年徐州市鼓楼区中小学生和幼托机构儿童传染病疫情特征分析

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目的 了解2017-2022年徐州市鼓楼区中小学生和幼托机构儿童传染病发病规律及流行趋势,为学校传染病防控提供科学依据.方法 从"中国疾病预防控制信息系统平台"下载学生传染病信息,从鼓楼区学校卫生科和计划生育部门年统计报表中获得学生数信息.采用Excel 2003对2017-2022年徐州市鼓楼区中小学生和幼托机构儿童传染病数据进行整理,采用频数和发病率[n(%)]对传染病发病资料进行描述,运用SPSS 17.0统计,分析鼓楼区中小学生和幼托机构儿童传染病疫情特征.结果 2017-2022年徐州市鼓楼区共报告中小学生和幼托机构儿童传染病12种4 716例,年均发病率为1 187.83/10万,无甲类传染病报告.中、小学生和幼托机构儿童平均发病率分别为446.24/10万、1 149.59/10万、2 295.00/10万,不同类别学校的传染病发病率差异均有统计学意义(P均<0.01),托幼机构发病率最高,小学次之,中学最低.传染病的发生有明显的季节性特点,且各传染病均有发病高峰期.各年度的发病率呈先上升后下降的趋势,考虑与新型冠状病毒肺炎疫情防控有关.排名居前5位的病种依次是流行性感冒、水痘、手足口、其他感染性腹泻和流行性腮腺炎,占发病总数的97.05%.不同病种的传染病发病率男生为1 210.17/10万,女生为1 091.59/10万,差异有统计学意义(x2=12.24,P<0.01).结论 2017-2022年徐州市鼓楼区中小学生和幼托机构儿童传染病发病率总体呈先上升后下降的趋势.幼托机构儿童的传染病发病率远高于中小学生,流行性感冒、水痘、手足口、其他感染性腹泻和流行性腮腺炎的发病居前5位,是重点防控的传染病.
Epidemic characteristics of infectious diseases among primary and middle school students and children in Gulou District,Xuzhou City,2017-2022
Objective The purpose of this study was to understand the incidence and epidemic trends of infectious diseases among primary and middle school students and children in childcare institutions in Gulou District,Xuzhou City,from 2017 to 2022,to provide a scientific basis for the prevention and control of infectious diseases in schools.Methods Students'infectious disease information was downloaded from the China Disease Prevention and Control Information System platform.The number of students was obtained from the annual statistical report of the Gulou District school health depart-ment and family planning department.Infectious disease data for primary and middle school students and children in Gulou District,Xuzhou City,from 2017 to 2022 were summarized in Excel 2003.Frequency and incidence[n(%)]data were statisti-cally analyzed in SPSS 17.0 to determine the epidemic characteristics of infectious diseases among primary and middle school students and childcare institutions in Gulou District.Results From 2017 to 2022,a total of 4 716 cases of 12 infec-tious diseases were reported in primary and middle school students and children in Gulou District,Xuzhou City.The average annual incidence was 1 187.83/100 000,and no class A infectious diseases were reported.The average incidence among mid-dle and primary school students,and children in childcare institutions was 446.24/100 000,1 149.59/100 000,and 2 295.00/100 000,respectively.The difference in infectious disease incidence statistically significantly differed among categories of schools(all P<0.01).The incidence was highest in nursery institutions,followed by primary schools,and was lowest in middle schools.The occurrence of infectious diseases showed clear seasonal characteristics,and all infectious diseases showed peaks of incidence,involving a rising and subsequent de-creasing trend each year,which was associated with COV-ID-19 prevention and control.The five main diseases were influenza,chicken pox,hand,foot and mouth disease,other infectious diarrhea,and mumps,accounting for 97.05%of the to-tal number of cases.The incidence of different infectious diseases was 1 210.17/100 000 in male students and 1 091.59/100 000 in female students,the difference is statistically significant(x2=12.24,P<0.01).Conclusions From 2017 to 2022,the incidence of infectious diseases among primary and middle school students and children in childcare institutions in Gu-lou District,Xuzhou City,first increased,then decreased.The incidence of infectious diseases in children in childcare insti-tutions was much higher than that among primary and middle school students.Influenza,chicken pox,hand,foot and mouth disease,other infectious diarrhea,and mumps were the top five infectious diseases in terms of incidence,and should be a key focus of prevention and control efforts.

Primary and secondary school studentsChildren in childcare institutionsInfectious diseasesEpidem-ic trendsKey prevention and control

刘娅娴、鲍萌

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徐州市鼓楼区疾病预防控制中心,江苏徐州 221005

中小学生 幼托机构儿童 传染病 流行趋势 重点防控

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(10)