刘开钳, 李奕才, 王琳, 薛志强, 严新风, 魏祖光. 2007年深圳市某企业急性出血性结膜炎暴发特征及干预[J]. 疾病监测, 2009, 24(4): 272-273. DOI: 10.3784/j.issn.1003-9961.2009.04.017
引用本文: 刘开钳, 李奕才, 王琳, 薛志强, 严新风, 魏祖光. 2007年深圳市某企业急性出血性结膜炎暴发特征及干预[J]. 疾病监测, 2009, 24(4): 272-273. DOI: 10.3784/j.issn.1003-9961.2009.04.017
LIU Kai-qian, LI Yi-cai, WANG Lin, XUE Zhi-qiang, YAN Xin-feng, WEI Zu-guang. Analysis on features of acute hemorrhagic conjunctivitis and interventions in an enterprise in Shenzhen, 2007[J]. Disease Surveillance, 2009, 24(4): 272-273. DOI: 10.3784/j.issn.1003-9961.2009.04.017
Citation: LIU Kai-qian, LI Yi-cai, WANG Lin, XUE Zhi-qiang, YAN Xin-feng, WEI Zu-guang. Analysis on features of acute hemorrhagic conjunctivitis and interventions in an enterprise in Shenzhen, 2007[J]. Disease Surveillance, 2009, 24(4): 272-273. DOI: 10.3784/j.issn.1003-9961.2009.04.017

2007年深圳市某企业急性出血性结膜炎暴发特征及干预

Analysis on features of acute hemorrhagic conjunctivitis and interventions in an enterprise in Shenzhen, 2007

  • 摘要: 目的分析急性出血性结膜炎暴发特点,探讨暴发原因,评价干预效果。方法对报告病例数据进行统计分析,对发病因素开展横断面调查,并对暴发进行控制干预。结果2007年7月20日至11月26日,深圳市某企业共报告和隔离11 118例急性出血性眼结膜炎病例,其罹患率为2957.80/10万,显著高于2006年的433.72/10万,IP/I<0.0001。其发病高峰在8月14日至9月4日;观澜园区职工的罹患率为5146.32/10万,明显高于龙华园区职工的 2080.38/10万, IP/I<0.0001。不同工作部门和宿舍区职工罹患率有明显的差异。行政干预措施前对病例调查发现,有37.47%的病例在发病后2 d未能发现和隔离;病例所在办公室和寝室开展疫点终末消毒分别为38.43%和43.22%;仅有26.42%知道本病还可通过空气传播。行政干预措施后该企业病例搜索和隔离、终末消毒,对职工开展宣传教育等各项技术性控制措施完全落实,暴发终止。结论 该企业2007年急性出血性结膜炎暴发呈夏季发病高峰,其暴发强度大于2006年;病例发现和隔离不及时是传染源在人群中快速扩散形成暴发的重要因素;行政干预措施是保障企业自建隔离区、早期发现和隔离患者等各项技术性干预措施能完全实施,暴发得以快速控制的关键。

     

    Abstract: ObjectiveTo analyze the features of a acute hemorrhagic conjunctivitis (AHC) outbreak, discuss the outbreak cause and evaluate the effect of interventions, and provide scientific evidence for the control of the outbreak. MethodsThe data of reported cases were analyzed, the outbreak cause was investigated by cross sectional study and the interventions were conducted. ResultsA total of 11 118 AHC cases were reported and isolated in an enterprise from July 20 to November 26, 2007, the attack rate was 2957.80/lakh, which was significantly higher than 433.72/lakh in 2006 (IP/I<0.0001). The incidence peaked during August 14-September 4. The attack rate (5146.32/lakh) in Guanlan factory was significantly higher than that (2080.38/lakh) in Longhua factory (IP/I<0.0001). The difference on the attack rate among the staff at different working sites and dormitories was significant. Before the intervention, 37.47% of cases were not found and isolated in 2 days, the terminal disinfection rate at working sites and dormitories where cases occurred were 38.43% and 43.22% respectively. Only 26.42% of staffs knew that AHC could be spread by air. After intervention for active case finding/isolation, terminal disinfection and health education, the outbreak ended. ConclusionThis AHC outbreak peaked in summer with the intensity greater than in 2006. Non-timely finding and isolation of the cases were the risk factors for the outbreak. Interventions were essential for the early finding and isolation of the cases and the control of the outbreak.

     

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