上海市长宁区中小学及幼儿园传染病症状监测结果的初步分析

Primary analysis of symptom surveillance system of infectious diseases in primary and secondary schools and kindergartens in Changning district,Shanghai

目的探索建立上海市长宁区中小学及幼儿园传染病症状监测预警系统的方法,实现早期预警。方法通过监测网络收集监测点每日学生因病缺课及流感样综合征、发热呼吸道综合征、腹泻综合征、麻疹样病例综合征的发生情况。结果成功构建中小学及幼儿园传染病症状监测预警信息系统,2007年9月至2008年6月间长宁区中小学及幼儿园监测点学生共缺课1 094人次,其中因流感样症状缺课的占39%,因发热呼吸道症状缺课的占49%,因麻疹样病例症状缺课的占2%,因腹泻症状缺课的占10%。监测数据提示,流感、发热及呼吸道疾病仍然是学生缺课的主要原因,主要高发于新学年开学之初、秋冬之交及初春。结论学校传染病症状监测预警系统能及早发现校园突发公共卫生事件,对于控制疫情、制定有针对性的控制措施有非常重要的意义。

Objective To explore how to establish symptom surveillance system of infectious diseases in primary and secondary schools and kindergartens in Changning district,Shanghai,so as to realize early-warning. Methods Through surveillance network,we collected the incidence of absence in students because of influenza symptom group,fever and aspiratory symptom group,diarrhea symptom group and measles symptom group. Results Symptom surveillance and early-warning system of infectious diseases in primary and secondary schools and kindergartens has been founded successfully.There were 1 094 absent person-times happened in students of surveillance schools and kindergartens from Sep,2007 to Jun,2008,of which 39%,49%,2% and 10% were because of influenza symptom,fever and aspiratory symptom,measles symptom and diarrhea symptom,respectively.The data noted that influenza and fever and aspiratory diseases which happened more frequently in opening of new term,autumn-to-winter and early-spring were still the main reasons for students absence. Conclusions Symptom surveillance and early-warning system of infectious disease in primary and secondary schools and kindergartents could find the epidemic tendency of public health events earlier,and was meaningful to control epidemic and make special control measures.