2010年北京市顺义区某中学风疹突发公共卫生事件调查

Investigation on Public Health Emergency of Rubella in a Middle School in Shunyi District of Beijing in 2010

目的分析2010年北京市顺义区某中学风疹突发公共卫生事件发生原因,为制定预防控制措施提供依据。方法应用描述性流行病学方法对2010年顺义区某中学风疹突发公共卫生事件进行统计分析。结果该次疫情累计病例28例,96.43%的病例为初三年级学生。发病时间集中于3月24—27日。无免疫史和免疫史不详病例占64.29%。疫情发生主要原因是由于医院对疾病的诊断不规范,未及时发现报告;麻风腮疫苗接种率较低和学校相关传染病防控工作未落实。结论应通过培训提高该区临床医生诊断技术和传染病防控意识;教育和卫生主管部门均应重视和加强学校卫生工作的领导和管理,加强学校卫生专业队伍的建设和培养;强化免疫接种和学校常见传染病知识宣传。

[Objective]To analyze the causes of public health emergency of rubella in a middle school in Shunyi district of Beijing in 2010,provide the evidences for making prevention and control strategies.[Methods]With method of descriptive epidemiology,the public health emergency of rubella in a middle school in Shunyi district was statistically analyzed.[Results]There were 28 cases in this event,96.43% of patients were 9th grade students.Onset time was from 24 to 27 March.64.29% of cases had dubious immunization history or no immunization history.The main causes of epidemic included： cases had not been promptly reported because of nonstandard diagnosis,the coverage rate of MMR vaccination was low,prevention and control of the infectious diseases in school had not been implemented.[Conclusion]The diagnostic techniques and disease control awareness of clinicians should be improved by training.The education department and health department should pay attention to the management of school health,enhance the construction and training of professional team of school health,strengthen the immunization and propaganda of the knowledge about common infectious diseases in schools.