邵阳市94例新型冠状病毒肺炎疫情分析及对策

Epidemic situation and countermeasures of 94 cases of coronavirus disease 2019 in Shaoyang city

目的分析邵阳市新型冠状病毒肺炎(简称新冠肺炎)疫情特征,为预防控制新冠肺炎疫情提供相关科学依据。方法收集截止2020年2月11日邵阳市新冠肺炎病例相关的人口学、流行病学和临床资料,建立数据库,应用SPSS 18.0进行描述性统计分析。结果共报告确诊病例94例,其中家庭聚集性疫情21起,先后出现武汉(或湖北)输入病例和本地续发病例两个高峰。地区分布以邵东市、新邵县和洞口县为主(69.15%)。全人群粗发病率1.28/10万,邵东市最高为4.06/10万。发病年龄最小为8岁,最大为84岁,主要以20~59岁年龄段为主(占79.8%),以武汉(或湖北)旅居史和务工返乡人员为主(占69.15%)。60岁及以上老年人确诊病例的重症(危重症)比例达66.7%(10/15),高于60岁以下年龄组确诊病例的重症(危重症)比(χ^2=31.150,P<0.001)。结论邵阳市新冠肺炎疫情形势严峻,易发生家庭聚集性疫情,老年人易出现重症。应加强新冠肺炎相关预防控制工作,特别是对60岁以上老年人进行针对性的防护。

Objective To analyze the epidemic characteristics of coronavirus disease 2019(COVID-19)in Shaoyang city so as to provide a scientific basis for its prevention and control.Methods Demographic,epidemiological and clinical data related to COVID-19 cases in Shaoyang city as of February 11,2020 were collected.A database was established,and SPSS 18.0 software was used for descriptive statistical analysis.Results A total of 94 confirmed cases were reported,including 21 familial clusters,with two peaks of imported cases in Wuhan(or Hubei)and local secondary cases.The main distribution regions of the cases were Shaodong city,Xinshao county and Dongkou county(accounting for 69.15%).The crude incidence rate in the whole population was 1.28/100,000,and the rate in Shaodong city was the highest(4.06/100,000).The age of onset ranged from 8 to 84 years old,mainly in the age group of 20-59 years(accounting for 79.8%)as well as in those who had a history of travelling or residence in Wuhan(or Hubei)and returned home from work(accounting for 69.15%).The proportion of severe cases(or critical illness cases)in the elderly confirmed cases aged 60 years and above was 66.7%(10/15),which was higher than that in the age group under 60 years(χ^2=31.150,P<0.001).Conclusions The COVID-19 epidemic situation in Shaoyang city is serious and prone to family aggregation epidemic,and the elderly are apt to serious illness.COVID-19 prevention and control should be strengthened,especially the targeted protection for the elderly aged above 60 years.