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Descriptive Epidemiology for <i>Mycoplasma pneumoniae</i>Infection Using (Nursery) School Absenteeism Surveillance System, and Proposal for Countermeasures
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作者 Junko Kurita Natsuki Nagasu +3 位作者 Noriko Nagata Naomi Sakurai Yasushi Ohkusa Tamie Sugawara 《Journal of Biosciences and Medicines》 2018年第10期33-42,共10页
Objective: We present descriptive epidemiology of Mycoplasma infection using the (Nursery) School Absenteeism Surveillance System ((N)SASSy) in addition to national official sentinel surveillance for infectious diseas... Objective: We present descriptive epidemiology of Mycoplasma infection using the (Nursery) School Absenteeism Surveillance System ((N)SASSy) in addition to national official sentinel surveillance for infectious diseases (NOSSID). It is expected to be helpful for early detection and response to outbreak of Mycoplasma infection and also to be useful for antimicrobial resistance measures. Method: The study period was 2010-2014 seasons. The study area was the whole of Ibaraki prefecture, Japan. NOSSID reports the number of patients with Mycoplasma pneumonia from 13 sentinel hospitals. We compare the number of patients and the incidence rate of NOSSID with the same information in (N)SASSy. Result: In NOSSID, the largest number of patients by age was 27 patients of one year old in 2012. (N)SASSy showed that the incidence rate in the elementary schools is high in 2011 and 2012. Especially, the second grade students were the highest. Discussion: Even though Mycoplasma infection is well known as a pediatric disease, we showed that second grade was the highest in incidence at first. Because (N)SASSy is timely and real-time information collection, evaluation and sharing countermeasures with (nursery) schools, public health centers, and physicians are useful for students and nursery school children, and communities. Conclusion: Because mycoplasma infection is common pediatric infectious diseases and because some patients rarely develop severe infections, we must prevent larger outbreaks. (N)SASSy can provide timely intervention at the initial phase of outbreak by monitoring situations in (nursery) schools and comparing data to baseline information. 展开更多
关键词 Mycoplasma INFECTION (nursery) school absenteeism surveillance system surveillance
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Enhanced Public Health Surveillance for the Sixth Worldwide Uchinanchu Festival Conducted by the Okinawa Prefectural Government, Japan 被引量:1
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作者 Munesada Yamakawa Miyuki Yamauchi +6 位作者 Minoru Nidaira Tomoyuki Azuma Tadashi Nakasone Fumie Ando Takahiro Hayamizu Saki Kinjo Yuuki Nakamura 《Journal of Biosciences and Medicines》 2017年第9期106-115,共10页
Objective: The Okinawa prefectural government conducted enhanced surveillance for the Sixth Worldwide Uchinanchu Festival, with participation of more than 5300 visitors from abroad, many of whom were Okinawan or of Ok... Objective: The Okinawa prefectural government conducted enhanced surveillance for the Sixth Worldwide Uchinanchu Festival, with participation of more than 5300 visitors from abroad, many of whom were Okinawan or of Okinawan descent, for early detection of Zika virus disease and other potential public health threat outbreaks. Method: Enhanced surveillance conducted from 12 October through 13 November involved four surveillance systems, (Nursery) School Absenteeism Surveillance system ((N)SASSy), Prescription Surveillance (PS), and Official Syndromic Surveillance (OSS), each of them operates routinely, in addition to case-based and sentinel surveillance under the Infectious Diseases Control Law as Official National Surveillance of Infectious Diseases (ONSID). This enhanced surveillance was conducted for analysis and evaluation, with intensive information sharing among concerned parties. Result: We performed the enhanced surveillance for 33 days from 12 October through 13 November. Information from enhanced surveillance was analyzed and evaluated, and eventually summarized as a daily report. There has been one rubella case at an elementary school in Okinawa City on 20 October and a measles case at an elementary school in Uruma City on 2 November. Those two cases were registered into (N)SASSy on a timely basis. The public health center investigated them quickly, and the measles case was denied later because symptoms did not satisfy with case definition. Discussion: We regard enhanced surveillance as useful to confirm events that might demand a public health response. Moreover, the related including public health centers or medical institutions confirmed the situation as valuable for the administrative structure. However, because almost all (nursery) schools or pharmacies are closed during successive holidays, outbreaks that occur on such days cannot be recognized on a timely basis. More sensitive surveillance for such days, with better preparations for ambulance transfer and at emergency departments in hospitals remains as a challenge for future work. 展开更多
关键词 ENHANCED surveillance SYNDROMIC surveillance Mass GATHERING school absenteeism Prescription
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Enhanced Surveillance for National (Handicapped) Sports Games in Wakayama, Japan 2015
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作者 Chisa Kambe Hiroko Fujii +4 位作者 Tetsuya Niu Hideo Matsuura Naoko Nagai Yuuki Nakamura Takako Nojiri 《Journal of Biosciences and Medicines》 2018年第7期35-47,共13页
Introduction: We undertook enhanced surveillance of the 2015 Kinokuni Wakayama National Sports Games (70th National Sports Games) and the Kinokuni Wakayama Handicapped Sports Games (15th National Handicapped Sports Ga... Introduction: We undertook enhanced surveillance of the 2015 Kinokuni Wakayama National Sports Games (70th National Sports Games) and the Kinokuni Wakayama Handicapped Sports Games (15th National Handicapped Sports Games) held in Wakayama prefecture in 2015, for which this paper presented operational details and an evaluation. Methods: Enhanced surveillance conducted involved (Nursery) School Absenteeism Surveillance system ((N)SASSy), Prescription Surveillance, and Ambulance Transfer Surveillance from 30 August through 9 November. We evaluated those surveillances on all days including weekends, integrated the results as a daily report, and published it on the web. Results: We found no cluster or cases requiring more tracing and investigation except for suspected cases of rubella in (N)SASSy. Moreover, no moderate aberration was found for two consecutive days for the same area and symptom. Conclusion: Our experience with this enhanced surveillance presents important lessons for countermeasures by local governments for mass gatherings or politically important events. 展开更多
关键词 ENHANCED surveillance NATIONAL (Handicapped) Sports Games Mass-Gathering Event (nursery) school absenteeism surveillance system Prescription surveillance AMBULANCE Transfer surveillance
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Outbreak Information Delivery to Families with (Pre)School Children and Its Contribution
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作者 Tamie Sugawara Yasushi Ohkusa Michiko Nohora 《Journal of Biosciences and Medicines》 2019年第12期31-43,共13页
Background: Infection transmission among them occurs easily and sometimes causes outbreaks at facilities where children live in groups. Early response is necessary for infection control measures to avoid larger cluste... Background: Infection transmission among them occurs easily and sometimes causes outbreaks at facilities where children live in groups. Early response is necessary for infection control measures to avoid larger clusters. In Japan, (Nursery) School Absenteeism Surveillance System ((N)SASSy), which is a kind of school absenteeism surveillance, has activated since 2007 and covers about 60% of all schools and 40% of all nursery schools in 2017. Objective: The objective of the present paper is investigation and demonstration of how caregivers receive information related to infectious diseases in Japan and how (N)SASSy contributes health of children. Method: We randomly selected subjects with children by pre-fecture in October, 2017. The survey questionnaire asked background information and information about infectious diseases to maintain health in children. We regressed health concern variables on background information and information provision situation about community outbreaks using weighted logistic regression. Results: We received responses from 1172 people. Estimation results showed higher concern about a facility providing information about community outbreak. Caregivers whose children attend facilities provided about community outbreak or covered (N)SASSy significantly higher opportunity to arrange a schedule when a child has a high fever. Discussion: The obtained results demonstrated that activation in (N)SASSy affects the possibility of arranging a schedule when a child has a high fever. This capability might improve community health. 展开更多
关键词 school absenteeism surveillance OUTBREAK Information Families with (Pre)school Children nursery school Infection Control
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学校因病缺课监测系统传染病疫情发现效果评价 被引量:23
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作者 张松建 李印东 +4 位作者 李玉堂 李长青 王凤双 冀国强 史继新 《首都公共卫生》 2008年第6期255-257,共3页
目的评价学校因病缺课监测系统在学校传染病疫情发现工作中的效果,为进一步完善学校传染病疫情早期预警工作提供科学依据。方法通过学校因病缺课监测信息与国家疾病监测信息报告系统传染病报告信息进行核对,确定监测哨点学生传染病发病... 目的评价学校因病缺课监测系统在学校传染病疫情发现工作中的效果,为进一步完善学校传染病疫情早期预警工作提供科学依据。方法通过学校因病缺课监测信息与国家疾病监测信息报告系统传染病报告信息进行核对,确定监测哨点学生传染病发病情况及传染病患者缺课登记情况,同时对2个系统报告传染病患者的及时性进行比较。结果因病缺课监测系统传染病患者登记的比例为60.8%;未登记者中有74.2%的患者是由于节假日或休息时间就诊而未缺课,有28.8%缺课而未被记录。传染病患者缺课记录日期比医院网报日期平均早1.1d。结论单纯的因病缺课监测并不能发现学校所有的传染病患者,应建立因病缺课和晨午检相结合的日报告监测系统,并与国家疾病监测信息报告系统互为补充。 展开更多
关键词 学校 因病缺课监测 传染病 评价
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学校因病缺课监测预警阈值的研究 被引量:12
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作者 李印东 王全意 +4 位作者 李玉堂 张松建 王凤双 冀国强 史继新 《首都公共卫生》 2008年第3期112-114,115,共4页
目的建立学校因病缺课预警阈值,为学校传染病疫情早期预警工作的开展提供科学依据。方法每日收集学校新增因病缺课人数,剔除多暴发疫情导致的缺课人数,计算常态情况下的班级和学校每日(周)因病缺课人均数(x-)和标准差(s),以均数加1~3... 目的建立学校因病缺课预警阈值,为学校传染病疫情早期预警工作的开展提供科学依据。方法每日收集学校新增因病缺课人数,剔除多暴发疫情导致的缺课人数,计算常态情况下的班级和学校每日(周)因病缺课人均数(x-)和标准差(s),以均数加1~3倍标准差为备选预警阈值,通过实际缺课情况检验确定适宜预警阈值。结果学校日因病缺课人均数在1~3人之间,均数+3s为预警阈值时较适宜,其中中学为8人,小学为10人;学校周因病缺课人均数在6~11人之间,以均数+1s为预警阈值时较适宜,其中中学为16人,小学为18人;班级日因病缺课人数最大值均数在2~3人之间;以均数+1s为预警阈值时较适宜,其中中学为3人,小学为5人;班级周因病缺课人数最大值均数在3~4人之间;以均数+1s为预警阈值时较适宜,其中中学为6人,小学为7人。结论初步确立中小学日因病缺课预警阈值为8~10人,周预警阈值为16~18人;中小学班级日因病缺课预警阈值为3~5人,周预警阈值为6~7人。 展开更多
关键词 学校 因病缺课 传染病 预警阈值
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Outbreak of Human Metapneumovirus in Ibaraki, Japan and Its Descriptive Epidemiology
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作者 Junko Kurita Natsuki Nagasu +3 位作者 Noriko Nagata Hideo Okuno Tamie Sugawara Yasushi Ohkusa 《Health》 2018年第6期749-757,共9页
Introduction: The Infection Control Law in Japan does not cover monitoring of human metapneumovirus (HMPV). Therefore, its epidemiology is not well known. However, rapid diagnostic testing for this virus has been reim... Introduction: The Infection Control Law in Japan does not cover monitoring of human metapneumovirus (HMPV). Therefore, its epidemiology is not well known. However, rapid diagnostic testing for this virus has been reimbursed by public health insurance in Japan since 2014. One case of acute encephalitis caused by HMPV was reported in April 2017 in Ibaraki. All schools in Ibaraki prefecture started to participate in the (Nursery) School Absenteeism Surveillance System ((N)SASSy) in 2009. All nursery schools started to use it in 2012. Methods: We specifically examine its seasonality and incidence by age. The study period extends from October 1, 2014 through May 31, 2017. Results: In total, (N)SASSy received 187 cases during the period. Spring and early summer were apparently the high season. The highest incidence was 36 cases in April 2015. The incidence among zero and one year olds was higher in 2017 than in the same season among 2014-2016. The necessary effort to download data from (N)SASSy, show these figures, and confirm the situation and background was a few minutes. Discussion: Rapid diagnostic testing for HMPV elucidated its epidemiology for the first time. Moreover, timely information sharing through (N)SASSy led the Ibaraki prefectural office to publish a reminder in July 2017 about the HMPV outbreak situation and to encourage precautions against it by nursery schools. 展开更多
关键词 Human METAPNEUMOVIRUS Infection Control Law (nursery) school absenteeism surveillance system surveillance
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上海市闵行区2021年中小学水痘因病缺课的监测分析 被引量:1
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作者 王宙云 成玉萍 《上海预防医学》 CAS 2023年第5期483-487,共5页
【目的】分析上海市闵行区水痘因病缺课监测系统和全国疾病报告管理信息系统监测数据,了解水痘在中小学因病缺课中的特征,为做好校内水痘防控提供科学依据。【方法】收集2021年水痘因病缺课和全国疾病报告信息系统监测数据,描述性分析... 【目的】分析上海市闵行区水痘因病缺课监测系统和全国疾病报告管理信息系统监测数据,了解水痘在中小学因病缺课中的特征,为做好校内水痘防控提供科学依据。【方法】收集2021年水痘因病缺课和全国疾病报告信息系统监测数据,描述性分析因病缺课系统与网络直报系统数据一致性和水痘因病缺课的流行特征。【结果】2021年闵行区水痘发病率为48.28/10万,中小学因病缺课率为612.08/10万,水痘因病缺课率为6.03/10万,水痘因病缺课率分布与病例发病情况一致,男生缺课率高于女生,2个发病高峰期缺课率较高,不同学段学生水痘因病缺课率差异有统计学意义(χ^(2)=135.217,P<0.001),初中生缺课率最高。水痘高发期和非高发期的缺课天数差异无统计学意义(t=0.173,P=0.863),因病缺课系统和网络直报系统实际匹配率为88.90%,网络直报的病例与未网络直报病例之间缺课天数差异无统计学意义(t=0.346,P=0.730)。【结论】闵行区水痘发病率和因病缺课率相对较低,因病缺课系统和网报直报系统数据的一致性有所提高,水痘日常校园防控常年保持在较好水平。 展开更多
关键词 中小学 因病缺课 水痘 监测 传染病
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深圳市2014-2015学年中小学生因病缺课监测情况分析 被引量:14
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作者 熊华威 王赟 +4 位作者 吴宇 谌丁艳 黄园园 罗青山 周丽 《实用预防医学》 CAS 2017年第11期1374-1377,共4页
目的了解分析深圳市2014-2015学年中小学生因病缺课情况,为制定深圳市中小学生健康预防提供依据。方法利用"深圳市学生健康监测系统",对2014年9月-2015年7月全市中小学生因病缺课监测资料进行分析。结果2014-2015学年深圳市... 目的了解分析深圳市2014-2015学年中小学生因病缺课情况,为制定深圳市中小学生健康预防提供依据。方法利用"深圳市学生健康监测系统",对2014年9月-2015年7月全市中小学生因病缺课监测资料进行分析。结果2014-2015学年深圳市中小学生因病缺课率为22.08%,人均缺课天数为1.67 d,男生与女生的缺课情况差异有统计学意义(χ2=493.148,P<0.05),男生的缺课率高于女生。小学生的缺课率比例明显高于初中生和高中生(χ2=103.318,P<0.05);缺课时间分布显示,1月份、3月份和6月份为缺课三个高峰期。结论应加强校园传染病及意外伤害的防控,并加大春秋季流行性感冒的预防措施,逐渐完善健康监测系统上报环节,做好深圳市中小学生健康防治工作。 展开更多
关键词 中小学生 健康监测 因病缺课 信息系统
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北京市西城区学校和托幼机构传染病监测条件比较 被引量:9
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作者 张燕 宋静 《职业与健康》 CAS 2012年第1期108-109,共2页
目的比较北京市西城区学校和托幼机构进行传染病监测的执行条件及效果。方法利用定性和定量的调查方法获取学校和托幼机构晨午检流程、效果、影响因素、实施困难,并进行比较。结果晨午检的缺勤追访和可疑症状初筛是发现传染病最关键环... 目的比较北京市西城区学校和托幼机构进行传染病监测的执行条件及效果。方法利用定性和定量的调查方法获取学校和托幼机构晨午检流程、效果、影响因素、实施困难,并进行比较。结果晨午检的缺勤追访和可疑症状初筛是发现传染病最关键环节。学校晨午检以班主任为主,校医以可疑症状初筛为主;托幼园所是园医为主,班主任辅助。小学晨午检执行者中医学专业人员少,校医具备医学背景的也较少;中学校医和托幼机构园医基本以医学专业人员为主。学校班主任和校医承担的监测人数多于托幼机构的班主任和园医。结论托幼机构各种条件基本能满足传染病监测需要,学校受实施人员数量、知识背景、责任心和监测时间客观条件的制约,以晨午检实现传染病监测日常化有难度。 展开更多
关键词 传染病 人群监测 学校 托幼机构
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2011年青岛市学校因病缺课监测系统应用情况评价 被引量:13
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作者 刘小晖 魏晶 +1 位作者 王海涛 贾晓蓉 《预防医学论坛》 2013年第10期749-751,共3页
目的了解和掌握青岛市四方区中小学生因病缺课发生状况与发展规律,评价在中小学校开展学生因病缺课监测系统的应用效果。方法对2011年青岛市四方区中小学校因病缺课监测系统获得的信息,采用SPSS 13.0对数据进行统计分析。结果 2011年青... 目的了解和掌握青岛市四方区中小学生因病缺课发生状况与发展规律,评价在中小学校开展学生因病缺课监测系统的应用效果。方法对2011年青岛市四方区中小学校因病缺课监测系统获得的信息,采用SPSS 13.0对数据进行统计分析。结果 2011年青岛市四方区中小学生因病缺课率为0.17%,人均缺课天数为0.31d。因病缺课率小学生最高,高中生最低,不同学习阶段学生的缺课率差异有统计学意义(P<0.01)。缺课原因呼吸道症状排在首位,其次为消化道症状。缺课疾病排在前5位的分别为感冒、胃肠道疾病、水痘、腮腺炎和伤害。体育活动损伤在小学生中发生较多,切割伤在高中生中所占比例较多。结论应在老师、学生和家长中加强呼吸道和消化道疾病的宣传教育,培养学生良好的习惯,降低伤害发生,同时应加强因病缺课监测系统的预警处置工作。 展开更多
关键词 学校 因病缺课 监测
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青岛市学生因病缺课症状监测网络直报系统应用效果分析 被引量:14
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作者 张华强 魏晶 +1 位作者 王海渤 刘小晖 《预防医学论坛》 2010年第6期515-516,共2页
[目的]评价在中小学校开展学生因病缺课症状监测网络直报系统在学校传染病防控中的应用,为进一步完善学校传染病疫情早期预警提供科学方法。[方法]对直报系统建立和应用以来的效果进行分析。[结果]直报系统报告率建立初期为23.95%,2009... [目的]评价在中小学校开展学生因病缺课症状监测网络直报系统在学校传染病防控中的应用,为进一步完善学校传染病疫情早期预警提供科学方法。[方法]对直报系统建立和应用以来的效果进行分析。[结果]直报系统报告率建立初期为23.95%,2009年12月提高至60.06%(P<0.01);接收中小学校网络直报近25万人次,因病缺课症状监测预警1.1万余次。[结论]学生因病缺课症状监测网络直报系统对中小学校传染病防控有一定效果。 展开更多
关键词 学校 因病缺课 症状监测
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中山市学校因病缺勤症状监测预警系统运行情况分析 被引量:6
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作者 吕海英 王丽梅 《中国校医》 2016年第4期290-292,共3页
目的对中山市学校因病缺勤症状监测(以下简称"晨检系统")预警系统的运行情况进行分析评价,为完善和全面推行预警系统提供依据。方法收集整理2014年2月1日至2014年6月30日期间"晨检系统""预警系统"和"... 目的对中山市学校因病缺勤症状监测(以下简称"晨检系统")预警系统的运行情况进行分析评价,为完善和全面推行预警系统提供依据。方法收集整理2014年2月1日至2014年6月30日期间"晨检系统""预警系统"和"中国疾病监测信息报告管理系统"(以下简称"大疫情系统")的数据,以及对预警系统的及时性和敏感性进行回顾性评价。结果 2014年2月1日至2014年6月30日期间,预警系统共发出预警信号110条,其中症候群预警信号32条,传染病预警信号78条。预警信号涉及33起事件,经初步核实后,判定为疑似事件的23起,疑似事件比例为69.7%(23/33)。经现场调查核实,最终确认事件12起,确认比例为52.2%(12/23),涉及流感样病例、手足口病、水痘和麻疹等4病种。预警系统及时性为83.3%(10/12),敏感性为85.7%(12/14),连续或重复预警率为70.0%(77/110)。结论预警系统已成功建立,应进一步推广应用。 展开更多
关键词 学生 缺勤 学校 公共卫生监测/方法 疾病爆发流行/预防和控制
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国内托幼机构工作人员手卫生监测结果分析 被引量:9
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作者 李雪萍 《中国校医》 2017年第4期274-276,共3页
目的了解国内托幼机构工作人员手部卫生的现状,分析存在的问题。方法检索国内关于托幼机构消毒情况的相关报道,汇总文中关于工作人员的手样本检测数量、合格率及检测依据等信息。结果共统计到8个省市涉及10个地区托幼机构工作人员手部... 目的了解国内托幼机构工作人员手部卫生的现状,分析存在的问题。方法检索国内关于托幼机构消毒情况的相关报道,汇总文中关于工作人员的手样本检测数量、合格率及检测依据等信息。结果共统计到8个省市涉及10个地区托幼机构工作人员手部检测样本共3 253个,平均合格率72.06%。与同批次其他检测样本比较,工作人员手卫生样本合格率偏低。不同地区监测几乎均依据2002版《消毒技术规范》,7个省市依据各自依据自己省市的关于托幼机构消毒卫生标准,北京市依据的是《一次性使用卫生用品卫生标准》。结论国内托幼机构工作人员手部卫生检测合格率偏低,除工作人员卫生意识不强、管理措施和卫生设施有待提高等原因外,存在检测依据标准过高,不符合托幼机构工作性质,呼吁引起省市和国家的重视,急需制定切合实际的执行标准。 展开更多
关键词 学校 幼儿 教职工 手部卫生 公共卫生监测
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2014年深圳市某地学校与托幼机构饮用水卫生现况分析 被引量:2
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作者 李枫 林晓彬 +4 位作者 叶小莉 何必隆 宾海华 陈夏明 武照燕 《中国校医》 2015年第7期489-490,共2页
目的了解深圳市某地学校和托幼机构饮用水卫生现况,为上级部门制定政策提供依据。方法对辖区内15所学校、43所托幼机构的饮用水现况进行抽样调查,并对检测结果进行统计学分析。结果共采集水样278份,所检项目均合格有239份,合格率86.0%... 目的了解深圳市某地学校和托幼机构饮用水卫生现况,为上级部门制定政策提供依据。方法对辖区内15所学校、43所托幼机构的饮用水现况进行抽样调查,并对检测结果进行统计学分析。结果共采集水样278份,所检项目均合格有239份,合格率86.0%。其中,开水214份,合格的有197份,合格率92.1%,桶装饮用水64份,合格的有42份,合格率65.6%。不合格项目主要是细菌总数、大肠菌群。结论深圳某地学校和托幼机构饮用水质量较好,建议监督部门加强对饮水机清洗消毒的监管及对学校和托幼机构的健康教育。 展开更多
关键词 学校 学校 幼儿 饮用水 公共卫生监测
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