2013-2023年北京市学校肺结核聚集性疫情苗头监测及追踪结果分析OA北大核心CSTPCD
Analysis of surveillance and tracking results of pulmonary tuberculosis clusters in schools in Beijing from 2013 to 2023
目的:分析2013-2023年北京市学校肺结核聚集性疫情监测及追踪处置结果,为肺结核疫情处置和防控提供参考.方法:收集"传染病报告信息管理系统定时报表"中学校肺结核报告发病情况,汇总各区疾病预防控制机构/结核病防治机构报送的"北京市学校肺结核聚集性疫情苗头监测及调查处置月报表",分析全市肺结核聚集性疫情监测效果,以及聚集性疫情苗头、聚集性疫情和突发公共卫生事件特征.结果:2013-2023年,北京市共报告学校肺结核患者4428例,共监测发现学校肺结核聚集性疫情苗头743起,学校肺结核报告发病数(4428例)与聚集性疫情苗头数(743例)呈高度正相关(Pearson相关性系数=0.699,P=0.017).743起学校肺结核聚集性疫情苗头中,构成肺结核聚集性疫情139起,聚集性疫情占比为18.71%(139/743),其中6起定性为学校肺结核突发公共卫生事件.学校肺结核聚集性疫情中,患者数以2例为主,占51.80%(72/139),2月(2起)和8月(5起)为低峰期,聚集性疫情数量排名前三位的区是海淀区(69起)、昌平区(17起)和通州区(11起),普通高等学校(94起)为学校肺结核聚集性疫情发生的主要场所.结论:北京市开展学校肺结核聚集性疫情苗头监测,可及时进行肺结核聚集性疫情早期发现与处置,尤其应重视普通高等学校的肺结核聚集性疫情防控,防范聚集性疫情的发生和传播.
Objective:To analyze the results of surveillance,tracking and management of tuberculosis clusters in schools in Beijing from 2013 to 2023,and describe the characteristics of tuberculosis clusters in schools in Beijing,so as to provide reference for the management and prevention of tuberculosis epidemics.Methods:The incidence of tuberculosis reported in schools in the"Periodic Report of Infectious Disease Reporting Information Management System"was collected,and the"Monthly Report of Monitoring,investigation and Disposal of Tuberculosis Cluster Outbreaks in Schools of Beijing"reported by tuberculosis prevention and control institutions in each district was summarized,and the monitoring effect of tuberculosis cluster outbreaks in the whole city,as well as the characteristics of cluster outbreaks,cluster outbreaks and public health emergencies was analyzed.Results:From 2013 to 2023,a total of 4428 school tuberculosis cases were reported in Beijing,and a total of 743 suspected school tuberculosis clusters were detected through surveillance.The number of reported school tuberculosis cases(4428)was highly positively correlated with the number of suspected tuberculosis clusters in school(743)(Pearson correlation coefficient=0.699,P=0.017).Among the 743 suspected school tuberculosis clusters,139 events were confirmed as tuberculosis clusters,accounting for 18.71%(139/743)of the total.Among them,6 were classified as school tuberculosis public health emergencies.In each school tuberculosis clusters,the number of diagnosed patients was mainly 2 cases,accounting for 51.80%(72/139).The low peak periods for the school tuberculosis clusters were February(2 events)and August(5 events),and the top three districts with the number of clusters were Haidian District(69 events),Changping District(17 events)and Tongzhou District(11 events).Universities(94 events)were the main places of school tuberculosis clusters.Conclusion:The monitoring of tuberculosis clusters in schools conducting in Beijing can timely detect and handle such tuberculosis clusters early.Special attention should be paid to the prevention and control of tuberculosis clusters in colleges and universities to prevent the occurrence and spread of tuberculosis clusters.
赵鑫;李亚敏;陶荔莹;张亚楠;李艳圆;许琰;闫银锁;高志东;贺晓新
北京市疾病预防控制中心结核病预防控制所,北京 100035北京市疾病预防控制中心器材物资采供科,北京 100013北京市疾病预防控制中心,北京 100035
临床医学
结核,肺学生,公共卫生人群监测
Tuberculosis,pulmonaryStudents,public healthPopulation monitoring
《中国防痨杂志》 2024 (006)
672-677 / 6
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