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目的对学校传染病症状监测系统进行评价,对疫情暴发情况进行分析。方法天津市滨海新区汉沽疾控中心于2012年9月起在辖区34年学校中选取7所监测点学校,开展学生因病缺课传染病症状监测工作。并与监测点医院数据进行比对,对症状监测系统进行效果评价。结果 2012年9月3日—2013年1日15日(1个学期),监测点学校症状监测系统共报告缺课学生人数540例,符合流感样病例人数255例,占47.22%,普通感冒244例,腹痛、腹泻13例,肺炎11例。7所学校及时发现5所学校流感暴发事件,均为甲3型季节流感。其中2所中学,3所小学。5所学校累计报告流感样病例170例,波及人数506例,平均罹患率为3.09%。哨点医院监测发现学校流感样病例暴发疫情较学校监测时间晚了17 d。结论通过对学校症状监测,可对传染病疫情及时预警,补充哨点医院监测系统中的不足,及时发现暴发疫情,及时处置。
Objective To evaluate the symptom monitoring system for infectious diseases in schools and analyze the outbreak of epidemic situation. Methods Tianjin Binhai New Area Hangu Center for Disease Control selected the monitoring schools in 34 districts in the district from September 2012 to carry out the monitoring of students’ symptoms of infectious diseases due to illness. And compared with the monitoring hospital data to evaluate the effect of the symptom monitoring system. Results From September 3, 2012 to January 15, 2013 (1 semester), the school symptom monitoring system at the monitoring sites reported a total of 540 absent students, accounting for 47.22% of the total number of flu-like cases, accounting for 47.22%. The common cold 244 Cases, abdominal pain, diarrhea in 13 cases, pneumonia in 11 cases. Seven schools found five school flu outbreaks in a timely manner, all of which were type A seasonal flu. Two of them are secondary schools and three are elementary schools. A total of 170 cases of influenza-like illness were reported in 5 schools, affecting 506 cases and the average attack rate was 3.09%. Sentinel hospital surveillance found that outbreaks of school flu-like illness were 17 days later than those monitored in schools. Conclusion Through the monitoring of school symptoms, the epidemic situation of infectious diseases can be timely warned, and the deficiencies in the monitoring system of sentinel hospitals can be supplemented, and the outbreaks can be promptly detected and disposed of promptly.