一起甲型肝炎暴发调查与控制 |
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引用本文: | 张仁俊,陶宏,蒋丽,刘刈. 一起甲型肝炎暴发调查与控制[J]. 医学动物防制, 2010, 0(11): 995-997 |
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作者姓名: | 张仁俊 陶宏 蒋丽 刘刈 |
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作者单位: | [1]遵义市疾病预防控制中心,贵州563002 [2]湄潭县疾病预防控制中心,贵州563002 |
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摘 要: | 目的查明该起暴发疫情原因和传播途径,分析流行因素,评价控制效果。方法对每一例病人进行个案调查,了解病例的三间分布。结果共报告甲肝病例35例,罹患率为1.61%,水源检测细菌总数和大肠菌群超标,发病年龄以8~12岁较多,占51.43%,职业以学生为主,占80%,危险因素调查,饮用学校前井水OR=5.39,2χ=8.09,P0.01。结论此次暴发的传播途径为引用当地已被污染的浅表水井水;及时发现、报告和隔离病人,改善农村生活饮用水、学校统一使用安全卫生的桶装水、开展健康教育和甲肝疫苗接种是控制甲肝暴发的有效措施。
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关 键 词: | 甲型肝炎 流行病学 调查 控制 |
The Epidemiological Survey And Control of a Hepatitis A |
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Affiliation: | ZHANG Ren-jun,TAO Hong,JANG Li,et al.Zunyi Center for Disease Control and Prevention,Guangxi 563000,China |
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Abstract: | Objective To survey the cause and dissemination way of this hepatitis A case,analyzed epidemiological factors and assessed the control effect.Method Every patient was carried out an investigation and studied the epidemical distribution.Results 35 patients of Hepatitis A were reported and the incidence rate was 1.61%,examination of water sources found that total bacteria and E.coli were over the standards.The age of onset ranged from 8 to 12,and accounted for 51.43%.Studies were the majority with the rate of 80%.Drinking the well water in front of the school is the risk factor(OR=5.39,χ2=8.09,P0.01).Conclusions The dissemination way of Hepatitis A in this place was drinking the polluted well water.The effective measures to control the disease outbreak included that: finding,reporting and isolating the hepatitis patients in time,improving water supply conditions of rural,using healthy and safety bottled water in school,developing health education and vaccinate hepatitis A. |
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Keywords: | Hepatitis A Epidemiology Investigation Control |
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