Abstract
何懿,陆殷昊,黄晓燕,肖文佳,陶芳芳,吴寰宇,罗春燕,袁政安.上海市2018年诺如病毒感染性腹泻苗子事件流行病学分析[J].Chinese journal of Epidemiology,2020,41(4):547-551
上海市2018年诺如病毒感染性腹泻苗子事件流行病学分析
Epidemiological analysis on bud-events of Norovirus-associated infectious diarrhea in Shanghai, 2018
Received:June 13, 2019  
DOI:10.3760/cma.j.cn112338-20190613-00431
KeyWord: 诺如病毒  苗子事件  监测
English Key Word: Norovirus  Bud event  Surveillance
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Author NameAffiliationE-mail
He Yi School of Public Health, Fudan University, Shanghai 200032, China
Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China 
heyi@scdc.sh.cn 
Lu Yinhao Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
Huang Xiaoyan Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
Xiao Wenjia Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
Tao Fangfang Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
Wu Huanyu Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
Luo Chunyan Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
Yuan Zhengan Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China  
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Abstract:
      目的 了解上海市诺如病毒感染性腹泻苗子事件的流行病学特征,分析诺如病毒感染性腹泻苗子事件持续时间的影响因素,探讨苗子事件监测的价值,为诺如病毒感染性腹泻防控以及苗子事件监测系统完善提供参考。方法 统计分析2018年上海市16个区报告的142起诺如病毒感染性腹泻苗子事件的相关数据。结果 2018年142起上海市诺如病毒感染性腹泻呈现4和11月2个高峰,98.59%(140/142)发生在学校和托幼机构。事件规模集中在6~19例/起,占80.28%(114/142)。从首发病例发病到事件接报时间平均2 d,事件平均持续时间7 d。是否暴发、地区苗子事件发生率和事件报告及时性是疫情持续时间的影响因素。结论 2018年上海市诺如病毒感染性腹泻呈现春、秋冬两个高峰,学校和托幼机构是诺如病毒感染性腹泻苗子事件防控重点。苗子事件监测系统有助于疫情的早发现、早报告、早控制。
English Abstract:
      Objective To analyze the epidemiological characteristics related to Norovirus-associated infectious diarrhea bud events in Shanghai, and to discuss the value of bud events surveillance, so as to help Norovirus-associated infectious diarrhea control, prevention and to improve the surveillance system on bud events. Methods Data related to 142 Norovirus-associated infectious diarrhea bud events were gathered from 16 districts of Shanghai areas in 2018 and were analyzed. Results There were 2 peaks, April and November for 142 Norovirus-associated infectious diarrhea bud events reported in 2018. 98.59% (140/142) of the bud events occurred in schools and kindergartens. 80.28% (114/142) of the bud events would involve 6-19 cases per each event. The median time duration between the onset date of the first case and the reporting date of the event was 2 days and the median event duration was 7 days. The bud event scale and regional incidence of bud events as well as the reporting timelines were influential factors on the duration of the bud events. Conclusions Two peaks, spring and winter bud events of the Norovirus-associated infectious diarrhea were seen in Shanghai in 2018. Schools and kindergartens were to be prioritized locations for control and prevention of Norovirus-associated infectious diarrhea bud events. Surveillance system was proved to have contributed to the early detection, reporting and control of bud events.
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