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| Epidemiological characteristics of hand, foot and mouth disease clusters in kindergartens and schools in Jinshan District |
| WANG Tang1, DONG Zhaopeng1, LI Shuhua2, MO Pinghua1, ZHAO Yiming1, SONG Canlei1
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1. Department of Infectious Disease Control and Prevention, Jinshan District Center for Disease Control and Prevention, Shanghai 201599, China;
2. Jinshan District Center for Disease Control and Prevention, Shanghai 201599, China |
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Abstract Objective To investigate the epidemiological characteristics of clusters of hand, foot and mouth disease (HFMD) in kindergartens and schools in Jinshan District, Shanghai Municipality from 2016 to 2021, so as to provide insights into improving the prevention and control measurements of HFMD in Jinshan District. Methods Data of HFMD cases in Jinshan District from 2016 to 2021 were collected through Chinese Disease Prevention and Control Information System, and data pertaining to HFMD clusters in kindergartens and schools were also collected. The scale, temporal distribution, regional distribution and distribution of cluster places were descriptively analyzed. Results Totally 338 HFMD clusters involving 974 cases were identified in kindergartens and schools in Jinshan District from 2016 to 2021, with an average attack rate of 9.89%. The number of cases in each cluster ranged from 2 to 12 cases, with a median number of 2 (interquartile range, 1) cases, and there were 223 clusters involving 2 cases, accounting for 65.98%. The duration of clusters ranged from 1 to 16 days, with a median duration of 4 (interquartile range, 3) days. HFMD peaked from April to June (136 clusters, 40.24%) and from September to December (176 clusters, 52.07%). All the 11 streets and towns (high-tech zones) were reported HFMD clusters, and the three largest number of clusters were reported in Zhujing Town (72 clusters, 21.30%), Shanyang Town (63 clusters, 18.64%) and Tinglin Town (40 clusters, 11.83%). There were 268 HFMD clusters in kindergartens (79.29%) and 70 in schools (20.71%), and the prevalence of HFMD clusters was higher in kindergartens than in schools (35.51% vs. 17.03%; χ2=31.507, P<0.001). Conclusions HFMD clusters in kindergartens and schools showed seasonal characteristics from 2016 to 2021 in Jinshan District, which predominantly occurred in Zhujing Town, Shanyang Town and Tinglin Town, and kindergartens were the main places.
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Received: 05 June 2023
Revised: 30 July 2023
Published: 06 September 2023
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[1] ZHANG X,ZHANG Y,LI H,et al.Hand-foot-and-mouth disease-associated enterovirus and the development of multivalent HFMD vaccines[J/OL].Int J Mol Sci,2022,24(1)[2023-07-30].https://doi.org/10.3390/ijms24010169.
[2] 庞孟涛,李傅冬,林君芬,等.2016—2019年浙江省手足口病流行特征[J].预防医学,2022,34(3):307-310.
[3] 王雅婷,朋文佳,苏华林,等.2011—2018年中国手足口病发病的时空特征及影响因素研究[J].中华流行病学杂志,2022,43(10):1562-1567.
[4] 何永超,何懿,张放,等.2014—2019年上海市学校报告突发传染病事件流行病学特征分析[J].上海预防医学,2021,33(9):849-854.
[5] 中华人民共和国卫生部办公厅.卫生部办公厅关于印发《手足口病聚集性和暴发疫情处置工作规范(2012版)》的通知[J].中华人民共和国卫生部公报,2012(6):39-41.
[6] 严璐,刘景壹,段蓉,等.2008—2018年上海市徐汇区托幼机构手足口病聚集性疫情流行特征及趋势分析[J].预防医学论坛,2021,27(6):406-409.
[7] 韩宁,吕锡宏,李萌,等.2016年—2020年上海市松江区手足口病聚集性疫情流行病学及病原学特征分析[J].医学信息,2021,34(13):139-142.
[8] 杨吉星,忻郦菁,李童,等.2009—2018年虹口区手足口病流行病学及病原学特征分析[J].热带医学杂志,2020,20(10):107-110.
[9] 杭惠,覃江纯,张钧,等.2018—2020年苏州市手足口病聚集性疫情流行特征分析[J].中国初级卫生保健,2022,36(1):79-81.
[10] 武晶,张建军,杨霄星,等.丰台区手足口病聚集性疫情病原体分析[J].预防医学,2021,33(4):404-405.
[11] 何斌,孙亚敏,郭黎,等.2013—2019年北京市海淀区手足口病聚集性疫情流行病学分析[J].中国口岸科学技术,2023,5(2):57-61.
[12] 潘雍,宋丹.天津市河北区2014—2018年手足口病聚集性疫情特征分析[J].中国公共卫生管理,2020,36(4):532-534.
[13] 刘天,宋灿磊,金玉其,等.上海市金山区2014—2015年幼托机构手足口病聚集性疫情分析[J].上海预防医学,2016,28(11):784-786. |
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