Analysis of public health emergencies and related information in schools of Zhejiang Province from 2012 to 2021
WANG Xinyi1, WU Haocheng1, LU Qinbao1, DING Zheyuan1, FU Tianying1, YANG Ke1, WU Chen1, LIN Junfen1,2
1. Department of Public Health Surveillance and Operational Guidance, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China; 2. Zhejiang Provincial Key Laboratory for Vaccine, Prevention and Control of Infectious Disease, Hangzhou, Zhejiang 310051, China
Abstract：Objective To investigate the characteristics of public health emergencies and related information in schools of Zhejiang Province from 2012 to 2021, so as to provide insights into the management of public health risks in schools. Methods The public health emergencies and related information in schools of Zhejiang Province during the period from 2012 to 2021 were retrieved from the Public Health Emergency Management Information System of Chinese Disease Prevention and Control Information System. The type, temporal distribution and regional distribution of the events and the type of schools were analyzed, and the trends in disease attack rates were evaluated. Results A total of 1 284 public health emergencies and related information were reported in schools of Zhejiang Province from 2012 to 2021, accounting for 72.34% of all public health emergencies and related information, and a total of 40 562 cases were reported, accounting for 87.72% of all cases; no death was recorded. There were 1 276 infectious disease events reported, accounting for 99.38%, and norovirus enteritis (649 cases), varicella (281 cases), influenza (181 cases), hand, foot and mouth disease (94 cases) and mumps (22 cases) were predominant infectious diseases, accounting for 95.56% of all public health emergencies and related information in schools. The number of public health emergencies and related information in schools peaked during the period between March and June (361 events, 28.12% of all events) and the period between November and December each year from 2012 to 2021 (629 events, 48.99% of all events), and the events occurred across 11 cities of Zhejiang Province, with the largest number of events reported in Hangzhou City (507 events). In addition, there were 627, 328 and 242 events reported in primary schools, kindergartens, and middle schools, accounting for 93.22%, and the events predominantly occurred in city schools. Nevertheless, there were no significant changes in the trends for attack rates of norovirus enteritis, varicella, influenza and hand, foot and mouth disease and mumps in schools of Zhejiang Province from 2012 to 2021. Conclusions Norovirus enteritis, varicella, influenza, hand, foot and mouth disease and mumps were the predominant types of public health emergencies and related information in schools of Zhejiang Province from 2012 to 2021, and the largest number of events were reported in primary schools.
王心怡, 吴昊澄, 鲁琴宝, 丁哲渊, 傅天颖, 杨珂, 吴晨, 林君芬. 2012—2021年浙江省学校突发公共卫生事件及相关信息分析[J]. 预防医学, 2022, 34(9): 870-875.
WANG Xinyi, WU Haocheng, LU Qinbao, DING Zheyuan, FU Tianying, YANG Ke, WU Chen, LIN Junfen. Analysis of public health emergencies and related information in schools of Zhejiang Province from 2012 to 2021. Preventive Medicine, 2022, 34(9): 870-875.
[1] 中华人民共和国司法部.突发公共事件应急条例[EB/OL](2003-05-13)[2022-06-07].http://www.gov.cn/zhengce/2020-12/26/content_5574586.htm. [2] 翁熹君,王锐,王霄晔,等.2014—2016年全国学校(托幼机构)传染性突发公共卫生事件流行特征分析[J].疾病监测,2019,34(5):446-450. WENG X J,WANG R,WANG X Y,et al.Epidemiological characteristics of communicable disease related public health emergencies in schools(child care settings)in China,2014-2016[J].Dis Surveill,2019,34(5):446-450. [3] 吴晨,吴昊澄,丁哲渊,等.浙江省学校突发公共卫生事件特征分析[J].预防医学,2018,30(1):16-21. WU C,WU H C,DING Z Y,et al.Characteristics of school public health emergencies in Zhejiang Province[J].Prev Med,2018,30(1):16-21. [4] 中华人民共和国卫生部.国家突发公共卫生事件应急预案[EB/OL].(2006-01-10)[2022-06-07].http://www.nhc.gov.cn/yjb/s3577/201501/a32bbe5e9b7e4478aded668f0338c027.shtml. [5] 中华人民共和国卫生部.国家突发公共卫生事件相关信息报告管理工作规范(试行)[EB/OL].(2006-01-12)[2022-06-07].http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=31353. [6] 吴昊澄,林君芬,何凡,等.浙江省2005—2012年学校突发公共卫生事件流行病学分析[J].中国学校卫生,2013,34(9):1114-1116. WU H C,LIN J F,HE F,et al.Epidemiology of public health emergencies at schools in Zhejiang Province during 2005-2012[J].Chin J Sch Health,2013,34(9):1114-1116. [7] 岳文芳,董瑞,蔡富文,等.湖南省2017—2020年学校突发公共卫生事件流行特征分析[J].实用预防医学,2022,29(1):46-50. YUE W F,DONG R,CAI F W,et al.Epidemic characteristics of school public health emergencies in Hunan Province,2017-2020[J].Pract Prev Med,2022,29(1):46-50. [8] 龚磊,吴家兵,曹明华,等.安徽省2006—2015年学校突发公共卫生事件流行特征分析[J].中国学校卫生,2017,38(1):134-136. GONG L,WU J B,CAO M H,et al.Epidemic characteristics of school public health emergencies in Anhui Province,2006-2015[J].Chin J Sch Health,2017,38(1):134-136. [9] 张夏虹,雷立健,左素俊,等.山西省2010—2019年学校突发公共卫生事件流行特征分析[J].实用预防医学,2021,28(10):1209-1212. ZHANG X H,LEI L J,ZUO S J,et al.Epidemic characteristics of public health emergencies in schools in Shanxi Province,2010-2019[J].Pract Prev Med,2021,28(10):1209-1212. [10] 中华人民共和国国家卫生健康委员会疾病预防控制局.2019年12月全国法定传染病疫情概况[EB/OL](2020-01-31)[2022-06-07].http://www.nhc.gov.cn/jkj/s7923/202001/ab5cbab3f8bc46c08cc7b6c4aef85441.shtml. [11] 史芸萍,高燕琳,李刚.2009—2019年北京市流行性感冒确诊病例的流行特征分析[J].职业与健康,2021,37(17):2398-2401. SHI Y P,GAO Y L,LI G.Analysis on epidemiological characteristics of confirmed cases of influenza in Beijing from 2009-2019[J].Occup Health,2021,37(17):2398-2401. [12] 李曦亮,任美璇,董爱虎,等.广西2010—2019年学校传染病突发事件流行特征分析[J].现代预防医学,2022,49(1):17-20. LI X L,REN M X,DONG A H,et al.Epidemiological analysis on infectious diseases emergencies at schools in Guangxi,2010-2019[J].Mod Prev Med,2022,49(1):17-20. [13] 陈颖萍,邓璇,何寒青,等.浙江省水痘暴发疫情流行特征分析[J].预防医学,2020,32(4):366-368,372. CHEN Y P,DENG X,HE H Q,et al.Epidemiological characteristics of varicella outbreaks in Zhejiang Province[J].Prev Med,2020,32(4):366-368,372. [14] 黄建英,李静静,刘妙玲,等.新型冠状病毒肺炎疫情对儿童传染病报告影响[J].中国公共卫生,2021,37(10):1527-1530. HUANG J Y,LI J J,LIU M L,et al.Impact of COVID-19 epidemic on reported incidence of infectious diseases among children in Guangdong province:a hospital-based study[J].Chin J Public Health,2021,37(10):1527-1530. [15] 孙月星. 新型冠状病毒肺炎疫情期间社区呼吸道疾病门诊量的减少及原因探讨[J].上海医药,2020,41(22):6-8. SUN Y X.Discussion of the decrease in the number of outpatient clinics for respiratory diseases in the community during COVID-19 epidemic and its reasons[J].Shanghai Med Pharm J,2020,41(22):6-8. [16] 尚晓鹏,吴晨,吴昊澄,等.浙江省医疗机构传染病报告质量调查[J].浙江预防医学,2015,27(6):635-637. SHANG X P,WU C,WU H C,et al.Investigation on the report quality of infectious diseases in medical institutions in Zhejiang Province[J].Zhejiang J Prev Med,2015,27(6):635-637. [17] 连怡遥,骆洪梅,冉陆,等.中国2014—2018年学校和托幼机构诺如病毒疫情流行病学分析[J].中国学校卫生,2019,40(3):406-410. LIAN Y Y,LUO H M,RAN L,et al.Epidemiologic characteristics of norovirus outbreak in schools and kindergardens in China during 2014-2018[J].Chin J Sch Health,2019,40(3):406-410. [18] 朱曦,靳淼,段招军.诺如病毒流行病学及疾病负担研究进展[J].疾病监测,2021,36(8):769-773. ZHU X,JIN M,DUAN Z J.Research progress on the epidemiology and disease burden of norovirus[J].Dis Surveill,2021,36(8):769-773. [19] HU Y,CHEN Y,ZHANG B,et al.An evaluation of voluntary varicella vaccination coverage in Zhejiang Province,east China[J/OL].Int J Environ Res Public Health,2016,13(6)[2022-06-07].https://doi.org/10.3390/ijerph13060560. [20] SUO L,LIU L,WANG Q,et al.Varicella outbreak in a highly-vaccinated school population in Beijing,China during the voluntary two-dose era[J].Vaccine,2017,35(34):4368-4373. [21] XU Y,LIU S,CHE X,et al.Seroepidemiology of varicella in Hangzhou,China in the vaccine era[J].Hum Vaccin Immunother,2018,14(10):2464-2471.
