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中文摘要: 摘 要:目的:分析重庆市万州区流感暴发疫情流行特征,为制定流感防控策略提供参考。方法:收集 2018—2022 年
中国流感监测信息系统中万州区报告的流感暴发疫情相关资料,描述分析发病人群病原学及三间分布特征。结果:2018—
2022 年万州区共报告疑似流感样病例聚集疫情 55 起,实验室确证 51 起,累计发病 4 760 例,罹患率为 4.19%。其中,
A (H1N1) 型 20 起,B (Victoria) 型 15 起,A (H3N2) 型 10 起, A (H1N1、H3N2) 型混合感染 6 起。疫情发生高峰期为
每年的 3 月和 12 月,报告疫情数量占全部疫情数量的比例分别为 54.90% (28/51) 和 23.53% (12/51);疫情暴发场所主要集
中在小学和中学,报告疫情数量占全部疫情数量的比例分别为 72.55% (37/51) 和 17.65% (9/51)。logistic 回归分析结果显
示,毒株型别和介入时间是流感暴发疫情持续时间的显著影响因素,OR 大小分别为 87.897 (95%CI 为 7.478~1033.815)、
0.085 (95%CI 为 0.014~0.505)。结论:2018—2022 年万州区流感暴发疫情由 A (H1N1) 型、A (H3N2) 型、B (Victoria) 型
交替流行引起,主要发生在冬春季,高危人群为中小学人群。A 型流感病毒引起的暴发疫情规模相对较大、持续时间相对较
长,早介入对疫情控制具有较大影响。
Abstract:Abstract: OBJECTIVE To analyze the epidemiological characteristics of infectious diseases influenza outbreaks in Wanzhou of
Chongqing, and provide a scientific basis for prevention and control strategies. METHODS The data on influenza outbreaks in
schools in Wanzhou of Chongqing from 2018 to 2022 from the National Emergency Public Health Events Information Management
System and on-site epidemiological surveys were collected and analyzed using descriptive epidemiology method. RESULTS From
2018 to 2022, 55 outbreaks of influenza cases were reported and 51 were confirmed in the laboratory, with a cumulative incidence of
4 760 cases and an incidence rate of 4.19 % (4 760/113 665). Among them, there were 20 outbreaks of type A pdm09 (H1N1), 15
outbreaks of type B (Victoria), 10 outbreaks of type A (H3N2) and 6 outbreaks of mixed infection of type A (H1N1) pdm09/A
(H3N2). The epidemic mainly occurred in March and December, accounting for 54.90% (28/51) and 23.53% (10/51) respectively.
The incidence of the epidemic is mainly concentrated in primary and secondary schools, accounting for 72.55% (37/51) and 17.65%
(9/51) respectively. Logistic regression analysis showed that virus type and intervention time were significant factors affecting the
duration of influenza outbreaks, and the OR accounted for 87.897 (95%CI:7.478~1 033.815) and 0.085 (95%CI: 0.014~0.505) of the
total number of outbreaks, respectively. CONCLUSION The influenza outbreak in Wanzhou District mainly occurs in winter and
spring, and the high-risk population is the primary and secondary school population. Type A and type B influenza virus showed
alternating change with seasons. Among them, the outbreak caused by H1N1 virus has a relatively large scale and relatively long
duration, and early intervention has a great impact on epidemic control.
文章编号:3202410017 中图分类号:R511.7 文献标志码:
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