摘要
目的通过对一起新型冠状病毒肺炎(简称新冠肺炎)聚集性疫情的流行病学调查分析,探索新冠肺炎的发病原因和传播途径,为制定疫情防控策略和措施提供依据。方法对泸州市一起新冠肺炎聚集性疫情的流行病学调查资料、实验室检测结果以及疫情处理情况进行描述性流行病学分析。结果本起聚集性疫情确诊病例9例,男性6名,女性3名,主要为具有亲戚关系的一个大家庭成员;年龄平均39岁,最大68岁,最小5岁;职业以农民为主(6例,占66.7%),其次为待业及学生(2例,占22.2%)、工人(1例,占11.1%);临床表现以发热、干咳、流涕为主,发热5例,占55.6%,咳嗽5例,占55.6%,以干咳为主,流涕4例,占44.4%。危重症病例1例,重症病例2例,轻症病例6例;病例1-2为指示病例,均为武汉同车返泸人员,其中病例2引起了除1号病例外的病例3-7的发病,病例8-9为病例7引起的三代病例。结论本起疫情为一起以家庭成员或亲友聚集引起的聚集性疫情,早期发现和规范隔离治疗传染源、加强宣传提高公众疫情防控相关认知、减少人群聚集是控制聚集性疫情的重要措施。
Objective To explore the etiology and transmission routes of COVID-19 through investigating and analyzing the epidemiology of a COVID-19 cluster,and to provide a basis for formulating epidemic prevention and control strategies and measures.Methods Descriptive epidemiological analysis was conducted on epidemiological investigation data,laboratory test results and epidemic response of a COVID-19 cluster in Luzhou City.Results There were 9 confirmed COVID-19 cases reported in this cluster epidemic,including 6 males and 3 females,and they were mainly relatives of a large family.The average age was 39 years.The oldest was 68 years old,while the youngest was 5 years old.Most of the cases were farmers(n=6,66.7%).The unemployed and students accounted for 22.2%(n=2),and worker for 11.1%(n=1).The main clinical manifestations were fever,dry cough and runny nose.5 cases had fever(55.6%),5 cases had cough(55.6%),mainly dry cough,and 4 cases had a runny nose(44%).There were 1 critically-ill case,2 severe cases and 6 mild cases.CasesⅠandⅡwere indicative cases,and they were all returned to Luzhou by the same vehicle from Wuhan.Among them,the caseⅡcaused casesⅢ-Ⅶwith the exception of caseⅠ.CasesⅧandⅨwere the third-generation cases caused by caseⅦ.Conclusions This epidemic was a cluster epidemic caused by family members or relatives and friends.Early detection and standardized isolation and treatment of infectious sources,strengthening publicity,improving public awareness of epidemic prevention and control,and reducing the population aggregation are important measures to control the cluster epidemic.
作者
范玉梅
林洪羽
蒋德勇
FAN Yu-mei;LING Hong-yu;JIANG De-yong(Luzhou Municipal Center for Disease Control and Prevention,Luzhou,Sichuan 646000,China)
出处
《实用预防医学》
CAS
2021年第3期278-281,共4页
Practical Preventive Medicine