ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-052 预防医学研究 2025, 1(06): 13-16

2023年密云城区学校及托幼机构流行性感冒流行特征分析

北京市密云区果园社区卫生服务中心 2.北京市密云区疾病预防控制中心

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摘要

目的 通过分析2023年北京市密云城区学校及托幼机构等集体场所流行性感冒(以下简称流感)的流行病学特征,结合当前流感防控策略的探讨,进一步提出加强措施和具体建议。方法 收集2023年北京市密云城区学校及托幼机构的流感病例资料,采用描述性流行病学方法,对疾病流行特点、病原学监测结果及疫苗接种情况等进行分析。结果 2023年北京市密云城区学校及托幼机构等集体场所发生流感病例2 040例,罹患率为18.07%。病例分布主要集中在2023年2~4月和10~12月之间。幼托儿童、小学生、初中生和高中生的罹患率分别为31.51%、13.20%、17.78%和13.08%。引起流感病例的病毒主要有三种:甲型H3N2亚型流感病毒1 523例,为主要病毒类型,甲型H1N1亚型流感病毒429例,乙型Victoria系流感病毒73例,甲型H3N2亚型流感病毒与乙型Victoria系流感病毒交叉感染3例。不同人群之间接种率比较,差异有统计学意义。结论 2023年北京市密云城区学校及托幼机构流感病例主要由甲型流感病毒引起,应持续加强对甲型流感病毒感染的防控,同时也要警惕其他病毒类型感染引起的疫情,提高疫情报告及时性和精准度;接种流感疫苗对学生、幼托儿童等集体人群有保护作用,建议在易感人群中加强宣传流感疫苗接种,提高接种率,降低流感病例在集体机构内的传播风险。此外,还应从健康教育与行为干预、疫情监测与防控策略等方面入手,优化教室通风环境,加强清洁消毒,开展针对性健康教育活动,培养良好卫生习惯,完善疫情监测系统,制定应急预案,进一步降低流感在集体场所的传播风险。

Abstract

Objective To analyze the epidemiological characteristics of influenza in schools, kindergartens in central urban area of Miyun District, Beijing in 2023, combined with the discussion of the current influenza prevention and control strategy, further strengthening measures and specific suggestions were put forward. Methods The data of influenza cases were collected in schools and kindergartens in central urban area of Miyun District, Beijing in 2023, and descriptive epidemiological methods were used to analyze the epidemic characteristics, etiological surveillance results and vaccination status. Results There were 2,040 influenza cases in schools, kindergartens and other collective places in central urban area of Miyun District, Beijing in 2023, with an incidence rate of 18.07%. The distribution of cases was mainly concentrated between February to April and October to December in 2023. The incidence rates for children in kindergarten, primary school, middle school and high school were 31.51%, 13.20%, 17.78% and 13.08%, respectively. There were three main viruses causing influenza cases: influenza A H3N2 subtype virus 1,523 cases, as the main virus type, influenza A H1N1 subtype virus 429 cases, influenza B Victoria virus 73 cases, three cases of cross-infection between the two viruses. Conclusion Influenza cases were mainly caused by influenza A virus in schools and kindergartens in central urban area of Miyun District, Beijing in 2023. The prevention and control of influenza A virus infection should be strengthened continuously, and the epidemic caused by other virus types should be vigilant, so as to improve the timeliness and accuracy of epidemic reporting. Influenza vaccination has a protective effect on students, children in kindergarten and other groups, and it is recommended to strengthen the publicity of influenza vaccination among susceptible groups, improve the vaccination rate, and reduce the risk of transmission of influenza cases in group institutions. In addition, efforts should be made to optimize classroom ventilation, enhance cleaning and disinfection, carry out targeted health education activities, cultivate good hygiene habits, improve the epidemic monitoring system, and formulate emergency response plans from the aspects of health education and behavioral intervention, epidemic monitoring and prevention and control strategies, so as to further reduce the risk of influenza transmission in collective settings.

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[1]韩宁,陈永亮.2023年密云城区学校及托幼机构流行性感冒流行特征分析[J].疾病预防与控制,2025,1(06):13-16.