目的 分析合肥市新型冠状病毒肺炎流行病学资料,探讨新型冠状病毒肺炎流行病学特点。方法 收集2020年1月20日-2月20日的合肥市新冠肺炎疫情资料,采用描述性流行病学分析方法,分析新冠肺炎流行情况。结果 合肥市共确诊新冠肺炎病例174例,男女病例之比为1.15:1。常见症状以发热(占52.9%)和咳嗽(占26.4%)为主,轻症占95.4%。发病高峰、就诊高峰、确诊高峰时间分别在1月24日-1月30日、1月24日-2月5日、1月28日-2月9日。随着疫情进展,病例感染来源从具有湖北(武汉)暴露史转变为本地感染。启动卫生应急Ⅰ级响应后,发病至就诊时间(Z=-3.654,P<0.001,M响应前=4.5,M响应后=2)、发病至确诊时间(Z=-2.718,P=0.007,M响应前=8,M响应后=6)间隔与启动前相比,差异具有统计学意义。结论 合肥市新冠肺炎疫情由输入性感染病例引起,新冠肺炎病例以轻症为主,防控措施有力有效。
Abstract
Objective To analyze the epidemiological characteristics of corona virus 2019(COVID-2019)in Hefei city,and to provide scientific reference for the study of the epidemic regularity of COVID-19. Methods Data of COVID-19 epidemic in Hefei city from January 20 to February 20,2020 were collected.Descriptive epidemiological methods were used to analyze the epidemic characteristics of COVID-19. Results A total of 174 cases of COVID-19 have been confirmed in Hefei city,with a male to female ratio of 1.15 to 1.The common symptoms were fever (52.9%) and cough (26.4%),and the general conditions were 95.4%.The peak time of onset,treatment and diagnosis were from January 24 to January 30,January 24 to February 5 and January 28 to February 9,respectively.With the development of the epidemic situation,the source of infection changed from Hubei (Wuhan) exposure history to local infection.After Public Health Primary Emergency Response was started,there were statistically significant differences in the time from onset to treatment (Z=-3.654,P< 0.001,M Response before= 4.5,M Response after= 2),and from onset to diagnosis (Z=-2.718,P= 0.007,M Response before = 8,M Response after= 6) interval compared with before initiation. Conclusion The COVID-19 epidemic in Hefei is caused by imported COVID-19 cases,most of which were mild,and the prevention and control measures were effective.
关键词
新型冠状病毒肺炎 /
COVID-2019 /
流行病学 /
输入性病例
Key words
Novel coronavirus pneumonia /
COVID-2019 /
Epidemiology /
Imported cases
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 胡世雄,徐巧华,罗恺伟,等.湖南省新型冠状病毒肺炎感染者流行病学特征分析[J].实用预防医学,2020,27(4):385-388.
[2] Chan JF,Yuan S,Kok KH,et al.A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster[J].Lancet,2020,395 (10223): 514-523.
[3] Lu R,Zhao X,Li J,et al.Genomiccharacterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding[J].Lancet,2020,395 (10224): 565-574.
[4] 中华预防医学会新型冠状病毒肺炎防控专家组.新型冠状病毒肺炎流行病学特征的最新认识[J].中华流行病学杂志,2020,41 (2):139-144.
[5] 曹培明,李晓旭,严晓峰,等.重庆市主城区223例新型冠状病毒肺炎病例的回顾性流行病学分析[J].西南大学学报 (自然科学版),2020,42 (3):1-6.
[6] 欧剑鸣,叶雯婧,郑奎城,等.福建省新型冠状病毒肺炎流行病学特征分析[J].中国人兽共患病学报,2020,36(5):28-31.
[7] 中国疾病预防控制中心新型冠状病毒肺炎应急响应机制流行病学组.新冠肺炎流行病特征分析[J].中华流行病学杂志,2020,41 (2):145-151.
[8] Kraemer MUG,Yang CH,Gutierrez B,et al.The effect of human mobility and control measures onthe COVID-19 epidemic in China[J].Science,2020,368(6490):493-497.
[9] Wu Z,McGoogan JM.Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases From the Chinese Center for Disease Control and Prevention[EB/OL].[2020-05-11].https://pubmed.ncbi.nlm.nih.gov/32091533/.
[10] 万忠惠.农村基层医疗队伍现状分析与思考[J].农村经济与科技,2016,27 (18):192,207.
[11] 梁梓晖,张亚丽,陆泽源,等.新冠肺炎暴发疫情下流行病学关键概念理解偏差及其对防控的影响[J].热带医学杂志,2020,20 (1):1-5.