Abstract：Objective To investigate the insufficient disposal of tuberculosis (TB) epidemic in schools through analyzing the current situation of management of TB epidemic in Chongqing Municipality in 2016, so as to provide references for TB prevention and control measures in schools. Methods Excel 2007 was used to establish a database regarding monitoring and disposal of TB epidemic in schools in Chongqing Municipality. The schools in the administrative districts served as the monitoring units, and the information about disposal of TB epidemic in schools in Chongqing Municipality in 2016 was collected. SPSS16.0 software was used for statistical analysis. Results TB epidemic occurred in 528 schools in 39 districts/counties in Chongqing Municipality in 2016, including 528 sporadic cases in 303 schools, 14 clustering epidemic signs in 13 schools and 1 clustering epidemic in 1 school. TB patients were mainly distributed in public, boarding and senior secondary schools. 46,831 close contacts of TB patients in the schools were screened, and 53 TB patients were detected, with the detection rate being 0.11%. There were statistically significant differences in the TB detection rate of the family contacts among students(0.11%), staff members(0.05%) and relatives(0.63%) (Fisher χ2=3.478, P=0.000). The rates of temporary absence from school of boarding students and non-boarding ones were 70.87% and 80.83% respectively, showing a statistically significant difference(χ2=8.28, P=0.004). The ratios of conducting TB health education (67.80%), training (56.44%) and infection control (69.32%) after TB outbreaks in schools were low. There were statistically significant differences in the ratio of conducting TB health education among schools with different educational stages (χ2=13.484, P=0.018), of which the ratios in preschool education (42.86%), secondary vocational education (58.72%) and high education (58.82%) were all low. Conclusions TB epidemics occurring in schools in Chongqing Municipality in 2016 were mainly sporadic cases. TB prevention and control work in schools should focus on the boarding senior secondary education stage. It is of great value to regulate the screening methods of close contacts, enhance the management of temporary absence from school, and pay special attention to health education, training and infection control in TB prevention and control work in schools.
庞艳, 刘英, 汪清雅, 张文, 雷蓉蓉. 2016年重庆市学校结核病疫情流行概况分析[J]. 实用预防医学, 2018, 25(1): 10-13.
PANG Yan, LIU Ying, WANG Qing-ya, ZHANG Wen, LEI Rong-rong. Epidemic situation of tuberculosis in schools in Chongqing Municipality, 2016. , 2018, 25(1): 10-13.
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2018, Vol. 25 
