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四川省新型冠状病毒肺炎密切接触者分析

Epidemiological outcome of close contacts of coronavirus disease 2019 cases in Sichuan province

  • 摘要:
      目的  分析四川省对2020年新型冠状病毒肺炎(新冠肺炎)病例密切接触者的追踪与管理,为卫生行政部门及政府提供政策依据。
      方法  收集四川省2020年新冠肺炎病例的密切接触者管理数据,分析密切接触者的场所分布、转归情况、与病例严重程度的关系。
      结果  2020年1月21日 — 3月10日24时,四川省报告新冠肺炎病例累计密切接触者26 646人,其中追踪到位留观24 184人;539例确诊病例的累计密切接触者13 217人,其中追踪到位留观11 148人,居家隔离占19.05 %(2 124/11 148),集中隔离占80.95 %(9 024/11 148)。密切接触者转归确诊226例,转归率为0.93 %(226/24 184),各市州中攀枝花市的转归率最高为9.29 %(13/140)。密切接触者转确诊占总的确诊病例的41.93 %(226/539),密切接触者转确诊病例的普通型/轻型病例占比较大(87.61 %,198/226)。
      结论  对于传染性疾病的密切接触者及时采取隔离措施的重要性毋庸置疑,四川省对新型冠状肺炎病例的密切接触者管理较严,有效地控制了疫情蔓延。

     

    Abstract:
      Objective  To analyze the tracking and quarantine of close contacts of 2019 novel coronavirus disease (COVID-19) in Sichuan province for providing evidences to policy-making by health administrations.
      Methods  We collected the information on all identified close contacts of COVID-19 cases reported in Sichuan province during the peak period of COVID-19. Regional distribution, quarantine outcome and its associates were analyzed.
      Results  From January 21 through March 10, 2020, totally 26 646 close contacts of confirmed and suspected COVID-19 cases were identified in Sichuan province, of which 24 184 had been tracked and quarantined; among the 13 217 close contacts of 539 confirmed cases, 11 148 had been tracked and quarantined. The majority (80.95%, 9 024) of the close contacts of confirmed cases had centralized quarantine and 19.05% (2 124) had home-based medical isolation. Among all the close contacts being quarantined, 226 (0.93%, 226/24 184) were confirmed with COVID-19 and the highest incidence rate of COVID-19 (9.29%, 13/140) was detected among the close contacts in Panzhihua city. Of the close contacts confirmed with COVID-19, 198 (87.61%) were common or mild cases. The ratio between the total number of detected infections among all the close contacts and the total number of COVID-19 cases attributed to those contacts was 41.93% (226/539).
      Conclusion  With strict management on close contacts of confirmed and suspected cases, the COVID-19 epidemic was effectively controlled in Sichuan province, indicating the importance of timely quarantine measures in containment of infectious disease epidemic.

     

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