印度德里某居民区校园急性肠胃炎流行病学调查

Ashutosh Kumar Singh
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引用次数: 1

摘要

1 .班达政府医学院社区医学系讲师,2 .泰米尔纳德邦哥印拜陀政府医学院和ESI医院社区医学系助理教授,3 .新德里ABVIMS政府医学院和Dr. RML医院社区医学系助理教授,4 .西孟加拉邦穆尔西达巴德医学院和医院社区医学系助理教授,5 .西孟加拉邦穆尔西达巴德医学院和医院社区医学系讲师,5 .泰米尔纳德邦政府医学院社区医学系讲师,2 .泰米尔纳德邦哥印拜陀政府医学院和ESI医院社区医学系助理教授。6印度米高梅医学院社区医学系助理教授(统计与人口学)。DOI: https://doi.org/10.24321/2455.7048.201910背景:本报告是关于对2013年6月在印度德里一个居民区爆发的急性肠胃炎疫情的调查,该疫情在一周内造成两人死亡,180人受影响。本研究旨在了解急性肠胃炎爆发的原因,并提出预防和控制措施。方法:设计横断面研究,采用预试预设计流行病学病例表,对180例急性胃肠炎患者进行访谈。并对生态因子的贡献进行了评价。还收集了粪便和水的样本。结果:在14000名居民中,180人有类似的急性胃肠炎主诉。男性和女性受到的影响几乎相同,但15至44岁年龄组的88人(48.8%)和生活在I型宿舍的108人(60%)受影响最大。得到单峰流行曲线。环境监测发现,在第一类宿舍附近,饮用水管道破裂,饮用水与污水混合。在收集的14份粪便样本中,有一份呈霍乱弧菌(小川血清型)阳性。结论:本研究反映了肠胃炎暴发中污水污染饮用水的可能性。通过简单的流行病学现场调查,疫情得到了控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiological Investigation of Acute Gastroenteritis in a Residential Campus Area of Delhi, India
1Lecturer, Department of Community, Medicine, Government Medical College, Banda, U.P. 2Assistant Professor, Department of Community Medicine, Government Medical College and ESI Hospital, Coimbatore, Tamil Nadu. 3Assistant Professor, Department of Community Medicine, Government Medical College, ABVIMS and Dr. RML Hospital, New Delhi. 4Assistant Professor, Department of Community Medicine, Murshidabad Medical College and Hospital, West Bengal. 5Demonstrator, Department of Community Medicine, College of Medicine and Sagure, Kamarhati, Kolkata. 6Assistant Professor (Statistics & Demography), Department of Community Medicine, MGM Medical College, Indore. DOI: https://doi.org/10.24321/2455.7048.201910 Background: This report is about the investigation of an outbreak of acute gastroenteritis that claimed two human lives and left 180 people affected within one week of its outbreak in a residential campus area in Delhi, India in the month of June 2013. The study was conducted to find out the causes of acute gastroenteritis outbreak and to suggest preventive and control measures. Methods: A cross sectional study was designed and a pre-tested predesigned epidemiological case sheet was used and a total of 180 cases of acute gastroenteritis were interviewed. Contribution by ecological factors was also assessed. Stool and water samples were also collected. Results: Out of 14000 inhabitants, 180 people suffered from similar complaints of acute gastroenteritis. Males and females were almost equally affected although people in the age group 15 44 completed years, 88 (48.8%) and those living in type I quarters, 108 (60%) were affected most. Epidemic curve with single peak was obtained. Environmental surveillance revealed breakage of drinking water pipelines and mixing of drinking water with sewage water near type I quarters. Out of 14 stool samples collected, one was positive for Vibrio cholerae (ogawa serotype). Conclusion: The present study reflected the possible contamination drinking water with sewage water in outbreak of gastroenteritis. By employing simple epidemiological field investigation, the outbreak was brought under control.
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