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中国发达城市天津市新冠肺炎疫情的流行特征。

Epidemic characteristics of the COVID-19 outbreak in Tianjin, a well-developed city in China.

机构信息

Department of Medical Examination and Blood Donation, Xiamen Blood Center (Xiamen Central Blood Station), Xiamen, China.

Department of Plastic Surgery, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Am J Infect Control. 2020 Sep;48(9):1068-1073. doi: 10.1016/j.ajic.2020.06.006. Epub 2020 Jun 12.

Abstract

BACKGROUND

Coronavirus disease 2019 (COVID-19) is already a pandemic. Few studies investigated the epidemic characteristics of the COVID-19 outbreak in the well-developed cities.

METHODS

Epidemiological data of 136 confirmed COVID-19 cases were collected from the dataset of COVID-19 in Tianjin. All confirmed cases were categorized according to their potential infection sources. Daily numbers of confirmed cases of each category were plotted by date of onset, and the epidemic form of each category was inferred.

RESULTS

Among the 136 confirmed COVID-19 cases, 48 cases were categorized as imported cases and their close contacts, which were the majority of early cases. A total of 43 cases were found an epidemiological link to the Baodi department store, and they were inferred to be a common-source outbreak. Additionally, 35 cases were considered as familial clusters of COVID-19 cases, and 10 cases were sporadic. The 45 cases were inferred to be a propagated epidemic.

CONCLUSIONS

Local transmission of COVID-19 mainly occurred within families and a poorly ventilated public place in Tianjin. Besides the imported cases, the pattern of local transmission of COVID-19 was a mixture of the propagated epidemic and the common-source outbreak in Tianjin.

摘要

背景

2019 年冠状病毒病(COVID-19)已经在全球大流行。目前,仅有少数研究调查了发达城市 COVID-19 爆发的流行特征。

方法

本研究从天津市 COVID-19 数据集收集了 136 例确诊 COVID-19 病例的流行病学数据。所有确诊病例均根据其潜在感染源进行分类。根据发病日期绘制各分类确诊病例的日发病数,并推断各分类的流行形式。

结果

在 136 例确诊的 COVID-19 病例中,48 例被归类为输入病例及其密切接触者,这是早期病例的主要来源。共有 43 例病例与宝坻百货大楼存在流行病学联系,推断为共同来源暴发。此外,35 例被认为是 COVID-19 病例的家族聚集性病例,10 例为散发病例。推断这 45 例为传播性流行。

结论

COVID-19 在天津市主要发生在家庭内部和通风不良的公共场所内的本地传播。除输入病例外,COVID-19 的本地传播模式在天津市是传播性流行和共同来源暴发的混合体。

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