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[广州输入性新型冠状病毒肺炎病例的流行病学特征]

[Epidemiological characteristics of imported COVID-19 cases in Guangzhou].

作者信息

Zhen R N, Huang Y, Li Y L, Zhou S, Chen Y Y, Qin F J, Liang Y R, Ma X W, Xie C J, Yuan J

机构信息

Guangzhou Municipal Center for Disease Control and Prevention, Guangzhou 510440, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Nov 10;41(11):1786-1790. doi: 10.3760/cma.j.cn112338-20200413-00569.

Abstract

To understand the epidemiological characteristics of imported COVID-19 cases in Guangzhou and provide scientific basis for the prevention and control of the disease. The data of imported COVID-19 in Guangzhou reported as of April 1, 2020 were collected from National Notifiable Disease Report System of China. The software Excel 2010 and SPSS 19.0 were applied for data cleaning and statistical analysis. As of April 1, 2020, a total of 103 imported COVID-19 cases had been reported in Guangzhou, in which 92 were confirmed cases and 11 were asymptomatic infection cases. The number of the confirmed imported cases accounted for 11.4 (92/806) in of the total in China at the same time. The male to female ratio of the cases was 1.58∶1 (63∶40). The median age of the cases was 31 years (-:22-40 years), range of age was 11-63 years. The main occupational distributions of the cases were business services (41/103, 39.8) and students (36/103, 35.0). The imported cases whose destinations were 19 provinces and municipalities rather than Guangdong after entering the country accounted for 43.7. The main source countries of infections were the United Kingdom (27/103, 26.2), the Philippines (13/103, 12.6), the United States (13/103, 12.6) and Nigeria (7/103, 6.8). There were 34 inbound flights from which the imported COVID-19 cases were detected, in which 10 flights (10/34, 29.4) were found to carry more than 3 cases, with an average voyage time of (11.14±0.53) hours. A total of 29 imported cases(28.2) showed symptoms before entering the country, and 65 cases (63.1) had been isolated before the onset of the disease. The mean free activity time of the isolated cases after the onset was (6.76±0.79) days. The average number of the imported cases' close contacts was 53. There were 13 clusters of COVID-19 caused by the imported cases, involving 36 cases (including 1 imported associated case). The sources of the imported COVID-19 cases in Guangzhou were widely distributed, and no cases had been found to be infected on the flights. In the early stage of the imported epidemic, there was high risk for the spread of the epidemic. Strengthened prevention and control of imported COVID-19 effectively reduced the of transmission risk of COVID-19 in communities.

摘要

为了解广州市输入性新型冠状病毒肺炎(COVID-19)病例的流行病学特征,为该病的防控提供科学依据。收集中国国家法定传染病报告系统中截至2020年4月1日广州市报告的输入性COVID-19数据。应用Excel 2010软件和SPSS 19.0软件进行数据清理和统计分析。截至2020年4月1日,广州市共报告103例输入性COVID-19病例,其中确诊病例92例,无症状感染病例11例。同期确诊输入病例数占全国总数的11.4(92/806)。病例男女比例为1.58∶1(63∶40)。病例中位年龄为31岁(四分位数间距:22 - 40岁),年龄范围为11 - 63岁。病例主要职业分布为商务服务人员(41/103,39.8%)和学生(36/103,35.0%)。入境后目的地为非广东的19个省、直辖市的输入病例占43.7%。主要感染源国家为英国(27/103,26.2%)、菲律宾(13/103,12.6%)、美国(13/103,12.6%)和尼日利亚(7/103,6.8%)。共检测出34架入境航班有输入性COVID-19病例,其中10架航班(10/34,29.4%)携带3例以上病例,平均航程时间为(11.14±0.53)小时。共有29例输入病例(28.2%)在入境前出现症状,65例(63.1%)在发病前已被隔离。隔离病例发病后平均自由活动时间为(6.76±0.79)天。输入病例密切接触者平均人数为53人。由输入病例引起的COVID-19聚集性疫情13起,涉及36例(含1例输入关联病例)。广州市输入性COVID-19病例来源广泛,未发现有在航班上感染的病例。在输入疫情早期,疫情传播风险高。加强输入性COVID-19防控有效降低了COVID-19在社区的传播风险。

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