Taicang City Centre for Disease Control and Prevention, Suzhou, Jiangsu, China.
Jiangsu Field Epidemiology Training Program, Jiangsu Provincial Centre for Disease Control and Prevention, Nanjing, Jiangsu, China.
Front Public Health. 2024 Jul 19;12:1409004. doi: 10.3389/fpubh.2024.1409004. eCollection 2024.
This study aims to analyze the awareness of influenza prevention and control and the behavioral attitudes toward the work among parents and staff in schools in Taicang City and the impact of the vaccination rate among students on influenza outbreaks in schools. The findings can provide references for the development of effective control strategies for the spread of influenza.
An anonymous questionnaire survey was conducted on 10,962 students from 20 schools in Taicang City, with class as the unit of analysis. The survey investigated their awareness of influenza prevention and control, their attitudes, and the vaccination coverage.
From January to June 2023, a total of 388 influenza outbreaks were reported in schools in Taicang City, involving 77 schools. There were 3,475 confirmed cases, with an average infection rate of 18.53%. In schools where influenza outbreaks had occurred, the incidence rate of those who received influenza vaccine was significantly lower than those who did not, and the vaccine protection rate was 28.22%. The knowledge awareness rates of "the main transmission routes of influenza" and "influenza vaccination can prevent influenza" among parents of students were 95.49 and 93.16%, respectively. The differences between schools involved in the epidemic and non-epidemic were statistically significant ( < 0.05). The correct attitudes of parents toward "actively reporting relevant symptoms to teachers when their children show symptoms" and "avoiding classes with diseases when their children are suspected to be sick" are 98.80 and 96.26%, respectively. The differences between schools with and without epidemic are statistically significant ( < 0.05). The correct attitudes of the class teacher toward "correct management and control of students with flu like symptoms in the class" and "taking correct prevention and control measures in the event of a flu epidemic in the class" were 89.36 and 92.55%, respectively. The differences between epidemic related and non-epidemic related classes were statistically significant ( < 0.05).
Enhance the knowledge level of influenza prevention and control among parents of students, Strengthening the training for class teachers in emergency response to infectious diseases and increasing vaccination coverage among students can effectively reduce the incidence of influenza and thereby the occurrence of cluster outbreaks in schools.
本研究旨在分析太仓市学校学生家长和教职员工对流感防控的认知水平和行为态度，以及学生的疫苗接种率对学校流感暴发的影响。研究结果可为制定有效控制流感传播的策略提供参考。
采用整群抽样方法，以班级为单位，对太仓市 20 所学校的 10962 名学生进行了匿名问卷调查，调查内容包括流感防控知识知晓情况、态度和疫苗接种情况。
2023 年 1 月至 6 月，太仓市共报告学校流感暴发 388 起，涉及学校 77 所，确诊病例 3475 例，平均感染率为 18.53%。在发生流感暴发的学校中，接种流感疫苗的学生发病率明显低于未接种者，疫苗保护率为 28.22%。学生家长对“流感的主要传播途径”和“流感疫苗接种可预防流感”的知晓率分别为 95.49%和 93.16%，不同疫情学校间差异有统计学意义（ < 0.05）。家长对“孩子出现症状时主动向老师报告相关症状”和“孩子疑似患病时避免上课”的正确态度分别为 98.80%和 96.26%，不同疫情学校间差异有统计学意义（ < 0.05）。班主任对“正确管理和控制班级有流感样症状的学生”和“班级发生流感疫情时采取正确的防控措施”的正确态度分别为 89.36%和 92.55%，不同疫情班级间差异有统计学意义（ < 0.05）。
提高学生家长对流感防控的认知水平，加强对班主任传染病应急处置的培训，提高学生的疫苗接种率，可有效降低流感发病率，减少学校流感聚集性疫情的发生。
