The Current Situation Research And Strategy Of School Public Health Emergency In Hunan Province During 2004-2014

ObjectTo learn the popular features, influencing factors, occurrence trend,reporting timeliness, response measures and control results of school public health emergencies of Hunan province, to analyze the present situation and causes of the school of public health emergencies, put forward to corresponding coping strategies, and to provide a reference for relevant departments to take prevention and control measures for school of public health emergencies.MethodsThe school public health emergencies occurred in Hunan province during 2004-2014 and reported through the Chinese Center for Disease Control and Prevention Information System were collected, Excel 2007 software was used for data collection, SPSS21.0 statistical software was used for data analysis, descriptive epidemiological method was used to describe the time distribution, location distribution and population distribution of school public health emergencies in Hunan Province during 2004-2014,linear correlation and multiple stepwise regression analysis were used fordata analysis, chi-square test was used for rate comparison, and the inspection level was 0.05.Results1.A total of 882 school public health emergencies were reported during2004-2014 in Hunan Province, 1,115,335 people and 38,627 patients were involved, and the attack rate was 3.46%, 8 patients died, and the mortality rate was 0.02%. School public health emergencies during 2004-2014 in Hunan Province increased first and then decreased overall, the number of events(6 cases, accounting for 0.68%) and the patients(762, accounting for1.97%) of 2004 were the least, the number of events(205, accounting for23.24%) and the patients(11366, accounting for 29.43%) of 2009 were the most. the attack rate of 2010 was the highest(5.51%),while that of 2004 was the lowest(0.97%), the average prevalence difference of the 11 years was statistically significant(?2 = 4264.156, P = 0.000). The morbidity peaks of every year were from March to June and from September to November, the outbreaks were 49.55% and 39.34% of the total respectively,January-February and July-August reported low number of events; Changsha reported the largest number of events(20.75%), and Zhangjiajie reported the least(1.93%).The main event types were infectious disease outbreaks(808cases, accounting for 91.61%),950,094 people and 34,588 patients were involved, and the attack rate was 3.66%, 7 patients died, and the mortality rate was 0.02%.The respiratory diseases(612 cases, accounting for 69.39%)reported the most of infectious disease outbreaks, which involved 25076 patients, and the incidence rate was 3.50%. Rural primary and secondary schools were the high risk areas( 49.61%),primary and middle school students were the high risk population(87.59%).2. The main route of transmission of respiratory diseases was through droplets, and some of the events were spread by contact; The intestinal infectious diseases were mainly transmitted by the water(43.13%) and life contact( 32.50%); Food was contaminated by bacteria(59.09%) and pesticides( 9.09%) were the main reason for high incidence of food poisoning.3. School public health emergencies during 2004-2014 in Hunan Province were mainly reported by township hospitals(367 cases, accounting for 41.61%), and followed by schools(170 cases, accounting for19.27%).502 incidents(56.92%) were taken laboratory tests, the detection rate of intestinal infectious diseases was the highest(88.13%), and followed by food poisoning(83.33%), because respiratory diseases could confirm from the clinical symptoms, the detection rate was lower(49.02%); The control effect was positively correlated with the reporting timeliness(r = 0.577, P =0.000).Conclusion1. Rural primary and secondary schools were the high risk areas in Hunan Province, primary and middle school students were the high riskpopulation.2. The infectious diseases were the focus of prevention and control, the events and the patients of which were the most.3. School public health emergencies during 2004-2014 in Hunan Province occurred every month, the morbidity peaks of every year were from March to June and from September to November, Schools,health and education institutions should take targeted prevention and control measures before the two peak periods.4. The reporting system of school public health emergencies was not perfect in Hunan Province. The prevention awareness of schools was weak,the implementation of prevention and control measures was poor, and health facilities should be further improved. The supervision of education angencies,health and other relevant departments was not in place.5. The basic health facilities of schools should be improved, especially the schools in economically backward rural areas.