Abstract:Objective:Describe and analyze epidemiological characteristics of 2019 novel coronavirus diseases(COVID-19) in Chegnde city to provide evidence for prevention and control. Methods: All COVID-19 cases from Chegnde city reported through March 31,2020 were extracted from China's Infectious Disease Information System. Descriptive epidemiological methods were used to analyse the epidemic status and distribution characteristics of cases. Result: Through March 31, 2020, a total of 8 patient records 7 confirmed cases(87.5%), 1 asymptomatic case(12.5%), no critical and deaths case contributed data for the analysis. On the whole, the imported cases were indentified as the first source,accounting for 62.5%, all of cases epidemic spread to one-third of counties in Chegnde city, and the most were aged 40~59 years(75%) and the median ages were 48 years. The total infection rate was 1.03% of close contacts for confirmed and asymptomatic cases. Among confirmed cases, the majority clinical types of confirmed cases were severe pneumonia(57.14%), who the most person with underlying diseases. In addition, the average interval from onset to first visiting doctor behavior was 0.5 days, that from first visiting doctor behavior to diagnosis was 1 days, and that from onset to diagnosis was 2 days. As time went on, the above time interval were significantly shortened. There was a family clusters outbreak involving 4 cases. Conclusion: The main source of infection is imported for COVID-19 epidemic in Chegnde city, and the area is in the low risk level. So, comprehensive strategies for prevention and control of COVID-19 epidemic include preventing spread in external and rebound in internal, and do the prevention and control work by classification.
[1] World Health Organization. Home care for patients with suspected novel coronavirus (nCoV) infection presenting with mild symptoms and management of contacts[EB/OL]. [2] 中华人民共和国国家卫生健康委员会.中华人民共和国国家卫生健康委员会公告[EB/OL]. [3] World Health Organization. Novel coronavirus (covid-2019) situation report-22.[EB/OL]. [4] 中国疾病预防控制中心新型冠状病毒肺炎应急相应机制流行病学组.新型冠状病毒肺炎流行病学特征分析[J].中华流行病学杂志,2020,41(2):145~151. [5] 欧剑鸣,叶雯婧,郑奎城,等.福建省新型冠状病毒肺炎流行病学特征分析[J].中国人兽共患病学报,2020,(4):1~8. [6] 李淑花,商临萍,等.山西省新型冠状病毒感染肺炎流行病学分析[J].中华医院感染学杂志,2020,30(8):1157~1161. [7] Chen N, Zhou M, Dong X,et al.Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study[J]. The Lancet, 2020(prepublish). [8] Jiang F, Deng LH, Zhang LQ,et al. Review of the clinical characteristics of coronavirus disease 2019 (COVID-19)[J].Gen Intern Med,2020. [9] 史河水,韩小雨,樊艳青,梁波,杨帆,韩萍,郑传胜.新型冠状病毒(covid-2019)感染的肺炎临床特征及影像学表现[J].临床放射学杂志,2020,39(1):8~11. [10] 贾善群,杨靖莹,周乾宇,等.山东省756例新型冠状病毒肺炎流行特征及空间分布情况分析[J].山东大学学报(医学版),2020,58(4):1~7. [11] 中华人民共和国国家卫生健康委员会.国家卫生健康委疾病控制局发布《中国-世界卫生组织新型冠状病毒肺炎(COVID-19)联合考察报告》[EB/OL]. [12] 曾晶,邱乐平,邹晏,等.四川省新型冠状病毒肺炎密切接触者分析[J].中国公共卫生,2020,5:1~4. [13] 胡世雄,徐巧华,罗恺伟,等.湖南省新型冠状病毒肺炎感染者流行病学特征分析[J].实用预防医学,2020,27:1~4. [14] Yang Y, Lu Q, Liu M, et al. Epidemiological and clinical features of the 2019 novel coronavirus outbreak in China[J].medRxiv preprint,2020. [15] 中华预防医学会新型冠状病毒肺炎防控专家组. 新型冠状病毒肺炎流行病学特征的最新认识[J]. 中国病毒病杂志, 2020, 10(2): 81~87.