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[目的] 加强对口岸建筑工地施工人群的卫生监督工作,防止肠道传染病的流行。[方法] 对某口岸建筑工地发现的49名腹泻患者进行流行病学调查和病源学鉴定。[结果] 本次建筑工地发现的大量腹泻患者系因水源、食源、环境被痢疾杆菌、大肠杆菌污染而引起的1起菌痢暴发流行。罹患率达16.01%,集中发病高潮在8月6~10日期间,占发病总例数的61.22%。[结论] 应加强对口岸施工单位特殊群体的卫生监督工作,防止水源、食源、环境性传染病的发生。
[Objective] To strengthen the hygiene supervision to the construction crowd at the port construction site to prevent the epidemic of intestinal infectious diseases. [Method] The epidemiological investigation and etiological identification of 49 diarrhea patients found in a port construction site were conducted. [Results] A large number of diarrhea patients found in this construction site were caused by 1 outbreak of bacillary dysentery caused by the contamination of water source, food source and environment by Shigella and Escherichia coli. The attack rate reached 16.01%. The intensive onset of symptoms was between June 6 and August 10, accounting for 61.22% of the total cases. [Conclusion] Health supervision should be strengthened for the special groups in the port construction units to prevent the occurrence of water sources, food sources and environmental infectious diseases.