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Analysis of the risk of class clustering of acute hemorrhagic conjunctivitis from Xiamen City in 2023
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Yuedong LIN1, 2, Zhinan GUO1, Mantian WENG3, Juanjuan CHEN1, Yidun ZHANG*, 1
Chinese Journal of School Health | 2025, 46(12) : 1792 - 1795
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Chinese Journal of School Health | 2025, 46(12): 1792-1795
• Disease Control •
Analysis of the risk of class clustering of acute hemorrhagic conjunctivitis from Xiamen City in 2023
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Yuedong LIN1, 2, Zhinan GUO1, Mantian WENG3, Juanjuan CHEN1, Yidun ZHANG*, 1
Affiliations
  • 1Division of Acute Infectious Disease Prevention and Control, Xiamen Center for Disease Control and Prevention, Xiamen 361021, Fujian Province, China
Published: 2025-12-25 doi: 10.16835/j.cnki.1000-9817.2025363
Outline
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Objective

To explore the intra-class transmission pattern of acute hemorrhagic conjunctivitis (AHC) among students, so as to provide a basis for formulating precise prevention and control strategies.

Methods

The data of AHC students in 2023 was obtained from the teacher-student health information module of the "Xiamen i-Education" platform. Taking the onset date from January 1st to December 31st, 2023 as the search criteria, the epidemiological data of confirmed AHC cases among students in the whole city in 2023 was collected. And the Knox test method was employed to quantify cluster risk at the class level. Subgroup comparisons were conducted to examine differences in cluster risk between academic stages and gender combinations. Cross-analysis was performed to investigate the interactive effects of two characteristics on cluster risk.

Results

In 2023, 708 cases of AHC students were reported in Xiamen, among which 54 class-clustered outbreaks were identified. These outbreaks accounted for 40.54% of total cases. Among them, the incidence of class-clustered outbreaks with male first-onset cases was higher than that with female first-onset cases (χ2=4.55, P < 0.05). The class cluster risk was at a relatively high level within the incubation period (0-2 d) after AHC onset (RR=4.61-6.43, P < 0.05). Subgroup analysis revealed that female-female case pairs had a higher class cluster risk (RR=4.81-10.29) compared to other gender combinations (P < 0.05). Primary school case pairs showed a higher risk (RR=4.60-6.77) than middle school case pairs (RR=3.85-4.57) (both P < 0.05). Cross-analysis indicated that primary school and female-female combinations had a higher risk (RR=4.70-11.24) than other combinations, while middle school and male-female combinations showed a positive interaction (RR=3.68-6.68)(both P < 0.05).

Conclusions

AHC infection among students is primarily transmitted within classes. Gender and educational stage are key demographic factors influencing class cluster transmission risks. Transmission risks should be assessed by analyzing population characteristics and contact patterns, and targeted interventions should be implemented.

Conjunctivitis, acute hemorrhagic  /  Disease outbreaks  /  Crossover analysis  /  Student health services
林越东, 郭志南, 翁曼恬, 陈娟娟, 张怡盾. 厦门市2023年急性出血性结膜炎疫情班级聚集性风险分析. 中国学校卫生, 2025 , 46 (12) : 1792 -1795 . DOI: 10.16835/j.cnki.1000-9817.2025363
Yuedong LIN, Zhinan GUO, Mantian WENG, Juanjuan CHEN, Yidun ZHANG. Analysis of the risk of class clustering of acute hemorrhagic conjunctivitis from Xiamen City in 2023[J]. Chinese Journal of School Health, 2025 , 46 (12) : 1792 -1795 . DOI: 10.16835/j.cnki.1000-9817.2025363
Year 2025 volume 46 Issue 12
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3
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doi: 10.16835/j.cnki.1000-9817.2025363
  • Receive Date:2025-07-03
  • Online Date:2026-11-06
  • Published:2025-12-25
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  • Received:2025-07-03
  • Revised:2025-10-11
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    1Division of Acute Infectious Disease Prevention and Control, Xiamen Center for Disease Control and Prevention, Xiamen 361021, Fujian Province, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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