WS/T 772-2020Technical Guidelines for Monitoring and Early Warning of Symptoms of Infectious Diseases in Schools (English PDF)

5.1 Content

5.1.1 Symptom monitoring of infectious diseases in schools includes morning and afternoon (evening) inspection, registration and tracking of absence due to illness, and full-day health observation.

5.1.2 Know whether students have fever, cough, headache, sore throat, parotid gland swelling, abdominal pain, diarrhea, vomiting, skin rash, dizziness, fatigue, Symptoms such as conjunctival hyperemia, as well as the time and location of the symptoms. The type of symptom monitoring can be increased or adjusted according to the epidemic situation of infectious diseases. among them.

--Fever. pyrogens directly act on the body temperature regulation center, body temperature center dysfunction or excessive heat production and heat dissipation caused by various reasons Decrease, causing the body temperature to rise above the normal range, generally judged as axillary body temperature >= 37.3 °C;

--Cough. a common symptom of the respiratory tract, caused by inflammation, foreign body, physical or chemical irritation of the trachea, bronchial mucosa or pleura;

-Headache. pain in the area above the line of the brow arch, upper auricle, and extraoccipital protuberance;

-Sore throat. caused by pharyngeal diseases, it can also be the manifestation of pharyngeal organs or systemic diseases in the pharynx. Its manifestations are stinging, dull pain, Burning pain, dull pain, swelling pain, throbbing pain, etc., which may be paroxysmal or persistent;

- Parotid gland swelling. under one or both earlobes, surface heating with tenderness, and local pain when opening or chewing;

--Abdominal pain. pain between the xiphoid process and the symphysis pubis. The nature of the pain includes colic, fullness, dull pain, dull pain, etc.;

--Diarrhea. The number of bowel movements per day is >=3 times, accompanied by changes in stool characteristics such as loose stools, watery stools, bloody stools, pus and bloody stools;

- Vomiting. the reflex action to forcefully expel stomach contents from the mouth, often accompanied by nausea;

--Rash. abnormal skin color changes, surface bulging or blisters, etc., which may be accompanied by itching or pain;

- Dizziness. a collective term for feelings such as dizziness, swelling, lightheadedness, shaking in the brain, and vertigo;

--Weakness. Conscious fatigue, weakness of limbs, which cannot be relieved after rest or eating;

--Conjunctival hyperemia. redness of the white eyes, redness, swelling, heat, pain and other symptoms of conjunctival hyperemia.

5.2 Method

5.2.1 Morning and afternoon (evening) inspection

5.2.1.1 Understand the reasons for student absences and master the list of students absent due to illness.

5.2.1.2 Check the mental state and health of all attending students, focusing on whether there is fever, cough, headache, sore throat, parotid gland swelling, Symptoms such as abdominal pain, diarrhea, vomiting, rash, dizziness, fatigue, conjunctival hyperemia, etc. occur. Refer to Appendix A for inspection methods.

5.2.1.3 Infrared thermometers can be used for temperature screening. When the forehead temperature is >=36.8 °C, the student's axillary temperature should be re-measured with a mercury thermometer.

5.2.1.4 The reporter of class infectious disease symptom monitoring shall report the results of the morning examination before the second class in the morning, and the results of the afternoon examination before the second class in the afternoon and evening.

The result of the examination is reported to the reporter of the infectious disease epidemic of the school before the end of the evening self-study.

5.2.2 Full-day health observation

5.2.2.1 While the students are in school, the head teacher and the teacher will observe their health conditions throughout the day. The findings include but are not limited to 5.1.2 when the symptoms are listed, promptly report to the class infectious disease symptom monitoring reporter.

5.2.2.2 Students pay attention to their own health status, and report to the class infectious disease symptom monitoring reporter in time if they feel unwell, and attend class without illness.

5.2.3 Registration and tracking of absence due to illness

5.2.3.1 The reporter of class infectious disease symptom monitoring will register and track students who are absent from work due to illness every day, and track down their main symptoms and time of onset it also assists the school to track its illness and outcome.

5.2.3.2 The reporter of the infectious disease epidemic situation of the school is responsible for guiding each class to carry out the registration and tracking of absence due to illness, verifying and investigating the registration results of each class, and keeping the data.

5.3 Information submission

5.3.1 The report of the class infectious disease symptom monitoring report on the daily morning and afternoon (evening) inspection of the class, the registration and tracking of absence due to illness, and the full-day health observation Use Table B.1 in Appendix B to record, summarize and report.

5.3.2 The reporter of the infectious disease epidemic situation of the school verifies the information reported by each class on a daily basis, and uses Table B.2 in Appendix B for summary and judgment.

If there are no sick students on that day, indicate in the zero report column.

6.1 Early warning indicators

6.1.1 Within a certain period of time, the number of students with similar symptoms associated with epidemiology in the same dormitory, class or campus has reached or exceed the number of cases listed in Table 1, that is to achieve the early warning indicators. Similar symptoms include fever, cough, headache, sore throat, parotid gland swelling, abdominal pain, Diarrhea, vomiting, skin rash, dizziness, fatigue, conjunctival hyperemia, etc.

Note. Epidemiological association refers to studying together, living together, or having shared meals, drinking water history or other close contacts, etc.

6.1.2 Individual students have symptoms such as unexplained high fever, shortness of breath, severe cough, severe vomiting, diarrhea or other early warning indicators of infectious diseases prescribed by the state.

6.2 Early warning disposal

6.2.1 When the early warning indicators of infectious disease symptoms are reached, after verification by the reporter of the infectious disease epidemic situation of the school, use Table C.1 of Appendix C to record, and report the school name, address, contact person, telephone number, main symptoms of the disease and the number of people and other basic information within 2 hours, and report the illness within 24 hours.

Detailed information of the sick student's name, class, time of onset, hospital visit, diagnosis result, etc.

6.2.2 Reporters of school infectious disease epidemics should report to the local disease prevention and control agency in the most convenient way of communication, and at the same time report to the education administrative department.

Note. Communication methods include information systems, faxes, etc.

6.2.3 After verifying the early warning indicators of infectious disease symptoms, the school should immediately observe the students who have symptoms and notify the parents, and add Strengthen environmental ventilation, cleaning and disinfection, and do a good job in the management and control of contact persons, and health education.

6.2.4 When a reported case of an infectious disease occurs, the school should cooperate with the disease prevention and control agency and other departments to do case isolation, epidemiological investigation, Close contact tracking management, emergency vaccination, disinfection and other prevention and control measures to prevent the spread of infectious diseases.

Appendix B

(Normative appendix) School infectious disease symptom monitoring record and summary table Class infectious disease symptom monitoring records are shown in Table B.1, which is used for class infectious disease symptom monitoring reporters to record students' infectious disease symptoms daily the main symptoms monitored, the reason for absenteeism, the date of onset, medical visits, diagnosis results and other information.

The summary of school infectious disease symptom monitoring is shown in Table B.2, which is used by the school infectious disease epidemic reporter to summarize the information reported by each class every day.