2021—2024年四川省992家公共场所卫生监测结果分析

    Analysis of hygiene surveillance results of 992 public places in Sichuan province, China, 2021—2024

    • 摘要:
      目的 掌握四川省不同类型公共场所的卫生质量基本状况, 分析其存在的主要健康危害因素。
      方法 2021—2024年在四川省成都市、德阳市、绵阳市、雅安市随机抽取992家公共场所, 场所类别包括候车室、健身房、理发店、美容店、沐浴场所、宾馆/酒店、商场/超市、游泳馆, 重点监测室内空气、公共用品用具以及水环境中可能存在的健康危害因素, 并对监测数据进行分析。
      结果 2021—2024年共监测84 601项次, 总体达标率为92.71%, 不同年度达标率呈上升趋势(χ趋势2=80.47, P < 0.05);候车室、健身房、宾馆/酒店、理发店、美容店、沐浴场所、商场/超市、游泳馆总体指标达标率分别是94.96%(3 092/3 256)、93.35%(3 524/3 775)、94.12%(40 435/42 958)、91.80%(7 614/8 294)、94.53%(5 011/5 301)、89.24%(4 883/5 472)、91.57%(11 112/12 135)、80.94%(2 760/3 410), 差异有统计学意义(χ2=1 010.24, P < 0.05)。室内空气、用品用具、水环境监测指标总体达标率分别为89.58%(30 726/34 300)、96.23%(44 672/46 423)、78.21%(3 033/3 878), 差异有统计学意义(χ2=2 552.66, P < 0.05);达标率较低的单项指标主要是噪声, 其中健身房(46.96%)、理发店(40.00%)、商场/超市(34.88%)3类公共场所达标率均低于50%。。室内空气和用品用具监测指标中噪声、PM2.5、毛巾pH值达标率相对较低, 分别为53.91%、66.00%、80.67%, 其余监测指标达标率均高于90.00%;水环境监测指标中氧化还原电位、消毒剂余量和嗜肺军团菌达标率相对较低, 分别为37.09%、56.86%、68.66%, 其余监测指标达标率均高于85.00%。
      结论 2021—2024年四川省公共场所卫生状况总体呈现良好态势, 总体达标率呈逐年上升趋势; 今后应重点关注室内空气中的噪声和PM2.5、公共用品用具的pH、水环境中的消毒剂余量、氧化还原电位和嗜肺军团菌。

       

      Abstract:
      Objective To investigate the basic status of hygiene quality at different types of public places in Sichuan province, China, and to analyze the main health hazards.
      Methods A total of 992 public places were randomly selected from Chengdu, Deyang, Mianyang, and Ya'an in Sichuan province from 2021 to 2024, including waiting rooms, gyms, barber shops, beauty shops, bathing places, hotels, shopping malls/supermarkets, and swimming pools. Indoor air, public articles, and water environments were monitored for possible health hazards. The monitoring data were analyzed.
      Results From 2021 to 2024, a total of 84 601 monitoring instances were monitored, with an overall qualified rate of 92.71%. The qualified rates showed an increasing trend in different years (χtrend2=80.47, P < 0.05). The overall qualified rates of waiting rooms, gyms, hotels, barber shops, beauty shops, bathing places, shopping malls/supermarkets, and swimming pools were 94.96% (3 092/3 256), 93.35% (3 524/3 775), 94.12% (40 435/42 958), 91.80% (7 614/8 294), 94.53% (5 011/5 301), 89.24% (4 883/5 472), 91.57% (11 112/12 135), and 80.94% (2 760/3 410), respectively, which were significantly different (χ2=1 010.24, P < 0.05). The overall qualified rates of monitoring indicators associated with indoor air, public articles, and water environments were 89.58% (30 726/34 300), 96.23% (44 672/46 423), and 78.21% (3 033/3 878), respectively, and the difference was statistically significant (χ2=2552.66, P < 0.05).The main single index with a lower qualified rate was noise, with the qualified rate less than 50% in gyms (46.96%), barber shops (40.00%), and shopping malls/supermarkets (34.88%).Among the monitoring indicators of indoor air and public articles, the qualified rates of noise, PM2.5 and pH value of towels were relatively low, which were 53.91%, 66.00% and 80.67%, respectively, while the qualified rates of other monitoring indicators were higher than 90.00%. The qualified rates of oxidation-reduction potential, disinfectant residual level and Legionella pneumophila in water environment monitoring indicators were relatively low, which were 37.09%, 56.86% and 68.66%, respectively, while the qualified rates of other monitoring indicators were higher than 85.00%.
      Conclusion From 2021 to 2024, the hygiene status of public places in Sichuan province was generally favorable, with an increasing trend in the overall qualified rate. Noise and PM2.5 in indoor air, the pH of public articles, and the disinfectant residual level, oxidation-reduction potential, and Legionella pneumophila in water environments should be paid more attention in the future.

       

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