Establishment of continuous base for study and education to prevent influenza pandemic in district areas

在三重县明和町的下邻和明上两所小学建立了教育-实践-分析循环的基地，以阐明社区中流感流行的机制。 流行期前，在校儿童学习流感感染的基本知识和预防方法，期间记录自己流感的临床路径。 我们获得了以下重要信息来控制流感在社区中的流行：（1）流感在小学中的流行逐渐持续，而不是爆发性的，大约三个月;（2）停课不能取消流行，而是推迟流行;（3）许多儿童在发烧之前出现了一些上呼吸道症状，包括咳嗽。 这些结果表明，发烧前的儿童是感染源，因此，预防第二次感染对控制学校和社区的流感是有效的。

The base of education-practice-analysis cycle to clarify the mechanism of influenza epidemic in a community has been established on two elementary schools, Shimomiito and Myojo in Meiwa-town, Mie Prefecture. Before epidemic period, children in the school studied basic knowledge of influenza infection and methods to prevent it. In the period, they recorded clinical path of their own influenza. We obtained the important information to control influenza endemic in communities as follows; (1) influenza epidemic in elementary schools continued gradually not explosively about three months, (2) the closing class could not cancel epidemic but delay it, and (3) many children showed some symptoms of upper respiratory tract including cough just before getting fever. These results suggest that a child just before getting fever works as a source of infection, and therefore, preventing the second infection from it is effective to control influenza in schools and communities.