论文部分内容阅读
目的分析中国(未包括香港、澳门和台湾地区,下同)传染病突发公共卫生事件信息来源与发现方式,以提高传染病突发事件早期发现能力。方法对6个省疾病预防控制中心(CDC)、12个地市CDC、12个区CDC和12个县CDC进行现场问卷调查和访谈。结果省级发现的事件中,53.87%(425/789)来自网络直报系统,异常情况中有6.92%(62/896)发展为突发事件,占网络发现突发事件的14.59%(62/425);地市级发现的事件中,78.08%(114/146)来自电话报告,17.81%(26/146)来自网络直报系统,异常情况中有4.56%(26/570)发展为突发事件,占网络发现突发事件的100%(26/26);区(县)级发现的事件中,65.15%(43/66)来自电话报告,33.33%(22/66)来自网络直报系统,异常情况中有16.80%(21/125)发展突发事件,占网络发现突发事件的95.45%(21/22)。结论各级CDC突发事件信息来源渠道所占比重不同,需要开发、整合利用各种监测诊断技术,从不同角度、多层次、全方位收集传染病疫情相关信息,提升早期发现能力。
Objective To analyze the sources and ways of finding out the public health emergencies of infectious diseases in China (excluding Hong Kong, Macao and Taiwan, the same below) in order to improve the ability of early detection of emergencies of infectious diseases. Methods Six provincial CDCs, 12 municipal CDCs, 12 district CDCs and 12 county CDCs were surveyed and interviews were conducted. As a result, 53.87% (425/789) of the cases found at the provincial level came from the network direct reporting system, with 6.92% (62/896) of the abnormal cases developing into emergencies accounting for 14.59% of the total number of network emergencies (62 / 425); 78.08% (114/146) of the discoveries at the prefectural level came from the telephone reports, 17.81% (26/146) came from the network direct reporting system, and 4.56% (26/570) of the anomalies developed into sudden 65.15% (43/66) of the events found at the district (county) level came from the telephone reports and 33.33% (22/66) came from the network direct reporting system In the abnormal situation, there were 16.80% (21/125) development emergencies, accounting for 95.45% (21/22) of the network discovery emergencies. Conclusion The proportion of sources of information on CDC emergencies at all levels is different, and various monitoring and diagnosis techniques need to be developed and integrated to collect information on epidemic situation of infectious diseases at different levels, levels and omni-directional so as to enhance early detection ability.