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目的了解许昌市县级疾病预防控制中心(简称“疾控中心”)应急体系建设和突发公共卫生事件风险评估工作开展现状,评估应急队员对风险评估相关知识的知晓情况,为加强许昌市卫生应急体系建设、进一步开展风险评估工作提供依据。方法自行设计许昌市疾控机构突发公共卫生事件应急处置能力调查表对许昌市6个县疾控中心进行应急能力调查,制定风险评估知识问卷进行知晓率的调查。结果共调查6个县疾控中心221名应急队员,各县大专及以上学历者178人,占总应急队员人数的80.54%;传染病现场调查处理者45人,实验室检测者39人,占总人数的38.01%;6个县级疾控中心均建立了突发公共卫生事件风险评估工作制度,并按时开展季度风险评估工作;各个县级疾控中心对重点传染病应急能力自我评分差别较大,SARS、人感染高致病性禽流感、食源性疾病、群体性不明原因疾病在6分以上,对化学泄露和生物恐怖事件的自我评分最低;各县级疾控中心应急队员风险评估相关知识总知晓率为57.58%,其中不同科室、不同工龄和职称不同的队员其风险评估知识知晓率差异有统计学意义(P<0.05)。结论许昌市县级疾控中心应急能力体系建设基本建立,但仍存在应急人员结构不合理、素质偏低、实验室检测能力不足、对突发公共卫生事件风险评估相关知识知晓率偏低等问题,应针对所存在问题加强相关方面的建设和管理。
Objective To understand the status quo of the emergency system construction and the risk assessment of public health emergencies in the county-level disease prevention and control center (referred to as “CDC”) in Xuchang City to assess the status of emergency team members in knowledge of risk assessment, City health emergency response system to further provide risk assessment to provide the basis. Methods A self-designed questionnaire of emergency response capacity of public health emergencies in CDC of Xuchang City was conducted to investigate the emergency response capacity of CDC in 6 counties in Xuchang City and to develop a risk assessment knowledge questionnaire to investigate the awareness rate. Results A total of 221 contingent members from CDC in 6 counties and 178 college graduates were enrolled in this study, accounting for 80.54% of the total number of emergency responders. 45 were field investigation and treatment of infectious diseases and 39 were laboratory tests, accounting for The total number of 38.01%; 6 county CDC have established a system of public health emergencies risk assessment and timely quarterly risk assessment; each county CDC response to major infectious disease self-scoring capacity differences Large, SARS, people infected with HPAI, foodborne disease, group of unknown causes more than 6 points, lowest self-assessment of chemical leaks and bio-terrorist incidents; CDC emergency team members at county level risk assessment The total awareness rate of relevant knowledge was 57.58%. There was significant difference (P <0.05) in the rate of awareness of risk assessment between team members with different departments, different seniority and professional titles. Conclusions The construction of emergency response system in Xuchang CDC is basically established. However, there are still some problems such as unreasonable emergency personnel structure, low quality, lack of laboratory testing ability and low knowledge rate of risk assessment in public health emergencies , We should strengthen the construction and management of relevant aspects in light of the existing problems.