文章摘要
李克莉,冯子健,倪大新.中国突发公共卫生事件发现与报告及时性的研究[J].中华流行病学杂志,2009,30(3):265-268
中国突发公共卫生事件发现与报告及时性的研究
Study on the timeliness of detection and reporting on public health emergency events in China
收稿日期:2008-07-31  出版日期:2014-09-11
DOI:10.3760/cma.j.issn.0254-6450.2009.03.016
中文关键词: 突发公共卫生事件  发现  报告  及时性
英文关键词: Emergency events  Detect  Report  Timeliness??
基金项目:
作者单位
李克莉 山东省泰安市疾病预防控制中心 271000 
冯子健 中国疾病预防控制中心疾病控制与应急处理办公室 
倪大新 中国疾病预防控制中心疾病控制与应急处理办公室 
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中文摘要:
      目的 分析突发公共卫生事件发现与报告的及时性, 为提高国家突发公共卫生事件发现及报告能力提供建议. 方法 应用描述性流行病学方法, 利用统一的调查表收集并分析2005-2006年6月全同网络直报突发公共卫生事件发现及报告时间等信息. 结果 突发公共卫生事件中, 传染病事件、食物中毒及群体性不明原因疾病首发病例到事件被发现的时间间隔巾位数分别为6 d(P25~P75为2~13 d)、3 h(P25~P75为1~16h)、1 d(P25~P75为0~5 d);事件发现人2h内报告事件率为71. 54%. 结论 不同类别突发公共卫生事件自事件发生到发现或报告之间的时间间隔不同. 根据事件的特点制定合理可行的监测事件定义, 重点加强对医疗机构和学校的培训指导, 将有利于提高突发公共卫生事件发现及报告的及时性.
英文摘要:
      Objective To analyze the timeliness of detection and reporting on public health emergency events, and to explore the effective strategies for improving the relative capacity on those issues. Methods We conducted a retrospective survey on 3275 emergency events reported through Public Health Emergency Events Surveillance System from 2005 to the first half of 2006. Developed by county Centers for Disease Control and Prevention, a uniformed self-administrated questionnaire was used to collect data, which would include information on the detection, reporting of the events. Results For communicable diseases events, the median of time interval between the occurrence of first case and the detection of event was 6 days(P25=2, P75=13). For food poisoning events and clusters of disease with unknown origin, the medians were 3 hours(P25=1, P75=16)and 1 days(P25=0, P75=5). 71. 54% of the events were reported by the discoverers within 2 hours after the detection. Conclusion In general, the ranges of time intervals between the occurrence, detection or reporting of the events were different, according to the categories of events. The timeliness of detection and reporting of events could have been improved dramatically if the definition of events, according to their characteristics, had been more reasonable and accessible, as well as the improvement of training program for healthcare staff and teachers.
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