广西壮族自治区2009-2011年传染病自动预警系统运行效果分析

吕炜; 赖圣杰; 唐忠; 邓革红; 付志智; 张洪龙; 李中杰; 杨维中

Abstract

吕炜,赖圣杰,唐忠,邓革红,付志智,张洪龙,李中杰,杨维中.广西壮族自治区2009-2011年传染病自动预警系统运行效果分析[J].Chinese journal of Epidemiology,2013,34(6):589-593

广西壮族自治区2009-2011年传染病自动预警系统运行效果分析

Application of the China Infectious Diseases Automated-alert and Response System in Guangxi, 2009-2011

Received:January 14, 2013 Revised:June 20, 2012

DOI：

KeyWord: 传染病预警系统

English Key Word: Infectious disease Early-warning system

FundProject:新疆维吾尔自治区重大科技专项(200733146-3)

Author Name	Affiliation	E-mail
LV Wei	Guangxi Center for Disease Control and Prevention, Nanning 530028,China	yangwz@chinacdc.cn
LAI Sheng-jie	Key Laboratory of Surveillance and Early-warning on Infectious Disease,Division of InfectiousDisease,Chinese Center for Disease Control and Prevention
TANG Zhong	Guangxi Medical University
DENG Ge-hong	Guangxi Center for Disease Control and Prevention, Nanning 530028,China
FU Zhi-zhi	Guangxi Center for Disease Control and Prevention, Nanning 530028,China
ZHANG Hong-long	Key Laboratory of Surveillance and Early-warning on Infectious Disease,Division of InfectiousDisease,Chinese Center for Disease Control and Prevention
LI Zhong-jie	Key Laboratory of Surveillance and Early-warning on Infectious Disease,Division of InfectiousDisease,Chinese Center for Disease Control and Prevention
YANG Wei-zhong	Chinese Center for Disease Control and Prevention

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Abstract:

目的分析中国传染病自动预警系统(CIDARS)在广西壮族自治区(广西)传染病暴发早期探测中应用效果.方法对2009-2011年预警系统移动百分位数法的预警信号及其信号响应率、响应时间、信号核实方式及响应结果进行描述性分析,并比较2010年12月10日预警参数调整前后的预警效果.结果广西区域内CIDARS共发出16种传染病的29 788条预警信号,平均每县每周约产生预警信号1.7条.信号响应率为100%,平均响应时间为1.5h.其中624条信号(2.09%)经初步核实后被判断为疑似暴发事件,经过现场调查最终确认9种传染病的191起暴发.总体上预警灵敏度为89.25%,探测及时性为2.8d.与预警参数调整前比较,预警参数调整后每月预警信号数减少,各病种预警灵敏度上升；除流行性腮腺炎外,流感、风疹及其他感染性腹泻的预警及时性均有所提高.结论CIDARS在广西区域内预警信号响应率和响应及时性较高,通过调整预警参数可进一步改进预警系统的应用效果,但目前假阳性信号所占比例仍较大,需根据不同疾病的特点改进预警方法.

English Abstract:

Objective To analyze and further improvement the application of the China Infectious Diseases Automated-alert and Response System (CIDARS) in Guangxi Zhuang Autonomous Region.Methods Resuts related to the amount of signal,proportion of signal responded,time to signal response,manner of signal verification and on each signal of Guangxi in CIDARS from 2009 to 2011 were described.Performance was compared between the periods of pre/ post the adjustment of parameters in CIDARS on December 10,2010.Results A total of 29 788 signals were generated on 16 infectious diseases in the system in Guangxi.100% signals had been responded with the median time to response as 1.5 hours.The average amount of signal per county per week was 1.7; with 624 signals (2.09%) verified as suspected outbreaks preliminarily and 191 outbreaks of 9 diseases were finally confirmed by further field investigation.The sensitivity of CIDARS was 89.25%,and the timeliness of detection was 2.8 d.After adjusting the parameter of CIDARS,the number of signals reduced,and the sensitivity and timeliness of detection improved for most of the diseases.Conclusion The signals of CIDARS were responded timely,and the performance of CIDARS might be improved by adjusting the parameters of early-warning model,which helped enhance the ability of outbreaks-detection for local public health departments.However the current proportion of false positive signals still seemed to be high,suggesting that both the methods and parameters should be improved,according to the characteristics of different diseases.

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