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目的通过对2007年驻马店市突发公共卫生事件网络直报状况进行分析,掌握突发公共卫生事件发生的特点和规律,找出报告中存在的问题,为今后及时、有效地预防、控制突发公共卫生事件的发生、发展和危害,提出改进措施,达到监测目的,提供科学依据。方法2007年驻马店市通过《突发公共卫生事件报告管理信息系统》报告的突发公共卫生事件资料;利用描述性流行病学方法进行分析;突发公共卫生事件的判定、报告、分级,依据国家颁布的《突发公共卫生事件相关信息报告管理规范》(试行)和《国家突发公共卫生事件应急预案》。结果2007年驻马店市共报告突发公共卫生事件13起,1起未分级,12起为IV级;事件报告地区、发生时间集中,全部事件由一个县报告,均发生在上半年,5月最多,其次为1月;事件类型集中在呼吸道传染病的暴发和流行;发生场所以学校为主,占92.3%;发病人数和波及人数,麻疹最多,波及全县;从发生到报告,时间最长7 d,最短0.33 h;从接到报告到网络直报,时间最长80 h,最短0.33 h,2 h内报告的事件占46.15%;事件结案时间,最长58 d,最短3 d,平均32 d;有进程报告的事件6起,占46.15%,缺报最多的项目为事件波及地区范围和经济损失,缺报率分别为84.62%和100%。讨论2007年驻马店市突发公共卫生事件的特点及报告中存在的问题;针对其特点和存在问题提出预防控制和改进措施。
OBJECTIVE: To analyze the characteristics of the public health emergencies in Zhumadian City in 2007 and grasp the characteristics and laws of the occurrence of public health emergencies in order to find out the problems in the report and to prevent and control the sudden and timely The occurrence, development and harm of public health incidents, put forward improvement measures to achieve the purpose of monitoring, to provide a scientific basis. Methods Data of public health emergencies reported in Zhumadian City through the “Public Health Emergencies Reporting Management Information System” in 2007; analysis by descriptive epidemiological methods; judgment, report and grading of public health emergencies, according to the national Promulgated the “public health emergencies related information reporting management practices” (for trial implementation) and “national emergency public health emergencies plan.” Results In 2007, a total of 13 public health emergencies were reported in Zhumadian City, 1 were not graded and 12 were Level IV. In the reporting area, the occurrence time was concentrated and all the incidents were reported by one county, both in the first half of the year and most in May , Followed by January; the type of incident focused on the outbreak and epidemic of respiratory infectious diseases; the place of occurrence was school-based, accounting for 92.3%; the number of patients and the number of people affected, the largest number of measles, affecting the whole county; 7 d, the shortest 0.33 h; from receiving the report to the network direct report, the longest time of 80 h, the shortest 0.33 h, reporting events within 2 h 46.15%; event closing time, up to 58 d, the shortest 3 d, the average 32 d; there were 6 incidents reported by the process, accounting for 46.15% of the total. The projects with the largest reported incidents spread to the area and economic losses, with a rate of 84.62% and 100% respectively. Discuss the characteristics of public health emergencies in Zhumadian City in 2007 and the problems in the report; put forward prevention and control and improvement measures according to their characteristics and existing problems.