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目的探讨在处理突发公共卫生事件时如何开展粤港澳防控传染病合作机制。方法对广州市2012年1起人禽流感疫情处置工作进行回顾,粤港两地启动联防联控机制,共同开展病例感染来源调查、跟踪观察密切接触者、信息互通、风险监测、媒体应对等措施;广东省、广州市卫生部门反应迅速,措施及时,与农业、工商等多名部门建立联防联控机制,采取了综合性防控措施,强化疫情监测、实验室检测、健康宣教等工作。结果依托防控传染病合作机制,粤港两地在应急处置、信息互通、媒体沟通等方面合作取得良好成效,确保了防控工作有力的开展,维护社会稳定;本次事件为独立个案,感染来源为广州某市场的可能性大,禽流感病毒未在社区暴发和流行;23名密切接触者未发现异常的临床表现。结论建议制定互联的覆盖粤港澳传染病监测网络,加强传染病防控新技术应用的交流与合作,完善卫生应急机制建设和传染病疫情通报机制。
Objective To explore how to carry out the cooperation mechanism of prevention and control of infectious diseases in Guangdong, Hong Kong and Macao when dealing with public health emergencies. Methods A retrospective review was conducted on one case of bird flu outbreak in Guangzhou in 2012. Guangdong and Hong Kong started joint prevention and control mechanism to investigate sources of caseinfection and follow-up measures such as close contacts, information exchange, risk monitoring and media response ; The health departments of Guangdong and Guangzhou responded promptly and promptly and established a joint prevention and control mechanism with departments of agriculture, industry and commerce and other departments to take comprehensive prevention and control measures to strengthen epidemic surveillance, laboratory testing and health mission. Results Relying on the cooperation mechanism on prevention and control of infectious diseases, Guangdong and Hong Kong have achieved good results in cooperation in emergency response, information exchange and media communication to ensure vigorous prevention and control work and maintain social stability. The incident was an independent case of infection The source is likely to be a market in Guangzhou. The bird flu virus was not outbreaks and epidemic in the community. Twenty-three close contacts found no abnormal clinical manifestations. Conclusion It is suggested that an interconnected monitoring network covering infectious diseases in Guangdong, Hong Kong and Maucao should be established so as to enhance the exchange and cooperation in the application of new technologies for prevention and control of communicable diseases and improve the mechanism for establishing a health emergency response mechanism and reporting the epidemic situation of infectious diseases.