2005—2011年东莞市传染病类突发公共卫生事件流行特点及报告质量分析  

Epidemiological characteristics and reporting quality of public health emergencies of infectious diseases in Dongguan City,2005—2011

作　　者：熊劲光[1] 卢志慧[1] 张泽武[1] 钟新光[1] 袁汝钊[1] 陈婉雯[1] 陈平华[1] 陈光中[1] 张巧利[1] 

机构地区：[1]东莞市疾病预防控制中心,广东东莞523129

出　　处：《华南预防医学》2012年第3期9-13,共5页South China Journal of Preventive Medicine

摘　　要：目的了解2005—2011年东莞市传染病类突发公共卫生事件流行特点及报告质量。方法对东莞市疾病预防控制中心2005—2011年通过中国疾病预防控制信息系统的《国家突发公共卫生事件报告管理信息系统》报告的所有传染病类突发公共卫生事件进行描述性分析;自行设计《传染病突发公共卫生事件报告质量评价表》对每起事件的报告质量进行评价,选用39个变量对报告的及时性、完整性和流行病学调查报告的规范性进行定性和定量分析。结果东莞市2005—2011年共报告传染病类突发事件143起,发病4 148例,死亡4例,病死率0.10%。其中未分级事件占81.12%(116/143)、乙类和丙类传染病占78.32%(112/143)、呼吸道传染病占85.31%(122/143)。按病种来分,居前3位的分别是甲流(占41.26%,59/143)、流感(占18.18%,26/143)和水痘(占16.08%,23/143)。2009年是传染病类突发事件发生的高峰年,发生的事件数占总数的53.15%(76/143);11月是发生的高峰月份,发生的事件数占总数的32.87%(47/143)。传染病类突发事件最常见于学校,占84.62%(121/143);其次为工厂,占8.39%(12/143)。用于评价传染病类突发事件报告质量的39个变量平均得分率85.21%。甲类、乙类、丙类及非法定报告传染病类突发事件报告质量平均得分率分别为93.59%、84.79%、85.54%、85.05%,差异有统计学意义(P<0.01)。得分率最低的3个变量分别为在流行病学调查报告中"建立病例定义"、"有现症人数"和"有首发病例情况描述",得分率分别为2.80%、13.29%和27.27%。结论学校、工厂是东莞市传染病类突发事件发生的重点场所;流感、水痘等呼吸道传染病是东莞市传染病类突发事件的主要病种;东莞市传染病类突发事件报告质量良好。Objective To understand the epidemiological characteristics and reporting quality of public health emergencies of infectious diseases in 2005-2011 in Dongguan City. Methods Public health emergencies of infectious diseases in 2005-2011 reported to National Management Information System of Public Health Emergencies by Dongguan CDC were analyzed. Reporting quality of each event was evaluated by self-designed form. 39 variables were used to evaluate the timeliness, integrity and normative of repor- ting by qualitative and quantitative analysis. Results From 2005 to 2011, a total of 143 infectious disease events were reported in Dongguan City, in which 4 148 cases were recorded, including 4 dead cases with a fatality rate of O. 10%. Unclassified emergencies were accounted for 81.12% （ 116/143 ） , classes B and C infectious diseases were accounted for 78.32% （112/143）, and respiratory infectious diseases accounted for85.31% （122/143） in all events. The top three diseases were pandemic influenza A （H1N1） （41.26% ,59/143）, seasonal influenza （ 18.18%, 26/143）, and varieella （ 16.08% , 23/143 ）. Peak incidence year appeared in 2009 in which 76 events occurred, accounting for 53.15% （76/143） and peak incidence month appeared in November in which 47 events occurred, accounting for 32.87% （47/143）. Most events occurred in school （84.62% , 121/143） and factory （8.39% , 12/143）. Mean score rate of 39 variables in reporting quality evaluation was 85.21%. Mean score rate of class A, class B, class C, and unclassified emergencies of infectious diseases were 93.59% , 84.79% , 85.54% , and 85.05% , re- spectively, with significant difference（ P 〈0. O1 ）. The three variables with lowest score rate were ＂estab- lishing case definition＂, ＂describing number of active patients＂ and ＂giving information on the first case＂ in epidemiological report. The score rates of these three variables were 2.80% , 13.29% and 27.27%, respectively. Conclusion School and factory were the major

关 键 词：突发公共卫生事件 传染病 流行病学 

分 类 号：R181.8[医药卫生—流行病学]