四川省传染病漏报分析:2000年居民漏报调查资料  

Investigation and Analysis of Fail-to-report Cases of Infectious Diseases in Sichuan Residents,2000

作　　者：马煦[1] 王燕[1] 许军红[1] 宋扬[1] 季奎[1] 何君[1] 杨晓妍[1] 

机构地区：[1]四川省卫生防疫站,成都610031

出　　处：《预防医学情报杂志》2001年第6期423-424,共2页Journal of Preventive Medicine Information

摘　　要：目的　了解四川省传染病报告现状并校正报告发病率。方法　采用整群分层随机抽样方法 ,调查四川省 2个城区、 3个县 2 0 0 0年 1～ 10月发生 (或疑似发生 )的甲、乙类传染病发病及就诊报告 (或未诊 )情况。结果　甲、乙类传染病总漏报率为 45 32 % ,以此推算出同期全省传染病校正报告发病率为 340 80 /10万 ,是报告发病率的 1 83倍 ,且城乡漏报率差异显著。发现率和漏报率均较高的病种是麻疹、痢疾、病毒性肝炎。就诊漏报以村级 (私人诊所 )医院所占比重最大 ,漏报率也最高 ,为 10 0 %。未诊疑似病例发生率为 6 7 5 9/10万。结论　目前四川省传染病漏报情况严重 ,常规疫情报告网和综合疾病监测点收集的数据可信度下降 ,对疫情报告管理特别是对个体医生报病加大监督检查力度十分迫切。Objective To understand the present situation of infectious diseases report and to abjust the reported incidence rate.Methods Two regions and three counties were searched (selected through stratified and cluster sampling),the ascertained and suspicious cases of Class A and B Infectious diseases (January,2000 to October,2000)were investigated. Results The total fail-to-report rate(FRR)was 45 32%,and we deduced that the corrected incidence rate(CIR)was 340 80 per 100000 which was 1 83 times as the reported incidence rate(RIR).There was significant difference of FRR bteween cities and countries.Diseases,whose RIR and FRR are relatively high ,are Measles,Dysentery and Viral Hepatities.Dispensaries in village were major origin of fail-to-report cases and their FRR were highest(100%).suspicious cases incidence rate is 67 5%per 100000.Conclusions The present situation of fail-to-report of infectious diseases is severe,the reliability of data from Routine Report System of Infectious Diseases and Local spots of disease surveillance is low.It is urgent to strengthen the menagement of report system especialy of individual doctor*ss case report.

关 键 词：传染病 校正报告发病率 漏报率 居民 漏报调查资料 疾病监测 

分 类 号：R510.1[医药卫生—内科学]