福建省突发公共卫生事件特征及处置效果评价  

Characteristics and the disposal effect of public health emergencies in Fujian,China

作　　者：陈武[1] 黄峥强[1] 吴生根[1] 蔡少键 洪荣涛[1] 欧剑鸣[1] 郑奎城[1] CHEN Wu;HUANG Zhengqiang;WU Shenggen;CAI Shaojian;HONG Rongtao;OU Jianming;ZHENG Kuicheng(Fujian Center for Disease Control and Prevention(Fujian Key Laboratory of Zoonoses Research,Fujian 350001,China)

机构地区：[1]福建省疾病预防控制中心(福建省人兽共患病研究重点实验室)

出　　处：《海峡预防医学杂志》2019年第5期7-10,共4页Strait Journal of Preventive Medicine

基　　金：福建省科技计划项目(No.2017R0026)

摘　　要：目的了解福建省突发公共卫生事件(突发事件)特征、评价处置效果,为防控工作及事件管理提供依据。方法用描述性流行病学方法分析福建省2010-2017年突发事件特征,用8个指标、以TOPSIS法和RSR法综合评价8个年度的处置效果。结果 8年监测报告事件937起,波及1 505 747人,罹患21 592例,死亡91例,罹患率14.34‰;报告事件较多者为福州、漳州和厦门,最少为2011年、最多为2017年;5月、12月为年度高峰(30.2%);传染病类占89.2%,未达级事件占64.3%,教育场所占63.7%;监测时效P50为137.8 h、报告时效P50为1.7 h、控制时效P50为7 d、结案时效P50为1.2周,完整率为92.9%、准确率为60.6%、个案关联率为76.2%;综合评估处置效果2010和2013年为"好"。结论福建省突发事件报告数8年来呈增加趋势,以传染病类、未达级事件及教育场所为主,完整率有所提升。Objective To study the epidemiological characteristics of public health emergencies and disposal effect for the event disposition, the disease control and prevention and management. Methods The characteristics of public health emergencies in Fujian in 2010-2017 were analyzed by descriptive epidemiological method. The disposal effects for eight years were evaluated by TOPSIS and RSR comprehensive evaluation methods with corresponding eight indicators of the event disposition. Results In eight years,totally 937 events were reported, involving 1 505 747 people, 21 592 cases, 91 deaths and with attack rate 14.34. The more cases of reported events were in Fuzhou, Zhangzhou and Xiamen City, and the minimum was in 2011 and the maximum in 2017. The annual peaks were in May and December(30.2%). Infectious diseases accounted for 89.2%,The substandard events were 64.3%,and 63.7% in educational places. The monitoring sensitivity P50 was 137.8 hours, the timeliness of reports P50 was 1.7 hours, the timeliness of control P50 was 7 days, the timeliness of closing P50 was 1.2 weeks, the completeness rate was 92.9%, the accuracy rate was 60.6%, the case correlation rate was 76.2%. The results of the comprehensive assessment with "good" were in 2010 and 2013. Conclusion The cases of public health emergencies showed increasing tendency for recent eight years in Fujian. The major events were infectious diseases, substandard events and in educational places and the integrity rates of the event disposition were improving in recent years.

关 键 词：突发公共卫生事件 流行特征 预防控制 TOPSIS法 RSR法 

分 类 号：R1[医药卫生—公共卫生与预防医学]