基于“同一健康”理念的重点传染病综合监测体系建设专家共识  

Expert consensus on establishing an enhanced integrated surveillance system for key infectious diseases based on the"one health"

作　　者：程雁鹏 张振[1,2] 舒跃龙 任丽丽 康敏[4] 孔东锋[1] 石晓路[1] 吕秋莹[1] 陈志高[1] 李迎慧[1] 张仁利[1] 陆普选[5] 路滟 刘婷婷[1] 陈霓璇 熊华威 杜琛[1] 袁俊 王亮[7] 刘荣启[8] 陈伟红 李学云[10] 林启辉[11] 李刚 张新东[13] 袁建辉[14] 王铁强 郭永超 逯建华 邹旋[1] 冯铁建 Cheng Yanpeng;Zhang Zhen;Shu Yuelong;Ren Lili;Kang Min;Kong Dongfeng;Shi Xiaolu;Lyu Qiuying;Chen Zhigao;Li Yinghui;Zhang Renli;Lu Puxuan;Lu Yan;Liu Tingting;Chen Nixuan;Xiong Huawei;Du Chen;Yuan Jun;Wang Liang;Liu Rongqi;Chen Weihong;Li Xueyun;Lin Qihui;Li Gang;Zhang Xindong;Yuan Jianhui;Wang Tieqiang;Guo Yongchao;Lu Jianhua;Zou Xuan;Feng Tiejian(Shenzhen Center for Disease Control and Prevention,Guangdong Shenzhen 518055,China;Shenzhen Research Center for Communicable Disease Control and Prevention,Chinese Academy of Medical Sciences,Guangdong Shenzhen 518055,China;Institute of Medical Biology,Chinese Academy of Medical Sciences,Beijing 100005,China;Guangdong Provincial Center for Disease Control and Prevention,Guangdong Guangzhou 511430,China;Electronic Journal of Emerging Infectious Diseases,Guangdong Shenzhen 518020,China;Guangzhou Center for Disease Control and Prevention,Guangdong Guangzhou 510440,China;Chengdu Center for Disease Control and Prevention,Sichuan Chengdu 610047,China;Shenzhen Animal Disease Prevention and Control Center,Guangdong Shenzhen 518120,China;Luohu District Center for Disease Control and Prevention,Guangdong Shenzhen 518020,China;Futian District Center for Disease Control and Prevention,Guangdong Shenzhen 518040,China;Longhua District Center for Disease Control and Prevention,Guangdong Shenzhen 518109,China;Longgang District Center for Disease Control and Prevention,Guangdong Shenzhen 518172,China;Baoan District Center for Disease Control and Prevention,Guangdong Shenzhen 518101,China;Nanshan District Center for Disease Control and Prevention,Guangdong Shenzhen 518054,China;Guangming District Center for Disease Control and Prevention,Guangdong Shenzhen 518106,China;Shenzhen Uni-medical Techonology Co.,Ltd,Guangdong Shenzhen 518052,China)

机构地区：[1]深圳市疾病预防控制中心,广东深圳518055 [2]中国医学科学院深圳传染性疾病防控研究中心,广东深圳518055 [3]中国医学科学院病原生物学研究所,北京100005 [4]广东省疾病预防控制中心,广东广州511430 [5]《新发传染病电子杂志》编辑部,广东深圳518020 [6]广州市疾病预防控制中心,广东广州510440 [7]成都市疾病预防控制中心,四川成都610047 [8]深圳市动物疫病预防控制中心,广东深圳518120 [9]深圳市罗湖区疾病预防控制中心,广东深圳518020 [10]深圳市福田区疾病预防控制中心,广东深圳518040 [11]深圳市龙华区疾病预防控制中心,广东深圳518109 [12]深圳市龙岗区疾病预防控制中心,广东深圳518172 [13]深圳市宝安区疾病预防控制中心,广东深圳518101 [14]深圳市南山区疾病预防控制中心,广东深圳518054 [15]深圳市光明区疾病预防控制中心,广东深圳518106 [16]深圳联合医学科技有限公司,广东深圳518052

出　　处：《新发传染病电子杂志》2023年第4期69-79,F0002,共12页Electronic Journal of Emerging Infectious Diseases

基　　金：深圳市医学重点学科公共卫生重点专科(SZXK064);中国医学科学院中央级公益性科研院所基本科研业务费专项资金项目(2020-PT330-006);深圳市可持续发展科技专项(KCXFZ202002011006190);深圳市创新创业计划技术攻关重点项目(JSGG20210901145004012);深圳市科技计划基础研究重点项目(JCYJ20200109150715644);深圳市‘医疗卫生三名工程’项目(SZSM202011008)。

摘　　要：新中国自成立以来便不断完善重点传染病的监测工作,2003年SARS疫情之后建立了横向到边、纵向到底的传染病与突发公共卫生事件网络直报系统。随着病原体传播影响因素不断变化,对监测预警关口、预警信息、预警技术要求的不断提高,以及分子生物学、生物信息学、人工智能等鉴定分析技术的不断发展,增强早期监测预警能力逐渐成为健全公共卫生体系的当务之急。本共识组织中国医学科学院、广东省疾病预防控制中心、深圳市疾病预防控制中心、《新发传染病电子杂志》编辑部、深圳市动物疫病防控中心、成都市疾病预防控制中心等16家机构共计31位相关领域知名专家,通过对当前重点传染病(39种法定传染病和新发传染病)形势总结分析,基于“同一健康”理念,针对重点传染病,形成第四代综合监测方案。旨在通过对人、动物、病媒生物等主要疫源宿主和相关环境的病原体,结合流行传播影响因素、风险评估要素,展开流行病学和病原学系统性监测,以早期发现、预测预警重点传染病的发生、发展、变异和流行传播特征。同时,基于第四代综合监测方案,我们尝试构建传染病综合监测组织管理体系、数据融通共享的数智化监测预警平台和集约化病原检测技术体系。这一系列的思考,以多部门、多维度、多因素、多病原的系统性、综合性监测为基础,以数据融合、互通互联为支撑,以多领域合作为契机,以多学科结合应用为依托,为全面提升重点传染病综合监测预测预警能力提供参考,供传染性疾病预防控制和相关机构参考使用。China has continuously improved the monitoring of key infectious diseases.After the SARS epidemic in 2003,we have established a comprehensive reporting network system for infectious diseases and public health emergencies.With the constant development of molecular biology,bioinformatics,artificial intelligence,and other identification and analysis technologies,along with the increasing demands for early warning thresholds,information,and techniques,strengthening early monitoring and warning capabilities has become a top priority for enhancing the public health system.A total of 31 experts,based on the"One Health"concept and through analysis of the current situation,have suggested the fourth-generation comprehensive surveillance system targeting key infectious diseases(39 notifiable diseases and emerging infectious diseases).This surveillance system aims to systematically monitor the epidemiology and pathogenics of major disease hosts such as humans,animals,and vectors,along with the associated environmental pathogens.By integrating factors influencing epidemic spread and risk assessment elements,the surveillance system aims to detect,predict,and provide early warnings for the occurrence,development,variation,and spread of new and key infectious diseases.Moreover,we are attempting to build an organizational management system for comprehensive infectious disease monitoring based on the fourth-generation surveillance system,along with a data-integrated monitoring and early warning platform and an intensive pathogen detection technology system.This series of considerations,based on systematic and comprehensive monitoring across multiple sectors,dimensions,factors,and pathogens,is supported by data integration and connectivity.It provides an opportunity for collaboration in various fields and relies on interdisciplinary application to enhance the comprehensive monitoring,prediction,and early warning capabilities for the next generation of infectious diseases surveillance.This serves as a reference for infectious diseas

关 键 词：同一健康 传染病 新发传染病 重点传染病 监测体系 专家共识 

分 类 号：R511[医药卫生—内科学] R197[医药卫生—临床医学]