本文選題：手足口病(HFMD) + 突發(fā)公共衛(wèi)生事件��； 參考：《病毒學(xué)報(bào)》2017年06期

【摘要】：本文通過分析2008~2016年我國(guó)報(bào)告的手足口病突發(fā)公共衛(wèi)生事件,為防控手足口病流行和評(píng)價(jià)防治效果提供科學(xué)依據(jù)。從中國(guó)疾病預(yù)防控制信息系統(tǒng)下載2008年1月1日至2016年12月31日《突發(fā)公共衛(wèi)生事件報(bào)告管理信息系統(tǒng)》中手足口病突發(fā)公共衛(wèi)生事件報(bào)告(Excel文件)和結(jié)案報(bào)告(Word文檔)、下載同期《傳染病報(bào)告管理信息系統(tǒng)》手足口病個(gè)案、查閱有關(guān)地區(qū)手足口病空間流行病學(xué)分析文獻(xiàn),采用Excel、SPSS、ArcGIS9.0進(jìn)行數(shù)據(jù)分析。我國(guó)手足口病突發(fā)公共衛(wèi)生事件報(bào)告數(shù)在2012年達(dá)階段性高點(diǎn)后基本呈逐年下降趨勢(shì),事件規(guī)模自2009年起趨于縮小。重大和較大事件明顯減少,事件報(bào)告總起數(shù)的變化主要取決于影響較小的未分級(jí)事件。突發(fā)公共衛(wèi)生事件的時(shí)間、地區(qū)分布與同期報(bào)告發(fā)病數(shù)類似,大多年份報(bào)告事件數(shù)在4~6月達(dá)高峰,報(bào)告地區(qū)以我國(guó)南方為主。事件發(fā)生后上報(bào)及時(shí),處理事件所需時(shí)間在2008~2011年間逐年下降,自2012年起隔年下降。引起死亡的病原體以EV71為主,占全部陽性檢測(cè)結(jié)果的78.95%~100.00%。手足口病在空間的聚集性有可能形成突發(fā)公共衛(wèi)生事件,也可能只是在一定時(shí)間和區(qū)域內(nèi)散發(fā)病例的積累。我國(guó)已能將手足口病突發(fā)公共衛(wèi)生事件控制在有限的范圍內(nèi),但對(duì)事件的發(fā)生仍需保持足夠的警惕,還需提高病原體檢測(cè)能力和突發(fā)公共衛(wèi)生事件處置報(bào)告質(zhì)量。
[Abstract]:Based on the analysis of the public health incidents of HFMD reported in China from 2008 to 2016, this paper provides a scientific basis for the prevention and control of HFMD and the evaluation of prevention and control effects. Download Excel file and closed report from China Disease Prevention and Control Information system from January 1, 2008 to December 31, 2016 "report on Public Health Emergencies of hand, foot and mouth Disease" Download the infectious disease report management information system for the same period, hand, foot and mouth disease case, The spatial epidemiological literature of HFMD was reviewed and the data were analyzed by Excel SPSS ArcGIS9.0. The number of HFMD public health incidents reported in China has decreased year by year after reaching the stage peak in 2012, and the scale of the incidents has been decreasing since 2009. The number of major and larger events decreased obviously, and the change of the total number of incident reports mainly depended on the ungraded events with less influence. The regional distribution of public health emergencies was similar to the number of reported cases in the same period. The number of reported events reached its peak in most years from April to June, and the reporting area was mainly in the south of China. The incident was reported promptly and the time required to deal with the incident decreased year by year from 2008 to 2011 and from 2012 onwards. The leading cause of death was EV71, which accounted for 78.95% of the total positive results. The agglomeration of HFMD in space may lead to sudden public health events, or it may only accumulate sporadic cases in a certain time and region. China has been able to control HFMD public health emergencies within a limited range, but it is still necessary to maintain sufficient vigilance to the occurrence of incidents, and to improve the detection ability of pathogens and the quality of emergency public health incident reports.
【作者單位】： 中國(guó)疾病預(yù)防控制中心病毒病預(yù)防控制所;
【分類號(hào)】：R181.8;R725.1
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本文編號(hào)：1914991