2008～2016年我国手足口病突发公共卫生事件报告分析

发布时间：2018-05-20 14:31

  本文选题：手足口病(HFMD) + 突发公共卫生事件　； 参考：《病毒学报》2017年06期

【摘要】：本文通过分析2008~2016年我国报告的手足口病突发公共卫生事件,为防控手足口病流行和评价防治效果提供科学依据。从中国疾病预防控制信息系统下载2008年1月1日至2016年12月31日《突发公共卫生事件报告管理信息系统》中手足口病突发公共卫生事件报告(Excel文件)和结案报告(Word文档)、下载同期《传染病报告管理信息系统》手足口病个案、查阅有关地区手足口病空间流行病学分析文献,采用Excel、SPSS、ArcGIS9.0进行数据分析。我国手足口病突发公共卫生事件报告数在2012年达阶段性高点后基本呈逐年下降趋势,事件规模自2009年起趋于缩小。重大和较大事件明显减少,事件报告总起数的变化主要取决于影响较小的未分级事件。突发公共卫生事件的时间、地区分布与同期报告发病数类似,大多年份报告事件数在4~6月达高峰,报告地区以我国南方为主。事件发生后上报及时,处理事件所需时间在2008~2011年间逐年下降,自2012年起隔年下降。引起死亡的病原体以EV71为主,占全部阳性检测结果的78.95%~100.00%。手足口病在空间的聚集性有可能形成突发公共卫生事件,也可能只是在一定时间和区域内散发病例的积累。我国已能将手足口病突发公共卫生事件控制在有限的范围内,但对事件的发生仍需保持足够的警惕,还需提高病原体检测能力和突发公共卫生事件处置报告质量。
[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.
【作者单位】： 中国疾病预防控制中心病毒病预防控制所;
【分类号】：R181.8;R725.1
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本文编号：1914991