“国际卫生港”创建背景下的宁波口岸入境传染病监管体制探索

发布时间：2018-06-25 06:49

本文选题：宁波口岸 + 入境传染病监管　；参考：《宁波大学》2017年硕士论文

【摘要】：“国际卫生港”是根据《国际卫生条例》的要求,具备完善的卫生控制与保障设施、有效的卫生管理机制,同时亦能满足国际间疾病及核生化有害因子防控等需要,获得世界卫生组织认可的国际通航港口。近年来,宁波市不断加大港口卫生基础设施投入,建立健全在过去几十年内逐步发展和形成的卫生管理机制,切实提高口岸突发公共卫生事件应对能力和卫生控制长效机制建设能力,已具备创建“国际卫生港”的必要基础。本文第一部分阐述了“国际卫生港”的概念和创建意义,包括宁波口岸的创建情况。目前,宁波口岸的部分港区已成功通过世界卫生组织的验收考核,预计宁波口岸将在2016年底实现全部港区成功创建“国际卫生港”。“国际卫生港”的创建对“以港兴市”的宁波有着政策上和实践上等多方面的深远意义。本文第二部分从宁波口岸目前的入境传染病监管机制的理论和实践双方面分析了其目前所存在的问题。在创建“国际卫生港”的背景下,宁波口岸各部门协同建立了新时期所必需的诸如甲型H1N1流感、埃博拉等国际流行传染病的入境防控机制,并于近几年来处置了数起入境人员疑似染疫事件。本文通过与国外其他“国际卫生港”对比和对处置实践过程进行分析,提出对过往入境传染病染疫人员处置实践存在着各协同部门信息联动不足、职能部门一线人员自身防护不到位和对公众发布信息渠道欠畅通等问题进行了分析。本文最后提出对宁波口岸入境传染病监管体制的改进建议:完善协同部门联动机制、工作人员技能提升和建立与媒体间的沟通渠道等。其中首次提出协同部门应当精简,与传统观念中的全社会联防联动的防控办法和思路有所不同,是本文的创新点。这些改进建议,将与宁波口岸全港创建“国际卫生港”起到互动互推的作用。
[Abstract]:In accordance with the requirements of the International Health regulations, the "International Health Port" is equipped with sound health control and protection facilities, an effective health management mechanism, and can also meet the needs of the international community for the prevention and control of diseases, nuclear, biological, chemical and harmful factors. World Health Organization approved international navigable port. In recent years, Ningbo has continuously increased investment in port health infrastructure and established and perfected the health management mechanism that has been gradually developed and formed in the past few decades. It is necessary to improve the ability of responding to public health emergencies at ports and the ability of building long-term mechanism of health control, which is necessary for the establishment of "international health port". The first part of this paper expounds the concept and significance of International Health Port, including the establishment of Ningbo Port. At present, some port areas of Ningbo Port have successfully passed the World Health Organization's acceptance check, and it is expected that all the port areas will successfully establish the "International Health Port" by the end of 2016. The establishment of "International Health Port" has policy and practical significance to Ningbo. The second part of this paper analyzes the problems existing in Ningbo Port from the theory and practice of the current supervision mechanism of infectious diseases. In the context of the establishment of the "International Health Port," various departments at Ningbo Port have coordinated the establishment of an entry prevention and control mechanism for internationally prevalent infectious diseases such as influenza A (H1N1) and Ebola, which are necessary for the new era. In recent years, a number of suspected cases of infection of immigration personnel were handled. By comparing with other "international health ports" abroad and analyzing the process of disposal practice, this paper points out that there are insufficient information linkage among different departments in the disposal practice of infectious disease and epidemic personnel in the past. This paper analyzes the problems of the functional department personnel's self-protection and the lack of public information channel. Finally, this paper puts forward some suggestions to improve the supervision system of infectious diseases in Ningbo port: to perfect the linkage mechanism of cooperative departments, to upgrade the staff skills and to establish communication channels with the media, etc. It is the first time that the cooperative department should be simplified, which is different from the traditional idea of prevention and control of the whole society, which is the innovation of this paper. These improvements will interact with the creation of an international health port in Ningbo.
【学位授予单位】：宁波大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R185

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