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国家传染病自动预警系统在基层应用效果初步分析 被引量:18

The effectiveness of China Infectious Disease Automated-alert and Response System (CIDARS) in the local regions
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摘要 目的初步了解同家传染病自动预警系统fCIDARS)在基层传染病暴发早期探测中发挥的作用。方法在云南和湖南两省共选取4个市(县、区),对2008年7月1日至2010年6月30日预警相关病种的报告病例数、预警信号数、预警信号初步核实结果反馈时间间隔和初步核实方式、预警信号初步核实和现场调查结果进行分析。结果两省4个市(县、区)共报告了纳入预警系统的28种传染病病例12346例,预警系统共发m2096条预警信号,共涉及19种疾病,平均每个市(县、区)每周预警信号数为4.94条。预警信号初步核实结果反馈时间间隔中位数为0.70h(P25~P74为0.06~1.29h),预警信号初步核实的主要方式是监测数据分析(占63.07%)。预警信号经过初步核实后,共有4种传染病的34条预警信号被判断为疑似事件信号,占总预警信号的1.62%;4个市(县、区)的疑似事件信号占预警信号的比例有较大差异,其中湖南省双峰县比例最高(4.71%)、昆明市西山区比例最低(0.58%),长沙市岳麓区为1.88%、云南省个旧市为0.95%。疑似事件经过进一步现场调查后确认了12起暴发,其中风疹事件5起,流行性腮腺炎4起,流行性感冒2起,伤寒1起。结论C1DARS能够辅助基层疾病预防控制机构早期发现可能的传染病暴发,但不同地区、不同病种的预警效果存在差别。 Objective To understand the effectiveness of China Infectious Disease Automated-alert and Response System (CIDARS) for outbreak detection at the regional level. Methods Two counties in Hunan province (Yuelu and Shuangfeng county) and two counties in Yunnan province (Xishan and Gejiu county) were chosen as the study areas. Data from CIDARS were analyzed on the following items, reported cases, warning signals, the time interval of signal response feedback, way of signal verification, outcome of signal verification and field investigation, from July 1,2008 to June 30,2010. Results In total, 12 346 cases from 28 kinds of diseases were reported, and 2096 signals of 19 diseases were generated by the system, with an average of 4.94 signals per county per week. The median of time interval on signal verification feedback was 0.70 hours (P25-P75: 0.06-1.29 h) and the main way of signal preliminary verification was through the review of surveillance data (account for 63.07% ). Among all the signals, 34 of them (1.62%) were considered to be related to suspected events via the preliminary verification at the local level. Big differences were found to have existed on the proportion of signals related to the suspected events of the total signals among the four counties, with Shuangfeng county as 4.71%, Yuelu county as 1.88%, Gejiu county as 0.95% and Xishan county as 0.58%. After an iudepth study on the fields of suspected events, 12 outbreaks were finally confirmed, including 5 on rubella, 4 on mumps, 2 on influenza and 1 on typhoid fever. Conclusion CIDARS could be used to assist the local public health institutions on early detection of possible outbreaks at the early stage. However, the effectiveness was different depending on the regions and diseases.
出处 《中华流行病学杂志》 CAS CSCD 北大核心 2011年第5期446-449,共4页 Chinese Journal of Epidemiology
基金 "十一五"国家科技支撑计划(2006BAK01A13,2008BAI56B02) 中国-世界卫生组织合作项目(WPCHN0801617,WPCHN1002405) 国家科技重大专项(2009ZX10004-201) [感谢卫生部卫生应急办公室、WHO驻华代表处以及湖南省和云南省4个市(县、区)CDC的支持与帮助]
关键词 传染病 预警系统 Infectious disease Early-warning system
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参考文献10

  • 1Wang L,Wang Y,Jin S,et al.Emergenceand control of infectious diseases in China.Lancet,2008,372(9649):1598-1605.
  • 2中国疾病预防控制中心.中国2008年法定传染病发病与死亡报告.北京:中国疾病预防控制中心,2009.
  • 3Yang WZ,Li ZJ,Lan YJ,et al.A nationwide web-based automated system for outbreak early detection and rapid response in China.Westem Pacific Surveillance and Response Journal,2011,2(1)(2011-03-08)[2011-03-14].http://www.wpro.who.int/NR/rdonlyres/DB442892-1C7A-4BCF-A3E5-C1555FF54716/0/201011009_SI_CIDARS_CHN.pdf.
  • 4杨维中,兰亚佳,李中杰,马家奇,金连梅,孙乔,吕炜,赖圣杰.国家传染病自动预警系统的设计与应用[J].中华流行病学杂志,2010,31(11):1240-1244. 被引量:131
  • 5中国疾病预防控制中心.全国传染病自动预警(时间模型)试运行工作方案.北京:中国疾病预防控制中心,2008.
  • 6冯子健,李克莉,金连梅,倪大新,许真,王英.中国突发公共卫生事件发现人及报告人职业特征的研究[J].中华流行病学杂志,2008,29(1):1-4. 被引量:19
  • 7Murakami Y,Hashimoto S,Taniguchi K,et al.Evaluation of a method for issuing warnings pre-epidemics and epidemics in Japan by infectious diseases surveillance.J Epidemiol,2004,14 (2):33-40.
  • 8Ohta A,Murakami Y,Hashimoto S,et al.Epidemics of influenza and pediatric diseases observed in infectious disease surveillance in Japan,1999-2005.J Epidemiol.2007,17 Suppl:S14-22.
  • 9Buckeridge DL,Okhmatovskaia A.Tu S,et al.Understanding detection performance in public health surveillance:modeling aberrancy-detection algorithms.J Am Med Inform Assoc,2008,15(6):760-769.
  • 10Buehler JW,Hopkins RS,Overhage JM,et al.Framework for evaluating public health surveillance systems for early detection of outbreaks:recommendations from the CDC Working Group.MMWR Recomm Rep,2004,53(RR-5):1-11.

二级参考文献9

共引文献145

同被引文献126

  • 1殷菲,李晓松,冯子健,马家奇.前瞻性时空扫描统计量在传染病早期预警中的应用[J].中华预防医学杂志,2007(S01):155-158. 被引量:10
  • 2杨维中,邢慧娴,王汉章,兰亚佳,孙乔,胡世雄,吕伟,袁政安,陈裕旭,董柏青.七种传染病控制图法预警技术研究[J].中华流行病学杂志,2004,25(12):1039-1041. 被引量:144
  • 3邢慧娴,杨维中,王汉章.传染病预测[J].预防医学情报杂志,2004,20(6):639-642. 被引量:47
  • 4殷菲,冯子健,李晓松,马家奇.基于前瞻性时空重排扫描统计量的传染病早期预警系统[J].卫生研究,2007,36(4):455-458. 被引量:48
  • 5中国疾病预防控制中心.全国传染病自动预警(时间模型)试运行工作方案.北京:中国疾病预防控制中心,2008.
  • 6中国疾病预防控制中心全国传染病自动预警(时间模型)试运行工作方案[z].北京:中国疾病预防控制中心,2008.
  • 7中国疾病预防控制中心.全国传染病自动预警(时间模型)试运行工作方案[S].北京:中国疾病预防控制中心,2008.
  • 8Kulldorff M , Athas WF , Feurer EJ , et 81 . Evaluating cluster alarms a space- time scan statistic and brain cancer in LosAlamos, New Mexico [J]. Am J Public Health, 1998, 88 (9) : 1377 - 1380.
  • 9Kulldorff M. Prospective time periodic geographical disease surveillance using a scan statistic [ J]. "J R Stat Soc, 2001, 164 (I): 61-72.
  • 10Kulldorff M, Heffeman R, Hartman J, et al. A space - time permutation scan statistic for disease outbreak detection [ J ]. PLoS Med, 2005, 2 (3): 216-224.

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