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目的评估2013年11月中国(未包括香港、澳门和台湾地区)突发公共卫生事件及需要关注的传染病风险。方法根据全国突发公共卫生事件报告及重点传染病监测等各种监测资料和部门通报信息,采用专家会商法进行评估。结果根据近期传染病和突发公共卫生事件监测数据,结合既往突发公共卫生事件发生情况及传染病流行特点分析,11月仍将是全年突发公共卫生事件报告数较高的月份之一,全国总报告事件数和病例数可能较10月有所升高。进入秋冬季天气转冷后,禽间禽流感病毒活动有可能趋于增强,在我国禽类养殖、流通、交易方式和人-禽接触(暴露)方式未得到根本性改变的前提下,未来数月我国发生人感染H7N9禽流感病例的风险将有所增加。世界卫生组织评估认为,中东呼吸综合征疫情目前尚未构成国际关注的突发公共卫生事件,但11月仍有部分麦加朝觐人员归国,相关省份仍需关注中东呼吸综合征传入我国的风险。我国北方地区已进入燃煤取暖季节,非职业性一氧化碳中毒事件将有所增加。结论 2013年11月我国的突发公共卫生事件及传染病疫情发生态势与往年相似,处于全年较高水平;需重点关注人感染H7N9禽流感、中东呼吸综合征、流行性感冒和非职业性一氧化碳中毒等引发的公共卫生风险。
Objective To assess the public health emergencies in China (excluding Hong Kong, Macau and Taiwan) and the risks of communicable diseases requiring attention in November 2013. Methods According to the national public health emergencies report and key infectious disease surveillance and other monitoring data and departmental notification information, expert consultation method was used to evaluate. Results According to the recent monitoring data of infectious diseases and public health emergencies, combined with the previous public health emergencies and the epidemiological analysis of infectious diseases, November will be one of the months with a higher number of public health emergencies in the whole year , The number of nationally reported cases and cases may have risen from October. After the weather turns cold in autumn and winter, the avian influenza virus activity in poultry may become more and more likely. Under the premise of no fundamental changes in poultry farming, circulation, trading methods and human-poultry contact (exposure) in China, The risk of human infection with H7N9 bird flu in our country will increase. World Health Organization assessment that the Middle East respiratory syndrome outbreak has not yet constituted a public health emergency of international concern, but in November there are still some Mejca pilgrims returned, the relevant provinces still need to pay attention to the risk of Middle East Respiratory Syndrome transmitted to our country . The northern part of our country has entered the coal-fired heating season, and the non-occupational carbon monoxide poisoning case will increase. Conclusion In November 2013, the epidemic situation of public health emergencies and infectious diseases in China was similar to previous years with a high level in the whole year. We need to focus on human infection with H7N9 bird flu, Middle East respiratory syndrome, influenza and amateur Carbon monoxide poisoning and other public health risks.