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目的分析丹东市2006—2015年突发公共卫生事件特征,为制定卫生应急管理策略,建立良好卫生应急管理运行机制提供科学参考依据。方法利用国家突发公共卫生事件管理信息系统报告的事件信息,应用描述性流行病学方法,对丹东市2006—2015年突发公共卫生事件进行分析。结果 2006—2015年丹东市突发公共卫生事件报告19起,发病603例,死亡4例;2006—2007年突发公共卫生事件呈高发态势;2009年以后事件报告整体呈低发态势;无特别重大和重大事件,一般事件为主,占事件报告总数78.95%;各县区均有事件报告,沿海(江)及内陆山区报告事件较多;除5、6月外,其他月份均有事件报告,以4、8、9和12月多发;报告事件以食物中毒为主,占事件报告总数的68.42%,且发病数、死亡数均以食物中毒事件为主;学校事件占事件报告总数47.37%,高中及职业中等学校报告事件占学校事件报告总数83.33%;平均每起事件处置经费3.51万元,造成经济损失5.07万元。结论丹东市卫生应急管理运行机制逐步完善,管理措施实施有效,应进一步落实应急保障措施,注重在事前预防、健康教育、综合培训、基层能力建设方面提供保障。
Objective To analyze the characteristics of emergent public health emergencies in Dandong City from 2006 to 2015 and provide scientific references for formulating health emergency management strategies and establishing a sound health emergency management operation mechanism. Methods Based on the incident information reported by the national public health emergency management information system and using descriptive epidemiological methods, the public health emergencies in Dandong from 2006 to 2015 were analyzed. Results From 2006 to 2015, there were 19 reports of public health emergencies in Dandong City, 603 cases and 4 deaths. The incidence of public health emergencies in 2006-2007 showed a high incidence, and the reports of events after 2009 showed a low incidence. Major and major incidents, and general incidents, accounting for 78.95% of the total number of incident reports. There are incident reports in all counties and counties, but there are more incidents in the coastal (river) and inland mountainous areas. In addition to May and June, there are other incidents in the month The reports mainly occurred in April, August, September and December. The reported incidents were mainly food poisoning, accounting for 68.42% of the total reported incidents. The number of incidents and the number of deaths were mainly food poisoning incidents. The total incidents of school incidents accounted for 47.37 %, High school and vocational secondary schools reported incidents accounted for 83.33% of the total number of school incidents; an average of 35,100 yuan per incident disposal funds, resulting in an economic loss of 50,700 yuan. Conclusion The operation and management mechanism of health emergency management in Dandong City has been gradually improved and effective management measures have been implemented. Emergency support measures should be further implemented with a focus on providing precautionary measures in advance prevention, health education, comprehensive training and grassroots capacity building.