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[目的]比较西藏自治区法定传染病疫情网络直报前后的及时性。[方法]导出西藏自治区2003～2006年传染病疫情数据,运用SPSS13.0计算中位数。[结果]直报前疫情报告的平均时间为11d,直报后该时间仅需3d;甲、乙类传染病疾病构成中呼吸道传染病由13d减为2d,血源及性传播传染病由13d减为3d,肠道传染病由10d减为8d,自然疫源及虫媒传染病由15d延长到17d;几个重点传染病中,痢疾、病毒性肝炎和麻疹由直报前的10、12和17d均减少为2d,肺结核由直报前的12d延长到17d;县区零缺报率比网络直报前高。[结论]网络直报极大地提高了传染病疫情报告的时效性,为及时发现和处置传染病疫情,有效控制其流行发挥积极作用。但西藏自治区传染病疫情网络直报还存在一些问题:传染病疫情网络直报系统不健全、不完整;实现传染病疫情网络直报后县区零缺报率明显升高;传染病疫情报告受到自然环境的制约;肺结核等慢性传染病是影响疫情报告总体态势的最主要病种。
[Objective] To compare the timeliness of the network of notifiable infectious diseases before and after direct reporting in Tibet Autonomous Region. [Method] The epidemic data of infectious diseases in Tibet Autonomous Region from 2003 to 2006 were derived and the median was calculated using SPSS13.0. [Results] The average reporting time of the pre-reporting epidemic was 11 days, which was only 3 days after the direct reporting. The infectious diseases of respiratory diseases of A and B infectious diseases were reduced from 13 days to 2 days, and the blood-borne and sexually transmitted infections were 13 days Reduced to 3d, intestinal infectious diseases reduced from 10d to 8d, natural foci and zoonotic diseases extended from 15d to 17d; several key infectious diseases, dysentery, viral hepatitis and measles reported by the direct 10,12 And 17d were reduced to 2d, tuberculosis extended from 12d before direct reporting to 17d; county zero deficit reported higher than the net direct report. [Conclusion] The network direct report greatly improves the timeliness of the report of the epidemic situation of infectious diseases and plays an active role in the timely detection and treatment of the epidemic situation of infectious diseases and the effective control of its epidemic. However, there are still some problems in direct reporting of the network of infectious disease outbreaks in the Tibet Autonomous Region: the direct reporting system for infectious disease outbreaks is not complete and complete; the zero-deficiency notification rate in the counties after the direct reporting of infectious disease outbreaks is significantly increased; Natural environment constraints; tuberculosis and other chronic infectious diseases affect the overall trend of the epidemic report the most important diseases.