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目的了解评价深圳市区级以上疾病预防控制中心(CDC)突发公共卫生事件的应急处置现状与能力,为深圳市疾病预防控制机构应急体系建设提供客观依据。方法采用普查的方法对深圳市11家区级以上CDC进行调查,并对调查结果运用χ2检验、fisher确切概率法,P<0.05为差异有统计学意义。结果深圳市区级以上CDC突发公共卫生事件应对体系基本建立和逐步完善,但基层公共卫生人员数量及正式编制明显偏低,市级CDC、特区内CDC、特区外在编人员比例呈现降低趋势,差异有统计学意义(χ2=54.37,P<0.01);服务人口数明显偏低,原特区内、外CDC预防医师分别为0.96名/万人、0.73名/万人,均低于国家标准。部分应急物资储备不足,合格率<60%有传染病控制类的现场样本采集、保存装备及中毒处置类的现场样本采集、保存装备和现场快速鉴定与检测装备及其他设备。原特区CDC与原特区外CDC在应急物资储备上差异有统计学意义(χ2=13.99,P=0.00)。结论深圳市突发公共卫生事件应对体系基本建立,但应对较大疫情时将出现人员不足及应急物资储备不足,尤其是以原特区外为甚。
Objective To understand the status quo and capacity of emergency response in the evaluation of public health emergencies at CDC centers in Shenzhen and to provide an objective basis for the emergency response system construction of Shenzhen CDC. Methods The census method was used to investigate 11 CDCs above the district level in Shenzhen. Chi-square test and Fisher’s exact test were used to investigate the results. P <0.05 was considered as statistically significant. Results The response system of public health emergencies in CDC above the district level in Shenzhen was basically established and gradually improved. However, the number of public health workers at the grass-roots level and their official establishment were obviously low. The ratio of municipal-level CDCs, CDCs in the Special Zone and external posts in the SEZs showed a decreasing trend , The difference was statistically significant (χ2 = 54.37, P <0.01). The number of service population was obviously low. The number of CDC preventive physicians in CDC and outside of the SAR was 0.96, 0.73 and 10 000 respectively, all lower than the national standard . Some emergency supplies are under-reserved, with a passing rate of <60%. There are on-site sample collection, storage and poisoning types on-site samples collection and preservation equipment, on-site rapid identification and testing equipment and other equipment for infectious disease control. The original CDC CDC and the original CDC outside the emergency supplies reserve difference was statistically significant (χ2 = 13.99, P = 0.00). Conclusion The response system of public health emergencies in Shenzhen is basically established. However, there will be insufficient staffing and shortage of emergency supplies in response to major epidemics, especially for those outside the original SAR.