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目的分析2007-2008年辽宁省营口市传染病疫情监测体系用于突发急性传染病早期预警的能力。方法分析《疾病监测信息报告管理系统》报告营口市常见急性传染病病例的发病日期、诊断时间、报告卡生成时间、报告单位等疫情监测信息,统计就诊率、信息获得率、乡镇(社区)级医疗单位疫情报告率、高发人群特征分析等。结果2007年营口市常见5种急性传染病患者发病后第1天就诊率为3.85%～24.57%,及时就诊率低;当天获得信息比率为3.85%～19.47%,信息获得率低;基层医疗单位疫情报告率低,营口市乡镇(社区)级医院疫情报告仅占0.74%(13/1768);学校和幼儿园是急性传染病高发人群聚集地。结论目前传染病疫情监测体系不足以获得突发急性传染病早期预警信息。开展对幼儿园、学校因病缺课症状监测及加强乡镇(社区)级医院疫情报告可能弥补营口市目前传染病监测信息来源迟缓、未就诊漏报及基层医院就诊漏报问题,提高营口市突发急性传染病疫情早期预警能力。
Objective To analyze the ability of epidemic monitoring system of infectious diseases in Yingkou City of Liaoning Province for early warning of emergent acute infectious diseases in 2007-2008. Methods Analysis of Disease Surveillance Information Report Management System report on the onset date, diagnosis time, the report card generation time, reporting unit and other epidemic situation monitoring information, statistical treatment rate, information acquisition rate, township (community) level of Yingkou common acute infectious diseases cases Medical unit epidemic reporting rate, high incidence of population characteristics analysis. Results A total of 5 acute infectious diseases in Yingkou City were found on the first day after the onset of the disease in 2007, ranging from 3.85% to 24.57% with a low rate of timely visits. The information rate was 3.85% -19.47% on the day and the information acquisition rate was low. The primary medical units The report rate of epidemic situation is low, only 0.74% (13/1768) reports of epidemic situation of township (community) level hospital in Yingkou; schools and kindergartens are the gathering places of high incidence of acute infectious diseases. Conclusion At present, the epidemic surveillance system for infectious diseases is not enough to get the early warning information of emergent acute infectious diseases. Carrying out the monitoring of kindergarten and school sickness absence symptoms and strengthening the report of outbreaks of township (community) level hospitals may make up for the sluggish source of infectious disease monitoring information in Yingkou City, lack of medical attention and omission of reports on primary medical treatment and improve the emergency of Yingkou Acute infectious diseases early warning capability.