石家庄市2004-2009年突发公共卫生事件分析

Analysis of public health emergencies in Shijiazhuang city,2004 to 2009

目的探讨河北省石家庄市突发公共卫生事件基本特点及趋势,为今后预防控制工作提供科学依据。方法收集2004-2009年石家庄市突发公共卫生事件报告数据,应用描述流行病学方法进行分析。结果 2004-2009年,石家庄市共发生突发公共卫生事件204起,发病6 236例,死亡22例,其中传染病疫情161起,占78.92%,发病4 972例,死亡2例;食物中毒20起,发病人数792例,死亡10例,其中6起为较大突发公共卫生事件;发生在学校的突发事件162起,其中小学校138起,占85.12%;5月、12月为突发公共卫生事件高发期;2004年开始,突发公共卫生事件呈上升态势,并于2007年达高峰,2008年开始迅速下降并形成拐点。结论中小学校传染病疫情和食物中毒是石家庄市主要突发公共卫生事件;早期预警信息系统的应用可有效防控突发公共卫生事件的发生。

Objective To describe the characteristics and trend of public health emergencies in Shijiazhuang,the capital city of Hebei province,and to provide information for public health response.Methods Data were collected from public health surveillance system through 2004 to 2009.Results A total of 204 public health emergency events occurred and were investigated during the 6 years,which involved in a total of 6 236 individual cases with 22 deaths.A total of 4 972 individual cases with 2 deaths occurred in 161(79%) outbreaks of communicable diseases.A total of 792 individual cases with 10 deaths occurred in 20 food poisoning events.There were 162 events occurred in public schools with 85%(138) in primary and secondary schools.These public health emergency peaked significantly in May and December annually.Conclusion The outbreaks of infectious diseases in primary and middle schools and food poisoning events are major challenges of the public health emergencies.The significant seasonal peaks found in this study highlight that a sensitive early warning system should be developed to provide vigilant alert in responding to public health emergency.