2006～2010年福建省突发公共卫生事件综合评价

Comprehensive Evaluation on Public Health Emergency,Fujian Province,2006-2010

[目的]了解福建省突发公共卫生事件监测、响应、处置及规范工作情况,更好促进责任单位事件监测敏感性、处置高效性及工作规范性,为防控和处置提供科学依据。[方法]对2006～2010年福建省监测处置的突发公共卫生事件进行分析与评价。[结果]2006～2010年福建省累计监测报告700起突发公共卫生事件,波及966 060人,罹患18 569人,死亡82人,平均罹患率为19.22‰,平均死亡率为8.49/10万,平均病死率为0.44%。达级事件198起,占事件53.66%(重大级别3起,占达级事件1.52%;较大级别26起,占达级事件13.13%;一般级别169起,占达级事件85.36%);未达级事件171起,占事件46.34%。700起事件中,传染病类615起,占87.86%;食物中毒类81起,占11.57%;其他突发公共卫生事件4起,占0.57%。700起事件的监测时效(P50)为40h,报告时效为5.13h,控制时效为3d,2h及时报告率为44.29%,县区报告率为53.24%,报告完整率为55.00%,准确率为81.29%,主成分综合评价结果F值跨度为-9.93～9.63。[结论]福建省突发公共卫生事件以一般与未达级事件为主,类型以传染病为主,各项工作离要求还有相当大的距离,但总体工作逐年提高。

[Objective]To understand the monitoring, response, disposal and standardization work of public health emer- gencies, better promote event monitoring sensitivity, disposal efficiency and normative by responsible units, so as to provide scientific basis for the prevention and control, and disposal in Fujian province, 2006-2010. [Methods]A descriptive epidemi- ological analysis and principal component analysis was conducted to analyze and evaluate the data on reported emergencies of public health.[Results]A total of 700 public health events were reported with 966 060 exposure, 18 569 cases and 82 deaths,the attack rate was 19.22‰,the mortality rate was 8.49/10^5 and the case fatality was 0.44%. 198 were graded e- vents,it was 53.66%,3 wereⅡ graded（1.52%）;26 wereⅢ graded（13.13%）;169 were Ⅳgraded （1.52%）;171 were no graded,it was 46.34%. In 700 public health events, 615 （87.86%） were communicable disease, 81 （11.57%） were food poisoning,4 （0.57%） were other events. The surveillance timeliness was 40 h, reported timeliness was 5.13 h, control timeliness was 3 d,timeliness rate of 2 h was 44.29% ,reported rate of county was 53.24% ,complete rate was 55.00% and accuracy rate was 81.29%. The result showed that the F values span from-9.93 to 9.63 by the principal component a- nalysis. [Conclusion]The events are mainly caused by infectious diseases, the grade is mainly Ⅳ level, secondly by budding events. There is still a considerable distance to standard,but the overall work has improved annually.