美军症状监测系统ESSENCE典型案例分析及借鉴

U. S. military syndromic surveillance system ESSENCE: a typical case study

症状监测是以非特异性症候群和(或)其他相关指示数据为基础,能够对潜在生物恐怖袭击进行接近实时的监测预警。以美国为代表的发达国家已在症状监测领域开展了深入研究,而我国尚处于探索尝试阶段,我军也亟需进行症状监测实践。该文对美军症状监测系统ESSENSE的发展背景、发展历程、系统特点、监管要求等方面进行了典型案例分析,并对我军开展症状监测研究与实践提出了借鉴。

Syndromic surveillance, based on non-specific pre-diagnosis and other information, is capable of nearly real-time detection and early warning of potential bioterrorism and emerging infectious threats. Developed countries, led by the U. S. , have conducted in-depth and front research in this area while China has just started syndromic surveillance re- search in the exploratory- trial stage. The Chinese army is facing an urgent need for syndromic surveillance. This paper makes a case study of foreign military syndromic surveillance practices, typically the U. S. representative system ESSENSE, which was developed by the U.S. Department of Defense and deployed in all military treatment facilities. Some suggestions for the Chinese army are also discussed.