2008~2020年济南市章丘区传染病自动预警信息分析

Analysis on automatic early warning information of infectious diseases,Zhangqiu district,Jinan city,2008-2020

目的通过对章丘区传染病自动预警资料分析,掌握章丘区传染病自动预警的主要病种和传染病自动预警管理现状,提高早期识别传染病暴发与流行的预警能力,控制传染病暴发流行。方法采用描述流行病学方法对章丘区传染病自动预警信号进行统计分析。结论2008~2020年章丘区通过传染病自动预警信息系统共收到预警信号2412条,均做了响应处理,以2016年最多396条、占预警总数的16.42%(396/2412),2010年最少36条、占1.49%(36/2412),2013~2020年基本居高不下。初步判断排除疑似事件2287条,确定疑似事件125条,疑似事件占5.18%(125/2412),2018~2020年肺结核病例疑似事件共88起、占70.40%(88/125)。经现场调查确定暴发疫情6起,预警信号阳性率为0.25%(6/2412),排除暴发疫情1起。传染病自动预警信息系统发出预警信号到信号核实卡填报时间2 h以内的1616条、占67.00%(1616/2412),传染病自动预警信号处理不及时的有34条。13年共预警22种传染病,传染病预警总数位居前10位的分别是水痘(458条)、麻疹(411条)、其他感染性腹泻病(352条)、流行性腮腺炎(344条)、手足口病(238条)、肺结核(210条)、猩红热(118条)、细菌性痢疾(113条)、流行性感冒、(101条)、乙脑(13条)。其他感染性腹泻病8年、水痘7年、流行性腮腺炎6年、手足口病5年、麻疹4年,位居各年度前3位。结论济南市章丘区传染病自动预警的主要病种为:水痘、麻疹、其他感染性腹泻病、流行性腮腺炎、手足口病、肺结核等。

Objective Through the analysis of automatic early warning data of infectious diseases in Zhangqiu district,to master the main diseases and management status of automatic early warning of infectious diseases in Zhangqiu district,improve the early warning ability to early identify outbreaks and epidemics of infectious diseases,and control the outbreak and epidemic of infectious diseases.Methods The automatic early warning signals of infectious diseases in Zhangqiu district were statistical analyzed by descriptive epidemiology method.Results From 2008 to 2020,a total of 2412 early warning signals through the automatic early warning information system for infectious diseases were received in Zhangqiu district.All of them were responded.The number was the highest in 2016 with 396,accounted for 16.42%of the total number of warnings(396/2412).The number was the lowest in 2010 with 36,accounted for 1.49%(36/2412).The period from 2013 to 2020 was basically high.A preliminary judgment ruled out 2287 suspected incidents,125 suspected incidents were confirmed,suspected incidents accounted for 5.18%(125/2412).A total of 88 suspected cases of tuberculosis were reported from 2018 to 2020,accounted for 70.40%(88/125).Field investigation confirmed 6 epidemic outbreaks,the positive rate of warning signal was 0.25%(6/2412),1 epidemic outbreak was excluded.There were 1616 entries within 2 hours from the infectious disease automatic early warning information system sent out early warning signal to the signal verification card filling,accounted for 67.00%(1616/2412).There were 34 infectious diseases automatic warning signal processing was not timely.In 13 years,a total of 22 infectious diseases were early warned,the top 10 infectious disease warning total respectively were chicken pox(458),measles(411),other infectious diarrhea(352),mumps(344),hand,foot and mouth disease(238),tuberculosis(210),scarlet fever(118),bacillary dysentery(113),influenza(101),epidemic encephalitis B(13).Other infectious diarrhea for 8 years,chicken pox for 7 years,mumps for 6 years,HFMD for 5 years,measles for 4 years,ranked the top 3 of each year.Conclusion The main diseases of automatic warning of infectious diseases in Zhangqiu district were chicken pox,measles,other infectious diarrhea,mumps,hand,foot and mouth disease and tuberculosis.