2023年浙江省突发公共卫生事件特征分析

Characteristics of public health emergencies in Zhejiang Province in 2023

目的了解2023年浙江省突发公共卫生事件特征,为公共卫生风险管理提供参考。方法通过中国疾病预防控制信息系统的突发公共卫生事件管理信息系统,收集2023年1月1日—12月31日报告并已结案的突发公共卫生事件及相关信息,描述性分析事件的罹患率、疾病类型、发生时间、发生场所和应急响应情况。结果2023年浙江省报告突发公共卫生事件718起,均为传染病事件,报告病例27128例,罹患率为3.22%,死亡3例。报告事件数居前五位的传染病分别为流行性感冒、诺如病毒感染、猴痘、水痘和手足口病,占事件总数的95.54%。病例数<30例的突发公共卫生事件有355起,占49.44%。2—3月和11—12月报告事件数较多,分别186和327起,占25.91%和45.54%。主要发生场所为学校和托幼机构,651起占90.67%。事件响应时间、报告时间和持续时间的M(QR)分别为6.50(10.84)h、0.53(0.63)h和7.24(11.71)d。结论2023年浙江省突发公共卫生事件以流行性感冒和诺如病毒感染为主,2—3月和11—12月是报告高峰,学校和托幼机构是事件发生的主要场所。

Objective To investigate the characteristics of public health emergencies in Zhejiang Province in 2023,so as to provide the reference for public health risk management.Methods Data of public health emergencies and related information in Zhejiang Province from January 1 to December 31,2023 was collected through Emergency Public Reporting System of Chinese Disease Prevention and Control Information System.Attack rates,disease types,distribution of time and places,and responses were descriptively analyzed.Results A total of 718 public health emergencies were reported in 2023 in Zhejiang Province,and all were infectious disease events.There were 27128 reported cases and 3 deaths,with an attack rate of 3.22%.The top five infectious diseases with the highest number of reported events were influenza,norovirus infection,monkeypox,varicella and hand,foot and mouth disease,accounting for 95.54%of total reported events.There were 355 public health emergencies with less than 30 cases each,accounting for 49.44%.The reported emergencies peaked from February to March(186 events,25.91%)and from November to December(327 events,45.54%),and mainly occurred in schools and preschool institutions(651 events,90.67%).The median responding time,reporting time and duration of emergencies were 6.50(interquartile range,10.84)h,0.53(interquartile range,0.63)h and 7.24(interquartile range,11.71)d,respectively.Conclusion Public health emergencies in Zhejiang Province in 2023 were mainly caused by influenza and norovirus infection,with February,March,November and December being the peak reporting periods,and schools and preschool institutions being the main places where these events occurred.