摘要
目的分析杭州市学校症状监测系统在突发公共卫生事件中的作用,为学校突发公共卫生事件防控策略的制定提供依据。方法收集《突发公共卫生事件报告管理信息系统》中杭州市2019年报告的学校突发公共卫生事件信息,以及《杭州市学校症状监测系统》中学校及自动预警相关信息。利用SAS 9.0软件对学校系统使用情况进行分析,并对阳性预警事件和突发公共卫生事件进行比较。结果2019年杭州市学校症状监测系统平均使用率为54.65%,自动预警平均响应率为70.68%,不同地区学校系统使用和自动预警响应率间差异均有统计学意义(χ^(2)值分别为860.79,1615.91,P值均<0.01)。全年通过学校症状监测系统发现阳性预警事件161起,通过突发网报告突发公共卫生事件197起,阳性预警事件发现越多的地区突发公共卫生事件报告越少(Z=10.65,P<0.01),阳性预警事件与突发公共卫生事件病种构成不同(χ^(2)=28.33,P<0.01)。同一病种阳性预警事件发病人数均远少于未预警突发公共卫生事件发病人数,阳性预警信号发出时间距离接到突发公共卫生事件报告的时间平均提前4 d。结论基于智能手机的杭州市学校症状监测系统在防控学校突发公共卫生事件中发挥了哨兵作用。
Objective To analyze the role of school-based symptom monitoring system in public health emergencies in Hangzhou,to provide the basis for prevention and control strategies for public health emergencies in schools.Methods Data regarding school public health emergencies in Hangzhou in 2019 were collected from the Public Health Emergencies Report Management Information System,and data regarding public health early warning in schools were collected from the Hangzhou School Symptom Monitoring System.The usage of school symptom monitoring system was analyzed by SAS 9.0 software,and the positive warning events and public health emergencies were compared and analyzed,the rate and composition ratio were compared with the χ^(2) test,the number of cases was compared with the non-parameter rank and the Mann-Whitney test,and the trend test was conducted using Cochran-Armitage test.Results In 2019,the average use rate of the city’s school symptom monitoring system was 54.65%,the average response rate of automatic early warning was 70.68%,and the use rate(χ^(2)=860.79,P<0.01)and automatic early warning response rate(χ^(2)=1615.91,P<0.01)of school systems varied greatly by region.In 2019,161 positive early warning incidents were detected through the school symptom monitoring system,197 public health emergencies were reported through the emergency network,and fewer public health emergencies were reported in areas where more positive warning events were detected(Z=10.65,P<0.01).The proportion of disease category in positive warning events was different from that in public health emergencies in(χ^(2)=28.33,P<0.01).The number of cases of positive early warning events of the same disease was much lower than the number of cases of public health emergencies without warning,and the time of positive warning signals was on average 4 days ahead of the time of receiving the report of public health emergencies.Conclusion Smartphone-based school symptom monitoring system in Hangzhou plays a sentinel role in public health emergencies pre
作者
黄春萍
王兵
王婧
宋姝娟
孙炜
丁华
HUANG Chunping;WANG Bing;WANG Jing;SONG Shujuan;SUN Wei;DING Hua(Infectious Disease Control Institute,Hangzhou Center for Disease Control and Prevention,Hangzhou(310021),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2021年第4期627-630,共4页
Chinese Journal of School Health
基金
浙江省医药卫生科技计划项目(2019KY541)
杭州市医药卫生科技计划项目(A20200591)。
关键词
体征和症状
公共卫生
人群监测
组织和管理
学生保健服务
Signs and symptoms
Public health
Population surveillance
Organization and administration
Student health services
