摘要
【目的】了解上海市部分社区医疗卫生人员对生物恐怖袭击事件识别与应对能力。【方法】在浦东新区和闵行区选取人群密集场所多、大型会议或大型活动多、重要交通枢纽、政府办公区域所在的6个社区,采用个别访谈形式,选择二级和三级医疗机构、社区卫生服务中心及街镇政府的医疗卫生人员共30名为调查对象。访谈内容包括生物恐怖袭击的识别能力、生物恐怖袭击事件的应对能力、生物恐怖袭击事件的应对建议。【结果】93.4%的医疗卫生人员对生物恐怖袭击事件理解正确,完整;90.0%的人员认为经空气、水传播扩散的细菌类或病毒类生物制剂引起的生物恐怖袭击是上海可能遭遇的袭击类型;人流密集场所、重大活动或赛事举办地、政府重要部门、幼儿园与学校等为袭击的重点场所;93.3%的人员不清楚我国针对生物恐怖的战略、政策或相关法律法规;96.7%人员表示所在单位未制定专项反生物恐怖袭击的预案;76.7%的人员表示所在医院或街镇储备能力不足或缺乏;80.0%人员未接受过相关培训与演练。【结论】上海市部分社区医疗卫生机构尚未健全生物恐怖袭击事件应对体系,对生物恐怖袭击的识别与应对能力亟待加强。
[Objective]To ascertain the ability of medical and health staff in Shanghai to identify and respond to bioterrorism attack incidents at the community level.[Methods]Six communities were selected in Pudong and Minhang with lots of densely crowded public places or mass gatherings or major transportation hubs or government offices.A total of 30 medical and health staff were individually interviewed from the hospitals,community health service center or government.The content of the interview included their ability to identify bioterrorism attack incidents,and to respond to bioterrorism attack incidents,and whether they had any suggestions for dealing with incidents in this regard.[Results]It was found that 93.4%of the medical and health staff understood bioterrorism attack incidents correctly and completely.And 90.0%believed that bioterrorism attack caused by airborne,water-borne bacteria or viral biological agents was the type of attack that Shanghai may encounter.The focus of the attack was on crowded places,mass gatherings,important government departments,kindergartens and schools.And 93.3%of the medical and health staff were not familiar with China′s strategy,policy or relevant laws and regulations for the prevention and control of bioterrorism.And 96.7%said that the unit did not formulate a plan for the prevention and control of bioterrorism;76.7%said that the hospitals or communities reserved capacity was insufficient;80.0%of them had not received relevant training and exercise.[Conclusion]Shanghai community medical and health institutions have not established response system for the prevention and control of bioterrorism.The ability of medical and health staff in Shanghai to identify and respond to bioterrorism attack incidents at the community level needs to be strengthened.
作者
谢震宇
田霞
林晨
何纳
XIE Zhen-yu;TIAN Xia;LIN Chen;HE Na(Shanghai Pudong Center for Disease Control and Prevention,Shanghai 200136,China;Fudan University Pudong Institute of Preventive Medicine,Shanghai 200136,China;Shanghai Minhang Center for Disease Control and Prevention,Shanghai 201100,China;School of Public Health,Fudan University,Shanghai 200032,China;Shanghai Pudong New Area Health Care Hospital for Women and Children,Shanghai 201206,China)
出处
《上海预防医学》
CAS
2019年第1期60-63,共4页
Shanghai Journal of Preventive Medicine
基金
上海市第四轮公共卫生三年行动计划高端海外研修团队项目(GWTD2015S05)
关键词
社区
医疗卫生
生物恐怖袭击
访谈调查
community
medical and health
bioterrorism attack
interview survey
