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北京市昌平区2006-2023年突发公共卫生事件特征

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目的 分析北京市昌平区突发公共卫生事件发生情况和分布特征,为提升突发公共卫生事件防控水平和应对能力提供依据.方法 通过国家突发公共卫生事件报告管理系统收集2006-2023年北京市昌平辖区内报告的突发公共卫生事件及相关信息,对事件级别、类型、时间分布、空间分布等要素进行描述流行病学分析.结果 北京市昌平区2006-2023年共报告突发公共卫生事件1 219起(年均68起),涉及病例2 097例(年均117例),突发事件年发生数呈现整体下降趋势.突发事件以一般级(31起,均为传染病事件)、未分级事件(1 183起,其中一氧化碳中毒1 141起,传染病事件34起)为主;无较大、重大和特别重大突发公共卫生事件.非职业性一氧化碳中毒在突发公共卫生事件中占比最高,每年11月至次年3月高发,发生场所以家庭(1 091起,占95.62%)为主.传染病突发事件在2月和6-8月高发,发生场所主要为家庭(42起,60.00%)和学校(25起,35.71%),涉及霍乱、水痘、甲型H1N1流感、新型冠状病毒感染等病种.多数突发事件分布于人口密度大、流动人口多的回龙观、东小口、北七家、沙河、城北街道等街(镇).2006-2023年昌平区突发公共卫生事件发现-报告时间的中位数为0.29 d,传染病突发事件的发现-报告时间与疫情持续时间呈正相关(rs=0.429,P<0.01).结论 非职业性一氧化碳中毒、传染病疫情为昌平区突发公共卫生事件主要来源和防控工作重点;城乡结合乡镇为此类突发事件高发和防控重点区域.针对霍乱、水痘、新型冠状病毒感染等传染病导致的公共卫生事件,应通过加强疫情监测,扩大疫苗接种范围,提升处置能力等措施提高突发疫情的应对和防控水平.
Epidemiological characteristics of the public health emergencies in Changping district,Beijing,2006-2023
Objective To characterize the epidemiological features of public health emergencies that occurred in Changping District of Beijing City in recent years,to provide scientific support for promoting prevention and control levels and strengthening response capability on such episodes.Methods Public health emergencies and related information reported in Changping District(January 2006 to December 2023)were obtained from the National Public Health Emergency Reporting and Management System.A descriptive epidemiological analysis was conducted on factors such as event level,type,and temporal and spatial distribution in the emergency episodes.Results From 2006 to 2023,a total of 1 219 public health emergencies were reported in Changping District(an annual average of 68 incidents),involving 2,097 cases(an annual average of 117 cases),showing an overall decreasing trend in the annual number of incidents.The emergencies were mainly classified as general level(Class Ⅳ,31 incidents,all infectious disease events)and unclassified events(1 183 incidents,including 1 141 non-occupational carbon monoxide poisoning episodes and 34 infectious disease episodes);there were no major level(Class Ⅲ),significant level(ClassⅡ),or particularly significant level(Class Ⅰ)public health emergencies.Non-occupational carbon monoxide poisoning accounted for the highest proportion of public health emergencies,occurring predominantly in winter months(November to March),with incidents mainly occurring in households(1 091,95.62%).Infectious disease emergencies mainly emerged in February and summer months(June to August),with incidents mainly occurring in households(42 cases,60.00%)and schools(25 cases,35.71%),involving diseases such as cholera,chickenpox,type A influenza(H1N1),and novel coronavirus infection.Meanwhile,the emergencies were mostly located in the streets/towns with higher population density and larger numbers of floating populations,such as Huilongguan Street,Dongxiaokou Street,Beiqijia Street,and Shahe Town.The median reporting time for public health emergencies in Changping District during 2006-2023 was 0.29 days,with a positive correlation between the discovery-to-reporting time and the duration of infectious disease outbreaks(rs=0.429,P<0.01).Conclusions Non-occupational carbon monoxide poisoning and infectious disease outbreaks are the major causes as well as priorities of public health emergencies in Changping District.The urban-rural fringe areas are high-risk and key areas for the management of such emergencies.For public health emergencies caused by cholera,chicken pox,novel coronavirus infection,and other infectious diseases,comprehensive measures such as strengthening epidemic monitoring,expanding vaccination coverage,and improving handling capacity should be taken to enhance the response capability and raise the prevention and control level on such emergencies.

Public health emergencyepidemiological characteristicsprevention and control

王鲁茜、王靓洁、邢英杰、王子忆、刘雨桢、芦丹

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北京市昌平区疾病预防控制中心,北京 102200

首都医科大学燕京医学院,北京 101300

突发公共卫生事件 流行特征 预防控制

2024

中国热带医学
中华预防医学会,海南疾病预防控制中心

中国热带医学

CSTPCD北大核心
影响因子:0.722
ISSN:1009-9727
年,卷(期):2024.24(8)