四川省安县震后卫生状况及需求调查评估
사천성안현진후위생상황급수구조사평고
Public health situation and needs assessment after Wenchuan earthquake in Anxian, Sichuan province
  • 万方数据
    中华预防医学杂志 중화예방의학잡지
    CHINESE JOURNAL OF
    2009年 5期 371-375 ,共5页

    周先锋%周航%刘世安%胡俊锋%陈明亭%胡伟江%汤后林%闫磊%李建文%李仁忠%李雨波%汪俊云%张伟%张必科%张庆锋%姚建义%陈诚%施文绮%夏连续%崔步云%崔文明%康宁%蒋敏%潘力军%臧照芳%樊永祥%樊福成%余宏杰

    주선봉%주항%류세안%호준봉%진명정%호위강%탕후림%염뢰%리건문%리인충%리우파%왕준운%장위%장필과%장경봉%요건의%진성%시문기%하련속%최보운%최문명%강저%장민%반력군%장조방%번영상%번복성%여굉걸

    自然灾害%卫生服务研究%评价研究 自然災害%衛生服務研究%評價研究
    자연재해%위생복무연구%평개연구
    Natural disasters%Health services research%Evaluation studies
    目的 了解汶川地震后安县的卫生状况及需求,为下一步高效、有序地开展卫生防病工作提供科学依据.方法 对69个100人以上的集中安置点全部调查,用按容量比例概率抽样方法从44万散居人口中抽取687户共2200人进行调杳.调查内容包括饮用水、食品卫生、环境卫生、计划免疫以及医疗卫生服务、疾病监测等.运用SPSS 16.0分析数据,对结果进行统计描述.结果 集中安置点中90.9%(60/66)居住方式为帐篷,活动板房仪占7.6%(5/66),分散户中93.3%(621/666)居住在帐篷中,其中71.9%(446/621)属于自建帐篷;集中安置点和分散户的饮用水消毒的比率分别达97.1%(66/68)和94.6%(650/687);分散户中12.8%食品供应来源中曾有霉变或过期;50%(34/68)集中安置点养有动物;43.6%(17/39)医疗点末开展疫苗接种医疗服务;66.7%(10/15)的安置点缺乏充足的消毒设施;症状和(或)传染病的登记率为50.0%(33/66)、上报率为56.1%(37/66).结论 安县仍存在一定的传染病(肠道和媒介生物传播疾病为主)传播风险,应采取有针对性的防控措施,定期开展卫生状况调查和需求评估工作,为不同阶段的工作提供方向.
    목적 료해문천지진후안현적위생상황급수구,위하일보고효、유서지개전위생방병공작제공과학의거.방법 대69개100인이상적집중안치점전부조사,용안용량비례개솔추양방법종44만산거인구중추취687호공2200인진행조묘.조사내용포괄음용수、식품위생、배경위생、계화면역이급의료위생복무、질병감측등.운용SPSS 16.0분석수거,대결과진행통계묘술.결과 집중안치점중90.9%(60/66)거주방식위장봉,활동판방의점7.6%(5/66),분산호중93.3%(621/666)거주재장봉중,기중71.9%(446/621)속우자건장봉;집중안치점화분산호적음용수소독적비솔분별체97.1%(66/68)화94.6%(650/687);분산호중12.8%식품공응래원중증유매변혹과기;50%(34/68)집중안치점양유동물;43.6%(17/39)의료점말개전역묘접충의료복무;66.7%(10/15)적안치점결핍충족적소독설시;증상화(혹)전염병적등기솔위50.0%(33/66)、상보솔위56.1%(37/66).결론 안현잉존재일정적전염병(장도화매개생물전파질병위주)전파풍험,응채취유침대성적방공조시,정기개전위생상황조사화수구평고공작,위불동계단적공작제공방향.
    Objective To explore the public health situation and needs in Anxian after Wenehuan earthquake so as to make an effective strategy for disease control and prevention. Methods 69 concentrated settlements with 100 residents were investigated. Probability proportion to size was adopted for sampling of 2200 residents from 687 scattered households (about 440 000 scattered residents). The content of this survey included drinking water, food hygiene, environment sanitation, planning immunity and medieal health sorvice,disease surveillance and so on. SPSS 16.0 was used for data analysis, and statistical interpretation was used to describe the results. Results 90. 9% (31/66) resettled residents in Anxian lived in tents, 7.6% (5/66) lived in the movable-plate house,93. 3% (621/666)scattered households lived in tents and 71.9% (446/621) of them lived in tents which were built by residents themselves; the rate of drinking water disinfection in resettlement sites and scattered households were 97.1% (66/68) and 94. 6% (650/687); 12.8% scattered residents had mouldy or food; 50% of resettlement sites raised animals; 43. 6% (17/39) medical station didn't have bacterin inoculation service; 66.7% (10/15) lacked sufficient disinfection equipment; register rate was 50.0% (33/66) and report rate of symptoms and infectious diseases was 56.1% (37/66). Conclusion There was still some risk of enteric and vetor-borne diseases in Anxian, therefore, some tailored measures should be very important.
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