CAJ | 학술논문

目的：评价全国传染病自动预警信息子系统疟疾预警系统的运行效果。方法收集中国疾病预防控制信息系统传染病自动预警信息子系统的疟疾预警信息，对江苏省疟疾预警信号进行统计，比较疟疾预警信息系统运行前后的3d内完成个案流调率。结果2012-09-01-2012-12-31，江苏省共接收到来自疟疾预警系统的手机短信消息85条，其中因重卡删除8条，县级疾控中心血片镜检复核和流行病学个案调查后排除15条，确认疟疾病例62例。2012年7-12月全省3 d内完成个案流调率分别为55.56%、78.57%、90.00%、100%、100%和100%，7、8、9月及10月间差异有统计学意义（χ2=10.66，P<0.05）。江苏省2012年7-12月的7 d内完成疫点调查与处置率均为100%。结论3 d内完成个案流调率与预警手机短信有关联，传染病自动预警信息子系统的疟疾预警信息能有效提高基层疾控中心对疟疾病例的响应速度，对及时核实和判断疟疾病例具有重要作用。
목적：평개전국전염병자동예경신식자계통학질예경계통적운행효과。방법수집중국질병예방공제신식계통전염병자동예경신식자계통적학질예경신식，대강소성학질예경신호진행통계，비교학질예경신식계통운행전후적3d내완성개안류조솔。결과2012-09-01-2012-12-31，강소성공접수도래자학질예경계통적수궤단신소식85조，기중인중잡산제8조，현급질공중심혈편경검복핵화류행병학개안조사후배제15조，학인학질병례62례。2012년7-12월전성3 d내완성개안류조솔분별위55.56%、78.57%、90.00%、100%、100%화100%，7、8、9월급10월간차이유통계학의의（χ2=10.66，P<0.05）。강소성2012년7-12월적7 d내완성역점조사여처치솔균위100%。결론3 d내완성개안류조솔여예경수궤단신유관련，전염병자동예경신식자계통적학질예경신식능유효제고기층질공중심대학질병례적향응속도，대급시핵실화판단학질병례구유중요작용。
Objective To evaluate the effect of automatic early warning information system on the response of malaria elimi-nation in Jiangsu Province through the operation of the national automatic early warning system of infectious diseases. Methods The malaria early warning information was collected from the automatic early warning information subsystem in the national infor-mation system for diseases control and prevention. Malaria early warning signals were analyzed from September 1 to December 31, 2012. The statistical analysis was conducted for the completion rates of case investigation within 3 days before and after the applica-tion of malaria early warning information system. Results Jiangsu Province received 85 mobile phone short messages(SMS)of malaria case from early warning system from September 1 to December 31,2012. After judgments,23 cases were deleted includ-ing 8 repeated cases and 15 cases that were excluded through the microscopy examination and epidemiological investigation by the confirmation of county CDC. From July to December in 2012,the monthly completion rates of case investigation within 3 days were 55.56%,78.57%,90.00%,100%,100%and 100%,respectively. The completion rates of case investigation within 3 days in Ju-ly,August,September and October were significantly different by χ2 test(χ2=10.66,P<0.05). The completion rates of foci in-vestigation and action within 7 days in Jiangsu Province were all 100%from July to December in 2012. Conclusions The comple-tion rates of case investigation within 3 days are associated with SMS from the early warning system. The malaria warning system from the national infectious diseases can effectively improve the response to malaria cases for primary CDC. It also plays an impor-tant role for the timely confirmation and diagnosis of malaria cases.