基于网络媒体的疾病暴发与监测信息资源的现状与思考

2005年修订的《国际卫生条例》强调要加强基于指标监测以及基于事件监测，WHO先后于2008年和2014年针对基于事件监测体系出台了技术指南。为了实现早期预警的目的，全文系统总结了目前国内外基于事件监测体系的理论及发展情况，评估了上海市基于事件监测体系的建设情况，在此基础上提出未来适应市公共卫生安全保障的基于事件监测体系目标架构，即整合舆情监测、医疗卫生及相关机构监测和社区监测信息来源，通过信号侦测、核实、分析评估工作以满足上海市公共卫生安全需要。下一步要加强信息整合，推动“互联网+事件监测”，进一步完善突发公共卫生事件苗子监测，全面贯彻风险管理理念。

Use of unstructured event-based reports for global infectious disease surveillance

According to the revised International Health Regulation (2005), it is needed to enhance indicator-based surveillance and event-based surveillance (EBS) and WHO has issued related technical guideline on EBS in 2008 and 2014.This paper systematically summarizes EBS theory and development home and abroad, and evaluates the current Shanghai EBS system.Moreover, it brings forward the future framework of Shanghai EBS system, namely, integration of media surveillance, health sector and related institution surveillance as well as community surveillance by means of signal detection, verification and evaluation process to meet the public health security needs in Shanghai.It is suggested to enhance information integration, push forward internet plus EBS, improve public health bud events surveillance and implement thoroughly risk management.