2004-2007年福建省突发公共卫生事件监测质量分析

目的评估与改进突发公共卫生事件监测系统质量。 方法利用网络直报系统案例库，根据定义质量指标描述与推断分析福建省突发公共卫生事件监测报告质量。 结果2004-2007年，福建省共监测报告突发事件554起，苗头事件占45.13％，年度间苗头事件构成比呈线性下降趋势（2CMH1= 45.2825，P0.0001）；监测敏感值平均为96.0 h，年平均增长速度为35.9％。报告时效值平均为15.7 h，2 h内报告的事件仅占8.3％。控制时效值平均为6.0 d，年平均递降52.22％；结案报告率平均为54.30％，年平均提高66.60％。结案时间、首次报告事件发生时间、首次接到报告时间、末例患者发病时间等数据项缺失率分别为55.96％、53.25％、53.25％和8.66％。 结论近年来各地都能较好地确立与实行在突发事件管理中对突发苗头事件的监测报告与控制管理，但报告及时率与结案报告率低下，有关时间的数据项缺失率大或逻辑不符，中小学校监测敏感值明显滞后是突发事件高发的重要因素之一。

Analysis on quality of surveillance for public health emergency in Fujian province, 2004-2007

Objective To evaluate the quality of the surveillance for public health emergency. Methods According to the definite quality indicators, the data of public health emergency reporting from the internet-based direct reporting system were analyzed. Results From 2004 to 2007, 554 public health emergencies were reported in Fujian province, 45.13% of （X^2CMHI= 45. 2825, them were potential events. The annual proportion of potential events decreased in a linear way 2 P 〈0.0（301 ）. The average sensitive value of surveillance was 96.0 h with an average annual increase rate of 35.9%. The average delay time for reporting was 15.7 h; only 8.3% of the events were reported within 2 hours. The average time for controlling the events was 6.0 d with an annual decrease rate of 52.22%. The average percentage of events with final report was 54.30%, with an average annual increase rate of 66.60%. The time for final report was missed for 55.96% of the events, the first reporting time was missed for 53.25% of the events, the time of receiving report was missed for 53.25% of the events, and the time of the last case was missed for 8.66% of the events. Conclusion In recent years, the surveillance and control of potential emergency had been conducted, however, the timeliness of reporting and the percentage of final report were still unsatisfactory, the time data for many events was either missed or illogical. The low sensitivity of the surveillance in primary and middle schools was one of the key factors for the high occurrence of emergency in these settings.