大型活动就诊异常情况监测预警系统的建立及在上海世博保障中的实践

[目的]建立中国2010年上海世博会（简称“上海世博会”）园区内就诊异常情况报告和预警系统（简称“就诊监测报告系统”），探讨症状监测在大型活动保障中发挥的作用。[方法]通过风险评估和专家咨询的方法建立上海世博会就诊监测报告系统。在2010年5月1日至2010年10月31日期间，通过该信息系统收集流感样症候群、胃肠道症候群、发热伴皮疹症候群、发热伴出血症候群、中枢神经系统症候群和黄疸样症候群共6个症候群指标。[结果]2010年5月1日至2010年10月31日，就诊监测报告系统运行良好，园区内未发现传染病爆发和流行。[结论]就诊监测报告系统在上海世博会期间成功建立并正常运行，对上海世博会期间园区内传染病预防控制及突发事件早期预警防控起到了积极的作用。

A Syndromic Surveillance System for Public Health Security in Expo 2010 Shanghai China

[ Objective ] To establish and evaluate the effect of a surveillance and alarm system monitoring clinic visits for abnormalities within Expo sites for public health secltrity purpose. [ Methods ] A surveillance system monitoring clinic visits for abnormalities within Expo sites was established by the means of risk assessment and expert consultation. Six syndromes including flu-like syndrome, gastrointestinal syndrome, fever with rash syndrome, fever with hemorrhage syndrome, central nervous system syndrome and jaundice-like syndrome were collected through the system from May 1st, 2010 to Oct 31, 2010. [ Results ] The surveillance system was active and no outbreak of infectious diseases was detected from May 1St to Oct 31, 2010. [ Conclusion ] The surveillance system monitoring clinic visits for abnormalities within Expo sites has been established and active in Shanghai Expo. It plays important role in disease prevention and early alarming of medical emergency.