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The difficulties of early detection for infectious disease outbreak in China:A qualitative investigation
引用本文:Weirong Yan,Yikai Zhou,Shen Wei,Huijuan Zhang. The difficulties of early detection for infectious disease outbreak in China:A qualitative investigation[J]. 南京医科大学学报(自然科学版), 2008, 28(1): 66-70
作者姓名:Weirong Yan  Yikai Zhou  Shen Wei  Huijuan Zhang
作者单位:[1]Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science&Technology, Wuhan 430030, Hubei Province, China [2]MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science&Technology, Wuhan 430030, Hubei Province, China
基金项目:This study was supported by the Program "ombating with SARS and other infectious diseases" sponsored by Foreign Loan Office, Ministry of Health, China.
摘    要:Objective: To make intensified analysis upon the existing difficulties in early detection for the infectious diseases outbreak in China and put forward some effective measures to improve it. Methods: Field investigation and in-depth interview were applied in 23 interviewees from different-level CDC. Results:The study findings suggest that although the timeliness of outbreak detection has been improved since SARS epidemic in China, some problems still exist, such as: ① lacking syndrome surveillance; ② report quality of infectious disease should be improved; ③ difficulties of identifying the cases at lower social economic status; ④a definite financial compensation mechanism for the operation of web-based report system is absent; ⑤insufficient information exchange among different branches. Conclusion:Some effective measures must be taken including developing syndrome surveillance system; affording more education and txaining for related staff; increasing payout on surveillance and establishing an information exchange platform for early detection of disease outbreak.

关 键 词:传染病 疾病爆发 早期检测 定性研究
收稿时间:2007-10-12

The difficulties of early detection for infectious disease outbreak in China:A qualitative investigation
Weirong Yan,Yikai Zhou,Shen Wei and Huijuan Zhang. The difficulties of early detection for infectious disease outbreak in China:A qualitative investigation[J]. Acta Universitatis Medicinalis Nanjing, 2008, 28(1): 66-70
Authors:Weirong Yan  Yikai Zhou  Shen Wei  Huijuan Zhang
Affiliation:Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science&Technology, Wuhan 430030, Hubei Province, China;MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science&Technology, Wuhan 430030, Hubei Province, China;Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science&Technology, Wuhan 430030, Hubei Province, China;Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science&Technology, Wuhan 430030, Hubei Province, China
Abstract:Objective: To make intensified analysis upon the existing difficulties in early detection for the infectious diseases outbreak in China and put forward some effective measures to improve it. Methods: Field investigation and in-depth interview were applied in 23 interviewees from different-level CDC. Results:The study findings suggest that although the timeliness of outbreak detection has been improved since SARS epidemic in China, some problems still exist, such as: ① lacking syndrome surveillance; ② report quality of infectious disease should be improved; ③ difficulties of identifying the cases at lower social economic status; ④ a definite financial compensation mechanism for the operation of web-based report system is absent; ⑤ insufficient information exchange among different branches. Conclusion:Some effective measures must be taken including developing syndrome surveillance system; affording more education and training for related staff; increasing payout on surveillance and establishing an information exchange platform for early detection of disease outbreak.
Keywords:infectious disease  outbreak  early detection  qualitative study
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