2017-2022年广东省深圳市学生健康监测信息系统常见传染病预警效果评价

Evaluation of early warning performance of student health surveillance information system on common infectious diseases in Shenzhen, Guangdong, 2017−2022

  • 摘要:
    目的 评价广东省深圳市学生健康监测信息系统对目标人群常见传染病的预警效果。
    方法 分析2017—2022年深圳市学生健康监测信息系统的监测数据,与同期中国疾病预防控制中心传染病监测报告信息系统中深圳市中小学生常见传染病数据作比较,采用错位相关分析,对监测症状及病种时间序列数据相关性进行研究,探索利用学生健康监测信息系统数据及时预警中小学生常见校园传染病的可行性及其效果。
    结果 2017—2022年学生健康监测信息系统监测的上呼吸道症状、呕吐/腹泻症状、发热症状以及皮疹症状数据与其对应的校园常见传染病病例数据在以周为单位的水平下均具有相关性(r=0.24、r=0.45、r=0.39、r=0.58,均P<0.05);与2019—2020年相比,2020—2022年发热症状、皮疹症状与其对应的校医常见传染病病例数关联性分别由r=0.70、r=0.79减弱至r=0.17、r=0.30(均P<0.05);错位相关分析发现,上呼吸道症状、发热症状和皮疹症状可提前2~3周发现目标传染病的波动。
    结论  广东省深圳市学生健康监测信息系统收集的中小学生因病缺勤症状数据能较好反映相应常见传染病病种的发生和流行态势,对于上呼吸道症状、发热症状和皮疹症状的监测数据可以提前起到预警及流行趋势预测作用;后续应扩大监测范围,更好的发挥预警作用。

     

    Abstract:
    Objective To evaluate the early-warning performance of student health surveillance information system on common infectious diseases in targeted population in Shenzhen, Guangdong province.
    Methods The surveillance data of Shenzhen Student Health Surveillance Information System from 2017 to 2022 were collected, the incidence data of common infectious diseases in primary and middle school students in Shenzhen were compared with those from the Infectious Diseases Surveillance and Reporting Information System of Chinese Center for Disease Control and Prevention during the same period, the correlation of time series data of the symptoms and diseases detected in surveillance were studied by using dislocation correlation analysis, and the feasibility and effect of early warning of common infectious diseases in primary and middle school students by using the data of student health surveillance information systems were evaluated.
    Results  The weekly surveillance data of upper respiratory tract symptoms, vomiting/diarrhea symptoms, fever symptoms and rash symptoms from 2017 to 2022 were correlated with the corresponding data of common infectious disease cases in campus (r=0.24, r=0.45, r=0.39, r=0.58, P<0.05). Compared with 2019−2020, the correlation between fever and rash symptoms and the number of corresponding common infectious disease cases in the school doctors in 2020−2022 decreased from r=0.70, r=0.79 to r=0.17, r=0.30 respectively (P<0.05). The results of dislocation correlation analysis showed that the fluctuation of the targeted infectious diseases could be detected 2–3 weeks earlier by using the surveillance data of upper respiratory tract, fever and rash symptoms in campus.
    Conclusion The data collected by student health surveillance information system in Shenzhen can reflect the incidence and epidemic of the corresponding common infectious diseases in campus, the surveillance data of upper respiratory tract symptoms, fever symptoms and rash symptoms can be used for the early warning and epidemic prediction. It is necessary to expand the coverage of follow-up surveillance for the better early warning.

     

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