基于跨部门协同的福建省厦门市校园传染病监测预警平台设计与应用

Design and application of a multi-sectoral collaborative infectious disease surveillance and early warning platform for schools in Xiamen, Fujian

  • 摘要:
    目的  针对传统校园传染病单部门监测预警模式存在的数据单一、预警不及时、处置未协同、决策分析难等问题,福建省厦门市以“1平台+2部门+3维度”为总体架构,构建跨部门协同的校园传染病监测预警及处置平台。
    方法 从业务现况与需求、系统设计与架构等方面,阐述厦门市校园传染病监测预警及处置平台的设计与实现,并分析平台应用效果。
    结果 打破信息孤岛,依托联邦计算、传输加密等技术,实现卫生、教育多源高敏数据的安全共享及融合;构建“确诊病例+症候群+同一空间+潜伏期”的多维校园传染病监测预警模型,动态配置预警规则,划分蓝、黄、橙、红4级预警等级,实现信号自动升级、实时推送等功能;通过数据赋能优化校园疫情“苗头”事件处置流程,构建“家校医防”防控体系,形成触达末梢的处置闭环;利用流行曲线图、时空交互地图等可视化校园传染病监测指标及变化,动态感知疫情形势,为疫情决策提供支撑。
    结论 平台的建立弥补了传统校园传染病监测模式的不足,提升了监测的及时性、灵敏度和准确性,实现了多维度、自动化、分级预警和跨部门、跨层级高效协同处置。

     

    Abstract:
    Objective  To address the problems of single source of data, untimely warning, uncoordinated response, and difficult decision-making in the traditional single-sectoral surveillance and warning mode for campus infectious diseases in Xiamen, Fujian, and establish a multi-sectoral collaborative campus infectious disease surveillance, early warning and response platform based on the framework of “1 platform + 2 departments + 3 dimensions”.
    Methods  From the aspects of surveillance performance and requirements, system design and architecture, the design and application of the Xiamen campus infectious disease surveillance, early warning, and response platform was expounded. The application effects of the platform were analyzed.
    Results  Baaed on federated computation, transmission encryption and other technologies, we break down information silos, and achieve safety sharing and fusion of high-sensitiv data from multiple sources in health sector and education sector. A multi-dimensional campus infectious disease surveillance and early warning model of “confirmed cases + syndromes + same space + incubation period” was esliblished, the warning rules were dynamically configured, and the warning signals were divided into four levels of blue, yellow, orange, and red for the automatic signal upgrade and real-time signal release. Through data empowerment, the response to campus epidemic bud-events was optimized, a prevention and control system involving family, school, medical institution and disease prevention institution was established, eventually forming a closed loop of collaborative response. The epidemic curve and spatio-temporal interactive map were used to visualize the levels and the changes of surveillance indicators for campus infectious diseases for the dynamic understanding of epidemic situation to support decision-making.
    Conclusion  The establishment of the platform improves the timeliness, sensitivity and accuracy of the surveillance in campus compared with the traditional infectious disease surveillance mode, and realizes multi-dimensional, automatic, and hierarchical early warning and efficient collaborative response across sectors and levels.

     

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