收稿日期: 2016-04-12
网络出版日期: 2016-10-20
基金资助
温州市科技计划项目(R20140022)
Public health risks assessment of dengue fever in coastal area in Wenzhou, Zhejiang province
Received date: 2016-04-12
Online published: 2016-10-20
Supported by
Supported by the Science and Technology Plan Program of Wenzhou City (No. R20140022)
目的 建立温州市登革热公共卫生风险评估指标体系,评估公共卫生风险,为制定登革热防控策略提供科学依据。方法 于2014年设计专家测评表,邀请12位专家进行评估,采用层次分析法进行分析。结果 研究构建包括1个目标层,4个准则层和19个指标层的温州市登革热公共卫生风险评估体系。经评估,组合权重系数较高的指标为疾病预防控制应急处置能力(0.151)、伊蚊成蚊密度(0.110)和布雷图指数(0.110),人体登革热病毒抗体水平和发病到就诊时间权重系数较低。评估结果显示温州市登革热公共卫生风险等级为高度风险。结论 温州市存在登革热输入并引起本地暴发流行的风险,应不断完善登革热等输入和新发传染性疾病风险评估体系,加强公共卫生风险评估,积极防范相关传染病危害。
余向华, 胡蔡松, 魏晶娇, 徐毅, 倪朝荣 . 浙江省温州市登革热公共卫生风险评估[J]. 中国媒介生物学及控制杂志, 2016 , 27(5) : 491 -493 . DOI: 10.11853/j.issn.1003.8280.2016.05.018
Objective To establish a risk assessment index system for dengue fever in Wenzhou, assess risk of public health, providing evidence for the prevention and control dengue fever. Methods Dengue fever was assessed by 12 specialists; the results were analyzed through analytic hierarchy process in 2014. Results The risk assessment index system for public health of dengue fever was established in Wenzhou. The system included 1 target layer, 4 criterion layers and 19 index layers. Emergency handling ability of CDC (0.151), adult mosquito density (0.110) and Bretean index (0.110) were high risk factors. Dengue virus antibody of serum and the periods from onset to the first visit were relatively low. Meanwhile, the evaluation of the dengue fever in Wenzhou city was in high risk level by this indicator system. Conclusion There were risks of local outbreak of dengue fever caused by import cases in Wenzhou city, it is important to strengthen risk assessment for public health of emerging infectious diseases and import infectious diseases include dengue.
Key words: Dengue fever; Risk assessment; Index system; Analytic hierarchy process
[1] Bhatt S, Gething PW, Brady OJ, et al. The global distribution and burden of dengue[J]. Nature,2013,496(7446):504-507.
[2] World Health Organization. Dengue and severe dengue[EB/OL]. (2015-05)[2016-02-15]. http://www.who.int/mediacentre/factsheets/fs117/en/.
[3] 余向华,倪庆翔,张孝和,等. 浙江省温州市两种输入性虫媒传染病监测分析[J]. 中国媒介生物学及控制杂志,2014,25(1):65-67.
[4] 钱正瑛,金伟,杨俊. 层次分析法在医疗设备风险评估中的应用研究[J]. 中国医学装备,2015,12(9):59-62.
[5] Saaty TL. The analytic hierarchy process[M]. New York: McGraw Hill,1980:3-15.
[6] 吴彤宇,秦娜,张静,等. 天津市主要媒介生物传播相关疾病风险评估[J]. 中国媒介生物学及控制杂志,2013,24(6): 528-530.
[7] 戚艳波,邬志薇,林燕,等. 云南省登革热跨境传播风险评估指标体系的研究[J]. 职业与健康,2015,31(1):108-111.
[8] Fisman DN, Leung GM, Lipsitch M. Nuanced risk assessment for emerging infectious diseases[J]. Lancet,2014,383(9913): 189-190.
[9] 裘炯良,郑剑宁,浦昀,等. 国境口岸传染病流行风险评估体系的建立及应用研究[J]. 中国国境卫生检疫杂志,2013,36(5):338-343.
[10] 屠春雨,方益荣,傅利军,等. 绍兴市正在出现的传染病风险评估[J]. 中国预防医学杂志,2008,9(1):13-17.
[11] 马红梅,柳小青,陈海婴. 基于风险评估矩阵法的城市蚊媒疾病风险研究[J]. 中华疾病控制杂志,2014,18(9):887-890.
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