我国SARS和人感染H7N9禽流感疫情防控中多部门合作
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摘要
目的对我国SARS和人感染H7N9禽流感暴发疫情中的多部门合作情况进行回顾性研究分析,为加强突发传染病疫情应急管理提供依据。方法通过文献调研和对主要利益相关者进行深度访谈,用定性分析软件Nvivo 10进行访谈数据整理,分析SARS和H7N9疫情防控中多部门合作情况。结果在2003年SARS疫情暴发早期,正式的合作沟通机制以及相邻地区之间的协调、相关部门和机构之间的合作是缺位的,除了卫生部门系统内部中存在的合作与信息共享问题外,卫生、交通、旅游及其它部门之间的合作问题同样也成了疫情防控工作有效展开的障碍。在2013年H7N9疫情暴发期间,不同的层面的多部门联防联控机制促进了政府机构之间的信息共享和协调响应,医疗卫生部门内部、部门之间以及国际社会之间的合作贯穿整个过程。结论 SARS和H7N9疫情有效的应急管理很大程度上依赖于多部门及利益相关者之间的合作。有效的应对突发传染病疫情需要多部门横向和纵向的有效合作。
Objectives By retrospective analysis of multi-sectoral cooperation in the outbreak of SARS and human infected H7 N9 influenza in China, this study was aimed to provide a basis for emergency management of infectious disease outbreaks. Methods A qualitative approach including in-depth interviews with stakeholders and literature research was used to collect data. The qualitative analysis software Nvivo 10 was used to analyze the multi-sector cooperation on prevention and control of SARS and H7 N9 outbreaks in China. Results The formal cooperative communication mechanisms and coordination between adjacent regions, cooperation between relevant departments were absent, except for cooperation and information sharing within the health department system, in the early days of the SARS outbreak in 2003. In addition, there were problems of cooperation and information sharing between health tourist, traffic and other sectors, which became an obstacle for the prevention and control of the epidemic of infectious diseases. During the H7 N9 outbreak in 2013, a joint multi-sectoral prevention and control mechanism was established at national and local levels to promote the information sharing and coordinated response among government agencies, and the coordination and cooperation between medical and health sectors, between internal departments, and between domestic organizations and the international community had been taken effect throughout the process. Conclusion Effective emergency management of SARS and H7 N9 outbreaks relied heavily on cooperation between multiple departments and stakeholders. Effective response to the outbreak of infectious diseases requires effective horizontal and vertical cooperation in multiple sectors.
Objectives By retrospective analysis of multi-sectoral cooperation in the outbreak of SARS and human infected H7 N9 influenza in China, this study was aimed to provide a basis for emergency management of infectious disease outbreaks. Methods A qualitative approach including in-depth interviews with stakeholders and literature research was used to collect data. The qualitative analysis software Nvivo 10 was used to analyze the multi-sector cooperation on prevention and control of SARS and H7 N9 outbreaks in China. Results The formal cooperative communication mechanisms and coordination between adjacent regions, cooperation between relevant departments were absent, except for cooperation and information sharing within the health department system, in the early days of the SARS outbreak in 2003. In addition, there were problems of cooperation and information sharing between health tourist, traffic and other sectors, which became an obstacle for the prevention and control of the epidemic of infectious diseases. During the H7 N9 outbreak in 2013, a joint multi-sectoral prevention and control mechanism was established at national and local levels to promote the information sharing and coordinated response among government agencies, and the coordination and cooperation between medical and health sectors, between internal departments, and between domestic organizations and the international community had been taken effect throughout the process. Conclusion Effective emergency management of SARS and H7 N9 outbreaks relied heavily on cooperation between multiple departments and stakeholders. Effective response to the outbreak of infectious diseases requires effective horizontal and vertical cooperation in multiple sectors.
引文
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[6] 邱五七. 公共卫生应急管理风险沟通的思考[J].中国公共卫生管理,2018,34(1):59-61.
[7] 张玉华,傅衍勇,李刚,等. 医改背景下医疗机构履行公共卫生职能的现状及对策[J].公共卫生与预防医学,2016,27(2):126-128.
[8] 张君功,官杰. 公共卫生突发事件中的危机管理研究[J].世界最新医学信息文摘,2017,17(62):255-256.
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[11] 万美. “互联网+”时代决策公共卫生信息管理探析[J].医学信息学杂志,2016,37(5):85-87.
[12] 董佩,严晓玲,邱五七,等. 公共卫生信息相关群体需求与责任分析[J].医学信息学杂志,2016,37(1):62-67.
[13] 张靳冬,郝超,钱建东,等. 区域性公共卫生业务信息管理平台建设[J].公共卫生与预防医学,2016,27(1):117-119.
[14] 林晖,孙瑛,王全意. 我国突发公共卫生事件信息公开的进展[J].中国初级卫生保健,2012,26(5):1-3.
[15] 邱五七,Cordia CHU. 我国公共卫生应急管理风险沟通探讨[J].中华卫生应急电子杂志,2017,3(6):372-374.
[16] 邱五七,Chu C. 风险沟通在我国人感染H7N9禽流感防控中的运用[J].中华疾病控制杂志,2018,22(4):429-430.
[17] 国家卫生计生委农业部等有关部门积极指导各地全面做好H7N9疫情防控工作[J].中国应急管理,2017(2):37-39.
[18] 农业部兽医局. 多措并举科学应对各地全力做好H7N9防控工作[J].中国畜牧业,2017(7):28-29.
[19] Hamid S,Arima Y,Dueger E,et al.From H5N1 to HxNy:An epidemiologic overview of human infections with avian influenza in the Western Pacific Region,2003-2017[J].Western Pac Surveill Response,2018,9(3):1-15.
[20] 许可,鲍倡俊. 人感染H7N9禽流感流行病学研究进展[J]. 江苏预防医学,2015,26(1):43-47.
[21] YU Z,CHENG K,GAO Y. Poultry Infection with Influenza Viruses of Wild Bird Origin,China,2016[J].Emerging Infectious Diseases,2018,24(7):1375-1377.
[22] 马晓薇,刘于飞,袁俊,等. 广州市人感染H7N9禽流感疫情早期禽类从业人员知识、态度、行为分析[J].中华疾病控制杂志,2015,19(6):593-596.
[23] 刘涛,祝光湖,张兵,等. 我国活禽交易市场休市对人感染H7N9禽流感流行的影响[J].中华流行病学杂志,2017,38(12):1716-1718.
[24] 邱五七,毛阿燕,严晓玲,等. 从H7N9禽流感事件看我国公共卫生应急防控及监管[J].中国公共卫生管理,2016,32(3):330-333.
[25] 李成亮. 突发事件下政府部门应急联动机制研究[D].合肥:安徽大学,2016.
[2] LUO F,LIAO FL,WANG H,et al.Evaluation of Antibody-Dependent Enhancement of SARS-CoV Infection in Rhesus Macaques Immunized with an Inactivated SARS-CoV Vaccine[J].Virologica Sinica,2018,33(2):201-204.
[3] 陈浩,万泉,张毓辉,等. 2013年人感染H7N9禽流感防控卫生经济学评价[J].中国卫生经济,2018,37(2):51-53.
[4] QIU W,Rutherford S,MAO A,et al.The Pandemic and its Impacts[J].Health,Culture and Society,2017(9):1-11.
[5] 李立明. 公共卫生在健康中国建设中的地位和作用[J].中华流行病学杂志,2018,39(7):867-872.
[6] 邱五七. 公共卫生应急管理风险沟通的思考[J].中国公共卫生管理,2018,34(1):59-61.
[7] 张玉华,傅衍勇,李刚,等. 医改背景下医疗机构履行公共卫生职能的现状及对策[J].公共卫生与预防医学,2016,27(2):126-128.
[8] 张君功,官杰. 公共卫生突发事件中的危机管理研究[J].世界最新医学信息文摘,2017,17(62):255-256.
[9] Z LI,GF GAO. Infectious disease trends in China since the SARS outbreak[J].Lancet Infectious Diseases,2017,17(11):1113-1115.
[10] QIU W,CHU C,HOU X,et al.A Comparison of China′s Risk Communication in Response to SARS and H7N9 Using Principles Drawn From International Practice[J].Disaster Med Public Health Prep,2018,12(5):587-598.
[11] 万美. “互联网+”时代决策公共卫生信息管理探析[J].医学信息学杂志,2016,37(5):85-87.
[12] 董佩,严晓玲,邱五七,等. 公共卫生信息相关群体需求与责任分析[J].医学信息学杂志,2016,37(1):62-67.
[13] 张靳冬,郝超,钱建东,等. 区域性公共卫生业务信息管理平台建设[J].公共卫生与预防医学,2016,27(1):117-119.
[14] 林晖,孙瑛,王全意. 我国突发公共卫生事件信息公开的进展[J].中国初级卫生保健,2012,26(5):1-3.
[15] 邱五七,Cordia CHU. 我国公共卫生应急管理风险沟通探讨[J].中华卫生应急电子杂志,2017,3(6):372-374.
[16] 邱五七,Chu C. 风险沟通在我国人感染H7N9禽流感防控中的运用[J].中华疾病控制杂志,2018,22(4):429-430.
[17] 国家卫生计生委农业部等有关部门积极指导各地全面做好H7N9疫情防控工作[J].中国应急管理,2017(2):37-39.
[18] 农业部兽医局. 多措并举科学应对各地全力做好H7N9防控工作[J].中国畜牧业,2017(7):28-29.
[19] Hamid S,Arima Y,Dueger E,et al.From H5N1 to HxNy:An epidemiologic overview of human infections with avian influenza in the Western Pacific Region,2003-2017[J].Western Pac Surveill Response,2018,9(3):1-15.
[20] 许可,鲍倡俊. 人感染H7N9禽流感流行病学研究进展[J]. 江苏预防医学,2015,26(1):43-47.
[21] YU Z,CHENG K,GAO Y. Poultry Infection with Influenza Viruses of Wild Bird Origin,China,2016[J].Emerging Infectious Diseases,2018,24(7):1375-1377.
[22] 马晓薇,刘于飞,袁俊,等. 广州市人感染H7N9禽流感疫情早期禽类从业人员知识、态度、行为分析[J].中华疾病控制杂志,2015,19(6):593-596.
[23] 刘涛,祝光湖,张兵,等. 我国活禽交易市场休市对人感染H7N9禽流感流行的影响[J].中华流行病学杂志,2017,38(12):1716-1718.
[24] 邱五七,毛阿燕,严晓玲,等. 从H7N9禽流感事件看我国公共卫生应急防控及监管[J].中国公共卫生管理,2016,32(3):330-333.
[25] 李成亮. 突发事件下政府部门应急联动机制研究[D].合肥:安徽大学,2016.