Research On the Construction of Monitoring System for Responding to Major Public Health Emergencies in Border Areas of Yunnan

Zhao Zeting, Zhou Jia Li Li, Pan Ying, Yang Siyi, Zhao Jianshu, Li Xiaoya, Liu Jianxing
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Abstract

Background - The special geographical position of Yunnan Province as the key area and frontline of "external prevention and importation", the difficulty and pressure of prevention and control in border areas is high, the prevention and control of the epidemic in Yunnan Province is crucial to the overall situation of the province and even the whole country. Covid-19 exposes alarming gaps in Infectious Disease Surverillance in Border Areas. Objectives - Infectious disease surveillance is an important tool for early identification and prevention and control of infectious diseases. Regular disease surveillance of emerging infectious diseases is essential to be able to respond to pandemics and control them early through the construction of infectious disease surveillance systems to build stronger and better health systems. Method - Summarize and sort out the existing monitoring system and problems using a combination of qualitative research methods such as literature methods, group interviews, and expert consultation. Using a combination of typical and stratified sampling methods, a questionnaire was used to analyze the current status of monitoring and management in border counties in Yunnan Province. Results - There is no statistical difference in surveillance and prevention between the state and county levels in response to major public health emergencies, and the current surveillance system is difficult for epidemic dissemination, prediction and timely and effective follow-up. Conclusion - The border areas of Yunnan Province have not established an effective epidemic surveillance system, lack of diversified channels and ways to disseminate epidemic information, difficulty in accurately grasping the progress and changing trends of the epidemic, and risk awareness has not been strengthened and transformed to the detriment of active prevention, control and management of infectious diseases.
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云南边境地区突发重大公共卫生事件应急监测体系建设研究
背景——云南省作为“外防输入”重点地区和一线的特殊地理位置,边境地区防控难度和压力大,云南省疫情防控关乎全省乃至全国大局。2019冠状病毒病暴露了边境地区传染病监测方面的惊人差距。目标-传染病监测是早期发现和预防和控制传染病的重要工具。对新发传染病进行定期疾病监测至关重要,可以通过建立传染病监测系统来应对大流行并及早控制它们,从而建立更强大和更好的卫生系统。方法:结合文献法、小组访谈、专家咨询等定性研究方法,对现有的监测体系和存在的问题进行总结和整理。采用典型抽样与分层抽样相结合的方法,对云南省边境县监测管理现状进行问卷调查。结果——在应对重大突发公共卫生事件中,州、县两级的监测预防水平无统计学差异,现有的监测体系难以对疫情进行传播、预测和及时有效的随访。结论——云南省边境地区尚未建立有效的疫情监测体系,疫情信息传播渠道和方式缺乏多元化,难以准确掌握疫情进展和变化趋势,风险意识没有加强和转化,不利于积极预防、控制和管理传染病。
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