A public health enhanced surveillance system for a mass gathering event.

C. Huot, A. Paradis, K. Hammond-Collins, M. Bélair, J. Villeneuve, Nicholas Brousseau, I. Goupil-Sormany, J. Riffon
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Abstract

Background From June 7 to June 9, 2018, a G7 Summit was held in the Canadian province of Quebec. This international political mass gathering event posed a number of potential risks to public health. Objective To assess three additional monitoring strategies to detect public health threats during a mass gathering event. Intervention In addition to routine public health monitoring, a partnership was created and three monitoring strategies were put in place three days before, during and six days after the G7 event: the analysis of data on the presenting complaint and discharge diagnosis from 11 emergency departments in the area using the logical Early Aberration Reporting System; the daily polling of key health partners with an online questionnaire; and the analysis of calls to Info-Santé, a government-run telephone consultation service for the public regarding health and social issues. Results Emergency room data produced 78 alerts from the presenting complaints and 39 alerts from the discharge diagnoses. Of these 117 alerts, two were investigated (one in the respiratory and one in the neurological-muscular categories) and no other interventions were required. With a few exceptions, all of the health partners completed the online survey each day and no signal of concern was generated. Compared with historical data, no increase or differences in calls to Info-Santé were detected during the monitoring period. Conclusion The three additional monitoring strategies developed to detect events of public health importance during the 2018 G7 Summit in Quebec were successful in gathering timely data for analysis. Close collaboration and good participation from the different partners were essential to this project. However, because no public health event occurred, it was not possible to determine whether the enhanced surveillance system had sufficient speed and sensitivity for timely detection and response.
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针对大规模聚集事件的公共卫生强化监测系统。
2018年6月7日至9日,七国集团峰会在加拿大魁北克省举行。这一国际政治大规模集会事件对公共卫生构成了若干潜在风险。目的评价在人群聚集事件中发现公共卫生威胁的另外三种监测策略。干预措施除了常规的公共卫生监测外,还建立了伙伴关系,并在七国集团会议的三天前、期间和六天后实施了三项监测战略:利用逻辑早期异常报告系统分析该地区11个急诊部门提出的投诉和出院诊断数据;每天对主要卫生合作伙伴进行在线问卷调查;以及对为公众提供有关健康和社会问题的政府电话咨询服务info - sant的电话进行分析。结果急诊室数据从主诉中产生78个警报,从出院诊断中产生39个警报。在这117个警报中,调查了两个(一个在呼吸系统,一个在神经-肌肉类别),不需要其他干预措施。除了少数例外,所有卫生合作伙伴每天都完成了在线调查,没有产生任何关注的信号。与历史数据相比,在监测期间,对信息圣诞老人的呼叫没有增加或差异。结论2018年七国集团魁北克峰会期间,为发现具有公共卫生重要性的事件而制定的三项额外监测战略成功地收集了及时的数据以供分析。来自不同合作伙伴的密切合作和良好参与对这个项目至关重要。然而,由于没有发生公共卫生事件,因此无法确定加强后的监测系统是否有足够的速度和灵敏度及时发现和作出反应。
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