摘要
目的了解和评价朝阳区埃博拉出血热疫区来华(归国)人员健康监测工作的实施情况,提高监测质量。方法从"北京市输入性疫情联防联控信息系统"获取调查对象的联系方式等信息;采用电话调查的方法了解埃博拉出血热疫区来华(归国)人员的健康监测实施情况。结果本研究对2014年8-10月登记的343名监测对象开展了电话调查。其中有74.3%(255/343)的人因电话号码错误或缺失而未能联系上,应答者中,74.0%(57/77)收到过卫生部门的相关告知,但其中仅有54.4%(31/57)做到每日测量体温,28.1%(16/57)从未测量过体温。如果出现发热等不适症状,只有68.4%(39/57)会第一时间报告社区卫生服务中心或医院。被告知监测对象中外籍人员每天自测体温的比例明显高于中国籍(χ2=7.33,P<0.05)。结论本次调查结果显示该项工作尚存在一些问题,需加强管理,防止监测出现漏洞;需采取措施提高监测对象的依从性,建议对中国籍监测对象的健康监测可由其所在单位进行实施和管理,对于外籍监测对象,建议配备外语翻译进行告知。
Objective To investigate and appraise the implementation of active post - arrival monitoring for travelers from Ebola impacted countries in Chaoyang District, Beijing, so as to improve the quality of surveillance. Methods We recruited the in- formation of all travelers from Ebola impacted countries from the active post - arrival monitoring （APMT） system in Beijing, and then conducted a telephone survey on the implementation situation of active post - arrival monitoring in the travelers. Results A total of 343 subjects were recruited by the telephone survey from August to October, 2014. 74.3% （255/343） could not be in- terviewed because their phone numbers were missing or incorrect in the APMT system. Among the 77 respondents, 74.0 % （57/ 77） had been informed of the self- health monitoring by the local health department, but only 54.4% （31/57） of them had mea- sured their body temperature every day, and 28.1% （16/57） had never measured. Only 68.4% （39/57） would like to report firstly to the local health departments if they developed fever during the monitoring period. The proportion of foreign - respondents measuring body temperature by themselves every day was significantly higher than that of Chinese respondents （ χ2 = 7.33, P 〈 0.05）. Conclusions Our findings indicate that some weaknesses exist in the implementation of APMT, and hence, it is nec- essary to strengthen the management and surveillance and adopt measures to improve the subjects＇ compliance with APMT. It is suggested that the health management and monitoring of Chinese subjects should be performed by their own units, while the for- eign subjects should be informed of the relative policy by interpreters.
出处
《实用预防医学》
CAS
2015年第10期1191-1194,共4页
Practical Preventive Medicine
关键词
埃博拉
主动追踪监测
实施
Ebota
Active post- arrival monitoring （APMT）
Implementation
