Epidemiological Study On Fever Patients In The Quarantine Of Dongguan Railway Port

Infectious diseases, one of the leading causes of death in the worldwide, constituted the most serious health issue in the world. With the rapid development of world trade and world travels, people and stuffs communicate frequently, terrain is no more the natural barrier to preventing infectious diseases spreading. The long-term surveillance of Infectious diseases is one of the basic measures to prevent the outbreak of infectious diseases, and also plays an important role in the rapid response and detection of the sudden public health incident. However because of the specificity in the procedure of port quarantine inspection, it is difficult to detect the suspicious patients in short time. So it is urgent to build a simplicity, Sensitive and fast index to surveillance.Fever is a common syndrome of most surveillance diseases and inspection diseases. It is easy and efficient to detect the suspicious patients using fever as the index.Methods In this research we analyze the epidemiological characteristics of fever patients who were detected in the quarantine of Dongguan railway port in an attempt to gain a better understanding of its potential of preventing infectious diseases, as well make suggestions for our nation.Results There were 56 fever patients which could be detected all the years from Jan. 2004 to Dec.2006. And the detection rate is 3.5/100,000. No changes were found in each month. And these matches the zero case of infectious diseases in Dongguan from 2004 to 2006. It's no statistical difference between the fever patients came from different counties and terrains, The major passengers came from Southeast Asia's countries which have the similar epidemic situation might be the reason. There were 64.28% of patients which came from Hong Kong. The patients of 0-10 were obviously higher than other age section, and it was 26.78%. Children are intend to be infectious during epidemic time, and should be treated as an emphasis to surveillance. The gender ratio was 3:1. The number of fever patients of businessmen and technicians were most in occupation, which were 26.79% and 17.86% respectively. Most of the fever patients at Dongguan railway port were detected by the quarantine officer. 12 fever patients had travel history in 4 weeks before they got a fever. Only one of them had been to Thailand, others had been to their homeland.Conclusion The fever patients in the quarantine of Dongguan railway Port had unique features in epidemiology. According to these features, we can screen the fever patients more quickly and easier.Prevention and Control measures: There still be a lot of emerging public health incidents, especially the spreading of the infectious diseases such as SARS. The primary mission of quarantine inspection department in the future is to prevent the infectious diseases spreading out from the port, control the emerging public health incident, speed the development of international trade. To achieve this purpose, firstly, constituting and improving the quarantine law; secondly, building a long-term system to surveillance emerging infectious diseases; thirdly, increasing the input of sanitation finance; fourthly, upbuilding and completing the information mutilation system; fifthly, raising the qualities of quarantine officer; sixthly, upbuilding the expert imformation system; seventhly, coordinating the collaborate between quarantine department , district health department and other department at port.