Analysis And Evaluation On Reporting And Disposal Of The Public Health Emergency Incidents In Shandong Province From 2006-2007

Objectives:To analyze the 102 public health emergency incidents in Shandong Province in the last two years with the epidemiological and statistical analysis methods,understand their epidemiological characteristics,establish the evaluation form of the public health emergency incidents reporting and disposal,and evaluate the public health emergency incidents reporting and disposal;make comprehensive evaluation on the disposal quality of public health emergency incidents of infectious disease and poisoning,find the problems in the public health emergency incidents reporting and disposal.And then,find an effective way to solve the issues.In order to do the prevention and control work of public health emergency incidents better in the future and improve the ability of the public health emergency incidents reporting and disposal.Objects and Method:The 102 public health emergency incidents that happened in Shandong Province from the zero o' clock of 1-Jan-2006 to the 24 o' clock of 31-Dec-2007 were used as study objects for data analysis and evaluation.In reference to the data on state and provincial regulations,in the form of questionnaires,after selection of the views of experts through repeated seeking their advices (Delphi),the evaluation form of the public health emergency incidents of poisoning category reporting and disposal and the evaluation form of the public health emergency incidents of infectious disease category and eva]uate the public health emergency incidents reporting and disposalTOPSIS method was used comprehensive evaluation on the disposal quality of public health emergency incidents of infectious disease and poisoning in the cities.Main Results:(1)Basic background.A total of 6,142 cases were reported with 29 deaths in the 102 emergencies,and there were 5,752 cases with 15 deaths in 78 emergencies in 2006 and 390 cases with 14 deaths in 24 emergencies in 2007 respectively.76(74.51%) communicable diseases outbreaks had 5 760 cases with 4 deaths that accounted for 94.72%of total cases and 13.79%of total deaths, and 10 non-occupational carbon monoxide poisoning incidents had 143 cases with 5 deaths.There were 5 303 cases without death in 66 emergencies that occurred in kindergartens,primary schools and high schools.(2)Case evaluation.Among the province's 25 public health emergencies of poisoning category,4 were evaluated as the superior grade,accounting for 16.00%;8,the good grade, accounting for 32.00%;2,the medium grade,accounting for 8.00%; 11,the poor grade,accounting for 44.00%.Among the province' s 10 public health emergency incidents of Class A and B infectious diseases and diseases of unknown causes, 1,was evaluated as the superior grade,accounting for 10.00%, 3,the good grade,accounting for 30.00%,2,the medium grade, accounting for 20.00%,4,the poor grade,accounting for 40.00%;Among the 50 public health emergencies of Class C infectious diseases,8 were evaluated as the superior grade, accounting for 16.00%,14,the good grade,accounting for 28.00%, 17,the medium grade,accounting for 34.00%,11,the poor grade, accounting for 22.00%;17 other infectious diseases(nonnotified infectious diseases)were public health emergencies of chickenpox outbreaks,among them none was evaluated as the superior grade,2,the good grade,accounting for 11.76%,5,the medium grade,accounting for 29.41%,10,the poor grade,accounting for 58.82%.(3)Comprehensive evaluation on public health emergency report disposal in cities with districts.25 public health emergencies of poisoning category were distributed in 11 cities, with the city as a unit,using TOPSIS,comprehensive evaluation was made on public health emergencies of poisoning category report and disposal,Zaozhuang,Weihai,Laiwu were ranked the top three in C,value(index value and relatively close to the ideal solution degree),showing that the three cities were higher in comprehensive evaluation on public health emergencies of poisoning category report and disposal.All 77 public health emergencies of infectious disease category(including 1 public health emergencies of unknown causes disease)were distributed in 13 cities,with the city as a unit, using TOPSIS,comprehensive evaluation was made on public health emergencies of infectious disease category report and disposal, Liaocheng,Weihai,Tai' an were ranked the top three in C,value (index value and relatively close to the ideal solution degree), showing that the three cities were higher in comprehensive evaluation on public health emergencies of infectious disease category report and disposal.Conclusions:1.The outbreaks of infectious disease in primary and high schools are the major public health emergency incidents.2.The evaluation form of the public health emergency incidents can reflect the basic condition of the public health emergency incident reporting and disposal.3.TOPSIS method can be used to make comprehensive evaluation on the public health emergency incident reporting and disposal in different districts and cities.