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目的评价2014-2015年湖北省埃博拉出血热疫区归国人员流行病学特征,分析并评估监测排查系统效果。方法根据广东省、北京市、上海市出入境部门、中国驻外大使馆、北京商务委等部门填报的疫区来华(归国)人员信息,开展为期21天的追踪和健康监测管理,对数据进行整理和分析。结果湖北省76%的入境人员为劳务人员(n=612)。全省监测未满21天总人次占所有接收总人次的7.44%,且外国籍与中国籍这一比例无差异(χ~2=1.466,P>0.05)。2014年监测未满21天人员的比例高于2015年(χ~2=8.498,P<0.05)。人员入境后,湖北省24小时内接收通报的比例为85.83%(727/847)。按入境至下通报时间统计,最短0天,最长5天,平均1.59天,中位数为2天。结论各地监测水平有差异,重点地市监测难度大。机构内及机构间联防联控机制的深入与完善,是类似疫情防控中疫区归国人员健康监测工作的重要保障。
Objective To evaluate the epidemiological characteristics of returning workers from the Ebola hemorrhagic fever epidemic area in Hubei province from 2014 to 2015, and to analyze and evaluate the effect of monitoring and screening system. Methods The 21-day follow-up and health monitoring management was carried out based on the information of the returnees (returnees) in the affected areas reported by the exit and entry departments of Guangdong Province, Beijing Municipality and Shanghai Municipality, the embassies of Chinese ambassadors and the Beijing Commission of Commerce. Data is collated and analyzed. Results 76% of immigrants in Hubei Province were labors (n = 612). In the whole province, the total number of people under observation for 21 days was 7.44% of the total number of people receiving the questionnaire. There was no difference in the proportion of foreign nationality and Chinese nationality (χ ~ 2 = 1.466, P> 0.05). In 2014, the proportion of people who monitored under 21 days was higher than that of 2015 (χ ~ 2 = 8.498, P <0.05). After the arrival of personnel, Hubei Province, the proportion of receiving notification within 24 hours was 85.83% (727/847). According to the time of entry to the next notification time statistics, the minimum 0 days, up to 5 days, an average of 1.59 days, the median was 2 days. Conclusion There are differences in monitoring levels around the city, focusing on the difficulty of monitoring. The deepening and perfection of the mechanism of joint and joint prevention and control within and between agencies is an important guarantee for the health monitoring of returnees in the epidemic prevention and control areas.