Wallace Deborah
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, USA.
Int J Health Serv. 2004;34(4):647-9. doi: 10.2190/KUCF-K57M-JU0A-7V12.
Table II of Morbidity and Mortality Weekly Report each week displays the cumulative year-to-date provisional number of cases of selected notifiable diseases in the United States, by state. Thus comparisons between the same weeks for different years can allow a rough rapid tracking of trends. In recent years, particularly 2004, the reported provisional cases showed incongruities. As of April 16, 2004, for example, no AIDS cases at all appeared in Table II. Responses from government public health officials (Centers for Disease Control and Prevention (CDC) and State of California) indicate instabilities and problems in the public health surveillance and reporting system. Such instabilities and problems, if serious and enduring enough, could impair detection of threats to public health.
《发病率与死亡率周报》的表二每周都会按州展示美国本年度截至目前选定的应报告疾病的累计暂定病例数。因此，对不同年份同一周的数据进行比较，可以大致快速地追踪趋势。近年来，尤其是2004年，报告的暂定病例数出现了不一致的情况。例如，截至2004年4月16日，表二中根本没有艾滋病病例。政府公共卫生官员（疾病控制与预防中心（CDC）和加利福尼亚州）的回应表明，公共卫生监测和报告系统存在不稳定因素和问题。如果这些不稳定因素和问题足够严重且持续存在，可能会削弱对公共卫生威胁的检测能力。
