Smith G E, Cooper D L, Loveridge P, Chinemana F, Gerard E, Verlander N
Health protection Agency West Midlands, Birmingham, United Kingdom.
Euro Surveill. 2006;11(12):220-4.
Routine primary care data provide the means to monitor a variety of syndromes which could give early warning of health protection issues. In the United Kingdom, a national syndromic surveillance system, operated jointly by the UK Health Protection Agency (HPA) and NHS Direct (a national telephone health helpline), examines symptoms reported to NHS Direct. The aim of the system is to identify an increase in syndromes indicative of common infections and diseases, or the early stages of illness caused by the deliberate release of a biological or chemical agent. Data relating to 11 key symptoms/syndromes are received electronically from all 22 NHS Direct call centres covering England and Wales and analysed by the HPA on a daily basis. Statistically significant excesses in calls are automatically highlighted and assessed by a multi-disciplinary team. Although the surveillance system has characterised many sudden rises in syndromes reported to NHS Direct, no evidence of a biological or chemical attack has been detected. Benefits of this work, however, are early warning and tracking of rises in community morbidity (e.g. influenza-like illness, heatstroke); providing reassurance during times of perceived high risk (e.g. after the 7 July 2005 London bombs and December 2005 Buncefield oil depot fire); and timely surveillance data for influenza pandemic planning and epidemic modeling.
常规基层医疗数据提供了监测各种综合征的手段，这些综合征可能对健康保护问题发出早期预警。在英国，由英国健康保护局（HPA）和国民保健服务热线（一条全国性的电话健康求助热线）联合运营的全国性症状监测系统，对向国民保健服务热线报告的症状进行检查。该系统的目的是识别出表明常见感染和疾病增加的综合征，或由故意释放生物或化学制剂引起的疾病早期阶段。与11种关键症状/综合征相关的数据从覆盖英格兰和威尔士的所有22个国民保健服务热线呼叫中心以电子方式接收，并由HPA每天进行分析。呼叫中具有统计学意义的过量情况会自动被突出显示，并由一个多学科团队进行评估。尽管该监测系统已对向国民保健服务热线报告的许多综合征的突然增加进行了特征描述，但尚未检测到生物或化学袭击的证据。然而，这项工作的好处包括对社区发病率上升（如流感样疾病、中暑）的早期预警和跟踪；在高风险时期（如2005年7月7日伦敦爆炸案和2005年12月邦斯菲尔德油库火灾之后）提供安心保障；以及为流感大流行规划和疫情建模提供及时的监测数据。
