Domínguez García A, Canela Soler J, Fuentes Almendros M
Departamento de Salud Pública y Legislación Sanitaria, Universidad de Barcelona.
Gac Sanit. 1991 Jan-Feb;5(22):29-33. doi: 10.1016/s0213-9111(91)71046-7.
In order to assess activities of epidemiological surveillance resulting from the statutory notification system, a total of 17,394 notification records of eight infectious diseases (brucellosis, bacillary dysentery, typhoid fever, viral hepatitis, meningococcal infection, rickettsioses other than exanthematous typhus, pulmonary tuberculosis, and tuberculosis of other organs) together with 10,503 epidemiological surveys submitted to the "Servei Territorial de Salut Pública" of the province of Barcelona between 1982 and 1986 were reviewed. In notification records, data to locate physicians were the most commonly found (between 92.6% and 99.4% according to disease), whereas in epidemiological surveys, clinical and analytical data were the most frequently encountered. The inclusion of data of epidemiological interest ranged from 3.6 to 68.6%. In order to improve efficacy of the statutory notification system a proposal is made to reduce the extension of epidemiological surveys in terms of requesting only necessary data to establish appropriate measures in each case.
为评估法定通报系统产生的流行病学监测活动,我们查阅了1982年至1986年间提交给巴塞罗那省“公共卫生地区服务局”的8种传染病(布鲁氏菌病、细菌性痢疾、伤寒、病毒性肝炎、脑膜炎球菌感染、除斑疹伤寒以外的立克次体病、肺结核和其他器官的结核病)的17394份通报记录以及10503份流行病学调查报告。在通报记录中,最常出现的是用于定位医生的数据(根据疾病不同,比例在92.6%至99.4%之间),而在流行病学调查报告中,临床和分析数据最为常见。具有流行病学意义的数据收录比例在3.6%至68.6%之间。为提高法定通报系统的效率,现提出一项建议,即减少流行病学调查的范围,仅要求提供必要数据,以便针对每个案例制定适当措施。