Rosenkötter Nicole, Ziemann Alexandra, Krafft Thomas, Riesgo Luis Garcia-Castrillo, Vergeiner Gernot, Brand Helmut
Department of International Health, CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Duboisdomein 30, Maastricht, GT, 6229, The Netherlands.
Department of Medical Sciences and Surgery, University of Cantabria, Santander, Spain.
J Public Health Policy. 2014 Aug;35(3):311-26. doi: 10.1057/jphp.2014.13. Epub 2014 May 8.
The scope of the International Health Regulations of 2005 (IHR (2005)) has been expanded. The IHR (2005) are no longer limited to a specific set of infectious diseases, instead they prescribe detection and assessment of any event of potential public health concern regardless of its source or origin. We examine events of non-infectious origin that might fulfill the criteria of a potential public health emergency of international concern under the IHR (2005). These comprise predominately events related to food safety, but also events related to drug safety or of chemical or industrial origin. We argue that to identify these events and assess health effects related to them, existing disease surveillance systems should be augmented with less specific indicator-based syndromic surveillance strategies that use available routine health-related service data for monitoring purposes.
2005年《国际卫生条例》（《国际卫生条例（2005）》）的范围已经扩大。《国际卫生条例（2005）》不再局限于特定的一组传染病，而是规定对任何可能引起公共卫生关注的事件进行检测和评估，无论其来源或起因如何。我们研究了可能符合《国际卫生条例（2005）》规定的国际关注的潜在公共卫生紧急情况标准的非传染性起源事件。这些事件主要包括与食品安全相关的事件，但也包括与药物安全或化学或工业起源相关的事件。我们认为，为了识别这些事件并评估与之相关的健康影响，现有的疾病监测系统应通过基于不太具体指标的症状监测策略加以扩充，这些策略利用现有的常规健康相关服务数据进行监测。
