Chan E, Hohenadel K, Lee B, Helferty M, Harris J R, Macdonald L, Badiani T
Public Health Ontario, Toronto, ON.
Population and Public Health Division, Ministry of Health and Long-Term Care, Toronto, ON.
Can Commun Dis Rep. 2017 Jul 6;43(7):156-163. doi: 10.14745/ccdr.v43i78a04.
Public health surveillance for previous Olympic and Paralympic Games have been described in the literature, but surveillance for regional, multisport events on a smaller scale have rarely been explored.
To describe the public health surveillance planning, implementation, results, and lessons learned from the 2015 Pan/Parapan American Games in Toronto, Ontario, Canada.
Public health surveillance planning for the Games began two years in advance and involved local, provincial and federal partners, primarily focusing on infectious disease. From June to August, 2015, enhanced public health surveillance was conducted to support situational awareness and to facilitate the detection of infectious diseases and outbreaks, environmental health hazards and impacts and other major health events.
No major public health incidents occurred that were associated with or a result of hosting the Games. There were two cases of reportable infectious diseases associated with the Games, and 18 public health investigations involving Games-accredited individuals (six related to vaccine-preventable diseases and 12 related to gastrointestinal illnesses or food/water safety violations). Enhanced communication mechanisms, rather than routine and syndromic surveillance systems, were the primary sources of initial notification to surveillance partners on investigations.
Working with its partners, Ontario created a robust public health surveillance system for the 2015 Pan/Parapan American Games. Lessons learned, as well as the relationships and capacity developed through this experience, will be applied towards public health surveillance planning for future events.
文献中已有关于以往奥运会和残奥会公共卫生监测的描述，但对规模较小的地区性多项目赛事的监测鲜有探讨。
描述加拿大安大略省多伦多市2015年泛美/泛美残疾人运动会的公共卫生监测规划、实施情况、结果以及经验教训。
该运动会的公共卫生监测规划提前两年开始，涉及地方、省级和联邦合作伙伴，主要侧重于传染病。2015年6月至8月，进行了强化公共卫生监测，以支持态势感知，并便于发现传染病和疫情、环境卫生危害及影响以及其他重大卫生事件。
未发生与举办该运动会相关或由其导致的重大公共卫生事件。有两例与运动会相关的应报告传染病病例，以及18起涉及运动会认证人员的公共卫生调查（6起与疫苗可预防疾病有关，12起与胃肠道疾病或食品/饮用水安全违规有关）。强化沟通机制而非常规和症状监测系统，是向监测合作伙伴初步通报调查情况的主要来源。
安大略省与其合作伙伴共同为2015年泛美/泛美残疾人运动会建立了一个强大的公共卫生监测系统。所汲取的经验教训以及通过这一经历建立的关系和能力，将应用于未来赛事的公共卫生监测规划。
