Huot C, Paradis A, Hammond-Collins K, Bélair M A, Villeneuve J, Brousseau N, Goupil-Sormany I, Riffon J
Direction de santé publique du Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, QC.
Département de médecine sociale et préventive, Université Laval, Québec, QC.
Can Commun Dis Rep. 2019 Jul 4;45(7-8):212-224. doi: 10.14745/ccdr.v45i78a05.
From June 7 to June 9, 2018, a G7 Summit was held in the Canadian province of Quebec. This international political mass gathering event posed a number of potential risks to public health.
To assess three additional monitoring strategies to detect public health threats during a mass gathering event.
In addition to routine public health monitoring, a partnership was created and three monitoring strategies were put in place three days before, during and six days after the G7 event: the analysis of data on the presenting complaint and discharge diagnosis from 11 emergency departments in the area using the logical Early Aberration Reporting System; the daily polling of key health partners with an online questionnaire; and the analysis of calls to Info-Santé, a government-run telephone consultation service for the public regarding health and social issues.
Emergency room data produced 78 alerts from the presenting complaints and 39 alerts from the discharge diagnoses. Of these 117 alerts, two were investigated (one in the respiratory and one in the neurological-muscular categories) and no other interventions were required. With a few exceptions, all of the health partners completed the online survey each day and no signal of concern was generated. Compared with historical data, no increase or differences in calls to Info-Santé were detected during the monitoring period.
The three additional monitoring strategies developed to detect events of public health importance during the 2018 G7 Summit in Quebec were successful in gathering timely data for analysis. Close collaboration and good participation from the different partners were essential to this project. However, because no public health event occurred, it was not possible to determine whether the enhanced surveillance system had sufficient speed and sensitivity for timely detection and response.
2018年6月7日至6月9日，七国集团峰会在加拿大魁北克省举行。这一国际政治集会活动对公众健康构成了一些潜在风险。
评估三种额外的监测策略，以在大型集会活动期间发现公共卫生威胁。
除了常规的公共卫生监测外，还建立了合作伙伴关系，并在七国集团活动前三天、活动期间和活动后六天实施了三种监测策略：使用逻辑早期异常报告系统分析该地区11个急诊科的就诊主诉和出院诊断数据；通过在线问卷对关键卫生合作伙伴进行每日民意调查；分析拨打Info-Santé的电话，Info-Santé是政府运营的关于健康和社会问题的公众电话咨询服务。
急诊室数据从就诊主诉中产生了78次警报，从出院诊断中产生了39次警报。在这117次警报中，有两次进行了调查（一次在呼吸类别，一次在神经肌肉类别），无需采取其他干预措施。除了少数例外，所有卫生合作伙伴每天都完成了在线调查，未产生令人担忧的信号。与历史数据相比，监测期间拨打Info-Santé的电话未发现增加或差异。
为在2018年魁北克七国集团峰会期间发现具有公共卫生重要性的事件而制定的三种额外监测策略成功地收集了及时的数据进行分析。不同合作伙伴的密切合作和良好参与对该项目至关重要。然而，由于未发生公共卫生事件，无法确定强化监测系统是否具有足够的速度和敏感性来及时发现和应对。
