Braga Judite Monteiro, Nhantumbo Lucas, Nhambomba António, Cossa Esmeralda, Nhabomba Crescêncio, Dimas Tomas, Nunes Daniele, Salomão Cristolde, Langa José Paulo, Baltazar Cynthia, Brant Jonas
Mozambique Field Epidemiology Training Program (Moz FELTP), Mozambique.
Instituto Nacional de Saúde (INS), Maputo, Mozambique.
Pan Afr Med J. 2019 May 23;33:52. doi: 10.11604/pamj.2019.33.52.15534. eCollection 2019.
The use of mass gatherings as spaces to practice health surveillance has been growing in recent years. In Mozambique, the 9th National Festival of Culture in 2016 was selected for this practice. A specific public health surveillance system to facilitate rapid detection of outbreaks and other health-related events was implemented for this event with real time data collection and analysis.
A descriptive epidemiological evaluation of all the health consultations that occurred in fixed posts prepared for the event was conducted. The data were collected through electronic mobile system (tablets) in real time, with the aid of a form designed for this purpose and sent directly to the incident command system (ICS).
During the event, a total of 355 patients were assisted, 52.3% were female, 87.0% were from Beira city and the artists were the group that most frequently sought health care at 59.4%. The largest number of visits took place on the third day (36.4%). People over 45 years of age were the age group that most frequently sought health care (30.8%). The main provisional diagnoses of those who were attended to during the festival was arterial hypertension (20.3%), followed by febrile syndrome (19.0%), with falls being the most frequent causes of trauma during the festival (60.0%).
The system of monitoring in real time using mobile technologies proved to be efficient for the monitoring of the main health events during the mass gatherings. This profile of health consultations encourages the health sector to plan strategies and actions geared to the reality of care for this type of event.
近年来，将大型活动作为实施健康监测的场所的做法日益增多。在莫桑比克，2016年第九届国家文化节被选为开展此项工作的活动。针对该活动实施了一个特定的公共卫生监测系统，以促进对疫情暴发和其他与健康相关事件的快速检测，并进行实时数据收集和分析。
对为该活动设立的固定岗位上发生的所有健康咨询进行了描述性流行病学评估。数据通过电子移动系统（平板电脑）实时收集，借助为此目的设计的表格，并直接发送到事件指挥系统（ICS）。
活动期间，共接待了355名患者，其中52.3%为女性，87.0%来自贝拉市，艺术家是最常寻求医疗服务的群体，占59.4%。就诊人数最多的是第三天（36.4%）。45岁以上人群是最常寻求医疗服务的年龄组（30.8%）。节日期间接受诊治的患者的主要初步诊断为动脉高血压（20.3%），其次是发热综合征（19.0%），跌倒为节日期间创伤的最常见原因（60.0%）。
事实证明，使用移动技术进行实时监测的系统对于在大型活动期间监测主要健康事件是有效的。这种健康咨询情况促使卫生部门制定针对此类活动实际护理情况的战略和行动。
