Stroup D F, Thacker S B
Epidemiology Program Office (EPO), Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.
Public Health Rep. 1995 Mar-Apr;110(2):119-24.
To investigate the potential contribution of public health surveillance systems to the health of children and workers in out-of-home child-care settings, we review existing public health surveillance practice in the United States. We identify issues that are of particular concern for surveillance in child-care settings. We propose a framework for developing public health surveillance systems that uses sentinel child-care sites, notifiable disease surveillance, modification of existing surveillance systems, and population surveys. Successful surveillance in these settings depends on the active participation of child-care providers, public health practitioners, and clinicians in (a) the selection of high priority diseases and injuries for surveillance; (b) the development of practical case definitions; (c) the augmentation of current surveillance systems to include disease and injury related to child care; and (d) the implementation, assessment, dissemination, and evaluation of new approaches for surveillance in child-care settings.
为了调查公共卫生监测系统对家庭外儿童保育机构中儿童和工作人员健康的潜在贡献，我们回顾了美国现有的公共卫生监测实践。我们确定了在儿童保育机构监测中特别值得关注的问题。我们提出了一个开发公共卫生监测系统的框架，该框架使用定点儿童保育场所、法定报告疾病监测、对现有监测系统的改进以及人口调查。在这些场所成功开展监测取决于儿童保育提供者、公共卫生从业者和临床医生积极参与以下方面：(a) 选择高优先级疾病和伤害进行监测；(b) 制定实用的病例定义；(c) 扩充当前监测系统以纳入与儿童保育相关的疾病和伤害；以及 (d) 在儿童保育机构实施、评估、传播和评价新的监测方法。
