Public health emergencies in schools and economic loss in Luoyang from 2010 to 2019
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摘要:
目的 分析2010—2019年洛阳市学校突发公共卫生事件及经济损失评估现状，为建立学校突发事件经济损失评估机制提供参考。 方法 采用流行病学方法对2010—2019年洛阳市学校突发公共卫生事件资料进行分析，对突发事件经济损失上报完整性、逻辑性进行分析，并评估学校突发事件经济损失整体状况。 结果 2010—2019年洛阳市发生突发事件60起，学校24起(40.00%)，其中传染病突发事件22起，占91.67%。突发事件呈现5和12月2个高峰期。小学发病12起，占50.00%；发病人数386例，占58.22%。突发事件上报率为75.00%(18/24)；数据完整率为5.56%(1/18)；数据逻辑性符合率为38.89%(7/18)。指标上报完整性疾病预防控制最高(75.00%)；卫生监督执法最低(20.83%)。经济损失中疾病预防控制费用最高为429 000元，卫生监督费用最低为20 800元。 结论 洛阳市学校突发事件经济损失上报率较高，但上报数据的完整性，尤其是逻辑性仍然有较大差距。应尽快完善经济损失网络直报标准，建立有效评估机制，为精准应对突发公共卫生事件，评估经济损失提供参考依据。 Abstract:Objective To analyze public health emergencies in schools and associated economic loss in Luoyang from 2010 to 2019, and to provide suggestions for developing evaluation mechanism for economic loss of public health emergencies in school settings. Methods Data of public health emergencies in schools during 2010-2019 in Luoyang was analyzed by descriptive epidemiological method; the integrity and logicality of the economic losses reports in emergencies were assessed; the overall economic losses of emergent events of public health in schools were evaluated. Results Among the 60 public health emergencies reported during 2010 to 2019 in Luoyang, 24 (40.00%) occurred in schools. Infectious diseases accounted for 91.67%(22). The peaks of public health emergencies were in May and December. Among the 24 public health emergencies, 50.00%(12) occurred in primary schools, with 386 (58.22%) cases. Nearly 75.00% (18/24) of public health emergencies in schools were reported, among them, reports with reasonable integrity accounted for 5.56% (1/18) and reports with logicality accounted for 38.89% (7/18). The highest integrity rate was found in disease prevention and control system (75.00%), while health supervision and law enforcement ranked the lowest (20.83%). According to the economic losses, the expense used for disease control and prevention was in front of the row(￥429 000), while the expense used for health supervision ranked at the bottom(￥20 800). Conclusion The reporting rate of economic losses of school public health emergencies in Luoyang is relatively high, but there is still a big gap in the integrality and logicality of the data. It is necessary to improve the standard of direct network reports of economic losses and to establish an effective evaluation mechanism for accurately responding to public health emergencies and evaluating economic losses. -
Key words:
- Public health /
- Fees, medical /
- Organization and administration /
- Student health services
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表 1 洛阳市2010—2019年不同辖区学校突发事件经济损失情况/元
Table 1. Economic loss of schools in different districts in Luoyang in 2010-2019/yuan(CNY)
辖区 起数 卫生应急处置费用 直接经济损失 间接经济损失 卫生行政管理 医疗救治 疾病预防控制 卫生监督 综合保障 其他 合计 老城 1 - - - - - - - - - 西工 4 41 500 97 500 66 500 16 000 44 000 14 000 279 500 385 000 412 000 吉利 4 - 2 600 3 000 - - - 5 600 - - 洛龙 4 10 600 39 500 44 000 4 000 2 000 1 500 101 600 90 000 90 000 栾川 3 2 000 4 200 7 000 800 21 500 5 000 40 500 11 500 10 000 嵩县 1 - - - - - - - - - 洛宁 1 50 000 150 000 100 000 - 100 000 50 000 450 000 500 000 1 200 000 伊川 6 33 000 15 000 208 500 - 104 000 34 400 394 900 232 500 173 400 合计 24 137 100 308 800 429 000 20 800 271 500 104 900 1 272 100 1 219 000 1 885 400 
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