疾病与危险因素的调查处理能力修订稿课件.ppt

* * * On Dec.3rd, 2004, the national emergency surveillance system reported 142 suspected cases of paratyphoid fever in a rural boarding school located in Lingchuan county, Guangxi province. * Does the observed number exceed the expected number观察到的数量超过了预计的数量了吗 Compare current numbers with numbers from comparable previous times将目前的数量与以前可比的数量进行对比 Are there any factors that may have led to increased reporting存在可能导致增大报告的任何因素吗 Is it worthwhile to investigate? 值得花时间或精力调查吗？ * Does the observed number exceed the expected number观察到的数量超过了预计的数量了吗 Compare current numbers with numbers from comparable previous times将目前的数量与以前可比的数量进行对比 Are there any factors that may have led to increased reporting存在可能导致增大报告的任何因素吗 Is it worthwhile to investigate? 值得花时间或精力调查吗？ * 411 cases met the case definition. The main signs and symptoms reflected systemic illness. 69% of cases had a high fever, 55% a dry throat and 21% a nonproductive cough. These were usual symptoms of paratyphoid fever. Consider stating the common symptoms of paratyphoid fever first and then pointing out the unusual symptoms. Is last sentence needed? Why are only certain symptoms mentioned (and written in a different color?) * Salmonella enterica serovar paratyphi A was identified in 24% of the 173 blood specimens and 7% of the 61 stool specimens examined. * Our case definition was any boarding school student or employee having onset of fever (≥37.5°C), and headache, dry throat, nonproductive cough or diarrhea, between Nov. 9—Dec.25, 2004. * To search for cases, we reviewed clinical records in the school clinic, village clinic, and township hospital. We also reviewed the daily temperature readings, signs, and symptoms of students and employees, all of whom had been examined by school doctors, and discussed potential risk factors with them. If we found a suspect case, we also collected blood and stool specimens for culture. * Water was highly suspect because of the heavy rain and the failure to provide boiled water. Als