通过初级医疗保健数据,早期检测呼吸系统疾病爆发
Thiago Cerqueira-Silva1,2, Izabel Marcilio2, Vinicius de Araújo Oliveira2
1Laboratório de Medicina e Saúde Pública de Precisão - Instituto Gonçalo Moniz, Salvador, Bahia, Brazil.
Journal of global health
|November 2, 2023
概括
初级医疗保健数据可以为COVID-19爆发提供早期预警信号. 分析巴西的呼吸道投诉显示,有两周的领先时间,使公共卫生反应更快.
科学领域:
- 流行病学 流行病学
- 公共卫生监督 公共卫生监督
- 传染病的动态传染病的动态.
背景情况:
- 随着COVID-19的流行,人们越来越需要有效的疫情检测系统.
- 数字综合征监测至关重要,但往往需要昂贵的基础设施.
- 初级医疗保健 (PHC) 数据为监测提供了一个潜在的可访问的替代方案.
研究的目的:
- 评估PHC数据对巴西巴伊亚州COVID-19爆发的早期预警信号的有用性.
- 评估PHC接触数据是否可以预测COVID-19病例的出现.
主要方法:
- 与巴西巴伊亚的COVID-19病例数 (2020) 进行呼吸道投诉的每周PHC遭遇的比较.
- 利用历史PHC数据 (2016-2019) 来建立2020年的基线预期.
- 分析了34个地理区域的数据,包括具有强大的历史PHC数据覆盖范围的地区.
主要成果:
- 在21个符合条件的地区中,有18个地区 (86%) 在COVID-19病例通知前至少两周出现过多的呼吸道疾病.
- 在21个地区中的10个地区 (48%),这种过剩在COVID-19通知之前超过四周或更长时间.
- 这表明PHC数据提供了显著的交付时间.
结论:
- 已建立的PHC数据库可以用于数字综合征监测.
- 这种方法可以提高新出现的流行病的准备和响应时间.
- 医疗保健中心的数据提供了一种具有成本效益的监测方法,特别适用于发展中国家.
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