A survey of performance of public health risk assessment in emergencies of institutions for disease control and prevention at different levels in China
10.3760/cma.j.cn112338-20230114-00031
- VernacularTitle:我国各级疾病预防控制机构突发事件公共卫生风险评估工作现状调查
- Author:
Yali ZHANG
1
;
Jian CAI
;
Yingxin PEI
;
Huihui LIU
;
Runze LU
;
Rendong YANG
;
Huilai MA
Author Information
1. 中国疾病预防控制中心现场流行病学培训项目，北京 100050
- Keywords:
Emergency;
Public health;
Risk assessment;
Information source;
Risk management recommendation;
Institution for disease control and prevention
- From:
Chinese Journal of Epidemiology
2023;44(9):1462-1466
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the performance of public health risk assessment in emergencies of institutions for disease control and prevention at different levels in China, and provide suggestions for the improvement of public health risk assessment.Methods:A self-administered survey was conducted in professionals involved in public health risk assessment in emergencies from national institution, provincial institutions and some prefectural institutions for disease control and prevention (1-2 prefectural institutions were selected using convenience sampling in each province) between March and April in 2021.Results:A total of 79 institutions for disease control and prevention were investigated, including 1 national institution, 32 provincial institutions and 46 prefectural institutions. By April 2021, all the 79 institutions surveyed had conducted risk assessment of public health emergencies, in which 61 (77.2%) had established departments responsible for the public health risk assessment, i.e. emergency management office or communicable disease prevention and control office (section), and regular risk assessment mechanisms. The main sources of information for public health risk assessment were public health surveillance systems, including the National Notifiable Diseases Reporting System (100.0%) and Public Health Emergencies Management Information System (97.5%). Compared with the provincial institutions, the prefectural institutions were more likely to use specific disease surveillance systems (84.8% vs. 62.5%; χ2=5.09, P=0.024). The risk management recommendations made by 43 institutions for disease control and prevention (54.4%) after the risk assessment were accepted by the superior health administrative departments and used in epidemic prevention and control. Conclusions:Public health risk assessment in emergencies has been widely carried out by national, provincial and prefectural institutions for disease control and prevention in China. Specialized departments and mechanisms have been established, but the information sources are still confined to public health surveillance systems and the application of the risk assessment results still needs to be further improved.
