| The background of the investigationDisease prevention and control institutions (CDC) is the important part of the public health in our country, and the primary army to tackle against the emergency of public healthy events. District (country) level of CDC is the first one to tackle against the emergency. The ability of the tackling directly reflects the mechanism of tacking the public health emergency and the fruition of building the system. It has a important significance of whether to prevent and tackle the emergency efficiently. This topic comprehensively assesses the District (country) CDC’s ability of dealing with the public health emergency, finds the characteristics and shortcomings, improves the strategy and the ability of dealing with the emergency, and then provides the references for other CDC.The purpose of the investigationThe purpose of the investigation is to know the Harbin CDC’s ability of dealing with the public health emergency, to find the problems, to put forward some suggestion, and to improve the system.The method of the investigationWe use the cross-sectional survey method. And we use the unified questionnaire to investigate the people in the18District (country) CDC, and then score the result. We conclude the score as the final result.The result1.The proportion of the professional people of the District (country) CDC is6.91/105,The proportion under the junior college is34.66%, and the people of that are almost primary titles. Additionally, the number of District (country) CDC with the mission of cultivating is only2.2. All the District (country) CDC have made the strategy of dealing with the public health emergency, which includes the composing and the duty of the department dealing with the emergency. The CDC should know the reflection to every degrees of the emergency, and start the relative strategy to deal with it. The experts of the CDC are almost about the Major infectious disease, the unidentified group disease, food poisoning, water poisoning and occupational poisoning. Otherwise, CDC should have the contact information of each one. The three highest score belongs to the Nangang district, Daoli district and Hulan district, which have a high ability of dealing with the emergency.3. The district CDC’s strategy to deal with the emergency should accord with the city’s. Lots of the CDC takes the special experts to instruct the work, to test and to investigate. Only some of the CDC know the situation of the important and dangerous disease examples. The ability from the highest to the lowest are:Wuchang city, Nangang city, Shangzhi city, Daoli district, Songbei district, Acheng district,, Pingfang district, Hulan district, Fangzheng country, Shuangcheng city, Bin country, Daowai district, Yilan country, Tonghe country, Bayan country, Mulan country, Shouyan country, Xiangfang distruct.4. The people having the investigating ability is383. Most of them are bachelor degree, primary title and Intermediate title. The emergency always comes from medical institution, CDC, other institution and person, port, airport, railway CDC, and veterinaries. The score of the ability from the highest to the lowest is Nangang district, Fangzheng country, Yanshou country, Daoli district, Hulan district, Acheng district, Tonghe country,Wuchang city, Mulan country, Daowai district, Songbei district, Bayan country, Bin country, Xiangfang district, Pingfang district, Yilan country, Shuangcheng city, Shangzhi city.5. The people in the CDC lab are almost bachelor degree, and the proportion is43.33%. The title of them is almost primary title, the proportion is46.19%. The score of the ability from the highest to the lowest is Daowai district, Nangang district, Shangzhi city, Daoli district, Tonghe country, Yilan country, Bayan country, Acheng city, Pingfang district, Shuangcheng district, Fangzheng country, Yanshou country, Bin country, Mulan country, Wuchang city, Hulan district, Xiangfang district, Songbei district. 6. Database management personnel and web site management personnel have the most population. Only2CDC build the internet. The score of the information management from the highest to the lowest is Nangang district, Daoli district, Daowai district, Xiangfang district, Wuchang city, Yanshou country, Shangzhi city, Tonghe country, Hulan district, Bayan country, Acheng district, Mulan country, Pingfang district, Songbei district, Bin country, Fangzheng country, Yilan country, Shuangcheng city.7. Each district CDC has built the training, and most of the content has been trained. The score of the training from the highest to the lowest is:Nangang district, Wuchang city, Mulan county, Tonghe country, Daoli district, Hulan district, Acheng district, Songbei district, Daowai district, Fangzheng country, Xiangfang district, Bayan country, Pingfang district, Bin country, Yanshou country, Shangzhi city, Yilan country, Shuangcheng city.8. The comprehensive score of the CDC from the highest to the lowest is:Nangang district, Daoli district, Hulan district, Wuchang city, Daowai district, Acheng district, Fangzheng country, Mulan country, Songbei country, Tonghe country, Yanshou country, Bayan country, Shangzhi city, Xiangfang district, Bin courty, Pingfang district, Yilan country, Shuangcheng city.Conclusion1.It isn’t equal of the personnel, the degree and the title in the Harbin CDC. The major of the professional worker is below the college degree and primary title.2. The18district CDC have a good ability of dealing with emergency, most of which can make the strategy timely.3. The18district CDC have a low degree of cooperation and technique support. Though they can give technique support for the emergency, they have rare opportunity to cooperate.4. The18district CDC have a good ability of overseeing and investigating. Most of them have investigated the infectious disease, the chronic disease, the public health emergency, the level of the people’s immune, the basic public health information and the situation of the people’s health, and they can bring the information to the relative institution timely. Additionally, the proportion of the investigation, the degree and the title is fine. They can lead and operate the infectious disease investigation, analyze the information, coordinate the relationship between the CDC and the doctor, and cooperate to other institution.5. The18district CDC have a low level of testing. Maybe this low level is caused by the low investment and the shortage of the lab devices.6. The18district CDC have a low level of the information building. They don’t improve the SOP. They should improve the training and disease informing level.7. The18district CDC have already held the training. But the time is less, and the content of training is not enough, the content about the infectious disease is more and other content is less. The training is always about the common disease, let along other disease. It is imbalance.8. The18district CDC’s ability of dealing with the emergency should be improved, especially the country CDC which are lack of fund. |
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