全国疾控卫生应急培训之一应对大型活动的公共卫生和医疗后果.ppt

Preparing for the Public Health and Medical Consequences of Mass Gatherings应对大型活动的公共卫生和医疗后果 Objectives of this presentation报告的目的 To review the medical literature involving mass gatherings 回顾有关大型活动的医学文献 To identify potential health medical effects associated with mass gatherings 识别大型活动相关的潜在医疗卫生影响 To identify key concepts of emergency preparedness as related to mass gatherings 了解与大型活动相关的应急防备的关键概念 Mass Gathering Events大型活动 Individuals come together for a collective purpose 人们为了一个共同的目的聚在一起 Gathering in specific site(s) of variable size 聚集在不同规模的（一个或数个）特定场所 Duration is usually hours to days 持续时间通常是几个小时到几天 Usually increase demands for health care 通常对医疗卫生保健服务的需求量会增加 Mass gathering events大型活动 Types of Venues 集会地点的类型 Sporting events 体育赛事 Public figures, (i.e. Papal Visits) 公众人物（例如，教皇来访） Music concerts, (mostly rock music) 音乐会 (主要是摇滚音乐) Special events (trade shows, expositions) 特殊事件（展销会，展览会） Scientific literature regarding mass gatherings有关大型活动的科学文献 Includes mostly anecdotal case reports 包括很多坊间传闻 Traditionally involves large numbers of spectators 一般来说，大型活动涉及大量的观众 Range = 50,000 - 375,000 / event 观众人数范围=50，000-375，000人/活动 Mean = 265,000 / event 观众平均人数=265，000人/活动 Majority of reported medical needs are relatively low in acuity 报道的大多数大型活动的医疗服务需求相对较低 A Brief Literature Review of Mass Gatherings, 1966-1994 1966-1994年间大型活动文献的简要回顾 N = 39 articles 文献数量=39篇 Sporting contests = 9 体育赛事=9篇 Papal masses = 9 弥撒=9篇 Rock Concerts = 21 摇滚音乐会=21篇 Census and Medical Needs人数统计和医疗服务需求 There is a strong correlation between the number of spectators at a mass gathering and the number seeking medical care 大型活动的观众数量与寻求医疗服务的人数强相关 (Spearman’s Rank Correlation Coefficient: rho = 0.72; p = 0.0001) Mean Number of Patient Encounters According to Venue*不同集会点的平均就诊病人数 Venue type Patients Transports Cardiac arrests 集会点类型