■韩国已经实施了一只手,脚,和口蹄疫(HFMD)监测系统自2009年以来监测发病趋势和确定疾病负担。这项全国性的监测涉及大约100家儿科诊所的网络,报告所有可能和确诊的手足口病病例。在COVID-19大流行之后,必须评估传染病监测系统,以确保有效利用有限的公共卫生资源。
■本研究旨在评估2017年至2022年韩国手足口病哨点监测系统,重点是COVID-19大流行后的过渡期。
我们使用美国疾病控制和预防中心制定的公共卫生监测系统评估系统指南,对韩国疾病控制和预防机构的手足口病哨点监测系统进行了回顾性审查。我们在5个主要因素上评估了系统的整体性能:及时性,稳定性,完整性,灵敏度,和代表性(即,哨兵的年龄和地理分布)。我们认为这些因素较弱,中度,或者很好。
■我们的研究表明,灵敏度,手足口病监测表现的年龄代表性从2020年到2021年暂时降至中等水平,并在2022年恢复,而及时性和地理代表性在整个研究期间保持在良好水平。从2017年到2021年,监测的稳定性是中等的,到2022年是弱的。
■这是评估COVID-19大流行急性期后手足口病监测系统的第一项研究。我们确定了暂时降低的性能水平(即,完整性,灵敏度,和特定年龄的代表性)在大流行的急性期和2022年的良好表现。突发公共卫生事件期间的监测系统评估和维护将提供可靠可靠的数据,以支持公共卫生政策的制定。定期的员工培训计划和减少员工流失将提高手足口病监测系统的稳定性。
UNASSIGNED: South Korea has implemented a hand, foot, and mouth disease (HFMD) surveillance system since 2009 to monitor incidence trends and identify disease burden. This nationwide surveillance involves a network of approximately 100 pediatric clinics that report all probable and confirmed HFMD cases. Following the COVID-19 pandemic, infectious disease surveillance systems must be evaluated to ensure the effective use of limited public health resources.
UNASSIGNED: This study aimed to evaluate the HFMD sentinel surveillance system in South Korea from 2017 to 2022, focusing on the transition period after the COVID-19 pandemic.
UNASSIGNED: We retrospectively reviewed the HFMD sentinel surveillance system from the Korea Disease Control and Prevention Agency using systematic guidelines for public health surveillance system evaluation developed by the US Centers for Disease Control and Prevention. We assessed the system\'s overall performance in 5 main factors: timeliness, stability, completeness, sensitivity, and
representativeness (ie, the age and geographic distribution of sentinels). We rated these factors as weak, moderate, or good.
UNASSIGNED: Our study showed that the completeness, sensitivity, and age
representativeness of the HFMD surveillance performance were temporarily reduced to moderate levels from 2020 to 2021 and recovered in 2022, while the timeliness and geographic
representativeness were maintained at a good level throughout the study period. The stability of the surveillance was moderate from 2017 to 2021 and weak in 2022.
UNASSIGNED: This is the first study to evaluate the HFMD surveillance system after the acute phase of the COVID-19 pandemic. We identified a temporarily reduced level of performance (ie, completeness, sensitivity, and age-specific
representativeness) during the acute phase of the pandemic and good performance in 2022. Surveillance system evaluation and maintenance during public health emergencies will provide robust and reliable data to support public health policy development. Regular staff training programs and reducing staff turnover will improve HFMD surveillance system stability.