CN102043895B - Disease prevention and treatment method and system - Google Patents
Disease prevention and treatment method and system Download PDFInfo
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- CN102043895B CN102043895B CN 200910235391 CN200910235391A CN102043895B CN 102043895 B CN102043895 B CN 102043895B CN 200910235391 CN200910235391 CN 200910235391 CN 200910235391 A CN200910235391 A CN 200910235391A CN 102043895 B CN102043895 B CN 102043895B
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Abstract
The invention provides a disease prevention and treatment method and a disease prevention and treatment system. The disease prevention and treatment method comprises the following steps of: acquiring characteristic physiological data of a disease needing preventing and treating of a user through a client device which is worn on the body of the user and transmitting the data to a remote prevention and treatment server; and analyzing the characteristic physiological data through the remote prevention and treatment server. The objective accuracy and reporting speed of epidemic information can be increased and reporting or releasing timeliness of the epidemic information is ensured.
Description
Technical field
The present invention relates to the public health field, particularly relate to a kind of disease preventing control method and system that is applied to the public health field.
Background technology
Spring in 2003 precipitate SARS (atypical pneumonia, Severe Acute RespiratorySyndromes), the large tracts of land of the acute infectious disease epidemic situations such as Influenza A H1N1 in the first half of the year in 2009 outburst, cause occurring a large amount of patients or death, human life's safety and socio-economic development have been constituted very big threat.
For the propagation that effectively prevents epidemic, spread and outburst once again, a lot of countries have taked isolation patient and suspected case, measurement Genomic sequencing of the virus, a large amount of manpower and materials of input to develop prevention and control measures such as viral vaccines, have obtained good effect.For example, the Chinese government has set up widely epidemic situation prevention and control system from bottom to top, require medical administration and organisation's strictness to carry out epidemic monitoring and screening, and when finding case or suspected case, in time report, by health ministry the epidemic information that each province, city report every day is carried out statistical study, and to the whole nation and the up-to-date epidemic information of whole world issue.
However, still there is following shortcoming in existing epidemic situation prevention and control system:
1, need report from bottom to top owing to this epidemic situation prevention and control system, thereby be subjected to artificial factor inevitably, can not guarantee objectivity and the report speed of epidemic information;
2, for the very fast disease of this velocity of propagation of similar SARS, according to the frequency of 24 hours every days epidemic information is carried out statistical study, can not guarantee the promptness of epidemic information issue.
In a word, need the urgent technical matters that solves of those skilled in the art to be exactly: how can improve objective and accurate degree and the report speed of epidemic information, guarantee the promptness of epidemic information issue simultaneously.
Summary of the invention
Technical matters to be solved by this invention provides a kind of disease preventing control method and system, can guarantee the promptness that epidemic information reports or issues in the objective and accurate degree and report speed that improve epidemic information.
In order to address the above problem,
The embodiment of the invention discloses a kind of disease prevention and control system, comprising:
User end apparatus is used for the feature physiological data by the required prevention and control disease that is worn on user user end apparatus collection user on one's body;
Communication module comprises feature physiological data transmitting element, and the feature physiological data that is used for gathering is sent to long-range prevention and control server; Also comprise the whereabouts information transmitting unit, be used for user's whereabouts information is sent to long-range prevention and control server;
Long-range prevention and control server comprises second analytic unit, is used for described feature physiological data and whereabouts information thereof are carried out analyzing and processing, obtains analysis result, and described analysis result comprises normal case or suspected case;
Described long-range prevention and control server also comprises:
First receiver module is used for receiving confirmed cases information;
Monitoring module is used for personal information, geographical location information and time parameter according to confirmed cases, and monitoring disease infects the trend of chain and/or the distribution in disease propagation source; The process that described monitoring disease infects the chain trend specifically comprises: described tree-shaped infection chain is divided into some strips infects chain; The son of searching current confirmed cases place infects chain, and judges that it is in the position that this son infects chain, if root node is then sought next node layer; If leaf node is then sought its last layer node; If non-nonleaf node then sought the father node of its last layer, seek its next node layer simultaneously.
Preferably, described user end apparatus also comprises the screening module, is used for:
Judge whether the feature physiological data gather meets prerequisite, if then the feature physiological data with this user of gathering is sent to long-range prevention and control server;
Perhaps, judge whether the feature physiological data of gathering meets prerequisite, if, then further gather the correlated characteristic physiological data, be sent to long-range prevention and control server in the lump.
Preferably, described long-range prevention and control server also comprises release module, is used for:
Be the user of suspected case at analysis processing result, according to genius morbi, by the relevant medical services information of described user end apparatus issue;
Perhaps, reach user in the geographic area of certain index to making a definite diagnosis personnel amount or dense degree, according to the disease characteristic, by the relevant medical services information of described user end apparatus issue;
Perhaps, to the close contact personnel that make a definite diagnosis personnel, by the relevant medical services information of described user end apparatus issue.
Compared with prior art, the present invention has the following advantages:
At first, in prior art, report epidemic information from bottom to up, according to the frequency of 24 hours every days epidemic information is carried out statistical study, owing to manually participate in and report level numerous, thereby cause information acquisition not prompt enough accurately; Use the present invention, can utilize user end apparatus that information needed is gathered in real time, and can be sent to the remote monitoring server end described feature physiological data is carried out analyzing and processing timely, thereby obtain corresponding analysis processing result in the very first time, thereby can guarantee the promptness that epidemic information reports and issues, satisfy the needs of diseases monitoring.
In addition, in prior art, patient suspected, suspicious patient and Close contacts etc. are concentrated on the appointment place by the isolator, be physiological datas such as its take temperature by medical personnel, the present invention can make that the people who is taked to isolate the medical observation measure is home-confined, just can accept to isolate medical observation, and by being worn on the objective and accurate degree that accurate, detailed feature physiological data that user's user end apparatus on one's body collects can guarantee the subsequent analysis result.
Secondly, in case discovery confirmed cases, the present invention can find these confirmed cases last layer and next node layer in son infection chain, and the infection sources of described up and down two-layer node representative monitored, infect the number of chain and the length that every strip infects chain to reduce whole tree-shaped infection chain neutron, and then reduce the number of node in the whole tree-shaped infection chain, reach the purpose of the infection sources quantity of the disease propagation chain that reduces by an area.
Again, the present invention can by the distribution of the monitoring disease infection sources, obtain the epidemiological features of disease according to personal information, geographical location information and the time parameter of confirmed cases, and be mirror with described epidemiological features, provide enlightenment for optimizing current disease prevention and control strategy.
Moreover, in prior art, after a certain crowd or a certain area discover epidemic situation, again this crowd or this zone are taked the pattern of key monitoring, and for crowd or the area of also not finding epidemic situation, then have corresponding monitoring blind area.Because user end apparatus of the present invention can be applied on one's body numerous users very easily, can certainly be applied in the crowd or the regional user that also do not find epidemic situation, with the prevention and control potential risk, thereby so the present invention blind area that can significantly reduce the epidemic situation prevention and control be conducive to reduce epidemic situation diffusion risk and social defense cost.
Simultaneously, the present invention can also be the user of suspected case at analysis result, in time issues relevant medical services information by described user end apparatus, thereby helps this user, holds best occasion for the treatment, in time receives treatment.
Description of drawings
Fig. 1 is the process flow diagram of a kind of disease preventing control method of the present invention embodiment 1;
Fig. 2 is the synoptic diagram of a kind of tree-shaped infection chain of the present invention;
Fig. 3 is the process flow diagram of a kind of disease preventing control method of the present invention embodiment 2;
Fig. 4 is the process flow diagram of a kind of disease preventing control method of the present invention embodiment 3;
Fig. 5 is the structural drawing of a kind of disease prevention and control of the present invention system embodiment.
Embodiment
For above-mentioned purpose of the present invention, feature and advantage can be become apparent more, the present invention is further detailed explanation below in conjunction with the drawings and specific embodiments.
One of core idea of the embodiment of the invention is, when situations such as infectious disease occurring, to suspicious patient, Close contacts and the surrounding population that need be taked to isolate the medical observation measure, even ruck everyone a user end apparatus is provided, gather the feature physiological data of user's required prevention and control disease by this user end apparatus, and be sent to long-range prevention and control server.Certainly, this user end apparatus also can be used as daily physiological data collection and health monitoring, be widely used with daily life in, then because the widespread use of user end apparatus, then effect of the present invention can be better.
At first, because the promptness of user end apparatus collection and transmission data, and long-range prevention and control server can carry out analyzing and processing timely to described feature physiological data, and report or announce described analysis processing result in the very first time, thereby can guarantee the promptness that epidemic information reports or issues.In addition, after collecting the disease control information needed, by long-range prevention and control server described feature physiological data is carried out analyzing and processing, make each user (as, taked to isolate the people of medical observation measure) home-confined, just can accept to isolate medical observation, both can save country again and drop into the medical personnel aspect the isolation medical observation conveniently by the isolator.
With reference to Fig. 1, show the process flow diagram of a kind of disease preventing control method of the present invention embodiment 1, specifically can comprise:
The feature physiological data of step 101, the required prevention and control disease by being worn on user user end apparatus collection user on one's body, and be sent to long-range prevention and control server;
In practice, described user end apparatus can be worn at the human bodies such as wrist, arm, neck, waist or shank of human body, so that the collection of data.The physiological data that this user end apparatus can be gathered comprises: one or the combination of multinomial data in body temperature, blood pressure, pulse, cardiogram, heart magnetic, oxygen concentration, vital capacity, blood sugar and the respiratory rate.
For example, at this user end apparatus infrared thermometer is set, in order to monitor temperature data.The principle of infrared thermometer thermometric is that the infrared energy that human body is launched is transformed into electric signal, because the size of infrared energy is associated with the temperature of human body itself, according to the electric signal size that is transformed into, just can determine body temperature.According to this principle, by measuring the surface temperature of human body forehead, the temperature difference of revising forehead and actual body temperature just can show body temperature accurately.During use, the detection window of user end apparatus user's forehead position need only be aimed at, just human body temperature can be recorded fast, conveniently, accurately.
Can also electronic sphygmomanometer be set at user end apparatus, in order to detect blood pressure data.That the wearing of this user end apparatus can be adopted is arm-type, wrist formula or finger-type, for arm-type device, then directly records the blood pressure of body surface trunk, for wrist formula and finger-type device, measure the blood pressure of the terminal little blood vessel of human body, and then by converting, draw the blood pressure of trunk.
In addition, can utilize analog channel to gather the vibration-sensing signal at wrist and finish counting, to carry out the measurement of pulse; Utilize analog channel continuous acquisition electrocardio transducing signal, to finish Electrocardiographic collection; The collection of other physiological data all can utilize modern biosensor technique.The user end apparatus that is used for the monitor user ' physiological parameter can concentrate on one with the acquisition function of multiple physiological datas such as body temperature, blood pressure, pulse, cardiogram, oxygen concentration, vital capacity, blood sugar and respiratory rate, have integrated, image data is diversified, wear the performance of portability.
For the disease prevention and control (as isolating medical observation), the feature physiological data that described user end apparatus only need be gathered required prevention and control disease gets final product.Be example with the Influenza A H1N1, because generally, its early symptom is similar to common influenza, comprises heating, cough, laryngalgia, physical distress, headache etc., some also can occur diarrhoea or vomiting, courbature or tired, eyes are rubescent etc.So the feature physiological data of prevention and control Influenza A H1N1 can comprise body temperature, oxygen concentration, vital capacity and respiratory rate etc.
Advance for one-step, described user end apparatus is uploaded to long-range prevention and control server by communication part with described feature physiological data by the feature physiological data of monitoring assembly recording user, and detection components and communication part are arranged in described user end apparatus.Communication part can be positioned within the described user end apparatus, also can be arranged in other equipment, perhaps independent the existence.For example, described user end apparatus collects by monitoring assembly after user's the feature physiological data, can give portable terminal or dedicated transmitter such as mobile phone, PDA by short range wireless transmission, is sent to long-range prevention and control server end by it again.
In addition, the user can also arrange collection period, namely sets the collection period from several seconds to several hrs on user end apparatus artificially, by user side according to the collection period of setting carry out the feature physiological data collection, monitor and upload.
The user of image data of the present invention can comprise by the isolator, also can comprise general public.Even it is only quarantine this at medical science, in the disease prevention and control of reality, sometimes also very big by isolator's quantity.For example, certain city of sars period crossed ten thousand by isolator's quantity, in this case, all concerning the capacity of long-range prevention and control server, are a burden by isolator's feature physiological data, more can increase the operand in the analyzing and processing step after a while.
In order to alleviate the capacity burden of long-range prevention and control server, and reduce operand in the analyzing and processing process, in a preferred embodiment of the present invention, before the feature physiological data is sent to the step of long-range prevention and control server, can also carry out following steps:
Judge whether the feature physiological data gather meets prerequisite, if then the feature physiological data with this user of gathering is sent to long-range prevention and control server.
Prevention and control with Influenza A H1N1 are example, can set prerequisite (for example, temperature data 〉=37.5 ℃) at a certain feature physiological data.After collection is finished, the temperature data of at first judging this user whether 〉=37.5 ℃, if then one of this user of gathering or multinomial feature physiological data are sent to long-range prevention and control server.Suppose that the fever symptom below 37.5 ℃ is that the possibility of Influenza A H1N1 is lower, the arithmetic capability for fear of reporting and take server end by mistake can send related data.
In practice, alleviate long-range prevention and control server burden, and in the analyzing and processing process operand mode can also for:
Judge whether the feature physiological data of gathering meets prerequisite, if, then further gather the correlated characteristic physiological data, be sent to long-range prevention and control server in the lump.
A kind of application example as this mode can may further comprise the steps: at first, set prerequisite, and only gather the user as the temperature data of prerequisite; Then, when this temperature data satisfies prerequisite, further gather other correlated characteristic physiological data of this user, as oxygen concentration, vital capacity and respiratory rate etc.; At last, temperature data is sent to long-range prevention and control server together with other correlated characteristic physiological data, in order to accurately analyze.As can be seen, this mode can be avoided the unnecessary data collection.
Certainly, aforesaid way is just as example, and those skilled in the art can need to adopt other data acquisition modes, and the present invention is not limited concrete mode of operation.
In practice, described analytical procedure can for: the feature physiological data to each user is analyzed, and obtains analysis result, and described analysis result can comprise normal case or suspected case.
Medically the definition to suspected case is, vital sign, and such as body temperature, appearance symptom etc. are closely similar with certain epidemic disease.Suspected case is to diagnose according to the clinical symptoms that shows and the epidemiological history of certain infectious disease, and the chamber of experimentizing checks, just the clinically diagnosed cases of medically using always.If make a definite diagnosis after observed, then transfer confirmed cases to.
For example, the patient is occurring suddenly when playing chilly, high heat, headache, dizziness, Muscular stiffness, toxicity symptom such as weak, just can analyzed as being the suspected case of influenza; And the performance of hand-foot-and-mouth disease suspected case is principal character with fash or the bleb at positions such as heating and hand, foot, oral cavity.Above-mentioned suspected case result all can obtain by the physiological datas such as body temperature, oxygen concentration, vital capacity and respiratory rate of analysis user.
But some epiphytotics diagnostic criteria not merely depends on clinical symptoms.For example, according to the diagnostic criteria of Influenza A H1N1 case, meet one of following situation and can be diagnosed as suspected case: the one, or confirmed cases doubtful with Influenza A H1N1 have close the contact in the premorbid 7 days, the clinical manifestation of influenza sample occurs.The 2nd, premorbid once had been the popular country of Influenza A H1N1 in 7 days, the clinical manifestation of influenza sample occurs.The 3rd, the clinical manifestation of influenza sample appears, and influenza A virus detects positive, gets rid of previously already present hypotype but further detect.
In this case, above-mentioned analytical procedure can be according to the feature physiological data to each user, be suspected case with the customer analysis that the clinical manifestation of influenza sample occurs, and no matter whether this user is being had close the contact with doubtful or confirmed cases by premorbid in 7 days, perhaps whether once be the popular country of Influenza A H1N1, thereby caused occurring the analysis result of mistake.
For improving the accuracy of analyzing and processing, in a preferred embodiment of the present invention, when sending the feature physiological data, user's whereabouts information can also be sent to long-range prevention and control server by described user end apparatus;
At this moment, described analyzing and processing step comprises: feature physiological data and whereabouts information thereof to each user are analyzed, and obtain analysis result, and described analysis result comprises normal case or suspected case.
Be example with the Influenza A H1N1, described whereabouts information can be the whereabouts information of user in premorbid 7 days, particularly, described whereabouts information can reflect following three kinds of situations: situation one, or confirmed cases doubtful with Influenza A H1N1 have close the contact in the user 7 days; Situation two, premorbid once be the popular country of Influenza A H1N1 in 7 days; Situation three, the user does not have above-mentioned two kinds of situations.
Like this, if described feature physiological data is found by analysis, user's body temperature, vital capacity and respiratory rate data are all normal, show that then the clinical manifestation of influenza sample does not appear in this user, therefore, can analyze this user and be normal case; Perhaps, described feature physiological data is found by analysis, and user's body temperature is higher, and the respiratory rate data show that the user has slight cough symptom, but the whereabouts information in its file store does not meet situation one and the situation two of suspected case, can be normal case with this customer analysis still; Perhaps, the situation one of the whereabouts information conforms suspected case in the files on each of customers storehouse, and also the feature physiological data shows that the clinical manifestation of influenza sample appears in this user, then can draw this user and be the analysis result of suspected case.
For the processing of analysis result, long-range prevention and control server can send to relevant departments of the Ministry of Public Health with described analysis result in the very first time, so that relevant departments of the Ministry of Public Health in time take measures.
Therefore, in prior art, patient suspected, suspicious patient and Close contacts etc. are concentrated on the appointment place by the isolator, are physiological datas such as its take temperature by medical personnel, and user end apparatus of the present invention can collect accurate, detailed feature physiological data; In addition, in prior art, report epidemic information from bottom to up, according to 24 hours every days frequency once epidemic information is carried out statistical study, the present invention can carry out analyzing and processing timely to described feature physiological data, and announce described analysis processing result in the very first time, thereby can guarantee the promptness of epidemic information issue.
For infectious disease, it infects chain three fundamentals: the infection sources, the routes of infection and Susceptible population.Lack wherein arbitrary key element, new infection just can not take place, and infects chain and can not form yet.Therefore, can use about the knowledge of infection and immunity and break these links, interrupt infecting chain, even finally reach the purpose of eliminating infectious disease.
In a preferred embodiment of the present invention, can also may further comprise the steps:
Receive confirmed cases information;
According to personal information, geographical location information and the time parameter of confirmed cases, monitoring disease infects the trend of chain and/or the distribution in disease propagation source.
In practice, described confirmed cases information can be provided by hospital or relevant departments of the Ministry of Public Health, and described confirmed cases information can comprise: personal information, geography information and whereabouts information etc.For example, personal information can comprise the information such as name, sex, age, occupation, nationality, schooling of case; Geography information is user's home address, should be specific to the street; Whereabouts information is the i.e. whereabouts of this case in premorbid 7 days also.
For the disease propagation chain in an area, if certain infection sources is not first infection sources, then this infection sources is infected by the upper strata infection sources, also has to infect the chance of giving lower floor's infection sources.Therefore, the disease propagation chain in an area can be regarded as tree-shaped infection chain shown in Figure 2.The root node 20 of this tree also is first infection sources of this area, and a node layer 21 is first infection sources and infects, and two node layers are a node layer and infect 22 ..., and the like.Because confirmed cases can only be infected by an infection sources, and it is as the new infection sources, can infect a lot of people simultaneously.So for each non-root node, it has only a father node, and can have a lot of child nodes.
According to confirmed cases information described tree-shaped infection chain is analyzed, can be reached the purpose that monitoring disease infects the chain trend.Described analytic process can for:
1. described tree-shaped infection chain is divided into some strips and infects chain;
In tree structure, there is not child node to be known as leaf node, namely also do not become the new infection sources as the leaf node example of diagnosing a disease really yet.Described division methods can for, in described tree-shaped infection chain, searching every is starting point with the root node, leaf node is that the unduplicated son of terminal point infects chain, for example 2a among the figure.
2. the son of searching current confirmed cases place infects chain, and judges that it is in the position that this son infects chain, if root node is then sought a node layer; If leaf node is then sought its last layer node; If non-nonleaf node then sought the father node of its last layer, seek its next node layer simultaneously.
In case discovery confirmed cases, above-mentioned analysis can be found these confirmed cases last layer and next node layer in son infection chain, and the infection sources of described up and down two-layer node representative monitored, infect the number of chain and the length that every strip infects chain to reduce whole tree-shaped infection chain neutron, and then reduce the number of node in the whole tree-shaped infection chain, reach the infection sources quantity of the disease propagation chain that reduces by an area.
Be appreciated that above-mentioned tree-shaped infection chain can be applied to areas such as county, city, province, country and even the world, the present invention is not limited this.
In another kind of preferred embodiment of the present invention, can also may further comprise the steps:
Receive confirmed cases information;
According to personal information, geographical location information and the time parameter of confirmed cases, the distribution of the monitoring disease infection sources.
In specific implementation, described monitor procedure can for: according to personal information, geographical location information and the time parameter of confirmed cases, obtain the epidemiological features such as area distribution, time distribution, crowd's distribution, death characteristic distributions of this disease.For example, draw the following epidemiological features of SARS through monitoring:
1, the area distributes
According to the epidemic situation that on August 7th, 2003 announced, the whole world reports the SARS clinically diagnosed cases 8422 examples altogether, dead 916 examples, and morbidity involves 32 countries and regions.Case mainly is distributed in areas such as Asia, Europe, America.The country of Asia morbidity is mainly China (ground and Taiwan, Hong Kong, area, Macao in comprising), Singapore etc.The inland of China number of always falling ill reaches 5372 examples, dead 349 examples.Case mainly concentrates on areas such as Beijing, Guangdong, Shanxi, the Inner Mongol, Hebei, Tianjin.4033 examples of wherein falling ill altogether in Beijing and Guangdong account for 75.7% of the total case load in the whole nation.
Initial case report derives from Heyuan City, Guangdong Province, through Retrospective review, thinks that at present the first case occurs in the Fushan City, Guangdong Province, is present known whole world case the earliest.Thereafter the long-range ground such as Shanxi, Sichuan, Beijing that propagate into spread to national other areas again.Take place and propagation condition according to the 2002-2003 epidemic situation, can will be divided into four class areas in China: (1) local popular district (Guangdong and other places); (2) input case, and cause the local area (ground such as Beijing, Inner Mongol, Shanxi, Hebei, Tianjin) of propagating; (3) input case does not cause the local area (ground such as Shanghai, Shandong, Hunan, Liaoning, Ningxia) of propagating; (4) no reported cases areas (ground such as Hainan, Yunnan, Guizhou, Qinghai, Tibet, Xinjiang, Heilungkiang).
And for example, one of epidemiological features of influenza is that areal variation is remarkable, and in all previous flu outbreak, all there is significant difference in different region residents' M ﹠ M.Cause the reason of this phenomenon may comprise that the different regions resident is different to the immunity programm of epidemic isolates, and factor affecting interpersonal communication such as geographical conditions, social severity of mixing up, viral infectivity.
2, the time distributes
Known the first case betides China Foshan city in November, 2002, and in February, 2003, SARS has presented the popular situation in the whole world.Morbidity mainly concentrates in mid-March, 2003 to mid-May.June, epidemic situation was effectively controlled.
Break out initial part in the Guangdong Province, ground in China, to the early March rapid spread in all parts of the country.According to by purpose epidemic situation issue Augusts 16 in 2003 (last case disease time is June 11), have 24 provinces, autonomous regions and municipalities and successively report generation SARS clinically diagnosed cases.Available data shows that the primary case has all appearred in city and Guangxi province Hechi Cities such as Foshan, Guangdong Province, riverhead in early days, finds no the evidence of mutual propagation between the first case in these cities.The SARS onset peak in Guangdong is February, other main popular times of area at the beginning of 4 months to about the mid-May, the time that main and the infection sources are imported is relevant.
3, the crowd distributes
This patient is based on person between twenty and fifty.According to inland of China 5327 routine statistics, main age of onset accounts for 85% of total morbidity number between 20-60 year, wherein 20-29 year case proportion is the highest, it is lower to reach the case of teenager below 30%, 15 years old proportion, and the sick proportion of children below 9 years old is lower.
Man woman sex intercurrent disease does not have significant difference.Crowd's occupation is distributed with obviously characteristics occurred frequently of medical worker.The ratio that medical worker's case accounts for total case is up to about 20% (indivedual provinces can up to about 50%).In the popular later stage, because medical personnel's safeguard procedures are capable, fall ill number and constituting gradually of medical personnel reduces.There is 8.6% case to be the student, is and distributes, do not find that school student concentrates the situation of morbidity.Early stage Guangdong Province case statistics shows that part does not have the personnel of case for contacting with wild animal of similar patient's contact history, as the cook, and purchasing agent etc.
4, death characteristic distributions
2002-2003 in the groove, the mortality ratio of China SARS is 0.024/10 ten thousand, case fatality rate is 7%, the elderly's proportion big (patient's case fatality rate is 11%-14% more than 60 years old, and its death toll accounts for whole death tolls 44%).Along with the age increases, case fatality rate also increases.The patient's case fatality rate height that merges other diseases such as diseases such as high blood pressure, diabetes, heart disease, pulmonary emphysema and tumour person.
The epidemiological features that above-mentioned disease has been arranged just can be taken history as a mirror, and provides some enlightenments for optimizing current disease prevention and control strategy.For example, learn through top monitoring that the morbidity crowd of SARS distributes based on person between twenty and fifty, therefore, the prevention and control strategy should be primarily aimed between twenty and fifty crowd.
With reference to Fig. 3, show the process flow diagram of a kind of disease preventing control method of the present invention embodiment 2, specifically can comprise:
The feature physiological data of step 301, the required prevention and control disease by being worn on user user end apparatus collection user on one's body, and be sent to long-range prevention and control server;
Step 302, long-range prevention and control server are analyzed described feature physiological data, obtain the analysis result of normal case and suspected case;
Step 303, reception confirmed cases information;
Step 304, be the user of suspected case at user and/or the analysis result of confirmed cases, provide described user end apparatus to this user's close contact personnel.
For infectious disease, novel infectious diseases such as especially similar SARS, Influenza A H1N1, the research and development vaccine may need three months time to half a year, but when disease begins to propagate, topmost strategy is exactly to control the infection sources, and will be at the discovery early of former ground of the state of an illness, processing morning, early treatment.
Be example with the Influenza A H1N1, in communication process, the people is monitored main object as the infection sources.When certain user analyzed as being suspected case and confirmed cases; should provide described user end apparatus to this user's close contact personnel; in order to monitor described close contact personnel's physiological conditions at any time; prevent that described close contact personnel from becoming the new infection sources; thereby cut off the infection sources to the route of transmission of Susceptible population, reach the purpose that protection Susceptible population and prevention epidemic situation spread.
Certainly, the mode of the above-mentioned monitoring infection sources is just as example, those skilled in the art can adopt alternate manner as required, for example, to providing described user end apparatus with the user of confirmed cases and/or analysis result for the user of suspected case is in the same geographic area other people, in order in time monitor other people physiological conditions in the same geographic area.
Further, because user end apparatus of the present invention can be applied on one's body numerous users very easily, therefore, the present invention can be applied in it crowd or regional user who does not also find epidemic situation, with the prevention and control potential risk, reduces the prevention and control blind area.For example, before epidemic situation is transmitted to current area, provide described user end apparatus to all residents, to gather relevant information potential epidemic situation is carried out prevention and control; Perhaps, the neighboring area resident to current epidemic situation area provides described user end apparatus; Perhaps, according to the crowd of the current epidemic situation epidemiological features that distributes, to the county, the crowd who is in the age of onset section in area such as city, province, country and even world provides described user end apparatus.Because harvester of the present invention can be distributed to each area directly at the individual, therefore, thereby can significantly reducing the blind area of epidemic situation prevention and control, the present invention is conducive to reduce epidemic situation diffusion risk and social defense cost.
With reference to Fig. 4, show the process flow diagram of a kind of disease preventing control method of the present invention embodiment 3, specifically can comprise:
The feature physiological data of step 401, the required prevention and control disease by being worn on user user end apparatus collection user on one's body, and be sent to long-range prevention and control server;
Draw because suspected case is the clinical symptoms that shows and the epidemiological history analysis according to certain infectious disease, it belongs to clinically diagnosed cases medically commonly used.So, for suspected case, should treat as early as possible.At this moment, can be according to genius morbi, for this suspected case is obtained some medical services information.Be example with the Influenza A H1N1, according to Influenza A H1N1 diagnosis and treatment scheme, general treatment, antiviral therapy, other treatment, four kinds of methods of tcm syndrome differentiation and treatment arranged.Wherein, general treatment refers to, has a rest, many drinking-water, close observation change of illness state; To the treatment of can bringing down a fever of hyperpyrexia disease example.For example, the information of described antiviral therapy comprises:
Should use antiviral drugs early.Preliminary drug sensitive test prompting, this H1N1virus is to Oseltamivir (oseltamivir) and zanamivir (zanamivir) sensitivity, to amantadine and Rimantadine resistance; Oseltamivir should be as far as possible uses (best in 36 hours) in heating in 48 hours, and be 5 days the course for the treatment of.Adult's consumption of Oseltamivir is 75mgb.i.d..The child patient at 1 year old and above age should be according to the body weight administration: underweight 15kg person, give 30mgb.i.d.; Body weight 15～23kg person, 45mgb.i.d.; Body weight 23～40kg person, 60mgb.i.d.; Body weight is greater than 40kg person, 75mgb.i.d..For the inconvenient children of swallowable capsule, can select the Oseltamivir suspension for use.
Owing to comprise in the treatment to suspected case and arrange the row influenza A H 1 N 1 virus specific to check this.So described medical services information can also comprise recommended therapy information: remind the user to go to hospital to carry out the influenza A H 1 N 1 virus specific inspection.
The World Health Organization (WHO) reminds, and has suffered from basic disease and might suffer from more serious disease person for those, in case the Influenza A H1N1 symptom occurs, should use Oseltamivir or the clear zanamivir of musicality to treat as early as possible.In addition, this tissue is also advised the pregnant woman after the Influenza A H1N1 symptom occurring, accept antiviral treatment as early as possible.
Find that through clinical observation Influenza A H1N1 was not sought medical advice and will be missed the optimal treatment chance in 48 hours, took Oseltamivir and can reduce the risk that pneumonia appears in the patient, can reduce the probability of patient's hospitalization yet.And the embodiment of the invention can in time be issued relevant medical services information by described user end apparatus according to being the user of suspected case at analysis result, thereby helps suspected case to accept in time to treat.
The user can obtain described medical services information by user end apparatus when using the physiological data of user end apparatus monitoring oneself, for example, can receive the medical services information that sends by the communication part of user end apparatus.
For making other users obtain treatment timely, can also reach user in the geographic area of certain index to confirmed cases quantity or dense degree, issue described medical services information by described user end apparatus; Perhaps, the close contact personnel to confirmed cases issue described medical services information by described user end apparatus.Those skilled in the art can select the issue object of described medical services information as required, and the present invention is not limited this.
With reference to figure 5, show the structural drawing of a kind of disease prevention and control of the present invention system embodiment, specifically can comprise:
Long-range prevention and control server 503 is used for described feature physiological data is carried out analyzing and processing.
In practice, described long-range prevention and control server 503 can comprise:
First analytic unit 531 is used for each user's feature physiological data is analyzed, and obtains analysis result, and described analysis result comprises normal case or suspected case.
In actual applications, described communication module 502 can be used as an independently module (for example mobile phone etc.), also can be integrated in described user end apparatus 501 inside, conveniently the feature physiological data that collects is sent to long-range prevention and control server 503 the present invention this not limited.
In order to alleviate the capacity burden of long-range prevention and control server, and reduce operand in the analyzing and processing process, in a preferred embodiment of the present invention, described user end apparatus 501 can also comprise:
Perhaps, judge whether the feature physiological data of gathering meets prerequisite, if, then further gather the correlated characteristic physiological data, be sent to long-range prevention and control server in the lump.
Be to improve the accuracy of analyzing and processing, in another kind of preferred embodiment of the present invention, described communication module can also comprise the whereabouts information transmitting unit, and user's whereabouts information is sent to long-range prevention and control server;
In this case, described long-range prevention and control server 503 can also comprise:
Second analytic unit is used for each user's feature physiological data and whereabouts information thereof are analyzed, and obtains analysis result, and described analysis result comprises normal case or suspected case.
For the disease propagation chain is control effectively, and obtain the epidemiological features of disease, described long-range prevention and control server 503 can also comprise:
First receiver module is used for receiving confirmed cases information;
Monitoring module is used for personal information, geographical location information and time parameter according to confirmed cases, and monitoring disease infects the trend of chain and/or the distribution in disease propagation source.
For making the patient not miss best occasion for the treatment, and get timely medical treatment, described long-range prevention and control server 503 can also comprise release module,
Being used at analysis processing result is the user of suspected case, according to genius morbi, by the relevant medical services information of described user end apparatus issue;
Perhaps, reach user in the geographic area of certain index to making a definite diagnosis personnel amount or dense degree, according to the disease characteristic, by the relevant medical services information of described user end apparatus issue;
Perhaps, to the close contact personnel that make a definite diagnosis personnel, by the relevant medical services information of described user end apparatus issue.
For system embodiment, because it is similar substantially to method embodiment, so description is fairly simple, relevant part gets final product referring to the part explanation of method embodiment.
The present invention can be applied to the protection of infectious diseases such as SARS, Influenza A H1N1, bird flu, anthrax, feasible quilt takes the people who isolates the medical observation measure to stay indoors, just can accept to isolate medical observation, both can save country again and drop into the medical personnel aspect the isolation medical observation conveniently by the isolator.
More than to a kind of disease preventing control method provided by the present invention and system, be described in detail, used specific case herein principle of the present invention and embodiment are set forth, the explanation of above embodiment just is used for helping to understand method of the present invention and core concept thereof; Simultaneously, for one of ordinary skill in the art, according to thought of the present invention, the part that all can change in specific embodiments and applications, in sum, this description should not be construed as limitation of the present invention.
Claims (3)
1. a disease prevention and control system is characterized in that, comprising:
User end apparatus is used for the feature physiological data by the required prevention and control disease that is worn on user user end apparatus collection user on one's body;
Communication module comprises feature physiological data transmitting element, and the feature physiological data that is used for gathering is sent to long-range prevention and control server; Also comprise the whereabouts information transmitting unit, be used for user's whereabouts information is sent to long-range prevention and control server;
Long-range prevention and control server comprises second analytic unit, is used for each user's feature physiological data and whereabouts information thereof are carried out analyzing and processing, obtains analysis result, and described analysis result comprises normal case or suspected case;
Described long-range prevention and control server also comprises:
First receiver module is used for receiving confirmed cases information;
Monitoring module is used for personal information, geographical location information and time parameter according to confirmed cases, and monitoring disease infects the trend of chain and/or the distribution in disease propagation source; The process that described monitoring disease infects the chain trend specifically comprises: tree-shaped infection chain is divided into some strips infects chain; The son of searching current confirmed cases place infects chain, and judges that it is in the position that this son infects chain, if root node is then sought next node layer; If leaf node is then sought its last layer node; If non-nonleaf node then sought the father node of its last layer, seek its next node layer simultaneously.
2. the system as claimed in claim 1 is characterized in that, described user end apparatus also comprises the screening module, is used for:
Judge whether the feature physiological data gather meets prerequisite, if then the feature physiological data with this user of gathering is sent to long-range prevention and control server;
Perhaps, judge whether the feature physiological data of gathering meets prerequisite, if, then further gather the correlated characteristic physiological data, be sent to long-range prevention and control server in the lump.
3. the system as claimed in claim 1 is characterized in that, described long-range prevention and control server also comprises release module, is used for:
Be the user of suspected case at analysis result, according to genius morbi, by the relevant medical services information of described user end apparatus issue;
Perhaps, reach user in the geographic area of certain index to making a definite diagnosis personnel amount or dense degree, according to the disease characteristic, by the relevant medical services information of described user end apparatus issue;
Perhaps, to the close contact personnel that make a definite diagnosis personnel, by the relevant medical services information of described user end apparatus issue.
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| CN 200910235391 CN102043895B (en) | 2009-10-13 | 2009-10-13 | Disease prevention and treatment method and system |
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| CN 200910235391 CN102043895B (en) | 2009-10-13 | 2009-10-13 | Disease prevention and treatment method and system |
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| CN112037465B (en) * | 2020-03-02 | 2022-02-22 | 电子科技大学 | Epidemic situation prevention and control method, device, server and storage medium |
| CN111554366A (en) * | 2020-03-25 | 2020-08-18 | 北京声智科技有限公司 | Human health information generation method and device, computer equipment and storage medium |
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| CN111627549A (en) * | 2020-05-26 | 2020-09-04 | 遵义医科大学 | Auxiliary system for infectious disease investigation |
| CN111629334A (en) * | 2020-05-28 | 2020-09-04 | 南京科技职业学院 | Method for supporting epidemic prevention and control in mobile communication |
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