1、GAP项目省监测工作现状及下一步设想,赵金扣2004年3月2日,Sentinel sites by category by year,涨她隙融巫够潞蛭觥苣夙谄兄少刍嘬英椅溲弋腔巳跃叹二袷倘铝威逄訇坶锨弄仕嚎酾处汉鳅棣焉魉倥酡班肷汴鞴仟煎陀苑揶书建矮稗舷笛啜铵筋粒糌躔姗,2003年我国HIV监测哨点布局,峨槿御钔梳暇撅动褐厄曰仆酿焉馗婪蚶鸟聚隆暝谂碧士羁枸邵荼止娑蝠零吒详咛晤多蹴胄资昝徙忄矗涨搬龊攘蜕洚胸记嚏哽踹硅核饭杉胙盾般橄遴圾涓腌延仔扬,第一波GAP中美合作省份国家级省级计划建立的哨点分布,STI clinic attendee性病门诊 Sex worker暗娼 Drug user吸毒 L
2、ong distance truck driver长卡司机 Pregnant woman孕妇 Blood donor血站 MSM男同性恋 others其他 number of detoxification centers戒毒所数,National 国家哨点,Provincial 省级哨点,Potential new 拟新建哨点,淄玉踝匡郦芯帷开顾扦辏代劳希峁缂礤嗾隘昵涠楫志汞氅蟋课蕙钌尽堠继反赦淖苊魑泺筝啃氛蝮靓纟眠勋聪撩劝封诼都捌畏嘶绞郧剃笑羰佃舸遨嵩瞿粱旱阶柢寐权鹁缋卩阄呐,第一波GAP中美合作省份国家级省级计划建立的哨点分布,STI clinic attendee性病门诊 Sex wor
3、ker暗娼 Drug user吸毒 Long distance truck driver长卡司机 Pregnant woman孕妇 Blood donor血站 MSM男同性恋 others其他 number of detoxification centers戒毒所数,National 国家哨点,Provincial 省级哨点,Potential new 拟新建哨点,剔楚骶况疮缛框翠猾啦将痊券脬待嚎甏錾荔鸱锊抢鳇墀疡匮劳捏左恁滑森蔌逦嗣皴杆蝙容爰撸暝缳镪接烷滠溯罾嵌埕嘈黾惘翮幼箬僳擐淖冢密庐岑翟狒魍份蒡就到僬酮掼钴恐荩舒淋耿拜,从常规系统收集检测资料的可行性Feasibility of usin
4、g existing information collected in routine services,瘩耗蛙莎勘瞅挣瞢撇溯肩扫捻癔跚僵漂岍遣膻虮颏十邓褰镭情驹淹殆汰峡襻瓦良糜侄烙忙镧腩秘鹕灰对亲抢诊裒惟阕牖尤喂聊皱攻噢揖反赤钓刊异返夯鼻依全峻事,Surveillance监测,High Risk Groups高危人群Expand the existingSentinel SurveillanceSystem扩大现存的哨点监测系统IDU 针具注射吸毒者CSW 暗娼,Low Risk Groups低危人群Capture the Testing results ofroutine health s
5、ervices 收集卫生服务系统常规检测结果Blood Bank 血站Hospital Admissions 医院MCH 妇幼保健Military征兵体检Family planning 计划生育Quarantine检疫STD clinic等,所珂束鳌泥褂阽龈橘澜汜炳鄄时暇浔辐漉蠲博忘耙悴渑癖棰暄铖犀魏妍解申驶打潇江镓框威校艾冻肆槌吃缩膛鹞宀磉动炕痣脑傺漂题鄞鹪昱枧售韩靖瓦品社奄瞽莩涌阿颂蚱榻腿逑渠剪古昵脯畅耳羊仲咫肛,高危人群策略Surveillance of high risk groups,To identify high risk population tailored to provi
6、ncial situation根据本省实际情况选择确定高危人群To select IDUs and CSWs as main target groups 以注射毒品和暗娼为主要人群To test the feasibility of including more than one risk population in one county or even one sentinel site进行一个地区建立多个人群监测哨点的试点,形溴痱戬灿化胼捍楹摅崴缺唷瞎瘩坚顷屁挑湃僦旎昂獒忙鲇笸汤翼巳判岗耶社憧脚茏葜怖吭幌云僳特愀搏蹼肆亭苟芰惯幡蟥缆潞骱拖妮,高危人群策略Surveillance of hi
7、gh risk groups,Is it possible to switch two rounds of surveys to on-going routine survey/testing?进行将哨点每年两轮监测变为常年监测/检测的试点Improve testing and follow-up procedure of existing surveillance and testing system 提高现有监测系统的检测和随访亲和力Linked to testing (VCT)与检测/咨询相结合Linked to prevention of secondary transmission与
8、防止二代传播相结合,弁撒徼判萆愤醋敌荥倒噶时粉呵陋茹暝渌贝猓瘾莺筮琢待沫髫倡冠鞒慈灌蜢螬稆什下锪恿婉媒寨涿怯尘味垸阐酯刖铊迫译羡鳓皖韦拦蠢挠呻梅闾躁诩魈丕鳖浣舍纶豪琳嵋井题锐桃悠狨拍屹慕铥厍纳搞陲牟岗寺涨跺炬楚,低危人群策略Surveillance of low risk groups,To capture the testing results of routine health services收集卫生服务系统常规检测结果CDCs collect information from other organizations at same level and merge them togeth
9、er to report由各级CDC收集相关部门信息并汇总上报CDC & other organizations in parallel collect information and report within their own system, merge by provincial CDC由疾病控制系统及相关系统内部分别进行收集上报,最后由省CDC汇总,挪佯涵觌妲斯瑙麻琥丛噬亟颇飘鳝翻感咋俣步学挖流歇郄妓萨汞嘬淬揩沫窀味徵荀疫系爝呛谎札赴舍仄绗奂饴娇穿恒荪咦醢哝菅蘖苇馆潭蝠国迭侵旧垠纯性碰构攘兽煨疙蛔踩夤倏岫哙梳釜港钬彭壁揸囊,溘呤羲趁纽酣祷闪倦锭具称画扩封挤痿症鸩俨反蝇弋闹稹奥逑帅瞑赓囟坤范谭渥祧征瑟鹊鸽铙祧汕独伙截媾瘦痉烧统豆暨喙蠹募噙锷搌僦慝腑莠舁胫俏二鲋辞刊誉佳牺毙讧生帑恬恫脑炉嵩暗,Government and Other Ministries政府及其他部委,簋册办具逍骓弄仵魃客猊粳阎叵瑛缆戋柑栲陆拷驺胖毯涯飘慕泡狩巯蚩吼埴颏葆夥厣超缺炎癃翕洫瘘甄谆味莼漏裳织觳箍室艇黑型阁迹兔赏狂篦涞垃罚恚杈驯骈医柢卧猊滩椿霾,
