|
|
|
| Evaluation of infectious disease outbreak investigation capabilities in grassroots Centers for Disease Control and Prevention in Zhejiang Province |
| WANG Zhen1,2, CHEN Ying2, XING Yuhang2, YIN Shujuan2, ZHANG Renjie2, LIU Biyao2, WANG Hongmei1
|
1. School of Public Health, Zhejiang University, Hangzhou, Zhejiang 310058, China;
2. Zhengjiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
|
|
|
|
Abstract Objective To investigate the infectious disease investigation and response capabilities of grassroots Centers for Disease Control and Prevention (CDC) in Zhejiang Province, so as to provide a reference for strengthening the development of CDC workforce. Methods From May to June 2024, professional technical personnel engaged in or participating in on-site epidemiological investigation and response from 11 municipal-level CDC and 91 county-level CDC in Zhejiang Province were selected as survey participants. Data on sociodemographic information, outbreak response experience, and infectious disease investigation capabilities were collected using the National Questionnaire on the Current Status of Field Epidemiology Investigation Teams. Results A total of 2 316 individuals were surveyed, including 459 from municipal-leve CDC (19.82%) and 1 857 from county-level CDC (80.18%). The cohort was predominantly female, aged 30-<40 years, with a bachelor's degree, specialized in public health and preventive medicine, holding intermediate professional titles, and having <10 years of work experience, accounting for 55.79%, 36.44%, 72.88%, 74.18%, 34.72%, and 53.76%, respectively. A relatively high proportion of participants had experience in on-site infectious disease response (81.39%), been members of field epidemiology investigation teams or emergency response teams responsible for field epidemiology investigation (81.17%), and had prior work experience in infectious disease-related departments (66.80%). In contrast, the proportion of those who had delivered academic presentations on field epidemiology investigations (4.15%) or contributed to the development of expert consensus documents, guidelines, or textbooks (8.51%). The total score for infectious disease investigation and response capabilities among field epidemiologists investigators in grassroots CDC in Zhejiang Province was 53.19±16.19, with dimension scores of 65.15±13.90 for personal comprehensive competence, 59.75±20.77 for outbreak investigation procedures, and 28.65±19.32 for essential epidemiological investigation skills. Conclusions The grassroots field epidemiology investigation teams in Zhejiang Province have developed a certain level of workforce capacity and outbreak response experience. However, they generally exhibit relatively short work tenures, limited academic outputs, and moderate-to-low proficiency in infectious disease investigation and management, particularly with notable gaps in critical field investigation skills. It is recommended to strengthen systematic training and practical exercises to enhance grassroots emergency response capabilities.
|
|
Received: 12 November 2025
Revised: 09 February 2026
Published: 23 March 2026
|
|
|
|
|
|
[1] CAO Y L,SHAN J,GONG Z Z,et al.Status and challenges of public health emergency management in China related to COVID-19[J/OL].Front Public Health,2020,8[2026-02-09].https://doi.org/10.3389/fpubh.2020.00250.
[2] 孙点剑一,李立明.浅谈公共卫生与疾病预防控制体系建设[J].中国科学院院刊,2020,35(9):1096-1104.
[3] 国务院办公厅.关于推动疾病预防控制事业高质量发展的指导意见[EB/OL].[2026-02-09].https://www.gov.cn/zhengce/content/202312/content_6922483.htm.
[4] 申锦玉,牛建军,陈敏,等.疾控机构突发公共卫生事件应急能力评价指标探讨[J].现代预防医学,2011,38(1):64-66.
[5] 贺金,冯海哲,杨星,等.贵州省市县两级疾控机构应急人员卫生应急能力自我认知调查及影响因素分析[J].现代预防医学,2023,50(13):2459-2464.
[6] 李文静,蔡剑,王明斋,等.中国县(区)级疾病预防控制中心流行病学调查人员传染病疫情调查处置能力及影响因素研究[J].中华流行病学杂志,2025,46(5):796-802.
[7] 中共中央国务院.“健康中国2030”规划纲要[EB/OL].[2026-02-09].https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
[8] 杨叶. 四川省基层疾病预防控制中心传染病防控能力现状研究[D].成都:成都医学院,2023.
[9] 张俊琪. 山东省县级疾控机构应急人员应急工作能力现状研究[D].济南:山东大学,2023.
[10] IRVIN C B,CINDRICH L,PATTERSON W,et al.Survey of hospital healthcare personnel response during a potential avian influenza pandemic:will they come to work?[J].Prehosp Disaster Med,2008,23(4):328-335.
[11] 刘慧慧,张丽杰,施国庆,等.地方现场流行病学培训项目实施效果定性调查[J].中国公共卫生管理,2014,30(3):364-366.
[12] 曾纯,李世哲,刘文睿,等.江西省疾病预防控制机构专业人员科研创新现况及影响因素分析[J].现代预防医学,2022,49(6):1148-1152.
[13] 先德强,陈俊南,宋天银,等.泸州市疾控机构专业技术人员科研能力及培训需求分析[J].预防医学情报杂志,2023,39(9):1095-1100,1106.
[14] 吴丹,胡东达,孙梅,等.我国CDC突发公共卫生事件应急处置能力与现状分析[J].中国卫生政策研究,2014,7(7):30-37.
[15] 刘慧慧,张丽杰,施国庆,等.我国省市县现场流行病学培训项目现况调查[J].中华医学教育探索杂志,2014,13(5):490-493.
[16] JONES D S,DICKER R C,FONTAINE R E,et al.Building global epidemiology and response capacity with field epidemiology training programs[J].Emerg Infect Dis,2017,23(13):158-165.
[17] 张娜,王坤,毛阿燕,等.我国疾病预防控制机构职责的历史演变及现实困境与发展方向[J].中国公共卫生,2024,40(6):765-769. |
|
|
|
