突发公共卫生事件的政府应急管理能力研究——以我国政府应对甲型H1N1等疫情突发性事件为例

苏州大学硕士学位论文突发公共卫生事件的政府应急管理能力研究--以我国政府应对甲型H1N1等疫情突发性事件为例姓名：徐冉申请学位级别：硕士专业：政治学理论指导教师：钮菊生2010-10IH1N1H1N1AbstractAStudyoftheGovernmentalcapabilityinaddressingPublicHealthAccidentIIAStudyoftheGovernmentalcapabilityinaddressingPublicHealthAccident---viewedfromthecaseoftheH1N1andothersAbstractCrisismanagementcapabilityisoneimportantaspectoftheCPC’sgoverningability.Whetherthegovernmentsatdifferentlevelscandealwithcrisesofallkindsisasignificantyardsticktogaugetheiradministrativeability.Overthepastfewyears,publichealthaccidentssuchastheH1N1,melamine-pollutedmilkpowder,thepollutionofSonghuajiangandbirdfluposedgreatchallengetothegovernment’sabilitytodealwithcrises.ThepaperisananalysisofthepresentsituationofthegovernmentalabilitytodealwithpublichealthaccidentswithacasestudyofthegovernmentresponsetotheH1N1.Itpointsouttheproblemsinthatregardandreasonsandputsforwardsomeconstructiveopinionsbasedonexperienceloanedfromsometypicallyadvancedcountries.Keywords:publichealth;accidents;crisismanagementability;managementsystem;problemsandsolutionsWrittenbyXuRanSupervisedbyProf.NiuJusheng119905.1220094H1N1(H1N1)H1N12003?2003512220032004H1N11AnthonyGiddensUlrichBeck20011,3200312122003420035——20085“’’“”“”200961200322-254··——,“”“”1.123,42.1980513“”2201——200772728220066111362080“”H1N1123111202001032742602988200621179119001000194375%60%40019718800019812.560030167“”123412003520521987164133l219881292300199429l03199819981263019991199920002002395422002821071632003262665327349SARS20041231-32200412456321403853961459728220052006“”20035772234GeorgeDHaddowJaneABullock()56120022106220031-2319933642001130-1345GeorgeDHaddowJaneABullockIntroducetoEmergencyManagementTXButterworthHeinemarm200362006435-45913120062910H1N12003SARSH1N1“”H1N11.20094248806218H1N11200952680417422.4263120090426246H1N112954921220095273200942811H1N12360012274253.20093H1N1413H1N11823——1H1N12009042712“”1H1N1H1N11.200934H1N15923H1N1H1N1251915931556228502.4H1N112003392H1N12009510340H1N1983079(2009519)200951913522H1N11619H1N1H1N126193.3H1N1H1N11H1N15.145.22H1N1412H1N12009062014“”H1N11.H1N1511H1N1513H1N15165192009111931H1N11082826842812.H1N114254295921H1N1119-11152009111915H1N151543515H1N1H1N1H1N1H1N1H1N124H1N12009514“”20094293.42916H1N14254264294252009302009312111H1N1200905111712H1N163H1N1()8739H1N141H1N12009051322003353H1N1200993200320031224164162420033618197812003“”2311301200922923200420051062006200781301997.9%92.8%192%9681226031()2009926316523203537551111200783020071112009430H1N123“”,“”“”1200942H1N120095421120031“”2“”“”3“”,4“”21SARSChineseJEvidenceBasedMedicine20044122-128220062117913200344442009615322“”1SARS“,”231200344622009615323“”1H1N1212007232-2332HlN120101252411“————”2CDC()HRSA(/)MMRS()3“”SARS1200622220045143.“9·11”“”“”12003“”512“”74475l1“”64“”314“”“”2“”2FEMANEMACAR199720005633(EIS)(HAN)CDC4SARSSARS(HHS)(CDCSARS1200412472200375732009327242004515262003426SARS2134l531221122009“H1N1”424880H1N1352H1N1PCRNDAH1N14H1N121SARS20037622(SGDN)400(DDSC)200912483·1887,4H1N12009-05-0327119551987200432“”“”13“”“”33411998112200912513200353642004124828“”(EPCU)“”20024NHS(PCTs)PCTs200341(HPA)NHS12200331436“”317319“(4812003836220065358-35929)142“”41162413200320042425158983611620041313112003536220036513200412483080()50()122“”31SRAS20061142196612164126781211151618319766198431121“”“”“”1200914022009125332120078302“”2“”“”“”“”“”3“”120041261-622,200833932010142-43331“”2SARSSARS2009HlN134SARSH1N15HIN13120041261-622200631033SARSH1N1201031274200653605SARSH1N1200914534()122009430H1NISARS344SARS1KellyJHenningOverviewofsyndromicsurveillancewhatissyndromicsurveillance?MMWR200453suppls5-sl122006111005-1007320086108342004124835120093“”HlN1WHO“”“H1N1”22009430HlN1HlN131H1N120097122H1N1200991541320080623361522009428“”“”3SARS“”41200806132SARS20045403-4063H1N1200911374SARS20066503-50737“”——H1N11——H1N12H1N1“”3420075H1N12003“”424“H1N1”4275162O401366“”1H1N12009552H1N1200956320042122420043270520091396H1N120097103861SARS(WHO)WHO2H1N1()()200963H1N1——HlN13()2009112H1N147520052006120091392200412493H1N120092281420082512520062117923962272006181“”12008460402003SARS2009H1NI2009H1N1H1NISARSH1N1SARS1H1N1SARS2H1N13120101432200412623200622411.()200082.·200213.(BeckU)2003124.200415.·J·:(7)2004116.200637.200648.(12)200849.:2009110.:2009111.2009312.2009313.2009414.:1002009415.::20097421.H1N1://news.xinhuanet.com/ziliao/2006-01/17/content_4062615.htm1.BledsoeBECriticalincidentstre88management(CISM)benefitorriskforemergencyservices[J]PrehospitalE—mergCare20037(2)272—2792.EysenbachGSARSandpopulationhealthtechnology[J]JMedIntemetRes20035(1)el43.WagnerMMTSuiFCEspinoJeta1Theemergingscienceofveryearlydetectionofdiseaseoutbreaks[J]JPublicHealthManagementPractice20017(6)51—594.BrinsfieldKGunnJBarryMeta1UsingVO1UITIe-basedsurveillanceforanoutbreakearlywarningsyetem[J]AcadEmergMed20018492—4955.WilliamsonGDWeatherbyHudsonGAmonitoringsystemford