Abstract:OBJECTIVE To analyze the data from free cervical cancer screening for urban and rural women in Shantou,summarize the prevalence of cervical cancer and precancerous lesions,and evaluate the current screening practices.METHODS Following the procedures outlined in the Implementation Plan for Free"Two Cancers"Screening for Urban and Rural Women in Shantou City(2020-2022),basic information was collected and examinations were conducted on eligible women.Case registration forms for cervical cancer screening were completed,and data were entered into the Guangdong Maternal and Child Health Information Platform.RESULTS A total of 76 594 women completed cervical cancer screening from 2020 to 2022.The average detection rate of precancerous lesions was 392.98/105,with annual rates of 255.47/105,461.31/105,and 461.46/105.The average detection rate of cervical cancer was 37.86/105,with annual rates of 19.65/105,44.64/105,and 49.44/105.Statistical differences were observed in the detection rates of precancerous lesions and cervical cancer across years(x2=22.98,7.66,P＜0.05).Key quality indicators included an average early diagnosis rate of 93.03％,a treatment follow-up rate of 70.15％,a colposcopy completion rate of 76.80％,and a histopathological examination rate of 103.42％.CONCLUSION The detection rate of cervical cancer among urban and rural women in Shantou is relatively high,shows an increasing trend annually,and identifies a high proportion of CIN2-3 and carcinoma in situ.

Abstract:OBJECTIVE To analyze the epidemiological characteristics of imported malaria outbreaks in Suzhou from 2015 to 2024,and provide a basis for formulating strategies and measures to prevent the retransmission of malaria.METHODS Using descriptive epidemiological methods to analyze the prevalence and distribution characteristics of imported malaria in Suzhou from 2015 to 2024.RESULTS After Suzhou reached the standard for eliminating malaria in 2015,the 128 reported cases of malaria from 2015 to 2024 were all imported cases from abroad,with no reported deaths.There were case reports in all months of the city,with no obvious seasonal characteristics.The top three regions in terms of reported incidence are Zhangjiagang city,Xiangcheng district and Gusu district of Suzhou city.The disease occurs in the age group under 65 years old,with the highest reported incidence in the age group of 25 to 54 years old,with a male to female ratio of 24.6∶1.The population is mainly composed of workers,farmers,household and unemployed individuals,commercial services.CONCLUSION Suzhou should continue to strengthen the prevention and control for imported malaria,ensuring that malaria cases can be detected,diagnosed,and treated early,preventing the re transmission of malaria,and continuously consolidating the achievements of elimination.

Abstract:OBJECTIVE To analyze the prevalence of depressive symptoms and associated influencing factors among mid-dle-aged and elderly patients with comorbid hypertension,diabetes,and dyslipidemia("three high").METHODS Utilizing data from the fifth wave(2020)of the China Health and Retirement Longitudinal Study(CHARLS),it selected participants aged≥45 years concurrently diagnosed with hypertension,diabetes,and dyslipidemia.The prevalence rate of depressive symptoms was calcu-lated,and multivariate logistic regression analysis was employed to identify independent risk factors.RESULTS A total of 751 eligi-ble participants were included,with a depressive symptom prevalence rate of 46.07％.The results of multi-factor logistic regression analysis showed that living in rural areas and having limitations in activities of daily living were risk factors for depression.Sleep du-ration ≥6 hours,being male,and having a high self-rated health status were protective factors against depression.CONCLUSION The detection rate of depression in middle-aged and elderly patients with comorbid"three highs"in China is relatively high.It is necessary to strengthen the assessment of depressive symptoms in this group,focusing on middle-aged and elderly patients with"three highs"comorbidities in rural areas,short sleep time and impaired ability to live,and taking targeted measures to ensure their mental health.

Abstract:OBJECTIVE To understand the epidemiological characteristics of HIV/AIDS cases aged 60 and above reported in Suzhou,provide data support for formulating and adjusting prevention,control,and screening strategies.METHODS The newly cases reported HIV/AIDS aged 60 and above of Suzhou from 2019 to 2024 were collected from China Information System for Disease Control and Prevention.The cross-sectional survey method was used to investigate.RESULTS From 2019 to 2024,there were 771 HIV/AIDS newly cases aged 60 or above which were reported in Suzhou,accounting for 18.0％in the whole population,which showed an upward trend(x2=32.9,P＜0.05).The gender ratio was 4.8∶1,mainly in the age group of 60～69 years(64.2％).The educational level was mainly primary school or below of these cases.The mainly transmission route was heterosexual transmission(81.5％),male population were primarily engaged in non-marital commercial activities(76.4％),while female were mainly involved in non-marital and non-commercial relationships(57.1％).Most HIV/AIDS cases had low CD4 levels,and the number of CD4＞500/μL was 10.6％.59.8％of cases was detected passively,through hospital preoperative,there were 126 cases of death,61.1％of death cases survival time was less than one year.The differences of disease name,gender,marital status,educational level,transmission rout,the first CD4 result and sample source aged under 60 years old were all statistically significant(P＜0.05).CONCLUSION The mainly epidemiological characteristics of HIV/AIDS cases aged 60 and above in Suzhou is male-dominated,low education level,heterosexual transmission,passively detection and short survival time.Epidemiological characteristics differed from those aged under 60 years.It is necessary to identify effective tools and platforms for education and awareness campaigns to enhance safety and testing awareness among this population.To definite the source of infection and provide precise prevention and control measures.

Abstract:OBJECTIVE To analyze the development of nursing-related research on young and middle-aged cancer patients,with the aim of providing a basis for future studies in this area.METHODS Using CiteSpace 6.3.R1 software,this study examined publications on nursing research related to young and middle-aged cancer patients from January 2005 to December 2024 in the Web of Science Core Collection.The analysis focused on publication volume,authors,countries,institutions,and keywords.RESULTS The annual number of publications on nursing research for young and middle-aged cancer patients had shown a fluctuating upward trend.However,connections and collaborations among authors,institutions,and countries remained weak.Research hotspots mainly included patients' psychological state,quality of life,financial toxicity,social support,decision-making,and physical symptoms.CONCLUSION Increasing attention is being paid to young and middle-aged cancer patients in the field of nursing research.It is recommended that future studies strengthen collaboration among authors,institutions,and countries to jointly explore effective methods for alleviating physical symptoms,improving psychological resilience,providing social support,and facilitating informed decision-making.These efforts aim to improve patients' quality of life and support their return to normal life and work.

Abstract:OBJECTIVE To understand the prevalence of common diseases among students in a street in Qingpu District of Shanghai,and control of common diseases among students.METHODS From 2019 to 2023,6 628 students at 4 national monitoring schools in a street of Qingpu District were selected to monitor common diseases.The x2 test was used to compare the detection rates of common diseases among primary and secondary school students in different grades,genders,and years.RESULTS From 2019 to 2023,the detection rates of common diseases among students in a street in Qingpu District,from high to low,were as follows:low vision(77.55％),dental caries(27.05％),obesity(17.44％),malnutrition(8.57％),and abnormal spinal curvature(1.03％).The overall detection rate of low vision among students in different stages was highest in high schools(88.97％),while the detection rates of malnutrition and overweight were highest in vocational schools(19.50％,13.97％)The detection rates of obesity and dental caries were highest in primary schools(21.60％,36.36％).Abnormal spinal curvature was maintained at a high level in junior high schools,high schools,and vocational schools;the detection rates of low vision and dental caries in girls(78.58％,28.34％)were higher than those in boys(76.62％,25.88％),and the detection rates of overweight and obesity in boys(20.34％,21.83％)were higher than those in girls(13.16％,12.58％).The detection rates of low vision and dental caries were the highest in 2020(83.14％,35.67％),the detection rate of malnutrition was the highest in 2019(10.12％),and the detection rates of obesity and abnormal spinal curvature were the highest in 2022(29.90％,1.98％).CONCLUSION The detection rates of common diseases such as poor eyesight,dental caries and obesity among primary and secondary school students in a certain street of Qingpu District are relatively high.Targeted intervention activities should be carried out as soon as possible to further strengthen the prevention and treatment of common diseases among students and gradually reverse the increasing trend of the prevalence of common diseases among students.

Abstract:OBJECTIVE To understand the current status of routine immune delay and leakage of the acellular pertussis combined vaccine(DTaP)for Newborn children in Chengguan District of Lanzhou and analyze the influencing factors of delayed vaccination of DTaP.It will provide data support for formulating strategies to improve timely vaccination of DTaP.METHODS The vaccination records of children born from 2021 to 2023 were collected through the comprehensive platform for disease prevention and control management in Gansu Province.The delayed vaccination rate of 1～3 doses of vaccine and the leakage rate of DTaP 2 and DTaP 3 were analyzed.The x2 test was used to compare the regional differences in delayed vaccination of pertussis vaccine at 1 dose,2 dose,and 3 dose,and the delayed vaccination and leakage situation of pertussis vaccine were statistically analyzed by region.The total proportion of delayed DTaP 1,DTaP 2,and DTaP 3 in children born in Chengguan District of Lanzhou from 2021 to 2023 was 22.90％,52.46％,and 69.24％,respectively.Among them,the proportion of delayed DTaP 1,DTaP 2,and DTaP 3 in the eastern region was higher than that in the western region in 2021 and 2023,and the difference was statistically significant(P＜0.05).The total leakage rates of DTaP 2 and DTaP 3 were 2.39％and 6.27％,respectively.The total leakage rates of DTaP2 and DTaP3 were higher in the eastern region than in the western region,and the difference was statistically significant(P＜0.05).CONCLUSION The proportion of delayed vaccination of DTaP 2 and DTaP 3 among eligible children in Chengguan District of Lanzhou is relatively high and there is a certain degree of leakage,especially in the eastern region.Further analysis is needed to identify the reasons for the imbalance of vaccination services between the eastern and western regions,change service concepts,improve the level of children's vaccination services,and avoid delayed and missed vaccination.

Abstract:OBJECTIVE To analyze the intention of middle school students in a health promotion school in a certain urban area of Hangzhou to use cigarettes and E-cigarettes and its influencing factors,so as to provide a theoretical basis for the prevention of adolescent smoking.METHODS Through multi-stage stratified sampling,1 677 students were selected from the health promotion schools in a main urban area of Hangzhou in September 2021.The Global Youth Tobacco Survey(China)questionnaire was used to collect information such as the basic situation of students,the intention to use either cigarettes or e-cigarettes,and second-hand smoke exposure.A multi-factor logistic regression model was used to analyze the influencing factors of tobacco use intention.RESULTS Among 1 476 students who had never tried smoking cigarettes or E-cigarettes,128(8.67％)had the intention to smoke,of which 54(3.66％)had the intention to use cigarettes,and 101(6.84％)had the intention to use E-cigarettes.The results of multi-factor logistic regression analysis showed that male gender,exposure to tobacco advertisements,friends not smoking,and receiving education on the harm of tobacco in class were the influencing factors for the smoking intention of junior high school students in a certain urban area of Hangzhou in the coming year.CONCLUSION The overall intention of middle school students in a certain urban area of Hangzhou to use tobacco is relatively low,but the intention to use E-cigarettes is higher than that of cigarettes.The roles of peer,school and family education are extremely important.In order to effectively reduce the future tobacco use intention of middle school students,it is necessary to strengthen the publicity and education on the harm of tobacco and create a smoke-free social environment.

Abstract:OBJECTIVE To analyze the health examination results of the elderly who aged at 60 or above in Qingpu District of Shanghai in 2024,to provide the basis for the health management of the elderly to the goverment.METHODS The physical examination results of 123 993 aged at 60 or above in Qingpu District in 2024 were statistically analyzed.RESULTS The main abnormal results of physical examination in the elderly above 60 years old in Qingpu District were lung nodule(68.98％),central obesity(68.45％),dyslipidemia(61.96％),abnormal electrocardiogram(51.97％),confirmed hypertension(49.23％),fatty liver(46.38％),overweight(38.77％).Pulmonary nodules,abnormal electrocardiogram,confirmed hypertension and overweight were significantly higher in males than in females(x2=216.429,201.053,11.937,321.635,P＜0.05).The rate of central obesity,dyslipidemia and fatty liver in females were higher than those in males,and the difference was statistically significant(x2=816.767,2 041.689,10.838,P＜0.05).The time point blood pressure control rate of hypertension patients was 45.48％,and the time point fasting blood glucose control rate of diabetes patients was 39.36％.The proportion of the elderly with ≥ 1 chronic disease was 90.72％,the proportion with ≥2 chronic diseases was 69.82％,and the proportion with ≥3 chronic diseases was 45.52％.CONCLUSION In 2024,the elderly ≥60 years old in Qingpu District have high prevalence of chronic diseases,prominent comorbidity problems,and low control rate of blood pressure and fasting blood glucose.Comprehensive intervention measures should be taken to achieve common prevention,management and treatment of chronic diseases in the elderly.

Abstract:OBJECTIVE To understand status and the effect factors related to life quality assessment of HIV/AIDS patients who are under the community follow-up management mode in Changning District of Shanghai.METHODS Conducted a one-to-one ques-tionnaire survey on HIV/AIDS patients who received follow-up management from community health service centres from October to December in 2023.RESULTS A total of 370 subjects were investigated in the study,with an average age of(40.96±1 1.52)years;345 were males(93.24％);majority of the interviewees(245,66.22％)had been diagnosed for more than 5 years;the total score of social support was(27.74±9.08),which was lower than the normal level;74.86％(277)subjects were satisfied with the commu-nity follow-up services;the average score for the physiological and psychological area of the respondents' quality of life score was(55.25±5.94),and(48.98±10.34),respectively.Through multiple linear regression analysis,it was found that complaints of discom-fort,social support,and satisfaction with community follow-up within six months had a certain impact on the physiological and psy-chological area of quality of life,and the differences were statistically significant(P＜0.05).In addition,the average monthly in-come and comorbidity of multiple diseases were also factors that affect the physiological area score of quality of life,and the diffe-rence was statistically significant(P＜0.05).CONCLUSION The quality of life of HIV/AIDS patients under the community follow-up management mode in Changning District is acceptable.In the future,it should further enrich the connotation of community fol-low-up management,strengthen symptom monitoring and treatment,further reflect the social support and bridging role of communi-ty health service centres for HIV/AIDS patients,enhance the flexibility of community follow-up,to promote the long-term quality of life of patients.

Abstract:OBJECTIVE To analyze the pathogen spectrum characteristics of respiratory and intestinal syndrome in Tianshui,and provide a basis for the precise prevention and control of bacterial infectious diseases.METHODS The laboratory test data of 816 sentinel surveillance cases(400 respiratory cases,416 diarrhea cases)in First People's Hospital of Tianshui from 2022 to 2023 were collected and analyzed epidemiologically.RESULTS A total of 816 cases were collected from the pathogen identification network of China in the study.The overall positive rate of respiratory syndrome was 8.3％(33/400),with Klebsiella pneumoniae(10 cases,30.3％)being the predominant pathogen.There was a statistically significant difference in the positive rate of respiratory syndrome among different years(x2=5.582,P＜0.05),with the positive rate in 2022(5.8％)being significantly higher than that in 2023(2.5％).The overall positive rate of diarrhea syndrome was 5.9％(23/416),with diarrheagenic Escherichia coli(12 cases,52.2％)being the main pathogen.There was a statistically significant difference in the positive rate of diarrhea syndrome among different age groups(x2=4.381,P＜0.05),with the positive rate in children under 5 years old(4.3％)being significantly higher than that in the≥5-year-old group(1.2％).CONCLUSION In Tianshui,key prevention and control should be carried out for Klebsiella pneumoniae respiratory tract infections and diarrheal Escherichia coli diarrhea in children.It is recommended to optimize the specimen collection process and strengthen the monitoring of foodborne diseases.

Abstract:OBJECTIVE To understand the etiology and epidemiological characteristics of foodborne diseases in Jiangbei District of Ningbo,analyze the incidence trends of foodborne diseases,and provide a basis for preventing foodborne diseases and ensuring food safety.METHODS Descriptive statistical analysis was conducted using active foodborne disease surveillance data from Jiangbei District of Ningbo from 2019 to 2024.RESULTS A total of 2 675 foodborne disease cases were detected from 2019 to 2024.The positive pathogen detection rate was 17.94％,primarily dominated by Norovirus and Vibrio parahaemolyticus.Norovirus had the highest detection rate at 12.71％,followed by Vibrio parahaemolyticus at 4.60％.The detection rates of pathogens varied significantly across different seasons(P＜0.05),with Norovirus peaking in winter and spring,and bacterial infections peaking in summer and autumn.The affected age groups were mainly young and middle-aged individuals aged 18～34 and 35～59 years,with no statistically significant difference in positive rates between genders.High-risk occupational groups included office workers,laborers/farmers,and homemakers/unemployed individuals.The primary suspected exposure food category was aquatic animals and their products(23.33％),and the main consumption locations were households and food service establishments.CONCLUSION Norovirus and Vibrio parahaemolyticus are the main pathogens causing foodborne diarrhea in Jiangbei District.Targeted food safety education should be directed at young and middle-aged individuals engaged in physical labor,and hygiene management in food service establishments should be strengthened.

Abstract:With the aging of the population,a variety of chronic physical diseases are in-creasingly common among the elderly.Chronic physical diseases not only seriously affect the physical health of the elderly,but also are closely related to the occurrence and development of depression.It explores the definition of comorbidity,depression,epidemiological characteristics,correlation mechanisms,factors of influence,diagnostic assessment,and intervention strategies.Studies have found that chronic somatic diseases are bidirectional associated with depression,involving biological,psychological and social factors.Effective screening tools and comprehensive intervention strategies are essential to improve outcomes in elderly patients.Through comprehensive analysis of existing studies,it aimsto provide scientific basis and clinical guidance for the prevention and treatment of comorbid chronic somatic diseases in the elderly.Future studies should focus on individualized interventions and long-term follow-up to improve the quality of life in the elderly population.

Abstract:OBJECTIVE To analyze the epidemiological characteristics and clinical manifestations of Mycoplasma pneumoniae(MP)infection in children aged 0～14 in Dalian in the autumn of 2023,and to provide reference for developing effective prevention and control measures and the optimization of treatment strategies.METHODS 492 Children aged 0～14 in some areas of Dalian from September to October 2023 were selected as the survey subjects to study on the infection rate,age and gender characteristics,clinical manifestations,distribution of medical visits and medication use of Mycoplasma pneumoniae in children with respiratory tract infections.RESULTS The infection number among 492 children was 197(40.04％).18.28％of the 93 children diagnosed with respiratory infections were infected with Mycoplasma pneumoniae.Children aged 0～14 can be infected with Mycoplasma pneumoniae in all age groups,with the highest infection rate of 26.09％in the 4～7 age group.The main clinical manifestation of Mycoplasma pneumoniae infection in children was high fever(＞38℃),with an average course of 11 days longer than respiratory infections(P＜0.05).13(76.47％)of IT children with Mycoplasma pneumoniae choosed tertiary hospitals for treatment,while 15(88.24％)children with Mycoplasma pneumoniae used macrolide antibiotics.CONCLUSION Children aged 4～7 years were susceptible to Mycoplasma pneumoniae infection among children aged at 0～14.Children with Mycoplasma pneumoniae had a longer course of illness,and non-standard use of macrolide antibacterial drugs was widespread.

Abstract:OBJECTIVE Based on Andersen's Behavioral Model,to explores the influencing factors of family doctor service utilization to provide a theoretical foundation for optimizing such services.METHODS A purposive sampling method was employed to conduct a questionnaire survey among 504 community residents enrolled in family doctor services in Ningbo in 2024.Data were analyzed using x2 tests and binary logistic regression analysis.RESULTS Among the 504 community residents who have signed up for family doctors,222(44.0％)had utilized family doctor services,and 248(49.2％)had chronic diseases.The utilization rate of family doctor services among community residents of different ages,marital statuses,monthly income levels per person,educational levels,the number of chronic diseases numbers of visits to medical institutions in the past year,awareness of medical communities,familiarity with community health service centers,satisfaction with services provided by community health service centers,accessibility of community health service centers,and experiences of referral showed statistically significant differences(P＜0.05).The results of logistic regression analysis show that community residents aged 43 to 55(OR=2.238),married(OR=0.062),with higher education(OR=3.267),suffering from multiple chronic diseases(OR=3.324),having better accessibility to community health service centers(OR=0.136),and having experience of being referred to higher-level hospitals(OR=0.339)were more inclined to utilize family doctor services.CONCLUSION To enhance the utilization of family doctor services,diversified communication strategies tailored to population characteristics should be developed.Policy interpretation should be integrated into standardized service protocols to continuously improve the quality and effectiveness of contracted services,thereby promoting rational medical resource allocation and sustained advancements in healthcare delivery.

Abstract:OBJECTIVE To understand the current status of sleep disorder and behavioral problems among school-aged children in Minhang District of Shanghai,and to investigate the factors influencing sleep disorder,thereby providing a basis for developing targeted interventions to improve children's sleep health.METHODS From June 2023 to June 2024,a stratified cluster sampling method was used to survey 1 419 school-aged children from three primary schools.Data on general demographics,family upbringing,and sleep disorders were collected using a general information questionnaire and the Sleep Disturbance Scale for Children(SDSC).Logistic regression analyses were conducted to identify factors influencing sleep disorders in school-aged children.RESULTS A total of 1 419 children whose average score of SDSC was(32.97±6.65)were included,among whom 213(15.01％)were found to have sleep disorders.Multivariate analyses revealed that female gender(OR=0.64,95％CI:0.47～0.87),being a non-only child(OR=0.70,95％CI:0.51～0.97),and paternal companionship time ≥5 hours per week(OR=0.54,95％CI:0.30～0.97)were protective factors against sleep disorders.In contrast,secondhand smoke exposure(OR=2.22,95％CI:1.33～3.72)was identified as a risk factor for sleep disorders.CONCLUSION Sleep disorders among school-aged children in Minhang District are closely associated with gender and family upbringing.Targeted community education can help reduce the incidence of sleep disorders in this population.

Abstract:OBJECTIVE The research hotspot and trend of delirium in the field of critical care nursing were analyzed to provide scientific basis for clinical practice.METHODS CiteSpace was used to analyze the relevant literature in the core collection database of Web of Science,including the annual number of publications,publishing countries,institutions,authors,co-cited journals,high-frequency keywords and keyword clustering.RESULTS A total of 1 024 literatures were included in the analysis,and the number of published papers showed an overall increasing trend.The country with the most publications was the United States(327 articles,accounting for 31.93％),and the institution with the most publications was Vanderbilt University(34 articles,accounting for 3.32％).Critical Care Medicine was the most cited journal.The research focuses on the risk factors and risk assessment,prevention and management strategies,long-term effects and sequelae of ICU delirium.The development trend is the optimization of clinical practice guidelines and multi-dimensional symptom care management model.CONCLUSION In the past 10 years,the research on delirium in the field of critical care has steadily increased,and more and more scholars have paid attention to it.The in-depth study of ICU delirium helps nurses to better identify,assess and manage delirium,thereby improving the treatment effect and quality of life of patients.

Abstract:OBJECTIVE To understand the vaccination status of immunization program vaccines among children of appropriate age in a certain community in Tianjin,and to provide a basis for strengthening the management of immunization program vaccines.METHODS A total of 411 children born from September 6,2022 to September 5,2023,who were under the management of a community health service center in Tianjin,were selected from the vaccination management system as the observation subjects.The vaccination status of immunization program vaccines among these children was analyzed.RESULTS The vaccination rates of BCG,hepatitis B,DPT,polio,MMR,meningococcal,and Japanese encephalitis among the 411 children were 96.1％,100.0％,98.6％,94.9％,91.9％,91.2％,and 83.9％,respectively.Among them,the vaccination rates of the above vaccines among 289 permanent residents were 96.2％,100.0％,98.6％,94.8％,92.0％,91.3％,and 84.1％,respectively,and those among 122 migrant children were 95.9％,100.0％,98.4％,95.1％,91.8％,91.0％,and 83.6％,respectively.There were no statistically significant differences in the vaccination rates of the above vaccines between permanent residents and migrant children(P＞0.05).CONCLUSION The vaccination rate of immunization program vaccines among children in a certain community health service center in Tianjin needs to be improved.Efforts should be made to strengthen the publicity of vaccination,focus on enhancing parents' awareness of immunization program vaccines,and increase the vaccination rate of children.

Abstract:OBJECTIVE To analyze the epidemiological characteristics of public health emergencies in Chengyang District from 2014 to 2024,so as to understand the rules of public health emergencies and provide evidence for improving the precise prevention and control capabilities of public health emergencies.METHODS Data of public health emergencies in Chengyang District from 2014 to 2024 was collected and conducted statistical analysis to explore epidemiological characteristics based on occurrence time,event types,occurrence place,and timeliness.RESULTS From 2014 to 2024,there were a total of 417 public health emergencies with 1 564 cases,and the peak months were December,November,and February,in that order.Public health emergencies were mainly infectious diseases,with 186 cases,accounting for 44.60％.Households,communities/villages,catering service places were the high incidence places of public health emergencies,with 170 cases,78 cases,and 63 cases,respectively.The timeliness analysis found that the timeliness of the report of public health emergencies from 2014 to 2024 was 0.85(0.17～12.38)hours.CONCLUSION It should strengthen the monitoring and management of public health emergencies during peak months,and increase attention and sensitivity to infectious diseases that need to be prevented controlled.It should also carry out publicity and education of public health emergencies in key prevention and control places such as households,communities/villages,catering service places,in order to enhance the ability to scientifically and effectively respond to public health emergencies.

Abstract:OBJECTIVE To analyze the effect of medical science popularization on enhancing the infectious disease health literacy of junior high school students and provide a reference for health science popularization in school.METHODS A stratified cluster random sampling approach was employed to recruit 263 students from the seventh to ninth grades at Fuyang Experimental Middle School between September in 2023 and May in 2024.A baseline survey on infectious disease health literacy was then carried out.Subsequently,a team of medical science popularization instructors was established.Taking into account the seasonal characteristics of infectious disease prevalence,timely science popularization presentations and on-site interactive sessions were organized,targeting the knowledge areas where students had relatively weak understanding.Each event was restricted to 40 minutes.The study aimed to compare the levels of change in students' infectious disease health literacy before and after the intervention.RESULTS The proportions of students who obtained health information from the Internet were 39.8％,63.9％,and 57.6％,while those who obtained it from other sources were 17.0％,3.6％,and 6.5％.The accuracy rate of responses on infectious disease health literacy showed that basic knowledge and concepts(68.9％,73.5％,71.3％),prevention(63.6％,73.3％,72.4％)were higher than management and treatment(42.3％,58.1％,51.9％)and identification of infection sources(44.9％,46.4％,48.4％).The correct answer rates of grade 7 students for eight items such as hepatitis B,influenza,epidemic water and HIV were all below 50％.The infectious disease health literacy scores of students in the three grades showed that they were higher after the intervention than before.The Cohen's d values of the four dimensions were between 0.66 and 0.88,and the effect sizes of the total scores were all greater than 1.CONCLUSION Junior high school students have limited access to health information.The medical science popularization activities in combination with baseline surveys could enhance the health literacy level of students regarding infectious diseases.