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在美国已进行了25年根据预测方法估计肺炎和流感超额死亡率的常规研究。但在社区内尚未对与流感有关的超额发病率进行评价。法国传染病计算机网络(FCDN),为可行的预测研究和测定流行条件下对病例数和病假花费的影响提供了唯一的机会。材料与方法 FCDN现有550名“普通值班医生”(SGPs),约占法国医生总数的1%,均是自愿为FCDN工作的。他们用计算机终端和用户电话,每周至少一次将6种传染病的最新数据象FCDN中央处理机提供反馈信息。世界卫生组织(WHO)对类流感综合征的标准定义包括:突然发烧39℃以上,伴肌痛
In the United States, there have been 25 years of routine research based on prediction methods to estimate the excess mortality of pneumonia and influenza. However, the flu-related excess morbidity has not been evaluated in the community. The French Communicable Diseases Computer Network (FCDN) provides the only opportunity for feasible predictive studies and determination of the impact of epidemic conditions on the number of cases and the cost of sick leave. Materials and Methods FCDN currently has 550 SGPs, which account for approximately 1% of the total number of doctors in France. All of them work voluntarily for the FCDN. They use computer terminals and subscriber telephones to provide up-to-date data on six infectious diseases at least once a week like the FCDN central processor to provide feedback. World Health Organization (WHO) standard definition of flu-like syndrome includes sudden fever above 39°C with myalgia