武汉订正确诊病例和病亡数据,为何会出现数据差异?
根据《中华人民共和国传染病防治法》第三十八条第四款“公布传染病疫情信息应当及时、准确”,《突发公共卫生事件应急条例》第二十五条第三款“信息发布应当及时、准确、全面”,《中华人民共和国统计法实施条例》第十九条“统计资料不完整或者存在明显错误的,应当由统计调查对象依法予以补充或者改正”,《人口死亡信息登记管理规范(试行)》第十四条“医疗卫生机构应当建立数据订正制度”、第十五条“医疗卫生机构应当建立数据比对校核与补报制度”等规定,本着对历史负责、对人民负责、对逝者负责的原则,为确保全市新冠肺炎疫情信息公开透明、数据准确,武汉市新冠肺炎疫情防控指挥部专门成立涉疫大数据与流行病学调查组,组织市卫健、疾控、公安、民政、司法、统计等部门,线上对武汉市疫情防控大数据信息系统、市殡葬信息系统、市医政医管新冠肺炎信息系统、市新冠肺炎病毒核酸检测系统中的病例进行线上比对、去重、补全,线下按照全覆盖、无遗漏要求,对所有涉疫地点数据进行全采集,包括发热门诊、医院、方舱、隔离点、涉疫社区,以及公安、司法、民政等部门管辖的监所、养老机构等特殊场所,对所有病例个人信息全采集,通过医疗机构、街道社区、基层派出所、患者所在单位及家属,逐人排查核对,截至4月16日24时,确诊病例核增325例,累计确诊病例数订正为50333例;确诊病例的死亡病例核增1290例,累计确诊病例的死亡数订正为3869例。
The total number of confirmed COVID-19 cases in Wuhan as of the end of Thursday was revised up by 325 to 50,333, and the number of fatalities up by 1,290 to 3,869.
In a notification, the Wuhan municipal headquarters for the COVID-19 epidemic prevention and control said the revisions were made in accordance with related laws and regulations as well as the principle of being responsible for history, the people and the dead.
This ensures that the information on the city's COVID-19 epidemic is open and transparent, and the data is accurate, read the notification.
出现以上数据差异的原因:
Four reasons for the data discrepancies were listed in the notification:
一是疫情早期病人激增,导致医疗资源挤兑,收治能力严重不足,有些患者没有入院治疗,在家中病亡。
A surging number of patients at the early stage of the epidemic overwhelmed medical resources and the admission capacity of medical institutions. Some patients died at home without having been treated in hospitals.
二是在救治高峰期,医院超负荷运转,医务人员忙于救治,客观上存在迟报、漏报和误报现象。
During the height of their treatment efforts, hospitals were operating beyond their capacity and medical staffs were preoccupied with saving and treating patients, resulting in belated, missed and mistaken reporting.
三是由于收治患者的定点医疗机构快速增加,既有部属、省属、市属和区属医院,也有企业、民营医院和方舱医院等,少数医疗机构未能及时与大疫情网对接、报送信息。
Due to a rapid increase of designated hospitals able to treat COVID-19 patients, including those administered by ministries, Hubei Province, Wuhan City and its districts, those affiliated to companies, as well as private hospitals and makeshift hospitals, and a few medical institutions were not linked to the epidemic information network and failed to report their data in time.
四是有些死亡病例信息登记不全,存在重报、误报情况。
The registered information of some of the deceased patients was incomplete, and there were repetitions and mistakes in the reporting.
生命至上,人民至上。每一个在疫情中逝去的生命是家庭之殇,更是城市铭心之痛。在此,我们谨向在新冠肺炎疫情期间病逝者家属致以诚挚慰问,向不幸罹难的同胞和牺牲的医务人员致以深切哀悼!
武汉市新冠肺炎疫情防控指挥部
2020年4月17日
一、为什么要对武汉市新冠肺炎确诊病例数、确诊病例死亡数进行订正?
Why revise the number of confirmed cases and death toll?
答:新冠肺炎疫情是新中国成立以来,在我国发生的传播速度最快、感染范围最广、防控难度最大的一次重大突发公共卫生事件。
The COVID-19 pandemic is the most widespread public health emergency with the fastest spread capability since the founding of the People's Republic of China.
武汉市作为全国疫情防控决战决胜的主战场,在党中央、国务院坚强领导下,在湖北省委、省政府具体指挥下,采取最全面、最严格、最彻底的防控措施,目前疫情传播已基本阻断,离汉通道已解除管控,为全面详细开展疫情数据核查订正工作创造了有利条件。对涉及确诊、死亡等疫情信息,均应及时报告,并公开透明、实事求是予以发布。
Wuhan, as the epicenter of the outbreak, has taken the most comprehensive, rigorous and thorough measures to prevent and control the disease under the leadership of the Central Committee of the Communist Party of China and State Council, as well as the Hubei provincial authorities.
The pandemic has, by and large, been contained. The city has also lifted outbound travel restrictions. It is now easier to have a sweeping check on the exact number of COVID-19 patients. Information regarding the number of confirmed cases and death toll should be transparent, realistic and published in a timely manner.
疫情早期,由于收治能力不足、少数医疗机构未能及时与疾病预防控制信息系统对接,医院超负荷运转,医务人员忙于救治,客观上存在迟报、漏报、误报现象。
In the early stage, due to limited hospital capacity and the shortage of medical staff, a few medical institutions failed to connect with local disease control and prevention systems in a timely manner, which resulted in delayed reporting of confirmed cases and some failures to count patients accurately.
根据《中华人民共和国传染病防治法》第三十八条第四款“公布传染病疫情信息应当及时、准确”,《突发公共卫生事件应急条例》第二十五条第三款“信息发布应当及时、准确、全面”,《中华人民共和国统计法实施条例》第十九条“统计资料不完整或者存在明显错误的,应当由统计调查对象依法予以补充或者改正”,《人口死亡信息登记管理规范(试行)》第十四条“医疗卫生机构应当建立数据订正制度”、第十五条“医疗卫生机构应当建立数据比对校核与补报制度”等规定,须对全市新冠肺炎确诊病例数、确诊病例死亡数予以订正。
According to China's Law on the Prevention and Treatment of Infectious Diseases Article 38, information concerning infectious disease should be released in a timely and accurate manner.
According to the Regulation on the Urgent Handling of Public Health Emergencies Article 25, the release of information should be timely, accurate and thorough.
According to the Regulation on the Implementation of the Statistics Law Article 19, if the statistical data are incomplete or have obvious errors, they shall be supplemented or corrected by the object of statistical investigation according to law.
According to Regulations on the Registration of Information on People's Death Article 14, health institutions shall establish a data revision system, Article 15, health institutions shall establish a system supporting data comparison, verification and update.
Given this, the number of total confirmed cases, and the death toll of COVID-19 patients in Wuhan should be revised.
二、武汉市新冠肺炎确诊病例数、确诊病例死亡数订正工作是如何开展的?
How was the revision carried out in Wuhan?
答:市疫情防控指挥部高度重视新冠肺炎确诊病例数、确诊病例死亡数的订正工作,本着对历史负责、对人民负责、对逝者负责的原则,坚持实事求是,主动进行订正。
Wuhan epidemic prevention and control headquarters attaches great importance to the revision of the number of confirmed COVID-19 cases and fatalities, based on the principles of being responsible for history, the people and the dead. The city commits to seeking truth and has taken the initiative to make corrections.
2020年3月下旬,专门成立涉疫大数据与流行病学调查组,从市卫健、疾控、公安、民政、司法、统计等部门抽调专人、组建专班,线上充分利用市疫情防控大数据信息系统、市殡葬信息系统、市医政医管新冠肺炎信息系统和市新冠肺炎病毒核酸检测系统,对新冠肺炎确诊病例、死亡病例进行线上比对、去重、补全;
Since the second half of March this year, Wuhan has established a big data and epidemiological investigation team for special purposes, and deployed personnel from the Wuhan Municipal Health Commission, Wuhan Center for Disease Control and Prevention, public security, civil affairs, justice, statistics and other departments to form a special working group.
The city has made full use of the epidemic prevention and control big data information system, the funeral information system, the medical administration and management of the COVID-19 information system and COVID-19 nucleic acid detection system to compare, check and complete the confirmed cases and deaths information.
线下按照全覆盖、无遗漏要求,对所有涉疫地点数据进行全采集,包括发热门诊、医院、方舱、隔离点、涉疫社区,以及公安、司法、民政等部门管辖的监所、养老机构等特殊场所,对所有病例个人信息全采集,通过医疗机构、街道社区、基层派出所、患者所在单位及家属,逐人排查核对,确保每一个病例准确无误,每一个数据客观真实。
The city also has collected data offline on all epidemic-affected locations based on requirements of full coverage and no omission, including fever clinics, hospitals, temporary hospitals, isolation places, and epidemic-related communities, and special places including prisons and nursing homes managed by public security, justice and civil affairs departments, to collect all personal information of patients.
Data was collected via medical institutions, communities, police stations, patients' companies and their families in an effort to make sure no one was missed and the data was correct.
三、武汉市新冠肺炎确诊病例数订正后,数据有什么变化?
What are the corrections to the number of COVID-19 confirmed cases in Wuhan?
答:截至4月16日24时,原对外公布我市确诊病例为50008例,因部分患者曾跨区就诊、到多家医院就诊,导致重复报卡的217例应核减;因迟报漏报未及时公布的既往病例542例应核增,实际累计确诊病例应订正为50333例。
As of April 8, the originally published number of COVID-19 confirmed cases in Wuhan was 50,008. A total of 217 of these cases were redundant because some patients went to more than one hospital. Therefore, these cases should be removed. Moreover, there were another 542 newly-added confirmed cases that were either reported late or were not reported, making the corrected number 50,333.
四、武汉市新冠肺炎确诊病例死亡数订正后,数据有什么变化?
What are the corrections to the number of COVID-19 confirmed deaths in Wuhan?
答:截至4月16日24时,原对外公布我市确诊死亡病例为2579例,其中重复报卡的确诊病例、不是新冠肺炎的其他病例共164例应核减;未住院死亡未能上报疾控信息系统,以及部分医疗机构迟报漏报的确诊病例共1454例应核增,实际累计确诊病例死亡数应订正为3869例。
As of April 16, the originally published number of COVID-19 deaths in Wuhan was 2,579. A total of 164 of these deaths were either redundant or not related to COVID-19 and thus should be removed. Meanwhile, there were 1,454 newly-added deaths. Some of them did not happen in a hospital and thus were not inputted into the disease control and prevention information system. The others were either reported late or not reported by medical institutions. Therefore, the corrected number of COVID-19 confirmed deaths in Wuhan is 3,869.
五、对武汉市新冠肺炎确诊病例数、确诊病例死亡数进行订正有什么重要意义?
What is the significance of correcting the numbers of COVID-19 confirmed cases and deaths?
答:生命安全和身体健康,是人民群众最基本的需求和最普遍的愿望。疫情数据的背后是群众的生命和健康,也是政府的公信力。及时订正新冠肺炎确诊病例数、确诊病例死亡数,不仅有利于维护好人民群众权益,有利于疫情防控科学决策,同时也是对社会关切的回应,更是对每一个生命的尊重。
Life security and physical health are part of the fundamental need as well as universal pursuit of our people. All statistics about the COVID-19 pandemic do not just represent people's life security and physical health, but also concern the government departments' public credibility. The faster we can correct the numbers of COVID-19 confirmed cases and deaths, the better we can safeguard people's interests, make scientific decisions over pandemic control and prevention, respond to social concerns, and pay respect to every life.