2010 3 5 1-1 - 上海市职业病危险因子监测信息系统建立与保障对策 摘要 : 关键词 : 2002 2 [1] 3 [4] 4 1 上海市职业病危险因子监测信息系统的建立 1.1 1.3 1 2 [2] 4 [3] 3 1 2 1.2 1 [ ] 2009028 [ ] 1971~ [ ] 200050 1

- 2 - Shanghai Health Inspection, 2010, Vol.5, No.1. 11 10 TWA STEL MAC........ 2 2 上海市职业病危险因子监测信息系统建立的保障 对策 2.1 2.2 120 2009 10 33 700 370 67 600 7 10 214 [5] 2.3 GIS

2010 3 5 1-3 - 3.3 (2009-2011 ) 2009 2.4 [6] 3 上海市职业病危险因子监测信息系统的未来 参考文献 3.1 [1],,. [J].,2006,12(6):67-68. [2],. [J].,2008,24(6):733-734. [3]. [J].,2006,3(5):9-11. 3.2 [4],,. [J].,2005,9(6):623-626. [5]. [J].,2004,20(6):106-107. [6],,,. [J].,2003,21(1):14-15. 2009-12-04

- 4 - Shanghai Health Inspection, 2010, Vol.5, No.1 上海市卫生监督人力资源配置均等化现状分析 摘要 : [ ] [ ] 19 Spearman [ ] 2008 0.542 0.523 0.257 0.578 0.275 [ ] 关键词 : 0.2 [1] 0.2~0.3 0.3~0.4 0.4~0.5 0.5 [2] 2 结果 19 2.1 2008 19 1141 43 118 1 资料来源与分析方法 60 1.1 2.2 2.2.1 2008 1888.46 [3] 2009 305.7, 25.78 11.9 2009 6 30 1.82 / 1.2 0.20 / 9.1 Excel 19 1 2.2.2 Spearman 1185.49km 2 45 7.62 km 2 155.8 45 0~1 0 6.17 /km 2 0.04 /km 2 170.1 1 [ ] 2008Y018 2.2.3 [ ] 1981~ 2009 6 30 [ ] 200050

2010 3 5 1-5 - 12788 1376 0.48 6.9 9.3 1 3.27 1 2008 2008 ( ) ( ) ( ) 1 58 12.41 53.89 2001 4.67 1.08 2.90 2 45 8.05 27.45 1376 5.59 1.64 3.27 3 62 54.76 98.22 5270 1.13 0.63 1.18 4 80 38.3 66.83 3030 2.09 1.20 2.64 5 47 7.62 25.78 1857 6.17 1.82 2.53 6 54 54.83 108.71 3945 0.98 0.50 1.37 7 53 29.26 74.5 2860 1.81 0.71 1.85 8 57 23.48 78.11 2518 2.43 0.73 2.26 9 58 60.73 119.48 3005 0.96 0.49 1.93 10 61 532.75 305.7 12788 0.11 0.20 0.48 11 60 270.99 140.63 7321 0.22 0.43 0.82 12 118 370.75 180.47 5885 0.32 0.65 2.01 13 48 464.2 103.42 3874 0.10 0.46 1.24 14 54 586.05 64.56 4035 0.09 0.84 1.34 15 59 605.64 107.42 5211 0.10 0.55 1.13 16 45 670.14 78.98 5672 0.07 0.57 0.79 17 90 677.66 106.21 5163 0.13 0.85 1.74 18 49 687.39 80.84 3661 0.07 0.61 1.34 19 43 1185.49 67.26 2908 0.04 0.64 1.48 2.3 0.257 19 0.542 0.523 2 2 2008 Spearman P 2008 0.542 0.017-0.009 0.972 0.523 0.021 1 2.4 2.4.2 2.4.1 1 2 0.578

- 6 - Shanghai Health Inspection, 2010, Vol.5, No.1 2.00 / 5.00 / 3.2 2 2.4.3 2008 0.578 3 0.275 12 3.3 [5] 0.275 Spearman 3 0.523 3 讨论 3.1 [4] 0.257 Spearman 0.542 10.00 / 9

2010 3 5 1-7 - 卫生监督机构现场检测能力现状及管理对策 摘要 : 关键词 : Health Supervision agencies in Shanghai on-site supervision and inspection capability analysis and management of the Strategy LI Ling-yan, ZHOU Yan-qin, Wang Shao-xin. (Health Supervision Institute of Shanghai Municipal Health Bureau. Shanghai,200050) Abstract The scene is the embodiment of health supervision detection technology an effective means of enforcement, its capacity will have an impact on the level of health supervision and law enforcement. The paper analyzed the current health supervision institutions in Shanghai to work at the scene detection of the status quo, and proposed a management countermeasures and proposals. Key words Health supervision; on-site detection; analysis of the status quo; Management 2010 1.2 1 现场检测在卫生监督工作中主要作用 [1] 1.3 [2] 1.1 2 卫生监督现场检测工作现状 2.1 [ ] 1976~ 1996 9 [ ] 200050

- 8 - Shanghai Health Inspection, 2010, Vol.5, No.1 2.1.1 2.2 2.2.1 2006 1 215 5 3 2008 1 535 82 844 1 2.2.2 2008 2.1.2 2006 2 21 2.2.3 2008 20 1 17 2.1.3 2006 2.2.4 2008 2006 52 181 10 409 2007 80 361 13 004 2006 54.00% 25.00%

2010 3 5 1-9 - 3 管理对策 3.1 2006 3.4 3.2 参考文献 [1]. [J].,2006,13(4):255-258. [2],. [J]..2008. 27(3):37-39. 3.3 2010-01-25 6 参考文献,2009:25 [1],. [M]. :, [4],,. 2007:82 [J].,2009,12(2):62-66. [2],. [5],,,. [J].,2009,(3):46-52. [3]. 2009[M]. : [J].,2005,12(5):336-340. 2009-09-07

- 10 - Shanghai Health Inspection, 2010, Vol.5, No.1 卫生监督法制与标准建设 30 1993~2002 1994 1 卫生监督法制的发展历程 2000 30 90 3 1.1 20 70 90 1978~1992 1997 2000 1987 1.3 21 80 ( ) 2003 2004 1.2 (20 90 ) [ ] - 08GWZX0701 [ ] [ 2 1979~ ] 200050

2010 3 5 1-11 - 2 卫生监督标准的发展历程 3.3 [2] 90 [4] 4 卫生监督法制与标准建设的发展趋势及展望 4 4.1 [2] 4.1.1 1000 20 3 卫生监督法制与标准建设对推动卫生监督学科发 展的贡献 4.1.2 3.1 ( ) [3] 3.2 4.1.3

- 12 - Shanghai Health Inspection, 2010, Vol.5, No.1 96 97 4.2.3 4.1.4 4.2.4 4.2 4.2.1 参考文献 [1] [2006]228 ; [Z]2006-07-13. [2],,. 50 [J]..1999,33(3):131. [3],. : 4.2.2 [J]..2006,46(2),116-119. [4]. [J]..2006,9(5):198-199. [5]. [J]..2006.14(3):16-19. 2009-11-05 2010 2010 4 2010-15-02-021 2010-12-01-010 2010-12-07-015 2010-12-07-016

2010 3 5 1-13 - 职业卫生监督学科发展近况 1802 2000 233 [2] 1954 2007 667 [3] 1997 8 2005 246 [4] 1 职业卫生相关法律法规和标准体系不断完善 2 职业卫生监督学科领域不断拓展 200 1970 ( The Occupational Safety and Health Act of 1970) [5] 2001 OHSA [6] 30 [7] 2000 [1] [8,9] 2001 10 27 18 [ ] - 08GWZX0701 [ ] 1981~ [ ] 200050

- 14 - Shanghai Health Inspection, 2010, Vol.5, No.1 20 90 [10] [19] GBZ/T 160.28-2004 [11] CO C0 2 [12] Ostraat ML 49 2002 WHO/EURO basic occup- ational health service, BOHS [13] [14] [20] 2006 10 19 3 职业卫生监督学科新技术新方法不断出现 [21] ( ) WHO [15] 3 [16,17], [22] 4 结语 [18]

2010 3 5 1-15 - 参考文献 [1] OSHA. Recording and Reporting Occupational Injuries and [12],,. Illness, U.S.Standards-29CFR, part1904 [OL].http://www.osha. [J]., 2008 23(2):76-78. gov,2006-12-07. [13] Y. Song, X. Li#and X. Du. Exposure to nanoparticles is [2],. [J]. related topleural effusion, pulmonary fibrosis and granuloma[j]. 2002,20(1):68-70. Eur Respir J,2009,(34):559 567. [3],, 祎. [J]. [14] Ostraat ML, Swain KA, Krajewski JJ. SiO2 aerosol,2009,16(3):225-231. nanoparticle reactor for occupational health and safety [4] N IH. L ist of Cancer - Causing Agents Grows [ EB /OL ]. studies[j]. Occup Environ Hyg,2008,5(6):390-8. http://www. nih. gov/news/p r/ jan2005 /niehs-31. htm, 2005-01 [15]. -31 [OL].http://www.moh. [5] Tao, X.G., et al., An assessment of universal versus risk- gov.cn/newshtml/1504.htm,2002-11-18/2007-08-30,2007-09-0 based hepatitis C virus testing of source patients postexposure 5. to blood and body fluids among healthcare workers[j]. J Occup [16],,,. Environ Med, 2006. 48(5):470-7. [J]., [6] Occupational Safety and Health Administration. Occup- 1995,8(5):297-298. ational exposure to bloodborne pathogens: needlesticks and [17],,,. other sharps injuries[j].finale rule. Federal Register 2001,66: [J].,2000,18 5317. (4):255. [7],,. [18]. [J].,2009,21(1):139-143. [8] Voaklander DC, Umbarger-Mackey ML, Wilson ML. Health, medication use, and agricultural injury: A review[j]. Am J Ind Med,2009,3. [Epub ahead of print]. [9] Guthrie R, Westaway J, Goldacre L. Workers compensation and occupational health and safety in the Australian agricultural industry[j]. Aust J Rural Health,2009,17(2):77-85. [10] Latko WA,Armstrong TJ,Franzblau A,et al. Crosssectional study of the relationship between repetitive work and the prevalence of upper limb musculoskeletal disorders[j].am.j Ind Med,1999,36(36):248-259. [11],. [J].,2008,24(3):264-265. [J].,2009,5(3)169-172. [19],,. [J].,2008,21(5):340-341. [20] Gong F, Baron S, Ayala L. Formative research in occupational health and safety intervention for diverse, underserved worker populations: a homecare worker intervention project[j]. Public Health Rep,2009,124 Suppl 1 :84-9. [21] [2006] 272 [ Z].2006-07-01. [22],,,. [J].,2009,25(3):228-231. 2009-11-18 [2010]2 Agency for Public Health Inspection, Shanghai Municipal Health Bureau

- 16 - Shanghai Health Inspection, 2010, Vol.5, No.1 饮用水卫生监督的现状与发展趋势 摘要 : 关键词 : 20 50 90 21 1983 [1] 2007 18 2007-2015 NEHAP 20 90 1.2 1 我国饮用水卫生监督学科的建立和发展现状 1.1 2006 140 [ ] - 08GWZX0701 [ ] 1982~ [2,3] 200050 2006

2010 3 5 1-17 - [9,10] GB5749-2006 2006 HACCP GB5750-2006 2007 7 1 [11] 52 2006 χ 2 GB5749-1985 1985 CCP 1985 35 106 71 8 6 χ 2 = 7.8 [4,5] p < 0.01) 1.3.3 2007 5 16 4 106 7 1.3 2007 1.3.1 7 26 27 241 585 2008 8 [6] 8 15 2010 6 15 47 34 AOC [7] AOC 8d 5.12 2 国外饮用水卫生监管现状 [8] 2.1 2.1.1 1.3.2 HACCP 70 HACCP Hazard Analysis and Critical Control Point 3 1 HACCP 2 HACCP HA 3 2.1.1.1 CCP

- 18 - Shanghai Health Inspection, 2010, Vol.5, No.1 EC Drinking Water Directive 98/83/EC 20 70 80 3 饮用水卫生监督的发展趋势 2.1.1.2 1m 3 1974 Safe Drinking Water Act 1986 1996 2 4 2007 EPA 2007-2015 4 1 1 10 2006-2020 2.1.2 2006-2020 WHO 参考文献 [1]. [J]. 2.2,2003,20(4):248-249. [2],. [J].,2007,14(5):345-350. [12] [3],,. [J]. [13] [14,15],2007,(3):20-21. [16,17] [4],. [M]. :,2008:59-61.

2010 3 5 1-19 - [5]. [J]. and Measures for its Improvements[J].Gigiena I Sanitariia,,2009,21(5):228-229. 2009,(2):4-13. [6],,,. [J]. [14] Tee L, Guidotti, Marina S. Moses, David F. Goldsmith,,2007,19(1):33-34. Lisa Ragain. DC Water and Sewer Authority and Lead in [7],. AOC [J]. Drinking Water: A Case Study in Environmental Health Risk,2004,23(5):42-44. Management[J]. J Public Health Management Practice, 2008, [8],,,. 5.12 14(1):33-41. [J]. [15] Hrudey SE, Hrudey EJ, Pollard SJ. Risk Management for,2009,19(6):1327-1328. Assuring Safe Drinking Water[J]. Environment International, [9]. 2006,32(8):948-957. [J].,2009,23(4): 75-76. [16] Rizak S, Hrudey SE. Drinking-water Safety: Challenges [10],,,.HACCP for Community-managed Systems[J]. J Water Health, 2008, [J].,2006,22(21):1854-1856. 6(Suppl)1:33-41. [11],,,. [17] Edward Anthony Emmett, Hong Zhang, Frances Susan [J]., 2006,13(1): 18-20. Shofer, Nancy Rodway, Chintan Desai, David Freeman, Mary [12] Rickwood CJ, Carr GM. Development and Sensitivity Hufford. Development and Successful Application of a Analysis of a Global Drinking Water Quality Index [J]. Community-First Communication Model for Community- Environmental Monitoring and Assessment, 2009,156(1-4):73- based Environmental Health Research[J]. J Occupational and 90. Environmental Medicine, 2009,51(2). [13] Onishchenko GG. Hygienic Evaluation of the Provision of the Population of the Russian Federation with Drinking Water 2009-11-23 25

- 20 - Shanghai Health Inspection, 2010, Vol.5, No.1 传染病防治卫生监督的现况及存在问题 2006 2009 2003 6 1 传染病防治监督法律法规体系 10 1.1 2004 11 12 2006 1 2 传染病防治监督系统和制度实施 2.1 [1] 2.1.1 2003 [2] 2006 70.25% 93.5% 31 ( ) 24 807 [3.4] 1.2 2.1.2 [ ] - ( :08GWZX0701) [ ] 1983~ [5] [ ] 200050

2010 3 5 1-21 - [6] 2005 H1N1 2006 8 1 10 ( H1N1 ) H1N1 [7] 2009 2 WHO 2008 4 27 4 28 4 29 102 3 3 传染病防治监督现况与问题 2008 3.1 6 2.2 89 [7] 4 [8] 15.7% H1N1 2009 4 25 87.0% [9] WHO H1N1 H1N1 [10] 33 [11] H1N1 4 27 H1N1

- 22 - Shanghai Health Inspection, 2010, Vol.5, No.1 [12] 3.2 2004 SARS [18] 4 3~4 3.4 [13] 2006 [19] 66.7% [14] 2 [15] [20] 3 31 3.3 41.9% [21] 1 153 35.6% 100 [22] 参考文献 [1]. [J].,2006,6(6): [16] 2 117-119. [2]. [J].,2008,7(8):13-15. [3]. [J]. [17] 3,2008,24(7):845-846. 26

2010 3 5 1-23 - 医院卫生勤杂人员医院感染防护管理存在问题及对策 [4] 1.2 [2,4,5,6] 309 100 60.0% 37.0% 57.1% 42.9% [1,2] 2000 98.0% [3] 16% [2,7] [8,~,10] 56 8.9% 1 存在问题 [11] 1.1 1.3 [4] 516 70.5% 37.7% 40.9% [7] 24.0% 40.0% [2] [5] [6,8] [5,11] 23.2% [ ] 2007023 [ ] 1975~ 26.7% 33.3% [ ] 200050 25.0% 87.5%

- 24 - Shanghai Health Inspection, 2010, Vol.5, No.1 [12] 1997 5 23 30 [2,7,10] 117 1 58.0% [13] 2005 [18] OSHA 82.0% [6] HBV [2] HBV HIV [14] 1.6 80 42.5% [1] 61 55.7% [7] 30 83.3% [15] 1.4 OSHA 2 对策与措施 [16] 2.1 2.1.1 [1,2,13] 22 27.3% [17] 2.1.2 1.5 2.1.3 10.0% [2] 22 68.2% [12]

2010 3 5 1-25 - 2.2 90.2% 65.6% [7] 2.5.4 2.3 73.7% 参考文献 18.9% [10] [1],. 1 [J].,2008,7(6):425. [2],,. [J].,2004,14(2):20. 2.4 [3]. [J].,2001,4(5):230-232. [4]. [J].,2008,23(2):92-94. [5]. [J].,2007,5(7):53. 2.5 [6]. 2.5.1 [J].,2006,5(3):9. [7]. [J].,2008,25(10):1244. [8]. [J].,2007,7(2):18-19. [9]. [J].,2009,17 (4):103-104. 2.5.2 [10]. [J].,2008,16(6):144-145. [11]. 2.5.3 [J].,2008,8(7):154-155. [12],.

- 26 - Shanghai Health Inspection, 2010, Vol.5, No.1 [J].,2008,33(6):967-968. [13], [J].,2007,19(4):60-62. [14],, [J].,2003,13(2):110 112. [15],,.,2007, 14(11):65-66. [16] Gardner C.. HIV [J]., 1992,11 (3):119.. [17],,. [J].,2008,8(12):19-20. 30 [18]. [J]. [J].,2007,2(19):1807-1808. 2010-01-21 22 [4]. [J].,2009,24(6):468-470. [R]. :,2007. [5],1991, 3(19):167-168. [6] (3):7-9. [7] [J].,2008,14(3):188-189. [8]. [J]. [J].,2008,3(1):20-24.. [J].,2009,15(2):143-144. [J].,2006,17 [16]. 153. [17].. -117. [J].,2008, [18]. 11(12):2151-2156. [J].,1996,17(6):23-25. [9]. [19]. [J]. [J]., 2008,24(7):683-685. [10],2004,22(3):176-178. [11],2005, 20(1):21-221. [12] [J].,2009,25(1):29-30. [13] [14]. [15]. [J].,2008,3(1):35-39. [J].,2003,2(2):116,2008,3(1):9-13.. [J]. [20]. [J].,2008,3(1):13-16.. [J]. [21]. [J].,2004,14(9):1025-1026.. [22]. [J].,2009,25(2):147-148.. 2009-11-12

2010 3 5 1-27 - 病原微生物实验室的生物安全及研究进展 1 生物安全的概念 safety 24 5 63 1 30 biosafety [2] 1979 4 3 10 1000 2.2 2002 3 GB19489-2004 2002 [1] West Nile Virus WNV IgM 2004 5 22 2 实验室生物安全相关事件 3 2.3 2.1 1967 8 1956 9 [ ] 3 PW2007A-25 37 [ ] 1969~ [ ] 200136 1/4 3

- 28 - Shanghai Health Inspection, 2010, Vol.5, No.1 1998 WS233-2002 2003 8 1 29 9 3.2.3 2003 5 [2] 2.4 2003~2004 SARS 2003 9 9 SARS 27 SARS 2003 12 SARS SARS 2004 4 SARS SARS [3] 3 实验室生物安全管理的法规和标准 P3 3.2.4 3.1 2003 10 15 NIH/CDC Biosafety in Microbiological 3.2.5 GB and Biomedical Laboratories, BMBL 19489-2008 2004 ISO15190:2003(E) - WHO [ ( ) 2003] ISO15190:2003(E) [4] 1983 Laboratory Biosafety Manual 1 1993 [6] 2003 SARS 2 2004 3 3 WHO ( 3 ) 5 2008 DNA [7] 3.2.6 GB 50346- WHO 3 2004 9 1 [5] 3.2 3.2.1 1985 3 23 3.2.2 2002 12 3

2010 3 5 1-29 - [8] 3.2.7 2004 11 12 2008 ( 424 ) 72 [9] 3.2.8 2006 1 45 2009 8 I II III 380 160 155 2 59 6 4 生物安全管理技术 4.1 3.2.9 2006 3 8 3.2.10 2006 8 15 [9] 1985 3.2.11 2005 WHO 2006 1 2 3 4 GB19489-2004

- 30 - Shanghai Health Inspection, 2010, Vol.5, No.1 4.2 WHO Biosafety Laboratory BSL BSL-3 BSL-4 ( ) [10] 参考文献 [1]. [J].,2004, 31(5):658-660. [2],. [J].,2006,29( ):135-141. WHO [3]. [J].,2006, 21(1):38-39. 4.3 [4] CDC/NIH. [M]. 4. :1999. [5] WHO. [M]. 3. :WHO, 2003. [6] GB19489-2004 [S]. :,2004. [7] GB19489-2008 [S]. :,2008. [8] GB50546-2004 [S]. :,2004. [9] 424. [Z].2004-11-05. [10].. 2 [M]. :,2006. 2010-01-20

2010 3 5 1-31 - 上海市某区 2008~2009 年临床实验室检验质量分析 100 60 40 60 59 5 5 2008 2009 100 60 59 2.3 1 材料与方法 1.1 2 结果 2.1 2008 39 2009 20 1 2008 39 2009 20 1.2 / 1 2008 2009 21 13 / 10 5 / 1.3 8 39 2 20 2.2 2 2 3h 2009 1.4 2008 2 2 2 2008~2009 % 2008 2009 P 39 32 82.0 20 18 90.0 0.70 18 17 94.4 17 14 82.3 0.34 39 33 94.6 20 19 95.0 0.40 39 23 59.0 20 18 90.0 0.02 18 12 66.7 17 13 76.5 0.71 18 12 66.7 17 15 88.2 0.23 [ ] 1974~ [ ] 201100

- 32 - Shanghai Health Inspection, 2010, Vol.5, No.1 3 3 % 34 31 91.2 25 19 76.0 0.15 23 21 91.3 12 10 83.3 0.59 34 34 100.0 25 18 72.0 0.00 34 28 82.3 25 13 52.0 0.02 23 19 82.6 12 6 50.0 0.06 23 21 91.3 12 6 50.0 0.01 3 讨论 ELISA 5 2 1 2 2 2 2009 3 2008 1 参考文献 2 [1],,. 2005~2007 [J].,2008,8(8):1424-1425. [2],,,. [J].,2009,25(15):2574-2576. 3 [3],,. 4 [J].,2009,21(4):193-194. 2009-12-21 P

2010 3 5 1-33 - 中国内地和香港医师注册制度对比分析及启示 1 1 2 摘要 : 5 关键词 : Make a Comparison and Inspiration between Hong Kong and Mainland China Doctor Registration System. XIE Hong-bin, BEI Wen, WANG Lan (Health Supervision Institute of Shanghai Municipal Health Bureau, Shanghai, 200050,China; Health Supervision Institute of Shanghai Xuhui District Municipal Health Bureau, Shanghai, 200031,China) Abstract:To compare and analyze the doctor registration system of Hong Kong and Mainland China by management model, registration category, registration process, registration content and dynamic management; And then get inspiration from the following three areas including relaxing practice locations and range, developing temporary registration and health committee. Key words doctor registration; management model; system comparison 2009 5 31 12 242 [2] 700 [3] 1.75 1 香港医师注册制度基本情况 2 中国内地和香港医师注册制度的主要区别 161 2.1 5 28 24 [1] 4 [ ] 08GWZX0701 [ ] 1981~ [ ]1 200050 2 10 200031

- 34 - Shanghai Health Inspection, 2010, Vol.5, No.1 30 2.4 2.2 2.5 6 30 14 3 香港医师注册制度的启示 2.3 3.1 72 231 2008 12 31 55 448 1 888.46 [4] 2.94 1.75 1060 335 1100 2~3 [5] 3.2 37

2010 3 5 1-35 - 上海市金山区重点企业职业卫生监管情况分析 摘要 : [ ] 2006~2008 [ ] 3 [ ] [ ] 关键词 : A B C C 4 1.2 2006 EpiData 3.2 SPSS11.0 [1] 2006~2008 3 A B C A B C 2006~2008 2 结果 2.1 2006 2007 2008 1 1961 1 923 1 988 A B C 1 对象与方法 C 378 459 519 1.1 2 378 622 976 3 2006 [ ] 200803 [ ] 1984~ [ 2006 100.00% ] 201500

- 36 - Shanghai Health Inspection, 2010, Vol.5, No.1 1 2006~2008 (%) A B C A B C 2006 1961 378 19.28 33 94 99 226 1134 449 152 1735 2007 1923 459 23.87 49 92 136 277 1065 399 182 1646 2008 1988 519 26.11 52 59 105 216 1144 325 303 1772 2 2006~2008 0.5~1 3 2006 1961 378 378 2007 1923 459 622 3 2008 1988 519 976 53.75% 70.12%~ 2.2 97.66% 1~2 3 2006 ~2008 % 2006 83.58 70.12 65.79 53.75 70.74 85.17 2007 89.77 77.34 70.84 71.14 73.15 90.78 2008 95.61 85.11 75.25 84.71 77.89 97.66 2.3 2006 2007 2008 2006 148 146 140 365 10 2008 481 12 5 90.00% 4 4 2006~2008 2006 148 137 11 9 45.5 2007 146 133 13 11 54.0 2008 140 128 12 11 51.0 5 2006~2008 2006 148 365 10 72 108 97 53 19 2 2 1 1 0 0 2007 146 412 13 93 71 92 75 36 5 23 0 0 2 0 2008 140 481 12 112 81 89 66 68 3 36 2 1 7 4 3 讨论

2010 3 5 1-37 - [4] [5] 参考文献 1 [1],,. [J].,2005,21(2):198-200. [2],,.9 77 2 [J].,2008,15(3): 171-173. [3]. [J].,2004,19 (3):196-197. [4],,. [J].,2005,22(6):535-3 537. [5] 60, [Z].2001-10-27. 4 2009-11-28 34 9~11 1 参考文献 [1]. 161 [EB/OL].(2005-07-08)[2009-07-20].http://www. legislation. gov.hk. [2]. [EB/OL].(2009-05-31) [2009-07-20].http://www.mchk.org.hk/doctor /index.htm. [3]. [EB/OL]. 3.3 (2009-06-3)[2009-07-20].http://www.censtatd.gov.hk/. [4]. 2009[M]. :,2009.25. 30 [5],,. [J].,2006,26(2):19-22. 2009-07-31

- 38 - Shanghai Health Inspection, 2010, Vol.5, No.1 某市 2008 年尘肺病发病情况分析及对策探讨 喆 摘要 [ ] 2008 [ ] 2008 [ ] 2008 115 3 80.9% [ ] 关键词 : 2.1 2008 1 2008 115 2007 75.65% 2008 1 2008 (%) 3 2.61 25 21.74 1 资料与方法 1.1 87 115 75.65 100.00 2008 2.2 2 2008 (%) ( ) 49 42.61 13.59 11 9.57 10.55 9 7.83 18.78 1.2 7 7 6.09 6.09 11.14 17.86 5 4.35 22.60 2008 4 3.48 19.75 EXCEL 3 2.61 26.33 SPSS11.5 2 1.74 14.50 2 结果 2 1.74 27.50 1 0.87 9.00 2008 115 107 93.04% 8 6.96% 2008 15 115 13.04 100.00 12.47 / 83 6 2 115 77 49 [ ] 2008017 42.61% 11 9.57% [ ] 喆 1984~ 9 7.83% [ ] 200050 60.01%

2010 3 5 1-39 - 2.3 3 50 43.48% 12.26 24 20.87% 19 16.52% 3 2008 (%) ( ) 50 43.48 12.26 24 20.87 18.08 19 16.52 18.74 9 7.83 8.22 5 4.35 22.40 3.2 2 1.74 15.50 2 1.74 16.50 50 43.48% 1949 2 1.74 10.00 2004 1 0.87 2.00 22.04 1 0.87 12.00 12.26 1 115 100.00 2 2.4 2008 83 3 6 77 4 77 4 8 55 71.42% 60 77.92% 35 3.3 45.45% 48 62.34% 29 37.66% 72 93.50% 31 40.3% 4 2008 (%) 55 71.42 60 77.92 4 对策 35 45.45 48 62.34 4.1 29 37.66 72 93.50 31 40.30 3 讨论 3.1 43

- 40 - Shanghai Health Inspection, 2010, Vol.5, No.1 宝山区 2003~2007 年建设项目职业病危害评价状况分析 摘要 : [ ] [ ] 2003~2007 [ ] 5 13.09% 23.65% 89.29% 92.28% 80.00% 60.53% [ ] 5 关键词 : Status and Analysis of the Assessment on Occupational Hazards in Construction Projects during 2003-2007 in Baoshan District XU Xi-yuan YAO Xin-min Institute of Health Superviston Baoshan Distyict in Shanghai. Shanghai 201901 China Abstract:[Objective] To investigate the current status and existing problems of the assessment on occupational hazards in the construction projects, and provide ways to improve this work based on the analysis of the relevant files. [Methods] The data of assessments on occupational hazards during 2003~2007 in Baoshan were analyzed comprehensively. [Results] Generally The number of construction projects which had been assessed on occupational hazards was increased year by year, but proportion of pre-evaluation and evaluation of control effect on occupational hazards in all con-struction projects were still very small, just about 13.09% and 23.65% respectively, absence of protective appliance and content was the main problem, the coincidence rate of assessment conclusion was 89.29%, total eligible rate of occupational hazards was 92.28%,the number of enterprise which had carried out pre-job occupational health examination was 80.00% in all, and the number of workers who had been examed was just about 60.53% in all workers from the first production line. [Conclusion] Construction projects which had been assessed on occupational hazards were increased year by year in Baoshan district, but the proportion of it was still very low. Relatively high eligible rate of occupational hazards in five years indicated protective facilities were effective for controlling occupational hazards. Rate of Pre-job occupational health examination was low, and assessment capability of occupational health service institutes still should be improved. Key words:construction project occupational hazards assessment report health evaluation [ ] 1955~ [ ] 201901

2010 3 5 1-41 - [1] 2003~2007 2 结果 2.1 2003 2007 1 资料与方法 2003~2007 3.57% 36.73% 64 15.79% 47.06% 5 48 13.09% 23.65% 1 1 2003~2007 * * (%) (%) 2003 196 7 3.57 38 6 15.79 2004 102 9 8.82 66 10 15.15 2005 69 12 17.39 38 3 7.89 2006 73 18 24.66 27 13 48.15 2007 49 18 36.73 34 16 47.06 489 64 13.09 203 48 23.65 * 2.2 34.38% 27.08% 7.81% 2.08% 2 2 2003~2007 n=64 (n=48) (%) (%) 9 14.06 10 20.83 8 12.50 6 12.50 1 1.56 7 14.58 1 1.56 1 2.08 22 34.38 13 27.08 5 7.81 1 2.08 11 17.19 5 10.42 7 10.94 3 6.25 6 9.38 5 10.42 2.3 60.94% 47.92% 39.06% 6.25% 20.31% 15.63% 4.17% 8.33% 20.31 12.5% 54.68%

- 42 - Shanghai Health Inspection, 2010, Vol.5, No.1 3 3 2003~2007 n=64 % n=48 % 0 5 10.42 0 2 4.17 13 20.31 4 8.33 13 20.31 6 12.5 39 60.94 23 47.92 25 39.06 3 6.25 10 15.63 2 4.17 35 54.68 2.4 5 112 [2,3] 89.29% 77.68% 75.89% 71.43% 2.5 48 100.00% 97.92% 88.18% 92.28% 2.6 112 64.29% 42.86% 30.36% 28.57% 26.79% 25.00% 21.43% 14.29% 14.71% 5 10.71% 8.04% 2007 91.46% 2.7 37 16.22% 37.84% 48 18.75% 6.25% 45 80.00% 60.53% 3 讨论 5 1

2010 3 5 1-43 - 2 5 参考文献 3 [1] 60, [Z].2001,10,27. [2]. [J]. 4,2005,21(10):1574. [3].509 [J].,2008,20(8):415-416. 2009-11-20 39 4.2 4.3 参考文献 [1],,. 1949~2004 [2] [J].,2006,23(3): 220-223. [2]. [J].,2009,4,(25):448-450. 2009-10-14

- 44 - Shanghai Health Inspection, 2010, Vol.5, No.1 普陀区现制现售水自动售水机现况调查与思考 摘要 : [ ] 2007 2008 [ ] 2007 2008 [ ] 2008 2007 [ ] 关键词 : 1.2.1 2005 1 1.2.2 [1] ph 2006 7 : GB5750-2006 [2] 2007 2008 2 (2001) [3] 1.3 1 对象与方法 ; 1.1 2007 188 2008 252 2007 1.4 188 1.2 EXCEL 2003 2 [ ] 1980~ 2 结果 [ ] 200333 2.1 1

2010 3 5 1-45 - 1 2007 n=188 2008 n=252 p 187 1 99.5 247 5 98.0 0.05 176 12 93.6 252 0 100.0 0.05 0 188 0.0 223 29 88.5 0.05 186 2 98.9 251 1 99.6 0.05 173 15 92.0 214 38 84.9 0.05 179 9 95.2 243 9 96.4 0.05-2 - - 6 - - - 7 - - 3 - - 2.1.1 3 讨论与建议 3.1 2007 1 2006 7 2008 5 4 1 2.1.2 2007 12 [4] 2 188 2008 29 2 χ 2 P<0.05 2007 2.1.3 2007 2 99.5% 2008 98.0% 2007 2008 15 2008 1 2 1 39 2.1.4 2007 9 2 7 2008 9 6 3 2.2 2007 98.3% 59/60 2008 98.7% 153/155 2007 2008 ph 2 3.2 ph ( ) 2007 60 100.0 100.0 100.0 98.3 100.0 100.0 2008 155 100.0 100.0 100.0 98.7 100.0 100.0 2007 2008

- 46 - Shanghai Health Inspection, 2010, Vol.5, No.1 2001 3.4 2 3.3 2008 2007 参考文献 [1],,,. [J].,2007,19(3): 112-113. [2] GB/T 5750-2006. [S]. [3] (2001)[S]. [4] [Z].,2006. 2009-09-10

2010 3 5 1-47 - 使用酸性氧化电位水生成器消毒情况调查 摘要 : [ ] [ ] [ ] 96.55% [ ] 关键词 : 1100mV ph 2.7 40~80mg/L 2 结果 2.1 6 3 NQQ-01 TH-Y SUNTECH-1000 3 1 材料与方法 1.1 2.2 2 1 1 6 6 1.2 2.3 2 6 ph 1.3 GB15981-1995 2.4 6 1 1.4 [ ] 1981~ 24 5 [ ] 200023

- 48 - Shanghai Health Inspection, 2010, Vol.5, No.1 2.5 5 2 29 6 2 21 96.55% 1 1 ( ) ( ) (%) 3.2 1 5 5 100.00 2 6 5 83.30 3 3 3 100.00 4 12 12 100.00 5 3 3 100.00 29 28 96.55 2.6 3.3 5 ph 5 3 ph 3.50 50~70mg/L 2 1 ph 5.90 3.0mg/L 1 ph 6.30 10mg/L 1 3.4 1000mV 4 1100mV 2 2 ph ph (mv) (mg/l) 1 3.65 1143 50.0 2 3.58 1137 70.0 3 5.90 1109 3.0 4 3.50 1134 60.0 5 6.30 915 10.0 3 讨论 3.1 2009-02-17