Staiti Andrea B, Katz Aaron, Hoadley John F
Issue Brief Cent Stud Health Syst Change. 2003 Jul(65):1-4.
In anticipation of future terrorist attacks, the nation has been focused on emergency preparedness, including threats to public health and the ability of communities to respond to them. The Center for Studying Health System Change's (HSC) recent site visits to 12 nationally representative communities found early benefits to public health due to heightened attention to bioterrorism preparedness: more visibility and credibility for public health, stronger public health infrastructure and improved communication and coordination across sectors. Modest negative effects included staff diversions and delays in some program implementation. As the site visits continued from fall 2002 into 2003, concerns grew that the federal smallpox vaccination program was diverting resources from such traditional public health activities as routine immunizations, health promotion and screening.
为应对未来可能发生的恐怖袭击，美国一直专注于应急准备工作，包括对公共卫生的威胁以及社区应对这些威胁的能力。医疗体系变革研究中心（HSC）近期对12个具有全国代表性的社区进行了实地考察，发现由于对生物恐怖主义防范的高度重视，公共卫生领域已初见成效：公共卫生的知名度和可信度提高、公共卫生基础设施得到加强，以及各部门之间的沟通与协调得到改善。一些轻微的负面影响包括工作人员精力分散以及部分项目实施出现延迟。随着实地考察从2002年秋季持续至2003年，人们越来越担心联邦天花疫苗接种计划正从常规免疫、健康促进和筛查等传统公共卫生活动中转移资源。
