Lim Sue, Closson Tom, Howard Gillian, Gardam Michael
Infection Prevention and Control Unit, University Health Network, Toronto, Ontario, Canada.
Lancet Infect Dis. 2004 Nov;4(11):697-703. doi: 10.1016/S1473-3099(04)01176-4.
The 2003 outbreak of severe acute respiratory syndrome took the province of Ontario, Canada, by surprise. A lack of planning and the decentralised nature of the health-care system meant that disruptive control measures had to be put in place to control the outbreak. Several of the control strategies were difficult to implement and resulted in considerable confusion, fear, and costs. We discuss these difficulties and offer suggestions for improving outbreak planning.
2003年严重急性呼吸综合征的爆发让加拿大安大略省措手不及。缺乏规划以及医疗保健系统的分散性质意味着必须采取破坏性的控制措施来控制疫情。其中一些控制策略难以实施,导致了相当大的混乱、恐惧和成本。我们讨论了这些困难,并提出了改进疫情规划的建议。