Morse Stephen S
Mailman School of Public Health, Columbia University, New York City, NY, USA.
Health Aff (Millwood). 2007 Jul-Aug;26(4):1069-77. doi: 10.1377/hlthaff.26.4.1069.
Current concerns about the spread of infectious diseases, especially unexpected ("emerging") infections such as pandemic influenza or severe acute respiratory syndrome (SARS), have renewed focus on the critical importance of global early warning and rapid response. Although considerable progress has been made, many gaps remain. A number of the gaps can be addressed through increased political will, resources for reporting, improved coordination and sharing of information, raising clinicians' awareness, and additional research to develop more rigorous triggers for action. The increasing availability of communications and information technologies worldwide offers new opportunities for reporting even in low-capacity settings.
当前对传染病传播的担忧,尤其是对诸如大流行性流感或严重急性呼吸综合征(SARS)等意外(“新发”)感染的担忧,重新聚焦于全球早期预警和快速反应的至关重要性。尽管已取得了相当大的进展,但仍存在许多差距。通过增强政治意愿、提供报告资源、改善信息协调与共享、提高临床医生的认识以及开展更多研究以制定更严格的行动触发因素,可以解决其中一些差距。全球范围内通信和信息技术的日益普及为即使在低能力环境下进行报告提供了新机会。