Erwin Paul Campbell, Sheeler Lorinda, Lott John M
East Tennessee Regional Health Office, Tennessee Department of Health, Knoxville, TN, USA.
Public Health Rep. 2009 Mar-Apr;124(2):212-6. doi: 10.1177/003335490912400208.
An outbreak of foodborne hepatitis A infection compelled two regional health departments in eastern Tennessee to implement an emergency mass clinic for providing hepatitis immune serum globulin (ISG) to several thousand potentially exposed people. For the mass clinic framework, we utilized the smallpox post-event clinic plans of the Centers for Disease Control and Prevention (CDC), although the plans had only been exercised for smallpox. Following CDC's guidelines for staffing and organizing the mass clinic, we provided 5,038 doses of ISG during a total of 24 hours of clinic operation, using 3,467 person-hours, or 1.45 ISG doses per person-hour-very close to the 1.58 doses per person-hour targeted in CDC's smallpox post-event clinic plans. The mass clinic showed that CDC's smallpox post-event clinic guidelines were feasible, practical, and adaptable to other mass clinic situations.
一起食源性甲型肝炎感染疫情迫使田纳西州东部的两个地区卫生部门设立了一家应急大规模诊所，为数千名可能接触过病毒的人提供肝炎免疫血清球蛋白（ISG）。对于大规模诊所的框架，我们采用了疾病控制与预防中心（CDC）的天花疫情后诊所计划，尽管这些计划仅针对天花进行过演练。按照CDC关于大规模诊所人员配备和组织的指导方针，我们在诊所总共运营的24小时内提供了5038剂ISG，使用了3467人时，即每人时1.45剂ISG，这与CDC天花疫情后诊所计划中设定的每人时1.58剂非常接近。大规模诊所表明，CDC的天花疫情后诊所指导方针是可行、实用的，并且适用于其他大规模诊所情况。
