MMWR Morb Mortal Wkly Rep. 2010 Feb 19;59(6):158-61.
On January 25, 2007, an Indian Health Service (IHS) unit notified the Arizona Department of Health Services (ADHS) of five symptomatic syphilis cases (i.e., primary or secondary syphilis) that had occurred in members of a Southwest Indian Nation during the previous 6 months. By mid-April, three more cases had been identified. On April 18, 2007, the tribe declared an outbreak of syphilis and subsequently requested public health assistance from county, state, and federal agencies. On July 10, an enhanced, coordinated multiagency response to the outbreak began, involving tribal and Pima County health departments, IHS, ADHS, and CDC. This report summarizes the enhanced outbreak response, which identified a total of 106 cases of syphilis with onset from January 2007 to June 2009, including six congenital cases (two of them stillbirths). Initial communication gaps led to delays in response to this outbreak, but communication was improved through the formation of an outbreak response group that included members from county, state, and tribal health departments and IHS. For similar outbreaks in American Indian tribes, where various public health jurisdictions exist and often have concurrent responsibilities, formation of an outbreak response group can improve control efforts.
2007 年 1 月 25 日，美国印第安人健康服务部（IHS）的一个部门向亚利桑那州卫生服务部（ADHS）通报了在过去 6 个月中，西南部印第安人部落的 5 例症状性梅毒病例（即一期或二期梅毒）。截至 4 月中旬，又发现了另外 3 例病例。2007 年 4 月 18 日，该部落宣布爆发梅毒疫情，并随后请求县、州和联邦机构提供公共卫生援助。2007 年 7 月 10 日，开始对疫情进行强化、协调的多机构应对，涉及部落和皮马县卫生部门、IHS、ADHS 和 CDC。本报告总结了强化疫情应对情况，共发现 106 例梅毒病例，发病时间为 2007 年 1 月至 2009 年 6 月，包括 6 例先天性梅毒病例（其中 2 例为死产）。最初的沟通差距导致对此次疫情的应对出现延误，但通过成立一个包括县、州和部落卫生部门以及 IHS 成员的疫情应对小组，沟通得到了改善。对于美国印第安部落中的类似疫情，由于存在各种公共卫生管辖权，而且通常有共同的责任，成立一个疫情应对小组可以加强控制工作。
