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新南威尔士州实验室应对2009年甲型H1N1流感大流行的经验教训。

Lessons from the NSW laboratory response to pandemic (H1N1) 2009 influenza.

作者信息

Adamson Sheena, Fizzell Jan, Dwyer Dominic E, Rawlinson William, Armstrong Paul K

机构信息

Biopreparedness Unit, NSW Department of Health.

出版信息

N S W Public Health Bull. 2010 Jan-Feb;21(1-2):36-8. doi: 10.1071/NB09041.

DOI:10.1071/NB09041
PMID:20374693
Abstract

Procedures undertaken by NSW Health in the laboratory response to pandemic (H1N1) 2009 influenza were reviewed to assist planning for a future infectious disease emergency. Laboratory plans developed prior to the pandemic sought rapid detection of pandemic virus in the early phases of the pandemic response until demonstration of widespread community transmission, followed then by limited testing when indicated clinically. As planned, the laboratory response was based on the Pandemic Influenza Management System with a web-based outbreak management tool, NetEpi, as the single public health database used for cases and test results. This was found to be effective for tracking specimens and results, and enhanced the public health response. The sustained large volume of community testing during this mild pandemic had an adverse effect on the timely delivery of priority results.

摘要

对新南威尔士州卫生部在应对2009年甲型H1N1流感大流行时实验室所采取的程序进行了审查,以协助规划未来的传染病应急工作。在大流行之前制定的实验室计划旨在在大流行应对的早期阶段快速检测到大流行病毒,直至证明社区出现广泛传播,随后在临床有指征时进行有限的检测。按照计划,实验室应对措施基于大流行性流感管理系统,使用基于网络的疫情管理工具NetEpi作为用于病例和检测结果的单一公共卫生数据库。结果发现,这对于追踪标本和结果很有效,并加强了公共卫生应对措施。在这次轻度大流行期间持续进行的大量社区检测对优先结果的及时提供产生了不利影响。

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