British Columbia Centre for Disease Control, Vancouver, Canada.
Am J Ind Med. 2013 Jan;56(1):124-31. doi: 10.1002/ajim.22039. Epub 2012 Apr 2.
This article presents lessons learned from an investigation of the acute human health effects of the "Tasman Spirit" oil spill from a perspective of conducting rapid response investigations in developing countries.
We reviewed various steps in our investigation, other studies on oil spills in Pakistan and around the world, and reflected upon our discussions and interactions with various stakeholders.
The article highlights the importance of applying a public health, legal, and ethical framework for conducting rapid response investigations, developing a pre-established funding mechanism, and addressing study design issues, exposure and outcome measurements, political issues, community engagement, and communication of results.
There is need to develop ethical and legal framework and funding mechanism for conducting rapid response research in developing countries. A repository of study protocols, validated tools, and laboratory methods for exposure and outcome assessment would be greatly beneficial.
本文从在发展中国家进行快速响应调查的角度,介绍了“塔斯曼精神”号溢油事件对人类急性健康影响调查中所获得的经验教训。
我们回顾了调查过程中的各个步骤、巴基斯坦和世界各地其他溢油事件研究,并对与各利益相关方的讨论和互动进行了反思。
本文强调了在发展中国家进行快速响应调查时应用公共卫生、法律和伦理框架的重要性,提出了预先建立的资金机制,并探讨了研究设计问题、暴露和结果测量、政治问题、社区参与以及结果沟通等问题。
有必要为发展中国家开展快速响应研究制定伦理和法律框架及资金机制。建立一个研究方案、验证工具和暴露及结果评估实验室方法的资源库将非常有益。