Smith Charnetta L, Hughes Sonya M, Karwowski Mateusz P, Chevalier Michelle S, Hall Emily, Joyner Sibeso N, Ritch Julia, Smith Jessica C, Weil Lauren M, Chung Wendy M, Schrag Stephanie, Santibañez Scott
MMWR Morb Mortal Wkly Rep. 2015 Feb 13;64(5):121-3.
The first imported case of Ebola virus disease (Ebola) diagnosed in the United States was confirmed on September 30, 2014; two health care workers who cared for this patient subsequently developed Ebola. Since then, local, state, and federal health officials have continued to prepare for future imported cases, including developing strategies to identify and monitor persons who have had contact with an Ebola patient. This report describes some of the needs of persons who were contacts of Ebola patients in Texas. It is based on requests received from contacts in the course of daily contact tracing interactions and on how those needs were met through community partnerships. Meeting the needs of contacts of the Ebola patients was essential to successful contact tracing, which is critical to interrupting transmission. Although a formal needs assessment of contacts was not conducted, this report provides important information for preparing for an importation of Ebola. Anticipating the nonclinical needs of persons under public health surveillance includes addressing potential concerns about housing, transportation, education, employment, food, and other household needs. Ensuring necessary supports are in place for persons who are asked to refrain from entering public venues can impact their willingness to comply with voluntary and mandated quarantine orders. Engagement with a wide range of community partners, including businesses, schools, charitable foundations, community and faith-based organizations, and mental health resources would enhance public health emergency preparedness for Ebola by readying resources to meet these potential needs.
2014年9月30日,美国确诊首例输入性埃博拉病毒病(埃博拉)病例;照顾该患者的两名医护人员随后感染了埃博拉病毒。自那时起,地方、州和联邦卫生官员继续为未来的输入性病例做准备,包括制定策略以识别和监测与埃博拉患者有过接触的人员。本报告描述了德克萨斯州埃博拉患者接触者的一些需求。它基于在日常接触者追踪互动过程中从接触者收到的请求,以及这些需求如何通过社区伙伴关系得到满足。满足埃博拉患者接触者的需求对于成功的接触者追踪至关重要,而接触者追踪对于阻断传播至关重要。尽管未对接触者进行正式的需求评估,但本报告为准备应对埃博拉输入提供了重要信息。预测公共卫生监测对象的非临床需求包括解决对住房、交通、教育、就业、食品及其他家庭需求的潜在担忧。确保为被要求避免进入公共场所的人员提供必要支持,可能会影响他们遵守自愿和强制隔离令的意愿。与广泛的社区伙伴合作,包括企业、学校、慈善基金会、社区和宗教组织以及心理健康资源机构,将通过准备资源以满足这些潜在需求,增强对埃博拉公共卫生应急准备。