Zhen Xu, Pavlin Boris, Squires Raynal C, Chinnayah Thilaka, Konings Frank, Lee Chin-Kei, Ailan Li
Emerging Disease Surveillance and Response Unit, Division of Health Security and Emergencies, World Health Organization Regional Office for the Western Pacific, Manila, Philippines . ; Both authors contributed equally in the writing of this paper.
Office of the WHO Representative in Papua New Guinea, Port Moresby, Papua New Guinea . ; Both authors contributed equally in the writing of this paper.
Western Pac Surveill Response J. 2015 Jan 26;6(1):66-72. doi: 10.2471/WPSAR.2014.5.4.004. eCollection 2015 Jan-Mar.
West Africa is currently experiencing the largest outbreak of Ebola virus disease (EVD) in history with intense transmission in several affected countries. For non-affected countries, the best protective measures are adequate levels of preparedness including vigilant surveillance to detect cases early and well prepared health systems to ensure rapid containment of the virus and to avoid further spread. The World Health Organization Regional Office for the Western Pacific recently conducted two activities: a web-based EVD preparedness survey and an EVD simulation exercise to determine the overall level of EVD preparedness in the Region. The survey and exercise together demonstrate there is a good overall level of preparedness for a potential imported case of EVD in the Western Pacific Region. However, several areas still require further strengthening before the Region can efficiently and effectively respond to potential EVD events, including laboratory testing arrangements; clinical management and infection prevention and control; and public health intervention measures, particularly at points of entry. Importantly, the survey and exercise also highlight the unique situation in Pacific island countries and emphasize that special considerations are needed to better support these countries in EVD preparedness.
西非目前正经历着历史上最大规模的埃博拉病毒病疫情,在几个受影响国家呈高强度传播。对于未受影响的国家而言,最佳防护措施是具备足够的防范水平,包括开展警惕性监测以尽早发现病例,以及建立完善的卫生系统以确保迅速控制病毒并避免进一步传播。世界卫生组织西太平洋区域办事处最近开展了两项活动:一项基于网络的埃博拉病毒病防范情况调查和一次埃博拉病毒病模拟演练,以确定该区域埃博拉病毒病的总体防范水平。调查和演练共同表明,西太平洋区域对潜在的埃博拉病毒病输入病例具备良好的总体防范水平。然而,在该区域能够高效且有效地应对潜在的埃博拉病毒病事件之前,仍有几个领域需要进一步加强,包括实验室检测安排;临床管理以及感染预防与控制;以及公共卫生干预措施,特别是在入境点。重要的是,调查和演练还凸显了太平洋岛国的独特情况,并强调需要给予特殊考虑,以便在埃博拉病毒病防范方面更好地支持这些国家。