Jacobs-Wingo Jasmine, Ezeoke Ifeoma, Saffa Alhaji, Tate Anna, Lee David, Johnson Kimberly, Whittemore Katherine, Illescas Alex, Collins Austin, Rand Maytal, Rakeman Jennifer L, Varma Jay K, Vora Neil M
Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Bureau of Healthcare System Readiness, Office of Emergency Preparedness and Response, New York City Department of Health and Mental Hygiene, Long Island City, New York.
Disease Control Administration, Division of Disease Control, Department of Health and Mental Hygiene, Long Island City, New York.
J Emerg Manag. 2016 Nov/Dec;14(6):391-395. doi: 10.5055/jem.2016.0303.
After local testing criteria for Zika virus expanded to include asymptomatic pregnant women who traveled to areas with active Zika virus transmission while pregnant, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) experienced a surge in test requests and subsequent testing delays due to factors such as incorrectly completed laboratory requisition forms. The authors describe how DOHMH addressed these issues by establishing the Zika Testing Call Center (ZTCC).
Using a case study approach, the authors illustrate how DOHMH leveraged protocols, equipment, and other resources used previously during DOHMH&s Ebola emergency response to meet NYC's urgent Zika virus testing needs. To request Zika virus testing, providers call the ZTCC; if patients meet testing criteria, the ZTCC collects data necessary to complete requisition forms and sends the forms back to providers. The ZTCC also provides guidance on specimens needed for Zika virus testing. Providers submit completed requisition forms and appropriate specimens to DOHMH for testing.
During March 21 through July 21, 2016, testing for 3,866 patients was coordinated through the ZTCC.
The ZTCC exemplifies how a health department, using previous emergency response experiences, can quickly address local testing needs for an emerging infectious disease.
在寨卡病毒的本地检测标准扩大到包括孕期前往寨卡病毒活跃传播地区的无症状孕妇后，纽约市卫生和精神卫生部门（DOHMH）收到的检测请求激增，随后由于诸如实验室申请表填写错误等因素导致检测延误。作者描述了DOHMH如何通过设立寨卡检测呼叫中心（ZTCC）来解决这些问题。
作者采用案例研究方法，阐述了DOHMH如何利用先前在应对埃博拉疫情期间使用的方案、设备及其他资源，来满足纽约市对寨卡病毒检测的紧急需求。若要申请寨卡病毒检测，医疗机构需致电ZTCC；若患者符合检测标准，ZTCC会收集填写申请表所需的数据，并将表格返还给医疗机构。ZTCC还会提供寨卡病毒检测所需样本的相关指导。医疗机构将填好的申请表和合适的样本提交给DOHMH进行检测。
在2016年3月21日至7月21日期间，通过ZTCC协调为3866名患者进行了检测。
ZTCC例证了一个卫生部门如何利用以往的应急经验，迅速满足对一种新发传染病的本地检测需求。
