Levy Alison Jaffe, Toren Katelynne Gardner, Elsenboss Carina, Narita Masahiro
Alison Jaffe Levy, Katelynne Gardner Toren, Carina Elsenboss, and Masahiro Narita are with Public Health-Seattle & King County, Seattle, WA.
Am J Public Health. 2017 Sep;107(S2):S142-S147. doi: 10.2105/AJPH.2017.303946.
Public Health-Seattle and King County, a metropolitan health department in western Washington, experiences rates of tuberculosis (TB) that are 1.6 times higher than are state and national averages. The department's TB Control Program uses public health emergency management tools and capabilities sustained with Centers for Disease Control and Prevention grant funding to manage large-scale complex case investigations. We have described 3 contact investigations in large congregate settings that the TB Control Program conducted in 2015 and 2016. The program managed the investigations using public health emergency management tools, with support from the Preparedness Program. The 3 investigations encompassed medical evaluation of more than 1600 people, used more than 100 workers, identified nearly 30 individuals with latent TB infection, and prevented an estimated 3 cases of active disease. These incidents exemplify how investments in public health emergency preparedness can enhance health outcomes in traditional areas of public health.
西雅图和金县公共卫生部门是华盛顿州西部的一个城市卫生部门，其结核病发病率比该州和全国平均水平高出1.6倍。该部门的结核病控制项目利用由疾病控制与预防中心拨款资助维持的公共卫生应急管理工具和能力，来管理大规模复杂病例调查。我们描述了结核病控制项目在2015年和2016年在大型聚集场所开展的3次接触者调查。该项目在应急准备项目的支持下，使用公共卫生应急管理工具来管理调查。这3次调查对1600多人进行了医学评估，动用了100多名工作人员，发现了近30例潜伏性结核感染病例，并预防了约3例活动性疾病病例。这些事件例证了对公共卫生应急准备的投入如何能够改善传统公共卫生领域的健康成果。
