Johns Hopkins Center for Health Security, Baltimore, Maryland (Drs Sell, Schoch-Spana, and Toner, Mr Shearer, and Mss Meyer and Chandler); Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Drs Sell, Schoch-Spana, and Toner, Mr Shearer, and Ms Meyer); and Office of Public Health Preparedness and Response, US Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Thomas, Rose, and Carbone).
J Public Health Manag Pract. 2018 Nov/Dec;24(6):510-518. doi: 10.1097/PHH.0000000000000787.
The experiences of communities that responded to confirmed cases of Ebola virus disease in the United States provide a rare opportunity for collective learning to improve resilience to future high-consequence infectious disease events.
Key informant interviews (n = 73) were conducted between February and November 2016 with individuals who participated in Ebola virus disease planning or response in Atlanta, Georgia; Dallas, Texas; New York, New York; or Omaha, Nebraska; or had direct knowledge of response activities. Participants represented health care; local, state, and federal public health; law; local and state emergency management; academia; local and national media; individuals affected by the response; and local and state governments. Two focus groups were then conducted in New York and Dallas, and study results were vetted with an expert advisory group.
Participants focused on a number of important areas to improve public health resilience to high-consequence infectious disease events, including governance and leadership, communication and public trust, quarantine and the law, monitoring programs, environmental decontamination, and waste management.
Findings provided the basis for an evidence-informed checklist outlining specific actions for public health authorities to take to strengthen public health resilience to future high-consequence infectious disease events.
美国对确诊埃博拉病毒病病例作出反应的社区的经验为集体学习提供了一个难得的机会，以提高对未来高后果传染病事件的恢复力。
2016 年 2 月至 11 月，对佐治亚州亚特兰大、德克萨斯州达拉斯、纽约州纽约或内布拉斯加州奥马哈参与埃博拉病毒病规划或应对工作的个人，或对应对活动有直接了解的个人进行了关键知情者访谈（n = 73）。参与者代表了医疗保健、地方、州和联邦公共卫生、法律、地方和州紧急事务管理、学术界、地方和国家媒体、受应对活动影响的个人以及地方和州政府。然后在纽约和达拉斯进行了两次焦点小组讨论，并与专家咨询小组一起审查了研究结果。
参与者重点关注了一些重要领域，以提高公共卫生对高后果传染病事件的恢复力，包括治理和领导、沟通和公众信任、检疫和法律、监测计划、环境净化和废物管理。
调查结果为一份证据为基础的清单提供了依据，该清单列出了公共卫生当局为加强对未来高后果传染病事件的公共卫生恢复力而采取的具体行动。
