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强化 2014-15 年西非埃博拉疫情期间的流行病学能力:应用公共卫生流行病学家作用的评估。

Enhancing Epidemiology Capacity During the 2014-15 West Africa Ebola Outbreak: An Assessment of the Role of Applied Public Health Epidemiologists.

机构信息

Council of State and Territorial Epidemiologists, Atlanta Georgia. (Ms Lemmings); and Communicable Disease Branch, Division of Public Health, NC Department of Health and Human Services, Raleigh, North Carolina (Dr Maillard). Dr Perrotta is Independent, Consulting Epidemiologist, Smithville, Texas.

出版信息

J Public Health Manag Pract. 2020 Nov/Dec;26(6):595-601. doi: 10.1097/PHH.0000000000000982.

DOI:10.1097/PHH.0000000000000982
PMID:30747796
Abstract

CONTEXT

In late 2014, the Centers for Disease Control and Prevention requested the support of the Council of State and Territorial Epidemiologists to enhance epidemiologic capacity in the West African countries impacted or threatened by an outbreak of Ebola virus disease. In response, the Council of State and Territorial Epidemiologists recruited 36 senior epidemiologists who, collectively, made 45 deployments to West Africa, averaging 42 days each.

OBJECTIVE

To assess the self-reported experiences and contributions of the deployed epidemiologists, as well as the role of nonprofit public health organizations in large-scale emergency response.

DESIGN

Electronic assessment of the deployed epidemiologists.

PARTICIPANTS

Experienced applied public health epidemiologists who volunteered to participate in the response to the West Africa Ebola virus disease emergency.

MAIN OUTCOME MEASURES

Descriptive data.

RESULTS

The chief, reported functional contributions made during deployments include improving surveillance processes (reported by 73.3% of respondents), building meaningful relationships to facilitate response activities (66.7%), improving data quality (53.3%), and improving understanding of the disease/outbreak (40.0%). Among the professional benefits of deployment to West Africa to assist with Ebola virus disease outbreak response are stimulating enthusiasm for public health work (93.3%, n = 30), broadened perspective of global health (86.7%), and sharpened epidemiological skills (56.7%).

CONCLUSIONS

Owing to their ability to access experienced, senior professionals, the Council of State and Territorial Epidemiologists and other nonprofit public health associations can play a meaningful role boosting surge capacity in a sustained, large-scale emergency response.

摘要

背景

2014 年末,疾病控制与预防中心请求州和地区流行病学家理事会提供支持,以增强受埃博拉病毒病疫情影响或受其威胁的西非国家的流行病学能力。为此,州和地区流行病学家理事会招募了 36 名资深流行病学家,他们总共向西非部署了 45 次,平均每次部署 42 天。

目的

评估部署的流行病学家的自我报告经验和贡献,以及非营利性公共卫生组织在大规模应急响应中的作用。

设计

对部署的流行病学家进行电子评估。

参与者

自愿参与应对西非埃博拉病毒病紧急情况的有经验的应用公共卫生流行病学家。

主要观察指标

描述性数据。

结果

首席报告的部署期间的实际功能贡献包括改善监测流程(73.3%的受访者报告)、建立有意义的关系以促进应对活动(66.7%)、提高数据质量(53.3%)和提高对疾病/疫情的理解(40.0%)。参与协助西非埃博拉病毒病疫情应对的部署的专业收益包括激发对公共卫生工作的热情(93.3%,n=30)、拓宽全球卫生视角(86.7%)和提高流行病学技能(56.7%)。

结论

由于能够获得经验丰富的资深专业人员,州和地区流行病学家理事会和其他非营利性公共卫生协会可以在持续的大规模应急响应中发挥重要作用,增强应急能力。

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