General Directorate of Public Health, Ministry of Health, Ankara, Turkey
Ministry of Health Ankara, Turkey
Turk J Med Sci. 2020 Apr 21;50(SI-1):489-494. doi: 10.3906/sag-2004-187.
Our first COVID-19 case in Turkey was a 44-year-old male who referred to the hospital on March 9, 2020. The first related death occurred on March 17, 2020. Preparedness for the pandemic has been ongoing before the first case was detected. The National Pandemic Plan was published in 2006. The Pandemic Influenza National Preparedness Plan was available after being updated in light of experiences gained during the 2009 Influenza A pandemic. Accordingly, Pandemic Coordination Boards and Operation Centers have been established on the national and provincial levels. This was an adaptable plan to the Novel Coronavirus Disease (COVID-19). We formed teams to work on a 24/7 basis and established a Scientific Committee at the Public Health Emergency Operation Center within the General Directorate of Public Health. “COVID-19 Risk Assessment”, “COVID-19 Guideline” and “Case Report Form”, regulations of personal protective equipment along with need-based guidelines, treatment algorithms, brochures and related documents have been released. For the case-based follow-up, Public Health Management System (HSYS) is being used. PCR and rapid diagnostic kits are being used to analyze the samples at the central Microbiology Reference Laboratory and the authorized laboratories in several provinces. Various preventive measures were implemented including flight restrictions to certain countries, gradually expanded to suspending all flights and prohibiting the entry of foreign nationals, 14-day isolation and symptom monitoring for those that came from countries under risk. Persons with chronic diseases have been granted an administrative leave, on campus education at schools and activities of public rest and entertainment areas were temporarily suspended. The measures have been implemented for penitentiary institutions, dormitories, nursing homes, public transport and intercity buses, and also weekend curfews are implemented. In accordance with the pandemic plan, actions have been carried out with a multi-sectoral approach, and preventive measures have been implemented to cover the society as a whole.
我们在土耳其发现的首例 COVID-19 病例是一名 44 岁的男性,他于 2020 年 3 月 9 日前往医院就诊。首例相关死亡发生于 2020 年 3 月 17 日。在首例病例被发现之前,一直在为大流行做准备。国家大流行计划于 2006 年发布。大流行性流感国家备灾计划在根据 2009 年甲型流感大流行期间获得的经验进行更新后可用。因此,在国家和省级层面建立了大流行协调委员会和行动中心。这是一项针对新型冠状病毒病(COVID-19)的适应性计划。我们成立了 24/7 工作组,并在公共卫生应急行动中心内成立了一个科学委员会。发布了“COVID-19 风险评估”、“COVID-19 指南”和“病例报告表”、个人防护设备法规以及基于需求的指南、治疗算法、手册和相关文件。为了进行基于病例的随访,正在使用公共卫生管理系统(HSYS)。中央微生物参考实验室和几个省份的授权实验室使用聚合酶链反应和快速诊断试剂盒对样本进行分析。实施了各种预防措施,包括对某些国家实施航班限制,逐步扩大到暂停所有航班并禁止外国国民入境,对来自高风险国家的人进行 14 天隔离和症状监测。患有慢性病的人获得了行政休假,学校的校园教育、公共休息和娱乐区的活动暂时停止。这些措施已在监狱、宿舍、养老院、公共交通和城际巴士实施,并且还实施了周末宵禁。根据大流行计划,已采取多部门方法采取行动,并采取预防措施覆盖整个社会。