Godfred-Cato Shana, Fehrenbach S Nicole, Reynolds Megan R, Galang Romeo R, Schoelles Dan, Brown-Shuler Lessely, Hillman Braeanna, DeWilde Leah, Prosper Andra, Hudson Amy, Moore Cynthia A, Ellis Esther M
Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Division of Birth Defects and Infant Disorders, Atlanta, GA 30341, USA.
Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health, Atlanta, GA 30341, USA.
Trop Med Infect Dis. 2020 Nov 9;5(4):168. doi: 10.3390/tropicalmed5040168.
In 2017, Hurricanes Irma and Maria caused significant damage to the United States Virgin Islands (USVI), heightening the challenges many residents faced in accessing adequate healthcare and receiving recommended Zika virus screening services. To address this challenge, the USVI Department of Health (DOH) requested technical assistance from the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), and the American Academy of Pediatrics (AAP) to organize a health brigade to bring needed medical care to an underserved population. It also established the development of important partnerships between federal and private partners as well as between clinical providers and public health entities such as the Epidemiology & Disease Reporting, Maternal Child Health (MCH), and Infant and Toddlers Programs within the DOH, and local clinicians. This health brigade model could be replicated to ensure recommended evaluations are delivered to populations that may have unmet medical needs due to the complexity of the conditions and/or rural location.
2017年，飓风“厄玛”和“玛丽亚”给美属维尔京群岛（美属维京群岛）造成了严重破坏，加剧了许多居民在获得足够医疗保健和接受推荐的寨卡病毒筛查服务方面面临的挑战。为应对这一挑战，美属维尔京群岛卫生部请求疾病控制与预防中心（美国疾病控制与预防中心）、卫生资源与服务管理局（美国卫生资源与服务管理局）以及美国儿科学会（美国儿科学会）提供技术援助，以组织一支医疗队，为服务不足的人群提供所需的医疗服务。它还促成了联邦和私人合作伙伴之间以及临床提供者与公共卫生实体（如卫生部内的流行病学与疾病报告、母婴健康（妇幼保健）以及婴幼儿项目）和当地临床医生之间建立重要的合作伙伴关系。这种医疗队模式可以被复制，以确保将推荐的评估提供给那些由于病情复杂和/或地处农村而可能有未满足医疗需求的人群。
