Public Health Emergency Center, Chinese Center for Disease Control and Prevention, Beijing, China.
Infect Dis Poverty. 2021 Jan 6;10(1):4. doi: 10.1186/s40249-020-00789-x.
Emergency Operations Center (EOC) is a place to provide response to public health emergencies. Chinese Center for Disease Control and Prevention (China CDC)'s EOC was officially established in 2016, which has been the core department for the public health emergencies and risk response. In recent years, we have been continuously improving the function of EOC through many incidents. In the study, we hope to share the construction status, operation management experience of China CDC's EOC and the response process in the human avian influenza A (H7N9) outbreak.
The China CDC's EOC mainly focus on building the five core elements including sites/places and facilities, information and data, plans and procedures, training and exercises, and logistics. Based on summarizing previous emergency response, the China CDC's EOC established its own incident management and the standardized response procedures. The event-specific data, context-specific data and event management data could be obtained through various source. The logistics department of the EOC also provides comprehensive support. The well-trained staff is another necessary conditions for its operation. Through sharing the response process of H7N9 outbreak, it further explains the EOC's functions in the five phases of outbreak response, such as the formulation of the incident response framework, monitoring, personnel dispatch and resource mobilization.
The EOC contributes to faster and more efficient responses during emergencies which enable a greater reduction in morbidity and mortality. Compared with the traditional incident response process, under the command and coordination of China CDC's EOC, each group involved in the response has a clearer goal, responsibilities and tasks at each stage. Meanwhile, each group also gave full play to its own expertise and advantages. As a whole, incident response tended to be more specialized and precise, which generally improves the efficiency of incident response. However, different countries and regions have different response processes to the events. We still suggested that appropriate emergency operation plan should be made according to the complexity of incident response in the region when constructing response mechanism, through our experience. And the China CDC's EOC is still at growing and groping phase.
应急指挥中心（EOC）是应对突发公共卫生事件的场所。中国疾病预防控制中心（China CDC）的 EOC 于 2016 年正式成立，是突发公共卫生事件和风险应对的核心部门。近年来，我们通过多起事件不断完善 EOC 的功能。在这项研究中，我们希望分享中国 CDC 的 EOC 的建设现状、运行管理经验以及人感染 H7N9 禽流感疫情的应对过程。
中国 CDC 的 EOC 主要专注于建设五个核心要素，包括场所/设施、信息和数据、计划和程序、培训和演练以及后勤保障。基于对以往应急响应的总结，中国 CDC 的 EOC 建立了自己的事件管理和标准化响应程序。特定事件数据、特定情境数据和事件管理数据可以通过各种来源获取。EOC 的后勤部门也提供全面的支持。训练有素的员工是其运行的另一个必要条件。通过分享 H7N9 疫情的应对过程，进一步说明了 EOC 在疫情应对的五个阶段（即制定事件应对框架、监测、人员派遣和资源动员）中的作用。
EOC 有助于在紧急情况下更快、更高效地做出反应，从而更大程度地降低发病率和死亡率。与传统的事件应对流程相比，在 China CDC 的 EOC 的指挥和协调下，每个参与应对的小组在每个阶段都有更明确的目标、责任和任务。同时，每个小组也充分发挥了自身的专业优势。总体而言，事件应对趋于更加专业化和精确化，通常会提高事件应对的效率。但是，不同的国家和地区对事件的应对流程也有所不同。因此，在构建应对机制时，我们仍建议根据地区事件应对的复杂性制定适当的应急行动计划，同时，中国 CDC 的 EOC 仍处于不断发展和摸索的阶段。
