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解决非美国环境下 COVID-19 公共卫生快速反应团队面临的运营挑战。

Addressing Operational Challenges Faced by COVID-19 Public Health Rapid Response Teams in Non-United States Settings.

机构信息

Centers for Disease Control and Prevention, Division of Global Health Protection, Emergency Response and Recovery Branch, Atlanta, Georgia, USA.

Centers for Disease Control and Prevention, Office of the Chief Operating Officer, Office of Safety, Security & Asset Management, Atlanta, Georgia, USA.

出版信息

Disaster Med Public Health Prep. 2022 Aug;16(4):1599-1603. doi: 10.1017/dmp.2020.487. Epub 2020 Dec 22.

Abstract

The coronavirus disease 2019 (COVID-19) global response underscores the need for a multidisciplinary approach that integrates and coordinates various public health systems-surveillance, laboratory, and health-care systems/networks, among others-as part of a larger emergency response system. Multidisciplinary public health rapid response teams (RRTs) are one mechanism used within a larger COVID-19 outbreak response strategy. As COVID-19 RRTs are deployed, countries are facing operational challenges in optimizing their RRT's impact, while ensuring the safety of their RRT responders. From March to May 2020, United States Centers for Disease Control and Prevention received requests from 12 countries for technical assistance related to COVID-19 RRTs and emergency operations support. Challenges included: (1) an insufficient number of RRT responders available for COVID-19 deployments; (2) limited capacity to monitor RRT responders' health, safety, and resiliency; (3) difficulty converting critical in-person RRT operational processes to remote information technology platforms; and (4) stigmatization of RRT responders hindering COVID-19 interventions. Although geographically and socioeconomically diverse, these 12 countries experienced similar RRT operational challenges, indicating potential applicability to other countries. As the response has highlighted the critical need for immediate and effective implementation measures, addressing these challenges is essential to ensuring an impactful and sustainable COVID-19 response strategy globally.

摘要

2019 年冠状病毒病(COVID-19)全球应对凸显了需要采取多学科方法,整合和协调各种公共卫生系统——监测、实验室和医疗保健系统/网络等——作为更大应急响应系统的一部分。多学科公共卫生快速反应小组(RRT)是 COVID-19 大爆发应对策略中使用的一种机制。随着 COVID-19 RRT 的部署,各国在优化其 RRT 的影响,同时确保 RRT 响应者的安全方面面临着运营挑战。2020 年 3 月至 5 月,美国疾病控制与预防中心收到来自 12 个国家的关于 COVID-19 RRT 和应急行动支持的技术援助请求。面临的挑战包括:(1)COVID-19 部署可用的 RRT 响应者人数不足;(2)监测 RRT 响应者健康、安全和适应力的能力有限;(3)难以将关键的面对面 RRT 运营流程转换为远程信息技术平台;(4)RRT 响应者受到污名化,阻碍了 COVID-19 的干预。尽管这 12 个国家在地理和社会经济上存在差异,但它们都经历了类似的 RRT 运营挑战,这表明其他国家可能也存在类似的问题。由于应对措施突出表明需要立即采取有效措施,因此解决这些挑战对于确保在全球范围内实施有影响力和可持续的 COVID-19 应对策略至关重要。

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