Chassery Leïla, Texier Gaëtan, Pommier De Santi Vincent, Chaudet Hervé, Bonnardel Nathalie, Pellegrin Liliane
Aix-Marseille Univ, PSYCLE (Research Centre in the Psychology of Cognition, Language and Emotion, EA 3273), Aix-en-Provence, France.
French Military Epidemiology and Public Health Center (CESPA), French Military Health Service (SSA), Marseille, France.
Saf Sci. 2021 Aug;140:105296. doi: 10.1016/j.ssci.2021.105296. Epub 2021 Apr 13.
In late 2019, an epidemic of SARS-CoV-2 broke out in central China. Within a few months, this new virus had spread right across the globe, officially being classified as a pandemic on 11 March 2020. In France, which was also being affected by the virus, the government applied specific epidemiological management strategies and introduced unprecedented public health measures. This article describes the outbreak management system that was applied within the French military and, more specifically, analyzes an outbreak of COVID-19 that occurred on board a nuclear aircraft carrier. We applied the AcciMap systemic analysis approach to understand the course of events that led to the outbreak and identify the relevant human and organizational failures. Results highlight causal factors at several levels of the outbreak management system. They reveal problems with the benchmarks used for diagnosis and decision-making, and underscore the importance of good communication between different levels. We discuss ways of improving epidemiological management in military context.
2019年末，严重急性呼吸综合征冠状病毒2（SARS-CoV-2）在中国中部爆发。短短几个月内，这种新型病毒便蔓延至全球，于2020年3月11日被正式列为大流行病。法国也受到了该病毒的影响，政府实施了特定的流行病学管理策略，并采取了前所未有的公共卫生措施。本文描述了法国军队内部应用的疫情管理系统，更具体地说，分析了一艘核动力航空母舰上发生的新冠肺炎疫情。我们应用AcciMap系统分析方法来了解导致疫情爆发的事件过程，并确定相关的人为和组织失误。结果突出了疫情管理系统多个层面的因果因素。它们揭示了用于诊断和决策的基准存在的问题，并强调了不同层面之间良好沟通的重要性。我们讨论了在军事背景下改善流行病学管理的方法。
