1242 Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Public Health Rep. 2022 Jul-Aug;137(4):643-648. doi: 10.1177/00333549211018678. Epub 2021 May 28.
The Centers for Disease Control and Prevention (CDC) and state, territorial, and local health departments have expanded efforts to detect and respond to HIV clusters and outbreaks in the United States. In July 2017, CDC created the HIV Outbreak Coordination Unit (OCU) to ensure consistent and collaborative assessment of requests from health departments for consultation or support on possible HIV clusters and outbreaks of elevated concern. The HIV OCU is a multidisciplinary, cross-organization functional unit within CDC's Division of HIV/AIDS Prevention. HIV OCU members have expertise in areas such as outbreak detection and investigation, prevention, laboratory services, surveillance and epidemiology, policy, communication, and operations. HIV OCU discussions facilitate problem solving, coordination, and situational awareness. Between HIV OCU meetings, designated CDC staff members communicate regularly with health departments to provide support and assessment. During July 2017-December 2019, the HIV OCU reviewed 31 possible HIV clusters and outbreaks (ie, events) in 22 states that were detected by CDC, health departments, or local partners; 17 events involved HIV transmission associated with injection drug use, and other events typically involved sexual transmission or overall increases in HIV diagnoses. CDC supported health departments remotely or on site with planning and prioritization; data collection, management, and analysis; communications; laboratory support; multistate coordination; and expansion of HIV prevention services. The HIV OCU has augmented CDC's support of HIV cluster and outbreak assessment and response at health departments and had important internal organizational benefits. Health departments may benefit from developing or strengthening similar units to coordinate detection and response efforts within and across public health agencies and advance the national Ending the HIV Epidemic initiative.
疾病控制与预防中心（CDC）以及州、地区和地方卫生部门已经扩大努力，以检测和应对美国的 HIV 集群和爆发。2017 年 7 月，CDC 创建了 HIV 爆发协调股（OCU），以确保对卫生部门关于可能的 HIV 集群和高度关注的爆发的咨询或支持请求进行一致和协作的评估。HIV OCU 是 CDC 艾滋病毒/艾滋病预防司内的一个多学科、跨组织的职能单位。HIV OCU 成员在爆发检测和调查、预防、实验室服务、监测和流行病学、政策、沟通和运营等领域拥有专业知识。HIV OCU 的讨论促进了解决问题、协调和了解情况。在 HIV OCU 会议之间，指定的 CDC 工作人员定期与卫生部门沟通，提供支持和评估。2017 年 7 月至 2019 年 12 月期间，HIV OCU 审查了 22 个州的 31 起可能的 HIV 集群和爆发事件（即事件），这些事件是由 CDC、卫生部门或当地合作伙伴检测到的；17 起事件涉及与注射吸毒相关的 HIV 传播，其他事件通常涉及性传播或 HIV 诊断的总体增加。CDC 通过远程或现场支持卫生部门进行规划和优先排序；数据收集、管理和分析；沟通；实验室支持；多州协调；以及扩大 HIV 预防服务。HIV OCU 增强了 CDC 对卫生部门 HIV 集群和爆发评估与应对的支持，对内部组织具有重要意义。卫生部门可能受益于开发或加强类似单位，以协调公共卫生机构内部和跨机构的检测和应对工作，并推进国家终结艾滋病流行倡议。
