Disease Control and Prevention Center, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku, Tokyo, Japan; Emerging and Reemerging Infectious Diseases, Graduate School of Medicine, Tohoku University, 2-1 Seiryo-cho, Aoba-ku, Sendai, Miyagi, Japan; WHO Collaborating Centre for Prevention, Preparedness and Response to Emerging Infectious Diseases, Disease Control and Prevention Center, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku, Tokyo, Japan.
Disease Control and Prevention Center, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku, Tokyo, Japan; WHO Collaborating Centre for Prevention, Preparedness and Response to Emerging Infectious Diseases, Disease Control and Prevention Center, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku, Tokyo, Japan; AMR Clinical Reference Center, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjuku, Tokyo, Japan.
J Infect Chemother. 2022 Jan;28(1):41-46. doi: 10.1016/j.jiac.2021.09.015. Epub 2021 Oct 8.
In response to global outbreaks of infectious diseases, the need for support from organizations such as the World Health Organization Global Outbreak Alert and Response Network (GOARN) is increasing. Identifying the obstacles and support needs for applicants could increase GOARN deployments from Japan.
This cross-sectional study involved a web-based, self-administered questionnaire survey targeting Japanese participants in the GOARN Tier 1.5 training workshop, held in Tokyo in December 2019.
All 47 Japanese participants in the workshop responded to the survey. Most responders were male and in their 30s and 40s. Participants specialized in case management (42.6%), infection prevention and control (25.6%), epidemiology and surveillance (19.1%). Only two participants (4.6%) had experienced a GOARN deployment. Their motivations for joining the GOARN training workshop were "Desire to be part of an international emerging infectious disease response team" (44.6%), "Interest in making an international contribution" (19.1%), and "Interest in working for the Japanese government in the field of international infectious diseases" (14.9%). Obstacles to GOARN deployments were "Making time for deployments" (45.7%) and "Lack of required professional skills and knowledge" (40.4%). The support needs for GOARN deployments constituted "Periodic simulation training" (51.1%), "Financial support during deployments" (44.7%), and "Technical support for deployments" (40.4%).
Our study revealed the obstacles and support needs of Japanese candidates for GOARN deployment. Making time and upskilling for GOARN deployment were the main obstacles. More practical training (like GOARN Tier 2.0) with other supports are needed. The national framework is desirable to realize these supports.
为应对全球传染病疫情爆发，世界卫生组织全球疫情警报和反应网络（GOARN）等组织的支持需求不断增加。确定申请人的障碍和支持需求，可以增加日本参与 GOARN 部署的机会。
本横断面研究针对参加 2019 年 12 月在东京举行的 GOARN 第 1.5 层培训研讨会的日本参与者，进行了一项基于网络的自我管理问卷调查。
参加研讨会的 47 名日本参与者均对调查做出了回应。大多数应答者为男性，年龄在 30 多岁和 40 多岁。参与者的专业领域包括病例管理（42.6%）、感染预防和控制（25.6%）、流行病学和监测（19.1%）。只有两名参与者（4.6%）曾参与过 GOARN 部署。他们参加 GOARN 培训研讨会的动机是“希望成为国际新发传染病应对团队的一员”（44.6%）、“有兴趣为国际做出贡献”（19.1%）以及“有兴趣在国际传染病领域为日本政府工作”（14.9%）。GOARN 部署的障碍包括“为部署腾出时间”（45.7%）和“缺乏所需的专业技能和知识”（40.4%）。GOARN 部署的支持需求包括“定期模拟培训”（51.1%）、“部署期间的财政支持”（44.7%）和“部署的技术支持”（40.4%）。
我们的研究揭示了日本 GOARN 部署候选人的障碍和支持需求。为 GOARN 部署腾出时间和提升技能是主要障碍。需要更多实际培训（如 GOARN 第 2.0 层）和其他支持。有必要建立国家框架来实现这些支持。
