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现场流行病学培训项目为全球的 COVID-19 防控工作做出了贡献。

Field epidemiology training programs contribute to COVID-19 preparedness and response globally.

机构信息

Division of Global Health Protection, U.S. Centers for Disease Control and Prevention, 1825 Century Blvd NE, Atlanta, GA, USA.

Public Health - Seattle & King County, Seattle, WA, USA.

出版信息

BMC Public Health. 2022 Jan 10;22(1):63. doi: 10.1186/s12889-021-12422-z.

Abstract

BACKGROUND

Field epidemiology training programs (FETPs) have trained field epidemiologists who strengthen global capacities for surveillance and response to public health threats. We describe how FETP residents and graduates have contributed to COVID-19 preparedness and response globally.

METHODS

We conducted a cross-sectional survey of FETPs between March 13 and April 15, 2020 to understand how FETP residents or graduates were contributing to COVID-19 response activities. The survey tool was structured around the eight Pillars of the World Health Organization's (WHO) Strategic Preparedness and Response Plan for COVID-19. We used descriptive statistics to summarize quantitative results and content analysis for qualitative data.

RESULTS

Among 88 invited programs, 65 (74%) responded and indicated that FETP residents and graduates have engaged in the COVID-19 response across all six WHO regions. Response efforts focused on country-level coordination (98%), surveillance, rapid response teams, case investigations (97%), activities at points of entry (92%), and risk communication and community engagement (82%). Descriptions of FETP contributions to COVID-19 preparedness and response are categorized into seven main themes: conducting epidemiological activities, managing logistics and coordination, leading risk communication efforts, providing guidance, supporting surveillance activities, training and developing the workforce, and holding leadership positions.

CONCLUSIONS

Our findings demonstrate the value of FETPs in responding to public health threats like COVID-19. This program provides critical assistance to countries' COVID-19 response efforts but also enhances epidemiologic workforce capacity, public health emergency infrastructure and helps ensure global health security as prescribed in the WHO's International Health Regulations.

摘要

背景

现场流行病学培训项目 (FETP) 培训了现场流行病学家,增强了全球监测和应对公共卫生威胁的能力。我们描述了 FETP 的住院医师和毕业生如何为全球的 COVID-19 准备和应对做出贡献。

方法

我们于 2020 年 3 月 13 日至 4 月 15 日对 FETP 进行了横断面调查,以了解 FETP 的住院医师或毕业生如何为 COVID-19 应对活动做出贡献。调查工具围绕世界卫生组织 (WHO) 的《COVID-19 战略准备和应对计划》的八个支柱构建。我们使用描述性统计来总结定量结果,对定性数据进行内容分析。

结果

在 88 个受邀项目中,有 65 个(74%)做出了回应,并表示 FETP 的住院医师和毕业生在所有六个世界卫生组织区域都参与了 COVID-19 的应对工作。应对工作侧重于国家层面的协调(98%)、监测、快速反应小组、病例调查(97%)、入境点的活动(92%)以及风险沟通和社区参与(82%)。FETP 对 COVID-19 准备和应对工作的贡献描述分为七个主题:开展流行病学活动、管理物流和协调、领导风险沟通工作、提供指导、支持监测活动、培训和发展劳动力、担任领导职务。

结论

我们的研究结果表明 FETP 在应对 COVID-19 等公共卫生威胁方面具有重要价值。该计划为各国的 COVID-19 应对工作提供了关键支持,同时还增强了流行病学劳动力能力、公共卫生应急基础设施,并有助于按照世界卫生组织的《国际卫生条例》确保全球卫生安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8316/8750812/8f55531caf32/12889_2021_12422_Fig1_HTML.jpg

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