Rogers Christopher J, Cutler Blayne, Bhamidipati Kasturi, Ghosh Jo Kay
Heluna Health 13300 Crossroads Pkwy N #450, City of Industry, CA 91746, United States.
Department of Health Sciences, California State University, Northridge, CA, United States.
Prev Med Rep. 2023 Oct;35:102282. doi: 10.1016/j.pmedr.2023.102282. Epub 2023 Jun 14.
The COVID-19 pandemic has highlighted the need for relevant metrics describing the resources and community attributes that affect the impact of communicable disease outbreaks. Such tools can help inform policy, assess change, and identify gaps to potentially reduce the negative outcomes of future outbreaks. The present review was designed to identify available indices to assess communicable disease outbreak preparedness, vulnerability, or resilience, including articles describing an index or scale developed to address disasters or emergencies which could be applied to addressing a future outbreak. This review assesses the landscape of indices available, with a particular focus on tools assessing local-level attributes. This systematic review yielded 59 unique indices applicable to assessing communicable disease outbreaks through the lens of preparedness, vulnerability, or resilience. However, despite the large number of tools identified, only 3 of these indices assessed factors at the local level and were generalizable to different types of outbreaks. Given the influence of local resources and community attributes on a wide range of communicable disease outcomes, there is a need for local-level tools that can be applied broadly to various types of outbreaks. Such tools should assess both current and long-term changes in outbreak preparedness with the intent to identify gaps, inform local-level decision makers, public policy, and future response to current and novel outbreaks.
新冠疫情凸显了制定相关指标的必要性，这些指标用于描述影响传染病暴发影响的资源和社区属性。此类工具有助于为政策提供信息、评估变化并找出差距，从而有可能减少未来疫情的负面后果。本综述旨在识别用于评估传染病疫情防范、脆弱性或恢复力的现有指数，包括描述为应对灾害或紧急情况而开发的可应用于应对未来疫情的指数或量表的文章。本综述评估了现有指数的情况，特别关注评估地方层面属性的工具。这项系统综述得出了59个适用于从防范、脆弱性或恢复力角度评估传染病疫情的独特指数。然而，尽管识别出大量工具，但其中只有3个指数评估了地方层面的因素，且可推广至不同类型的疫情。鉴于地方资源和社区属性对广泛的传染病结果有影响，需要能够广泛应用于各类疫情的地方层面工具。此类工具应评估疫情防范方面的当前和长期变化，以便找出差距，为地方层面的决策者、公共政策以及当前和新型疫情的未来应对提供信息。
