Fabiola Cruz López is with Universidad Central del Caribe, Bayamon, Puerto Rico. Danilo T. Pérez Rivera is a PhD candidate at New York University, New York, NY. Joshua Villafañe Delgado is with Philos LLC, San Juan, Puerto Rico. Mónica Robles Fontán is with Harvard University, Cambridge, MA. José Zavala González and Lorenzo González Feliciano are with Puerto Rico Department of Health (PRDH), San Juan.
Am J Public Health. 2024 Jan;114(S1):S96-S102. doi: 10.2105/AJPH.2023.307493.
To describe the implementation of a novel disease surveillance model in Puerto Rico, the Municipal Case Investigation and Contact Tracing System for COVID-19, established during the pandemic as the primary response. We analyzed data from July 2020 to June 2021, including all COVID-19 cases reported by public and private laboratories in Puerto Rico to describe the accomplishments and limitations of the surveillance. During the first year, the system was successfully implemented in all Puerto Rican municipalities, collecting data on more than 132 000 confirmed COVID-19 cases. It improved case investigation coverage, reduced laboratory reporting times, and facilitated community engagement for ongoing response enhancements. Surveillance systems of this scale were new to Puerto Rico's Health System, and there was a steep learning and improvement curve. This approach enabled tailored health education, equitable distribution of testing and treatments, and surveillance by educational institutions. Near-real-time epidemiological data publication promoted trust, education, and evidence-based policymaking. (. 2024;114(S1):S96-S102. https://doi.org/10.2105/AJPH.2023.307493).
描述波多黎各一种新型疾病监测模型的实施情况，即 COVID-19 市级病例调查和接触者追踪系统，该系统是大流行期间的主要应对措施。我们分析了 2020 年 7 月至 2021 年 6 月期间的数据，包括波多黎各所有公共和私人实验室报告的所有 COVID-19 病例，以描述监测的成就和局限性。在第一年，该系统在所有波多黎各城市成功实施，收集了超过 132000 例确诊 COVID-19 病例的数据。它提高了病例调查的覆盖范围，减少了实验室报告的时间，并促进了社区参与以加强持续的应对措施。这种规模的监测系统对波多黎各的卫生系统来说是新的，存在着陡峭的学习和改进曲线。这种方法使量身定制的健康教育、公平分配检测和治疗以及教育机构的监测成为可能。实时发布流行病学数据促进了信任、教育和循证决策。（...2024；114（S1）：S96-S102。https://doi.org/10.2105/AJPH.2023.307493）。
