Deakin University, School of Health and Social Development, Geelong, Australia; Deakin University, Centre for Innovation in Infectious Disease and Immunology Research (CIIDIR), Geelong, Australia.
Deakin University, Centre for Innovation in Infectious Disease and Immunology Research (CIIDIR), Geelong, Australia; Deakin University Geelong, School of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Australia.
Infect Dis Health. 2024 Nov;29(4):233-242. doi: 10.1016/j.idh.2024.07.001. Epub 2024 Aug 13.
Australia rapidly developed COVID-19 quarantine programs to reduce the adverse outcomes of a novel pathogen imported by visitors and returned travellers. Different quarantine pathways were utilised over the pandemic, yet no definitive cohort map exists to guide future preparedness. We created a whole-of-system cohort journey map of Australian quarantine cohorts to inform future pandemic preparedness activities.
Australian parliamentary websites and Google were searched for publicly available grey literature from 2019 to 2023. Data about quarantine cohorts, pandemic plans and documents, journey activities, viral escape events, and quarantine recommendations were extracted and plotted to produce a whole-of-system cohort journey map.
The system mapping process identified 22 distinct quarantine cohort journeys during COVID-19, yet few of the cohorts were mentioned in pandemic and emergency plans. Viral escape events were documented 27 times, and COVID-19 reviews and inquiries produced 282 quarantine-specific recommendations. Cohorts included international and domestic travellers who experienced home, hotel, and facility quarantine iterations. Other cohorts, such as humanitarian evacuations, diplomats, airline crews, community close contacts, and people experiencing homelessness, had distinctive quarantine journeys.
This whole-of-system quarantine cohort map furthers the case for governments and policymakers to update pandemic plans to include the 22 identified cohorts and test plans through pandemic exercises. Recommendations from inquiries should be acquitted to reduce the risk of viral escape and to strengthen national preparedness if quarantine systems are required in future pandemic responses.
澳大利亚迅速制定了 COVID-19 检疫计划，以减少访客和归国旅行者携带的新型病原体带来的不良后果。在大流行期间，使用了不同的检疫途径，但没有明确的队列图来指导未来的准备工作。我们创建了一个澳大利亚检疫队列的全系统队列行程图，以指导未来的大流行准备活动。
从 2019 年到 2023 年，我们在澳大利亚议会网站和谷歌上搜索了公开的灰色文献。提取了有关检疫队列、大流行计划和文件、行程活动、病毒逃逸事件以及检疫建议的数据，并将其绘制出来，以生成全系统队列行程图。
系统映射过程确定了 COVID-19 期间的 22 个不同的检疫队列行程，但大流行和应急计划中很少提到这些队列。记录了 27 次病毒逃逸事件，COVID-19 审查和调查提出了 282 项专门的检疫建议。队列包括经历家庭、酒店和设施检疫迭代的国际和国内旅行者。其他队列，如人道主义疏散、外交官、航空公司机组人员、社区密切接触者和无家可归者，也有独特的检疫行程。
这个全系统的检疫队列图进一步证明，政府和决策者需要更新大流行计划，将 22 个已确定的队列纳入其中，并通过大流行演习测试计划。应采纳调查建议，以降低病毒逃逸的风险，并在未来的大流行应对中需要检疫系统时加强国家准备。
