James Cook University, Townsville, QLD.
Torres and Cape Hospital and Health Service, Cairns, QLD.
Med J Aust. 2024 Oct 21;221(8):426-433. doi: 10.5694/mja2.52426. Epub 2024 Sep 19.
To describe the preparedness for, epidemiological characteristics of and public health responses to the first and second waves of coronavirus disease 2019 (COVID-19) in six remote Aboriginal and Torres Strait Islander communities in Queensland from late 2021.
This was a descriptive epidemiological study. Data were collated by each participating public health unit. Case and outbreak characteristics were obtained from the statewide Notifiable Conditions System.
SETTING, PARTICIPANTS: Six discrete remote First Nations communities across Queensland were selected to represent a broad geographic spread across the state: Badu Island, Cherbourg, Lockhart River, Palm Island, Woorabinda and Yarrabah. People with a positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test result recorded between 13 December 2021 and 12 June 2022 who acquired the infection and isolated in one of the six communities.
COVID-19 vaccination coverage among First Nations people; number of COVID-19 cases reported; and attack rates for each community.
All six First Nations communities led the COVID-19 preparedness and planning. COVID-19 vaccination coverage rates before the first outbreak ranged from 59% to 84% for the first dose and from 39% to 76% for the second dose across the six communities. During the study period, 2624 cases of COVID-19 in these communities were notified to Queensland Health. Attack rates for each community were: Badu Island, 23%; Cherbourg, 34%; Lockhart River, 18%; and Palm Island, Woorabinda and Yarrabah, 35% each. The 2624 cases included 52 cases (2%) involving hospital admission and two cases (< 1%) in which the person died from COVID-19.
It is likely that the co-designed, collaborative partnerships between local councils, community-controlled health services, state health services and public health units positively impacted the management and outcomes of COVID-19 in each of the six communities.
描述昆士兰州六个偏远的原住民和托雷斯海峡岛民社区在 2021 年末至 2022 年 6 月期间对 2019 年冠状病毒病（COVID-19）的第一波和第二波疫情的准备情况、流行病学特征和公共卫生应对措施。
这是一项描述性流行病学研究。每个参与的公共卫生部门都收集了数据。病例和疫情特征是从全州性传染病系统中获得的。
地点、参与者：昆士兰州的六个离散的偏远原住民社区被选中，以代表全州广泛的地理分布：巴杜岛、切尔堡、洛克哈特河、棕榈岛、伍拉宾达和雅拉巴。2021 年 12 月 13 日至 2022 年 6 月 12 日期间，在六个社区中获得感染并隔离的人，其严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）检测结果呈阳性。
原住民中 COVID-19 的疫苗接种率；报告的 COVID-19 病例数；以及每个社区的发病率。
所有六个原住民社区都引领了 COVID-19 的准备和规划。在第一次疫情爆发之前，六个社区的第一剂 COVID-19 疫苗接种率在 59%至 84%之间，第二剂在 39%至 76%之间。在研究期间，昆士兰州卫生部门收到了 2624 例 COVID-19 病例的通知。每个社区的发病率分别为：巴杜岛 23%；切尔堡 34%；洛克哈特河 18%；棕榈岛、伍拉宾达和雅拉巴均为 35%。这 2624 例病例包括 52 例（2%）住院病例和 2 例（<1%）因 COVID-19 死亡病例。
地方议会、社区控制的卫生服务机构、州卫生服务机构和公共卫生部门之间的共同设计、协作伙伴关系很可能对每个社区的 COVID-19 管理和结果产生了积极影响。
