Public health interventions and SARS spread, 2003.
Public health interventions and SARS spread, 2003.
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DOI：
10.3201/eid1011.040729
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发表时间：
2004-11
影响因子：
11.8
通讯作者：
World Health Organization Working Group on International and Community Transmission of SARS
中科院分区：
文献类型：
--
作者：
Bell DM;World Health Organization Working Group on International and Community Transmission of SARS
在国际边界进行的筛查不应影响在一个国家内控制SARS的公共卫生干预措施。2003年爆发的严重急性呼吸系统综合征（SARS）主要是通过传统的公共卫生干预措施得到控制的，如发现和隔离病例患者、排除密切接触者和加强感染控制。“增加社交距离”和在公共场所佩戴口罩等措施的独立有效性需要进一步评估。关于向旅行者提供健康信息的有效性的数据有限。通过健康申报或在国际边境进行热扫描对旅客进行入境筛查，对发现SARS病例几乎没有记录在案的效果;出境筛查似乎稍微有效一些。边境检查在阻止病人旅行和建立公众信任方面的价值仍然无法量化。控制全球流行病的干预措施应基于世界卫生组织和国家当局的专家意见。就SARS而言，在一国边境采取的干预措施不应减损在该国境内识别和隔离受感染者、监测或隔离其接触者以及加强医疗机构感染控制的努力。
Screening at international borders should not detract from public health interventions to control SARS within a country. The 2003 outbreak of severe acute respiratory syndrome (SARS) was contained largely through traditional public health interventions, such as finding and isolating case-patients, quarantining close contacts, and enhanced infection control. The independent effectiveness of measures to "increase social distance" and wearing masks in public places requires further evaluation. Limited data exist on the effectiveness of providing health information to travelers. Entry screening of travelers through health declarations or thermal scanning at international borders had little documented effect on detecting SARS cases; exit screening appeared slightly more effective. The value of border screening in deterring travel by ill persons and in building public confidence remains unquantified. Interventions to control global epidemics should be based on expert advice from the World Health Organization and national authorities. In the case of SARS, interventions at a country's borders should not detract from efforts to identify and isolate infected persons within the country, monitor or quarantine their contacts, and strengthen infection control in healthcare settings.
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影响因子：
11.8
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