Using critical information to strengthen pandemic preparedness: the role of national public health agencies.
Using critical information to strengthen pandemic preparedness: the role of national public health agencies.
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DOI：
10.1136/bmjgh-2020-002830
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发表时间：
2020-09
影响因子：
8.1
通讯作者：
Squires N
中科院分区：
文献类型：
--
作者：
Khan MS;Dar O;Erondu NA;Rahman-Shepherd A;Hollmann L;Ihekweazu C;Ukandu O;Agogo E;Ikram A;Rathore TR;Okereke E;Squires N
COVID-19 表明，大多数国家的公共卫生系统和能力不足以防止局部传染病爆发的蔓延。加强国家准备工作需要国家公共卫生研究所 (NPHI) 或同等机构克服影响及时获取和使用对准备工作至关重要的数据的实际挑战。我们与埃塞俄比亚、尼日利亚和巴基斯坦这三个国家的 NPHI 合作进行了形势分析，描述了这些挑战的特点。我们的研究结果表明，NPHI 的作用需要从多个来源收集和分析数据，而这些来源通常不与公共卫生当局共享数据。由于发起获取新数据源的请求可能是一个漫长的过程，因此 NPHI 必须定期监测一系列广泛的优先指标，这些指标是为了反映国家具体情况而选择的。 NPHI 还必须有权在突发卫生事件期间请求公共和私营部门组织快速共享数据，并在疾病爆发期间获得额外的人力和财政资源。最后，对来自 NPHI 的综合数据进行及时、透明和信息丰富的交流将有助于与外部组织的 NPHI 进行持续的数据共享。我们的分析确定的这些行动将支持强大的信息系统的可用性，使 NPHI 能够足够快地收集、共享和分析相关数据，以便为未来当地及时应对传染病爆发提供信息。
COVID-19 has demonstrated that most countries’ public health systems and capacities are insufficiently prepared to prevent a localised infectious disease outbreak from spreading. Strengthening national preparedness requires National Public Health Institutes (NPHIs), or their equivalent, to overcome practical challenges affecting timely access to, and use of, data that is critical to preparedness. Our situational analysis in collaboration with NPHIs in three countries—Ethiopia, Nigeria and Pakistan—characterises these challenges. Our findings indicate that NPHIs’ role necessitates collection and analysis of data from multiple sources that do not routinely share data with public health authorities. Since initiating requests for access to new data sources can be a lengthy process, it is essential that NPHIs are routinely monitoring a broad set of priority indicators that are selected to reflect the country-specific context. NPHIs must also have the authority to be able to request rapid sharing of data from public and private sector organisations during health emergencies and to access additional human and financial resources during disease outbreaks. Finally, timely, transparent and informative communication of synthesised data from NPHIs will facilitate sustained data sharing with NPHIs from external organisations. These actions identified by our analysis will support the availability of robust information systems that allow relevant data to be collected, shared and analysed by NPHIs sufficiently rapidly to inform a timely local response to infectious disease outbreaks in the future.
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影响因子：
9.7
作者：
Morse, Stephen S.
通讯作者：
Morse, Stephen S.
影响因子：
168.9
作者：
Huang, Chaolin;Wang, Yeming;Cao, Bin
通讯作者：
Cao, Bin
DOI：
10.1016/s0140-6736(10)62007-7
发表时间：
2010-11-20
期刊：
Lancet (London, England)
影响因子：
--
作者：
Frieden TR;Koplan JP
通讯作者：
Koplan JP
影响因子：
3.2
作者：
Khan, Mishal S.;Schwanke-Khilji, Sara;Coker, Richard James
通讯作者：
Coker, Richard James
影响因子：
6.4
作者：
Huber, Caroline;Finelli, Lyn;Stevens, Warren
通讯作者：
Stevens, Warren