Call-tracking data and the public health response to bioterrorism-related anthrax
Call-tracking data and the public health response to bioterrorism-related anthrax
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DOI：
10.3201/eid0810.020355
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发表时间：
2002-10-01
影响因子：
11.8
通讯作者：
Butler, JC
中科院分区：
文献类型：
--
作者：
Mott, JA;Treadwell, TA;Butler, JC
在公布与生物恐怖主义有关的炭疽确诊病例后，疾病预防控制中心紧急行动中心从2001年10月8日至11月11日共接听了11,063个与生物恐怖主义有关的电话。大多数电话是公众询问炭疽疫苗(58.4%)、索取有关生物恐怖主义预防的一般信息(14.8%)和个人防护装备的使用(12.0%)； 882个电话（8.0%）被转交给国家联络小组进行后续调查。其中，226 例 (25.6%) 报告了临床证实与炭疽相关的疾病或直接暴露于已知被炭疽杆菌污染的环境。其余 656 人 (74.4%) 没有确诊疾病，但报告接触过“可疑”包裹或物质，或通过受污染的设施收到过邮件。紧急响应人员必须处理疑似或实际生物恐怖袭击后的大量呼叫。解决接触未知物质、处理可疑邮件以及对疑似病例进行临床评估的标准化健康沟通协议将有助于对高危人群中临床相容的病例进行更有效的后续调查。
After public notification of confirmed cases of bioterrorism-related anthrax, the Centers for Disease Control and Prevention's Emergency Operations Center responded to 11,063 bioterrorism-related telephone calls from October 8 to November 11, 2001. Most calls were inquiries from the public about anthrax vaccines (58.4%), requests for general information on bioterrorism prevention (14.8%), and use of personal protective equipment (12.0%); 882 telephone calls (8.0%) were referred to the state liaison team for follow-up investigation. Of these, 226 (25.6%) included reports of either illness clinically confirmed to be compatible with anthrax or direct exposure to an environment known to be contaminated with Bacillus anthracis. The remaining 656 (74.4%) included no confirmed illness but reported exposures to "suspicious" packages or substances or the receipt of mail through a contaminated facility. Emergency response staff must handle high call volumes following suspected or actual bioterrorist attacks. Standardized health communication protocols that address contact with unknown substances, handling of suspicious mail, and clinical evaluation of suspected cases would allow more efficient follow-up investigations of clinically compatible cases in high-risk groups.