Sources of bioterrorism information among emergency physicians during the 2001 anthrax outbreak.
Sources of bioterrorism information among emergency physicians during the 2001 anthrax outbreak.
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DOI：
10.1089/153871303771861469
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发表时间：
2003-01-01
期刊：
影响因子：
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通讯作者：
Aber, Robert C
中科院分区：
文献类型：
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作者：
M'ikanatha, Nkuchia M;Lautenbach, Ebbing;Aber, Robert C
公共卫生官员和临床医生之间的持续沟通有助于识别和应对新出现的感染和生物制剂的蓄意攻击。1然而，对于一线响应者，特别是急诊医生使用的生物恐怖主义信息来源知之甚少。在2001年炭疽袭击期间，官方通过卫生警报网络、流行病信息交换（Epi-X）和疾病控制与预防中心（CDC）发病率和死亡率周报（MMWR）通报了有关生物恐怖主义的最新情况。2-4其他信息通过MMWR在医学期刊上的再版以及医学协会、疾病预防控制中心、州和地方卫生部门的网站共享。5 .为了向主要合作伙伴迅速传播卫生警报，州卫生部门开始使用电子邮件和广播传真等媒体来加强与医院、临床医生和实验室的联系。在宾夕法尼亚州，2001年夏天开始发展健康警报网络，建立了一个电子数据库，其中包括医院主任、急诊医师主任和专业医学协会的电子邮件地址和传真号码。2001年9月11日，在世界贸易中心受到恐怖袭击后不久，宾夕法尼亚发布了第一个健康警报。直到疾病预防控制中心宣布对2001年与生物恐怖主义有关的炭疽热爆发的索引病例进行调查之后，健康警报的频率一直很低。在10月和11月期间，通过宾夕法尼亚健康警报网络发出了21次关于生物恐怖主义的警报。这些警报主要是
ONGOING COMMUNICATION BETWEEN public health officials and clinicians facilitates recognition of and response to emerging infections and deliberate attacks with biological agents. 1 However, little is known about sources of bioterrorism information used by frontline responders, particularly emergency physicians. During the 2001 anthrax attacks, official bioterrorism updates were communicated through Health Alert Networks, the Epidemic Information Exchange (Epi-X), and the Centers for Disease Control and Prevention’s (CDC) Morbidity and Mortality Weekly Report (MMWR). 2–4 Additional information was shared through MMWR reprints in medical journals and through the websites of medical associations, the CDC, and state and local health departments. 5 To allow rapid dissemination of Health Alerts to key partners, state health departments started to use media such as e-mail and broadcast fax to strengthen links with hospitals, clinicians, and laboratories. In Pennsylvania, the development of a Health Alert Network had started in summer 2001 with the creation of an electronic database of e-mail addresses and fax numbers of hospital directors, emergency physician directors, and professional medical societies.The first Pennsylvania Health Alert was disseminated on September 11, 2001, shortly after the terrorist attack on the World Trade Center. 6 The frequency of Health Alerts remained low until after the CDC announced an investigation of the index case of the 2001 bioterrorismrelated anthrax outbreak. 7–8 During October and November, 21 alerts about bioterrorism were sent through the Pennsylvania Health Alert Network. These alerts primar-