IMPROVING THE EVIDENCE BASE FOR DECISION MAKING DURING A PANDEMIC: THE EXAMPLE OF 2009 INFLUENZA A/H1N1
IMPROVING THE EVIDENCE BASE FOR DECISION MAKING DURING A PANDEMIC: THE EXAMPLE OF 2009 INFLUENZA A/H1N1
复制标题
DOI：
10.1089/bsp.2011.0007
复制
发表时间：
2011-06-01
期刊：
影响因子：
--
通讯作者：
Redd, Stephen C.
中科院分区：
文献类型：
--
作者：
Lipsitch, Marc;Finelli, Lyn;Redd, Stephen C.
本文综合并扩展了2010年6月14日和15日在哈佛公共卫生学院传染病动力学中心（CCDD）举行的“决策监测：2009年甲型H1N1流感大流行的例子”国际会议期间的讨论。与会者包括地方、国家和全球卫生当局以及代表四大洲7个国家的学者。我们根据应对大流行必须做出的关键决策来定义监测需求：应对规模有多大，实施哪些控制措施，为谁实施，以及何时实施。在此过程中，我们指定了做出明智决策所需的定量证据。然后，我们描述了目前或将来可以形成此类证据基础的监测和其他基于人群的数据的来源，以及处理原始监测数据所需的解释工具。我们描述了除流行病学和监测数据外的其他决策输入，并总结了2009年大流行的关键教训，以供未来设计和规划监测。
This article synthesizes and extends discussions held during an international meeting on "Surveillance for Decision Making: The Example of 2009 Pandemic Influenza A/H1N1,'' held at the Center for Communicable Disease Dynamics (CCDD), Harvard School of Public Health, on June 14 and 15, 2010. The meeting involved local, national, and global health authorities and academics representing 7 countries on 4 continents. We define the needs for surveillance in terms of the key decisions that must be made in response to a pandemic: how large a response to mount and which control measures to implement, for whom, and when. In doing so, we specify the quantitative evidence required to make informed decisions. We then describe the sources of surveillance and other population-based data that can presently-or in the future-form the basis for such evidence, and the interpretive tools needed to process raw surveillance data. We describe other inputs to decision making besides epidemiologic and surveillance data, and we conclude with key lessons of the 2009 pandemic for designing and planning surveillance in the future.