Real-Time Surveillance of Infectious Diseases: Taiwan's Experience.
Real-Time Surveillance of Infectious Diseases: Taiwan's Experience.
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DOI：
10.1089/hs.2016.0107
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发表时间：
2017
期刊：
影响因子：
3.3
通讯作者：
Liu DP
中科院分区：
文献类型：
--
作者：
Jian SW;Chen CM;Lee CY;Liu DP
多个监测系统的整合促进了早期预警，并支持在传染病事件期间做出更好的决策。台湾拥有覆盖全国的实验室、流行病学和预警监测系统综合网络。2014年以来，医院和临床实验室部署了自动报告机制，有效提高了传染病和实验室数据报告的及时性。2016年6月，对台湾的实时监控能力进行了外部评估，发现其具有经证实的可持续能力。我们描述了台湾的疾病监测系统，并使用流感和寨卡病毒的监测工作作为监测能力的例子。及时和综合的流感信息显示，2015-16年流感季的流感活动水平较高，模式较广，这确保了及时的信息传播和应对行动的协调。台湾还拥有完善的疾病检测系统，是第一个报告从迈阿密海滩和新加坡输入寨卡病毒病例的国家。这表明卫生工作者对报告新出现的传染病有高度的认识和意愿，并突出了台湾监测系统的强大和敏感性。这两个例子显示了台湾监测系统的灵活性，以适应新出现的传染病和主要传染病。通过参与GHSA，台湾可以更积极地与各国同行合作，并利用其专业知识加强亚太和东南亚的全球和区域监测能力，以促进一个安全的世界免受传染病的侵害。
Integration of multiple surveillance systems advances early warning and supports better decision making during infectious disease events. Taiwan has a comprehensive network of laboratory, epidemiologic, and early warning surveillance systems with nationwide representation. Hospitals and clinical laboratories have deployed automatic reporting mechanisms since 2014 and have effectively improved timeliness of infectious disease and laboratory data reporting. In June 2016, the capacity of real-time surveillance in Taiwan was externally assessed and was found to have a demonstrated and sustainable capability. We describe Taiwan's disease surveillance system and use surveillance efforts for influenza and Zika virus as examples of surveillance capability. Timely and integrated influenza information showed a higher level and extended pattern of influenza activity during the 2015-16 season, which ensured prompt information dissemination and the coordination of response operations. Taiwan also has well-developed disease detection systems and was the first country to report imported cases of Zika virus from Miami Beach and Singapore. This illustrates a high level of awareness and willingness among health workers to report emerging infectious diseases, and highlights the robust and sensitive nature of Taiwan's surveillance system. These 2 examples demonstrate the flexibility of the surveillance systems in Taiwan to adapt to emerging infectious diseases and major communicable diseases. Through participation in the GHSA, Taiwan can more actively collaborate with national counterparts and use its expertise to strengthen global and regional surveillance capacity in the Asia Pacific and in Southeast Asia, in order to advance a world safe and secure from infectious disease.