Emerging Infections Program (EIP)/PPACA: Enhancing Epidemiology and Laboratory Ca

描述（由申请人提供）：该项目的目的是通过加强现有的格鲁吉亚新发感染计划（EIP）的流行病学和实验室基础设施，特别是在流感检测、医疗保健相关感染领域，以及扩大传染病流行病学培训机会，提高格鲁吉亚的整体传染病监测能力。乔治亚州的新发感染项目（EIP）是乔治亚州公共卫生部门（DPH）与埃默里大学医学院传染病部门和亚特兰大退伍军人医疗中心之间的持续强有力的伙伴关系。它是建立在亚特兰大大都会和整个乔治亚州积极的以人口为基础的监测项目的基础上的。埃默里大学/弗吉尼亚州的EIP活动主要集中在亚特兰大大都市区的20个县，而DPH的EIP活动主要集中在其他139个县（亚特兰大以外的乔治亚州，或GOA）。项目活动包括：1)提高格鲁吉亚公共卫生实验室实时逆转录聚合酶链反应（rRT-PCR）流感检测能力；2)在亚特兰大市区8个县开展透析相关血流感染的主动监测；3)聘请流行病学家支持新生的乔治亚州医疗保健相关感染（HAI）预防计划；4) EIP合作伙伴将在埃默里大学医学院传染病（ID）培训项目的第三年提供为期一年的EIP传染病（ID）奖学金流行病学/公共卫生模块，包括在DPH流行病学项目中进行几个月的轮岗；5)协调全州范围的乔治亚州EIP教育会议。预期结果包括：1)提高格鲁吉亚EIP数据的完整性；2)提高GPHL流感检测的及时性；3)提高了描述格鲁吉亚HAI流行病学特征的能力，包括与透析相关血流感染相关的危险因素；4)证据基础，以更好地针对卫生保健计划预防活动在格鲁吉亚；5)改善与格鲁吉亚感染预防专家和其他EIP利益攸关方的伙伴关系。

DESCRIPTION (provided by applicant): The purpose of this project is to improve overall infectious disease surveillance capacity in Georgia by enhancing epidemiology and laboratory infrastructure in the currently-existing Georgia Emerging Infections Program (EIP), particularly in the areas of influenza testing, healthcare-associated infections, and expanding training opportunities in infectious disease epidemiology. The Emerging Infections Program (EIP) in Georgia is a continuing strong partnership between the Georgia Division of Public Health (DPH) and the Division of Infectious Diseases at Emory University School of Medicine and the Atlanta VA Medical Center. It is built on the foundation of an active population-based surveillance program in metropolitan Atlanta and throughout Georgia. Emory/VA EIP activities have focused on the 20-county greater metropolitan Atlanta area, while DPH EIP activities have focused on the other 139 counties (Georgia Outside of Atlanta, or GOA). Project activities include: 1) improving capacity for real- time reverse transcriptase polymerase chain reaction (rRT-PCR) influenza testing at the Georgia Public Health Laboratory; 2) conducting active surveillance for dialysis access-associated bloodstream infections in the 8-County Atlanta metropolitan area; 3) hiring an epidemiologist to support the nascent Georgia Healthcare-Associated Infections (HAI) Prevention Program; 4) EIP partners will offer a one-year EIP Infectious Disease (ID) Fellowship Epidemiology/Public Health module during the third year of the ID training program at Emory University School of Medicine, including a several-month rotation in the DPH Epidemiology Program; and 5) coordinating a statewide Georgia EIP Educational Conference. Anticipated outcomes include: 1) improved completeness of EIP data in Georgia; 2) improved timeliness of influenza testing at GPHL; 3) improved capacity to characterize HAI epidemiology in Georgia, including risk factors associated with dialysis access-associated bloodstream infections; 4) evidence base to better target HAI Program prevention activities in Georgia; 5) improved partnerships with Infection Preventionists and other EIP stakeholders in Georgia.