Patient Protection and Affordable Care Act (PPACA) EIP

描述(由申请人提供)：新墨西哥州新发感染计划(NM EIP)是食源性疾病主动监测网络(FoodNet)、主动细菌核心监测(ABC)和呼吸系统疾病活动监测(FluSurv-Net)的积极合作伙伴。自2006-07流感季节以来，新墨西哥州还参加了疾病控制和预防中心(CDC)针对儿科病例和老年人的疫苗有效性研究。为了应对2009年(HlN1)流感大流行，新墨西哥州卫生部(NMDOH)在2009-10年度进行了全州范围的流感住院监测。NMDOH管理网管弹性公网IP。因此，它与新墨西哥大学(UNM)签订了合同，作为该计划的关键合作伙伴。目前网管弹性公网IP人手紧张。虽然NM EIP能够开展EIP网络的所有核心活动，但没有太大的灵活性来更积极地发挥国家EIP的领导作用，并开展更多基于国家的分析和传播活动，例如为流感负担预测项目做出贡献。通过患者保护和平价医疗法案(PPACA)：新发感染计划(EIP)提出的这项资金申请的目标是允许进行这种追求。具体地说，NM EIP希望开展以下活动：i)流感聚合酶链式反应(PCR)检测和2)流感负担预测。为了处理这些活动并加强多个NM EIP活动中的若干职能，需要为以下每项职能增加一名相当于全职的全职雇员：a)NMDOH实验室；b)NMDOH流行病学；c)NMDOH数据管理；d)UNM流行病学。职位1，NMDOH科学实验室司(SLD)的实验室人员，最初将致力于流感RT-PCR人体临床样本测试，并确保向提交者和为流感监测、疫苗有效性和负担预测项目做出贡献的NM EIP人员及时报告结果。这一职位可以交叉培训(正如SLD的做法)，为其他NM EIP项目提供支持。NMDOH的高级流行病学家职位2将支持NM EIP首席调查员、ABC、FoodNet和流感Pis和协调员，以及NM EIP的核心工作人员，如监督干事(SOS)。该职位将在交叉和高级职能方面发挥领导和保证作用，包括：a)分析和传播；b)培训；c)协调和整合方案和活动；d)战略和业务规划。职位3，NMDOH的数据经理，将获得ABC、FoodNet、流感和NM-EDSS数据库(存放和维护在NMDOH服务器上)的专业知识。UNM的第4个职位--监测干事--最初将侧重于流感负担预测项目，同时还将熟悉目前的SOS开展的核心活动。如果维持下去，这一职位将被整合到目前的SO团队中，为他们提供支持，并使所有SO能够承担国家生态工业园项目以及州具体项目和活动的额外职责。为NM EIP提供资金的总体目标是建立和加强EIP基础设施，同时加强与流感监测和相关活动有关的一般流行病学和实验室能力。

DESCRIPTION (provided by applicant): The New Mexico Emerging Infections Program (NM EIP) is an active partner in the Foodborne Diseases Active Surveillance Network (FoodNet), Active Bacterial Core surveillance (ABCs), and Respiratory Disease Activity surveillance (FluSurv-Net). New Mexico has also participated in the Centers for Disease Control and Prevention (CDC) vaccine effectiveness studies for both pediatric cases and older adults since the 2006-07 influenza season. In response to the (HlNl) 2009 influenza pandemic, New Mexico Department of Health (NMDOH) conducted statewide surveillance for influenza hospitalizations during the 2009-10 season. NMDOH manages the NM EIP. As such, it contracts with the University of New Mexico (UNM) as a key partner in the program. Current NM EIP staffing is stretched thin. While NM EIP is able to conduct all core activities of the EIP network, there is not much flexibility to more proactively pursue national EIP leadership roles and more state-based analytic and dissemination activities, such as contributing to the influenza burden projections project. The objective of this funding request through the Patient Protection and Affordable Care Act (PPACA): Emerging Infections Program (EIP) is to allow such pursuits to be undertaken. Specifically, NM EIP would like to pursue the following activities: I) influenza polymerase chain reaction (PCR) testing and 2) influenza burden projections. To address these activities and strengthen a number of functions across multiple NM EIP activities, one additional full-time equivalent employee for each of the following functions are needed: a) laboratory at NMDOH; b) epidemiology at NMDOH; c) data management at NMDOH; d) epidemiology at UNM. Position 1, laboratorian at NMDOH Scientific Laboratory Division (SLD), would initially dedicate their time to influenza RT-PCR human clinical specimen testing and assurance of timely reporting of results to submitters and to NM EIP personnel contributing to influenza surveillance, vaccine effectiveness and burden projections project. This position could be cross-trained (as is the practice at SLD) to provide support to other NM EIP projects. Position 2, advanced epidemiologist at NMDOH, would support the NM EIP Principal Investigator (PI), ABCs, FoodNet and Influenza PIs and Coordinators, and core NM EIP staff such as the Surveillance Officers (SOs). That position would take leadership and assurance roles around crosscutting and high-level functions including: a) analyses and dissemination; b) training; c) coordination and integration of programs and activities; d) strategic and operational planning. Position 3, data manager at NMDOH, would gain expertise with ABCs, FoodNet, Influenza, and NM-EDSS databases (housed and maintained on NMDOH servers). Position 4, Surveillance Officer at UNM, would initially focus on the influenza burden projections project while also becoming familiar with the core activities conducted by the current SOs. If sustained, this position would become integrated into the current SO team to support them and enable all SOs to take on additional duties with national EIP projects as well as state-specific projects and activities. The overall goal of this funding for NM EIP is to build and strengthen EIP infrastructure while also enhancing general epidemiology and laboratory capacity related to influenza surveillance and related activities.