Duke Infectious Disease Response Training Consortium (DIDRT)

摘要 三次流行病(2003年的SARS、2009年的大流行性流感和2014年的埃博拉)考验了我们的国家 对传染病突发事件的准备，既显示了优势，也揭示了劣势。已确定 弱点突出表明，需要一个国家培训联盟网络，以确保最新的、高质量的 高质量、有效和高效地提供生物安全和传染病工作人员培训。为回应这一事件 2001年，NIAID/NIH资助了一个区域生物遏制网络的建设 实验室(RBL)，任务是支持地方和国家应对传染病 紧急情况。RBL是在主要的学术医疗中心战略性地构建的，并提供了 对医疗保健人员和非医疗保健人员在其各自的地理范围内进行培训和外联 区域。杜克大学医学中心的RBL是#年全面投入使用的12个RBL中的第一个 2007年，并有一个全面的生物安全和传染病准备培训计划， 强调CDC/NIAID A、B和C类优先病原体，适用于多个工人群体。2014年， 杜克大学训练队的RBL被激活，以在杜克大学医院开发埃博拉治疗单元， 为埃博拉疑似患者建立护理网络，并培训看守和医护人员。一致 根据NIEHS工人培训计划的总体目标，我们建议使用NIAID-RBL的子集 (杜克大学，科罗拉多州立大学，芝加哥大学，乔治大学。梅森大学和路易斯维尔大学)建立多个州的伙伴关系 在可能增加接触污染的职业环境中提供培训 材料或受感染的个人。我们称这个项目为杜克传染病反应培训(DIDRT)。 我们将通过实现以下三个具体目标来实现这一目标：1)发展多国 NIAID RBL网络内的生物安全专业人员联盟提供全面的传染性 疾病应对培训；2)培训工作人员(急救人员、看守服务、旅行/空运、 和医疗保健/临床实验室)在应对传染病方面发挥重要作用；以及3)评估 准备培训，将结果纳入持续的质量改进周期。DIDRT 财团是唯一有资格实现这三个目标的机构。我们的五个州财团包括 美国生物安全协会(ABSA)，包括两位前ABSA主席(亨特和埃利斯)， 三名ABSA前任/现任董事会成员(Hunt、Alderman和Ellis)，五名认证生物安全 专业人员(Hunt，Frothingham Alderman，Ellis和Blair)，以及五名注册生物安全专业人员 (Burch，Blair，Zobel，Bivona，Quenee)我们的RBL联盟成员定期提供生物安全培训(完 过去五年中的11万人)，形式从短期在线模块到为期五天的课程。集体 了解我们的团队和DIDRT联盟成员的战略地理位置将使 开发一个真正全国性的项目，能够满足NIEHS WTP的需求。

Abstract Three epidemics (SARS in 2003, pandemic influenza in 2009, and Ebola in 2014) have tested our national preparedness for infectious disease emergencies, revealing both strengths and weaknesses. Identified weaknesses have highlighted the need for a national network of training consortium to ensure up-to-date, high quality, effective and efficient delivery of biosafety and infectious disease worker training. In response to the anthrax attacks of 2001, the NIAID/NIH funded construction of a network of Regional Biocontainment Laboratories (RBLs) with a mandate to support local and national responses to infectious disease emergencies. RBLs were strategically constructed at major academic medical centers and provide a nexus of training and outreach to healthcare and non-healthcare workers in their respective geographical catchment areas. The RBL at Duke University Medical Center was the first of the 12 RBLs to be fully commissioned in 2007 and has a comprehensive biosafety and infectious disease preparedness training program with an emphasis on CDC/NIAID Category A, B and C priority pathogens for multiple worker populations. In 2014 the RBL at Duke training team was activated to develop an Ebola treatment unit at Duke University Hospital, develop a care network for an Ebola suspect patient, and train custodial and healthcare workers. Consistent with the overall goal of the NIEHS worker training program we propose to use a subset of the NIAID-RBLs (Duke, Colorado State, U. Chicago, George. Mason U., and U. Louisville) to establish a multistate partnership to provide training in occupational settings that carry the potential for increased exposure to contaminated materials or infected individuals. We call this program Duke Infectious Disease Response Training (DIDRT). We will achieve this goal by accomplishing the following three Specific Aims: 1) Develop a multistate consortium of biosafety professionals within the NIAID RBL network to provide comprehensive infectious disease response training; 2) Train worker populations (first responders, custodial service, travel/Air transport, and healthcare/clinical lab) with important roles in infectious disease response; and 3) Evaluate the efficacy of preparedness training, incorporating the results in a continuous quality improvement cycle. The DIDRT consortium is uniquely qualified to achieve these three Aims. Our five-state consortium includes key leaders in the American Biological Safety Association (ABSA), including two former ABSA presidents (Hunt and Ellis), three former/current ABSA board members (Hunt, Alderman and Ellis), five Certified Biological Safety Professionals (Hunt, Frothingham Alderman, Ellis and Blair), and five Registered Biosafety Professionals (Burch, Blair, Zobel, Bivona, Quenee). Our RBL consortium members provide regular biosafety training (over 110,000 in the past five years) in formats ranging from short online modules to five-day courses. The collective knowledge of our team and th e strategic geographic locations of the DIDRT consortium members will enable the development of a truly nationwide program capable of meeting the needs of the NIEHS WTP.