Patient Protection and Affordable Care Act (PPACA); Emerging Infections Program (

患者保护和平价医疗法案 (PPACA)；

• 批准号: 8143168
• 负责人: JOAN BAUMBACH
• 金额: $ 32.74万
• 依托单位: NEW MEXICO STATE DEPARTMENT OF HEALTH
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2012-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8143168
• 关键词: Patient; Protection; Affordable; Care; Act

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.

描述（由申请方提供）：新墨西哥州新发感染项目（NM EIP）是食源性疾病主动监测网络（FoodNet）、活性细菌核心监测（ABC）和呼吸道疾病活动监测（FluSurv-Net）的积极合作伙伴。自2006-07年流感季节以来，新墨西哥州还参加了疾病控制和预防中心（CDC）针对儿童病例和老年人的疫苗有效性研究。为了应对（H1N1）2009年流感大流行，新墨西哥州卫生部（NMDOH）在2009-10季节期间对流感住院进行了全州范围的监测。NMDOH管理NM EIP。因此，它与新墨西哥州大学（UNM）签订合同，作为该计划的主要合作伙伴。目前NM EIP的人员配置捉襟见肘。虽然北地中海生态信息计划能够开展生态信息计划网络的所有核心活动，但在更积极主动地发挥国家生态信息计划领导作用和开展更多基于国家的分析和传播活动方面没有太大的灵活性，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）：新兴感染计划（EIP）提出的这一资金申请的目的是允许开展此类活动。具体而言，NM EIP希望开展以下活动：I）流感聚合酶链反应（PCR）检测和2）流感负担预测。为了开展这些活动并加强多个NM EIP活动的一些职能，需要为以下每项职能增加一名全职同等雇员：a）NMDOH的实验室; B）NMDOH的流行病学; c）NMDOH的数据管理; d）UNM的流行病学。NMDOH科学实验室部门（SLD）的1号职位实验室人员最初将致力于流感RT-PCR人类临床标本检测，并确保及时向提交者和NM EIP人员报告结果，以促进流感监测、疫苗有效性和负担预测项目。该职位可以接受交叉培训（如SLD的做法），为其他NM EIP项目提供支持。职位2是NMDOH的高级流行病学家，将支持NM EIP主要研究者（PI）、ABC、FoodNet和流感PI和协调员以及NM EIP核心工作人员，如监测官员（SO）。该职位将围绕跨领域和高级别职能发挥领导和保证作用，包括：a）分析和传播; B）培训; c）方案和活动的协调和整合; d）战略和业务规划。职位3是NMDOH的数据管理员，将获得ABC、FoodNet、Influenza和NM-EDSS数据库（在NMDOH服务器上存储和维护）的专业知识。第4个职位是联合国新墨西哥州的监测干事，最初将侧重于流感负担预测项目，同时也熟悉目前各战略办事处开展的核心活动。如果持续下去，这一职位将被纳入目前的SO团队，以支持他们，并使所有SO能够在国家EIP项目以及国家特定项目和活动中承担额外的职责。为地中海北部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。