Epidemiologic Intelligence Network (EpI-Net) to promote COVID-19 testing and prevention practices among socially vulnerable communities in Puerto Rico

流行病学情报网络 (EpI-Net) 将在波多黎各社会弱势群体中推广 COVID-19 检测和预防实践

• 批准号: 10258972
• 负责人: Eida Maria Castro
• 金额: $ 142.74万
• 依托单位: PONCE SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-17 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10258972
• 关键词: 2019-nCoV; Address; Adherence; Adopted; Adoption; Affect; Arboviruses; Behavior; Belief; Biological; Blood Tests; Blood specimen; COVID-19; COVID-19 disparity; COVID-19 early detection; COVID-19 outbreak; COVID-19 pandemic; COVID-19 prevention; COVID-19 testing; Chronic; Chronic Disease; Clinical; Collaborations; Communities; Community Health; Community Networks; Contact Tracing; Data; Data Analyses; Dengue; Diabetes Mellitus; Disease; Disease Outcome; Earthquakes; Economics; Education; Epidemic; Epidemiologic Monitoring; Epidemiologist; Epidemiology; Future; Government; Grant; HIV; Health; Health Promotion; Health Promotion and Education; Health Sciences; Health system; High Prevalence; Hour; Hurricane; Hypertension; Immunologic Markers; Individual; Infrastructure; Intelligence; Intervention; Interview; Investigation; Island; Lead; Lifting; Link; Lymphocyte Count; Melissa; Methods; Minority-Serving Institution; Molecular; Natural Disasters; Obesity; Online Systems; Outcome; Participant; Patients; Prevalence; Prevention; Prevention education; Prevention strategy; Process; Public Health; Puerto Rican; Puerto Rico; RADx Underserved Populations; Research; Research Institute; SARS-CoV-2 infection; SARS-CoV-2 positive; Sampling; Signs and Symptoms; Surveys; Symptoms; System; Technology; Testing; Time; Training; Training and Infrastructure; Trust; United States National Institutes of Health; Universities; Vulnerable Populations; World Health Organization; ZIKA; base; community engagement; community intervention; contextual factors; cytokine; epidemiology study; ethnic minority population; infection rate; innovation; member; outreach; pandemic disease; population based; post intervention; preventive intervention; primary outcome; programs; promoter; public health emergency; racial minority; social; social vulnerability; symptomatology; syndromic surveillance; testing access; testing uptake; tool; uptake; web site

PROJECT ABSTRACT In Puerto Rico (PR), the first COVID-19 case was confirmed early March 2020. To date cases have exponentially increased partly due to the lifting of locked-down restriction by the PR government, limited COVID-19 testing, and contact tracing. Puerto Ricans living on the island are particularly vulnerable to the current overlapping of the COVID-19 pandemic and natural disasters (earthquake, hurricanes/storms). Limited access to molecular COVID-19 testing throughout PR has been a significant challenge. Without adequate testing, estimates for SARS-CoV-2 (COVID-19) infection rates are limited and targeted prevention efforts (focused testing) may hinder. A group of epidemiologists led by Dr. Marzán (MPI) developed a web-based COVID-19 Epidemiologic Surveillance System (ESSS) in collaboration with the Puerto Rico Public Health Trust (PRPHT, community partner for this grant) with more than 46,000 surveys completed. The ESSS tool is an online geocoded survey that identifies real-time data of COVID-19 signs and symptoms during the last 24 hours; and thus, prioritizes communities for COVID-19 testing. Leveraging the current PHSU-PRI COVID-19 prevention efforts and the ESSS infrastructure, the research team will test the preliminary impact of an epidemic intelligence (EpI-Net) community-based intervention aimed at increasing COVID-19 testing uptake and prevention practices among socially vulnerable communities in PR. The working hypothesis is that the integration of lay community leaders, trained in the use of COVID-19 prevention technology tools (EpI-Net), will result in increased COVID-19 testing uptake and prevention practices among the targeted socially and epidemiologically vulnerable communities in Puerto Rico. This highly innovative and impactful study will shift current COVID-19 prevention strategies by 1) establishing an epidemic intelligence infrastructure using a technology-based COVID-19 syndromic surveillance (ESSS) platform to identify in real time potential COVID-19 outbreaks and, thus, conduct targeted COVID-19 testing, 2) by implementing a population-based COVID-19 prevention intervention (EpI-Net) co-led by epidemiologists and lay community leaders trained as health promotors.

项目摘要 在波多黎各（PR），首例COVID-19病例于2020年3月初确诊。迄今为止， 部分原因是PR政府解除了封锁限制，有限的COVID-19检测和接触者追踪。Puerto 生活在岛上的波多黎各人特别容易受到当前COVID-19大流行和自然灾害的重叠的影响。 灾害（地震、飓风/风暴）。在整个PR期间，对COVID-19分子检测的限制一直是一个 重大挑战。如果没有充分的检测，对SARS-CoV-2（COVID-19）感染率的估计是有限的， 有针对性的预防工作（重点检测）可能会造成阻碍。由Marzán博士（MPI）领导的一组流行病学家开发了一种 与波多黎各公共卫生信托基金合作的基于网络的COVID-19流行病学监测系统（ESSS） （PRPHT，该赠款的社区合作伙伴）完成了46，000多项调查。ESSS工具是一个在线地理编码工具， 在过去24小时内识别COVID-19体征和症状的实时数据的调查;因此， 社区进行COVID-19检测。利用PHSU-PRI当前的COVID-19预防工作和ESSS 基础设施，研究小组将测试基于社区的流行病情报（EpI-Net）的初步影响。 旨在提高社会弱势群体对COVID-19检测的接受率和预防实践的干预措施 工作假设是，在使用COVID-19预防方面接受过培训的非专业社区领导人的整合 技术工具（EpI-Net），将导致目标人群中COVID-19检测和预防实践的增加 社会和流行病脆弱社区。这项极具创新性和影响力的研究将改变 通过1）建立一个流行病情报基础设施，使用基于技术的 COVID-19综合征监测（ESSS）平台，以真实的时间识别潜在的COVID-19爆发，从而进行 有针对性的COVID-19检测，2）通过实施基于人群的COVID-19预防干预（EpI-Net）， 流行病学家和非专业社区领导人被培训为健康促进者。