Emerging Infections Program

这项建议的长期目标是发现、调查、控制和预防新出现的传染病。这些工作将通过俄勒冈州公共卫生管理部门设立的新发感染项目来完成，该项目将1)开展积极的公共卫生疾病监测；2)开展应用公共卫生流行病学和实验室活动；3)实施和评价预防干预试点项目。将与其他州卫生部门和联邦疾病控制和预防中心合作开展活动。更具体地说，将积极监测细菌病原体的侵袭性感染，包括A群和B群链球菌、肺炎链球菌、流感嗜血杆菌和脑膜炎奈瑟菌，以及耐甲氧西林金黄色葡萄球菌；用于肠道和食源性感染

The long-term objectives of this proposal are to detect, investigate, control, and prevent emerging infectious diseases. These will be accomplished through an Emerging Infections Program created within the state public-health administration in Oregon, which will 1) conduct active, public-health disease surveillance; 2) conduct applied public-health epidemiologic and laboratory activities; and 3) implement and evaluate pilot prevention and intervention projects. Activities will be conducted in collaboration with other state health departments and the federal Centers for Disease Control and Prevention. More specifically, active surveillance will be conducted for invasive infection by bacterial pathogens, including groups A and B streptococci, Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis, and for methicillin-resistant Staphylococcus aureus; for enteric and foodborne infections caused by various bacteria, viruses, and protozoa; for viral hepatitis; for respiratory illnesses, especially pneumonia in healthcare workers and influenza causing hospitalization of children; for unexplained deaths that appear to be infectious; and for Creutzfeldt-Jakob disease. Active surveillance will include the identification of demographic groups at high risk for disease and trends in disease incidence. This program will conduct epidemiologic research to determine modifiable risk factors for diseases listed above and to evaluate the effectiveness of vaccine programs and other control measures. It will expand public-health capacity for investigation of outbreaks to identify means of transmission of various pathogens. It will expand public-health laboratory capacity for the identification and molecular epidemiologic analysis of bacterial and viral pathogens.