California Emerging Infections Program Capacity Building, Influenza Testing and B

加州新发传染病项目（CEIP）利用美国疾病控制与预防中心提供的资源，在旧金山湾区的三个县（阿拉米达县、康特拉科斯塔县和旧金山湾区县）显著加强对许多高优先级传染病的监测和流行病学/实验室研究。以人群为基础的流感、卫生保健相关感染、食源性疾病、人乳头瘤病毒引起的生殖道病变和许多其他传染病的监测用于确定疾病负担；进行国家预测；发现并应对疫情；评估感染的危险因素；确定各种疾病预防计划和策略的有效性（如疫苗接种；筛查和化学预防；健康教育；改进食品处理和生产过程）。该方案的工作人员大大扩大了参与的地方和州公共卫生机构开展这类工作的能力；整合加州大学伯克利分校公共卫生学院学术合作伙伴的专业知识；使用通用的协议、程序和病例定义，与美国其他地方和疾病预防控制中心的新发感染项目相一致，以确保质量；代表性，并利用收集的数据来改善美国的传染病预防和控制活动。这方面所要求的额外资源至关重要，可使中心扩大其在与血液透析环境中的流感和保健相关感染有关的高优先项目上的工作，并改进数据收集、数据管理和分析以及数据解释，以便开展与社区以及住院和门诊保健环境中获得的许多其他传染病有关的广泛监测活动。

DESCRIPTION (provided by applicant): Project Summary The California Emerging Infections Program (CEIP) uses resources provided by CDC to markedly enhance surveillance for and epidemiologic/laboratory studies of numerous high priority infectious diseases in three counties in the San Francisco Bay area (Alameda, Contra Costa, and San Francisco counties). The population-based surveillance for influenza, healthcare- associated infections, foodborne illnesses, reproductive tract lesions caused by human papilloma virus, and numerous other infectious diseases is used to establish burden of disease; make national projections; detect and respond to outbreaks; assess risk factors for infection; and determine the effectiveness of various disease prevention programs and strategies(eg vaccination; screening and chemo-prophylaxis; health education; and improved food handling and manufacturing processes). CEIP staff greatly expand the capacity of participating local and state public health agencies to perform such work; incorporating the expertise of academic partners at the UC Berkeley School of Public Health; using common protocols, procedures, and case definitions in concert with emerging infections programs elsewhere in the United States and CDC to assure the quality; representativeness, and using the data collected to improve infectious disease prevention and control activities in the United States. The additional resources being requested here are critical to allowing the CEIP to expand its work on high priority projects relating to influenza and healthcare associated infections in the hemodialysis setting, among others, and to improve data collection, data management and analysis, and data interpretation for a wide range of surveillance activities relating to numerous other infectious diseases acquired in the community and in both inpatient and outpatient healthcare settings.