The Affordable Care Act: MCV/PCV & Pertussis

描述（由申请人提供）：马里兰州新发感染项目（MD EIP）是马里兰州卫生部门（马里兰州卫生和心理卫生部门）、约翰霍普金斯大学彭博公共卫生学院（JHSPH）和马里兰大学学院公园分校（UMCP）之间的合作伙伴关系。马里兰州于1997年成为国家EIP网络成员站点，在随后的13年里，已经发展成为一个成熟的伙伴关系，能够使用确定的监测人群进行积极的、基于实验室的监测；开展应用公共卫生流行病学和实验室活动；实施和评估预防和干预试点项目。正如2003-2004年和随后的流感季节所证明的那样，卫生防疫计划还能够迅速应对新出现的传染病威胁。通过此申请，MD EIP要求资金支持：(1)整体计划基础设施；(2)流感流行病学和实验室能力；(3)门诊透析患者血液感染监测。第一项倡议将为科学领导提供支持，并与马里兰大学公共卫生学院进一步合作；为项目流行病学家和信息学人员提供培训机会；资助一个研讨会，向感染预防学家、临床化验员和当地卫生部门工作人员提供EIP监测和研究结果；并支持其他EIP基础设施需求。第二项倡议将为州公共卫生实验室提供额外资源，用于在即将到来的季节进行RT-PCR检测，以确认流感感染。此外，疾病预防控制中心将与疾病预防控制中心和其他疾病预防控制中心合作，开发一个模型，在流感季节到来时提供流感病例、住院和死亡人数的临时估计。这些活动将有助于DHMH流感应对规划。第三项倡议将补充目前通过卫生保健项目和流行病学和实验室能力合作协议开展的与卫生保健有关的感染项目。众所周知，透析患者的血液感染率很高。该EIP项目将发展透析中心通过国家医疗安全网络（NHSN）透析模块报告血液感染数据的能力。这些数据将用于制定预防措施，协助透析中心满足CMS对感染发生率的报告要求，并为其他州的透析中心提供一个模型。

DESCRIPTION (provided by applicant): The Maryland Emerging Infections Program (MD EIP) is a working partnership among Maryland's state health department (the Maryland Department of Health and Mental Hygiene), the Johns Hopkins University Bloomberg School of Public Health (JHSPH), and the University of Maryland, College Park (UMCP). Maryland became a national EIP network member site in 1997, and over the ensuing thirteen years, has developed into a mature partnership capable of performing active, laboratory-based surveillance using defined surveillance populations; conducting applied public health epidemiologic and laboratory activities; and implementing and evaluating pilot prevention and intervention projects. The MD EIP is also capable of rapidly responding to emerging infectious disease threats, as was demonstrated during the 2003-2004 and subsequent influenza seasons. Through this application, the MD EIP is requesting funding to support: (1) overall program infrastructure; (2) influenza epidemiology and laboratory capacity; and (3) surveillance for bloodstream infections among dialysis patients in out-patient settings. The first initiative will provide support for scientific leadership and further collaboration with the University of Maryland School of Public Health; provide training opportunities for program epidemiologists and informatics staff; fund a seminar to provide EIP surveillance and study findings to infection preventionists, clinical laboratorians, and local health department staff; and support other EIP infrastructure needs. The second initiative will provide the state public health laboratory with additional resources for conducting RT-PCR testing to confirm influenza infections during the upcoming seasons. In addition, the MD EIP will collaborate with CDC and the other EIP sites to develop a model that will provide interim estimates of the number of influenza cases, hospitalizations, and deaths as an influenza season unfolds. These activities will contribute to the DHMH influenza response program. The third initiative will complement the healthcare-associated infections (HAI) projects currently being conducted through the EIP and the Epidemiology and Laboratory Capacity (ELC) cooperative agreements. Dialysis patients are known to have high rates of bloodstream infections. This EIP project will develop capacity among dialysis centers to report data on bloodstream infections through the National Healthcare Safety Network (NHSN) dialysis module. This data will be used to develop prevention initiatives, assist the dialysis centers in meeting the CMS reporting requirements for the incidence of infection, and provide a model for other states to use in dialysis centers.