The Affordable Care Act: MCV/PCV & Pertussis

加州新发感染项目（CEIP）利用CDC提供的资源，显著加强了弗朗西斯科湾区三个县（阿拉米达、康特拉科斯塔和弗朗西斯科县）众多高优先级传染病的监测和流行病学/实验室研究。对流感、医疗相关感染、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进行基于人群的监测，用于确定疾病负担;进行国家预测;发现和应对疫情;评估感染风险因素;确定各种疾病预防计划和战略的有效性。（例如接种疫苗;检查和化学预防;健康教育;以及改进食品处理和制造工艺）。CEIP的工作人员大大扩大了参与地方和州公共卫生机构执行此类工作的能力;将学术合作伙伴的专业知识纳入加州大学伯克利分校公共卫生学院;使用共同的协议，程序和病例定义与美国其他地方的新兴感染项目和CDC合作，以确保质量;代表性，并利用收集到的数据来改善美国的传染病预防和控制活动。这里要求的额外资源对于CEIP扩大其在血液透析环境中与流感和医疗保健相关感染有关的高度优先项目方面的工作至关重要，并改善数据收集、数据管理和分析，和数据解释的广泛监测活动有关的许多其他传染病获得的社区和住院和门诊病人医疗保健设置。

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.