Public Health Systems and Emerging Infections Assessing the Capabilities of the Public and Private Sectors: Workshop Summary (2000) / Chapter Skim
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4 Communication, Coordination, and Education and Outreach
4 Communication, Coordination, and Education and Outreach
Pages 57-67
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From page 57... ...
COMMUNICATION AND COORDINATION AT THE NATIONAL LEVEL: THE PULSENET MODEL Bala Swaminathan, Ph.D. Chief; Foodborne and Diarrheal Diseases Laboratory Section, National Center for Infectious Diseases, Centers for Disease Control and Prevention Molecular subtyping of pathogenic organisms is an integral part of epidemiological investigations and surveillance.
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From page 58... ...
At present, there are 38 PulseNet laboratories: 32 state health department laboratories, the Los Angeles County public health laboratory, the New York City public health laboratory, 2 FDA laboratories, 1 USDA laboratory, and a CDC laboratory. Four state health department laboratories serve as area (regional)
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From page 59... ...
CDC organizes workshops, establishes and maintains DNA pattern databases, tracks subtyping activities at PulseNet laboratories through weekly e-mail feedback, coordinates subtyping work at area laboratories, and coordinates subtyping work for multistate outbreaks. Despite its successes, PulseNet is insufficiently funded and stretched in its ability to subtype every isolate and follow up with appropriate epidemiological investigations due to a lack of trained professionals.
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From page 60... ...
Finally, it is critical to review the issues that need to be addressed to improve the capacity to respond to emerging infections. States have the primary statutory authority to conduct surveillance in order to control infectious diseases and detect outbreaks.
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From page 61... ...
Increasingly, at the national and interstate levels, teleconferences and telephone conference calls are used to make available high-quality information on specific topics. In addition, the World Wide Web and Internet listserver groups are making timely data more readily available.
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From page 62... ...
For example, during the 1997 Hong Kong avian influenza outbreak, government communications from Hong Kong were necessarily cautious and frequently missing essential information. Connecticut epidemiologists monitored the situation by reading the Hong Kong newspapers on the Internet and then forwarding excerpts by e-mail to neighboring state epidemiologists to help them anticipate the potential for international spread.
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From page 63... ...
It involves microbiologists, laboratory personnel, infectious disease physicians, pharmacists, patients, and general practitioners and specialists working together in each of its chapters. APUA conducts its educational program through a website with information about antibiotic resistance (www.antibiotic.org)
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From page 64... ...
, conferences, symposia, distance learning, audio and video teleconferencing, and moderated Internet listserver groups. Groups that have been actively involved in communication and education activities related to emerging infectious diseases include the Association of State and Territorial Health Officials (ASTHO)
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From page 65... ...
, and 126 of these were infectious disease-related. Sample courses are on molecular diagnosis of infectious diseases, viral load workshops for HIV and hepatitus C virus, and "Mad Cows and Englishmen." PHTN also has a public health series on foodborne illness and a series on virology and the influenza pandemic.
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From page 66... ...
The Enterprise Intranet: An electronic medical record system linking clinical databases and primary and ancillary health care depall~ents, as well as providing certain basic administrative and clerical Unctions. SOURCE: Edward "Ted" Shortliffe.
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From page 67... ...
Encryption and proper authentication technologies have advanced to the stage to ensure robust data protection if the methods are properly implemented and combined with unambiguous privacy policies and enforcement. A significant challenge to electronic medical records comes from the methods by which information is recorded into the system by the physician.
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