Download Taipei City Emergency Response System

Response: Strategies to Counter SARS
4.
Emergency Response System
Develop Integrated infectious disease information system
Establish Emergency Operation Center (EOC )
Establish Incident Command System
Establish Taiwan Area’s first-ever Disease Prevention Consulting Committee
5.
Enhance Health Education
Host 2004 Asia-Pacific Anti-bioterrorism Symposium 380 participants including medical professionals, hospital administrators,
college personnel, fire service, police, professional and general public
Flow Chart for Reporting Individual Cases with Infectious Diseases to Department
of Health of Taipei City Government
Taipei City-area hospitals
report potential infectious disease cases
Department of Health (DOH) receives information about
infectious disease cases
DOH faxes other municipal & county health
departments, who confirm receipt via telephone
Case closed
1.Samples (or virus contracts) are collected and sent
to Kunyang lab for exams (including data sheet)
2.Recall case report on disease progress of
deceased patients and patients with serious
entrovirus-associated symptoms or new, emerging
infectious symptoms
Northern Region Branch of Center for Disease
Control, Department of Health, Executive Yuan
Epidemic Situation Evaluation in Taipei City Hospitals
Inspection（Including Individual Cases, Family Members, Relatives,
Friends, Coworkers, Hospital Staff and other people who might be
affected, as well as travel histories and medical records)
Cluster Infection Confirmed
Information
integration
Follow up for 2
theoretical latent
periods
(No add case)
Yes
No
Mobile Disease
Prevention teams
on mission
Members of FETP
training class
Cases are closed
Epidemic Investigation
Taipei City Emergency Response System
Incident Commander
[Mayor]
Main Contact
[Deputy Mayor]
Communication
[Personnel
Office]
Evaluation
[Research and
Planning
Division]
Safety
Inspection
[Government
Ethics Office]
Public news
release
[Information
Office]
Media
Execution
[Department of Health]
Planning
[Research and Planning
Division]
Financing
[Finance Department]
Logistics
[Administrative
Services]
Public
opinion
survey
Resource Distribution
[Chief Secretary, Department of
Health]
Epidemic
Investigation
[Division for
Disease Control
and Prevention ]
Medical Care
Prior
Admission to
Hospitals
[Medical Affairs
Division]
Medical Care
[Medical
Affairs
Division]
Psychiatry
[Medical Affairs
Division]
Hazard Control
[Division for
Disease
Control and
Prevention ]
Deceased
Patient
Affairs
[Personnel
Office]
Emergency
Response
[Government
Ethics Office]
New & Emerging Infectious Disease Prevention
1.
Avian influenza was announced as a legally defined infectious disease on Dec. 29th,
2004
2.
Epidemic Watch:
(1) Monitor body temperatures of workers with direct contact with poultry/livestock
business and pet bird business
(2) Monitor human-contagious avian influenza infections and report to
responsible authorities
3.
Joint Prevention Task Force supported by different Agencies:
Establish Taipei City’s Joint Prevention Task Force for Avian Influenza
Provide assistance and consultation for individuals involved in
poultry/livestock/domestic pet business and closely monitor all incidents of avian
influenza
New & Emerging Infectious Disease Prevention
Avian Influenza Prevention & Control Exercises
Legend:
Department of Health receives
reports from animal inspection
division of chickens possibly
carrying avian influenza
virus …
Staff dispatched to the scene
pack euthanized chickens into
plastic bags. Workers are then
evacuated from danger zones
and are sprayed thoroughly
with disinfectant solution by
the cleaning staff (especially
armpit, groin areas and feet)
New & Emerging Infectious Disease Prevention
Joint Prevention Task Force for Avian Influenza of Taipei City Composed of
experts from Departments of Health, Economic Development, Environmental
Protection and Education to provide assistance, education and consultation
specifically to Zoos, Guandu Nature Park, Poultry/Domestic Pet Businesses
Staff from Departments of
Economic Development and
Environment Protection visiting
Guandu Nature Park for disease
prevention education programs
Staff from Departments of Economic Development and
Health were visiting Pet Bird/Poultry vendors for
disease prevention education
Enterovirus Epidemic
Trend Plot of Reported Enterovirus
Cases from Campus
1
2065
1959
2100
500
450
1800
School Reporting System
Accumulative (Left Axis)
1697
392
400
Weekly (Right Axis)
1500
1382
350
315
297
2,065 Patients were reported being
infected with enterovirus by child
care facilities (this pioneering model
• Emergency
Care facilities reported
5,172 patients as being infected with
enterovirus.
• 397 patients were Taipei City residents.
• 13 patients had complications from
severe enterovirus symptoms
--7 patients were excluded to be
infected with enterovirus.
--6 patients were confirmed infected.
until June 30th, 2005
262
990
250
207
900
200
693
600
150
129
106
357486
was first established in Taipei City)
Hospital Reporting System
300
1200
300
0
100
291
238261
193210
36 124127127132143153159165171175
30 66
115
28
23
17
58
9 3 0 5 11 10 6 6 6 4 18
94
21
58
1. 1 1. 2
A c c umul a t i ve (L e ft A xi s )
58
94
W e e kl y ( Ri ght A xi s )
58
36
1. 3 1. 4 2. 1 2. 2
2. 3 2. 4 3. 1 3. 2
3. 3 3. 4 4. 1 4. 2
4. 3 4. 4 4. 5 5. 1
50
5. 2 5. 3 5. 4 6. 1
6. 2 6. 3 6. 4 6. 5
115 124 127 127 132 143 153 159 165 171 175 193 210 238 261 291 357 486 693 990 138 169 195 206
21
9
3
0
5
11
10
6
6
6
4
18
17
28
23
30
66
0
月週
129 207 297 392 315 262 106
Trend Plot of Reported Enterovirus Cases
from Emergency Care
5,172
5000
4,748
4500
4000
3500
1000
500
0
700
635
625
600
2,751
481
2500
1500
800
737
3,488
623
Weekly (Right Axis)
3000
2000
900
4,113
Accumulative (Left Axis)
1,647
1,331
1,168
1,062
969
903
163
742 785 830
118 121
604 638 691
93 106
106
480 526 564
73
66
419
46 38 40 34 53 51 43 45
239 345
118
74
61
424
2,128
316
1.1 1.2 1.3 1.4 2.1 2.2 2.3 2.4 3.1 3.2 3.3 3.4 4.1 4.2 4.3 4.4 5.1 5.2 5.3 5.4 6.1 6.2 6.3 6.4 6.5
Accumulative (Left Axis) 118 239 345 419 480 526 564 604 638 691 742 785 830 903 969 1062 1168 1331 1647 2128 2751 3488 4113 4748 5172
Weekly (Right Axis)
1000
118 121 106 74 61 46 38 40 34 53 51 43 45 73 66 93 106 163 316 481 623 737 625 635 424
500
400
300
200
100
0
月週