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Infectious Disease: Prevention Strategies & Emergency Response Procedures Yen-Jen Sung, MD PhD Commissioner, Department of Health, Taipei City Government Table of Contents 1. 2. 3. 4. 5. Department Organizational Structure Taiwan Area Notifiable Disease Statistics Report: Taipei City SARS Epidemic of 2003 Response: Strategies to Counter SARS Infectious Disease: Individual Case Reporting & Disease Surveillance Systems 6. Taipei City’s Emergency/Disaster Response Systems 7. New & Emerging Infectious Disease Prevention 8. Enterovirus & Related Disease Prevention 9. Tuberculosis Prevention 10. HIV/AIDS Prevention 11. Future Disease Prevention Strategies & Promotion Taipei City Government Department of Health of Taipei City Government Taipei City Hospital Division for Disease Control and Prevention Food and Drug Division Medical Affairs Division Zhongxing Branch Renai Branch Heping Branch Health Promotion Division Yangming Branch Research and Planning Division Zhongxiao Branch Laboratory Branch for Chinese Medicine System Administration Office Songde Branch Statistics Office Branch for Disease Control and Prevention Administrative Services Branch for Women and Children Accounting Office Taipei Municipal Wanfang Hospital Personnel Office Taipei Municipal Guandu Hospital Government Ethics Office 12 District Health Centers Taiwan Area Notifiable Disease Statistics Total Case Statistics for 2004(Legally Defined Notifiable Diseases) Region National Taipei Tuberculosis 10523 903 HIV Infection 1570 210 Scarlet Fever 759 130 Dengue Fever 420 12 AIDS 260 41 Bacillary Dysentery 146 22 Legionnaires' Disease 105 18 Enterovirus(severe case) Associated Symptoms 49 4 Typhoid 37 7 Encephalitis B. 32 0 Amoebic Dysentery 31 10 Pertussis 21 3 Influenza(severe case) 19 4 Malaria 18 5 Dengue hemorrhagic fever 7 0 Disease Report: Taipei City SARS Epidemic of 2003 • The first case of SARS in Taiwan-Area: A Mainland China-based Taiwanese businessman surnamed Chin and his wife were the first cases of both overseas & local infection, as reported locally on March 14, 2003. • March 14-August 2003 Taipei City-area Hospitals & clinics reported 1539 cases, 157 of which were Taipei City residents • Taiwan was removed from the travel alert list announced by WHO on June, 17th, 2003. • On July 15, 2003, Taiwan was removed from the epidemic region list Report: Taipei City SARS Epidemic of 2003 Residential quarantine • 26,942 grade A quarantined persons (those with direct contact with potential SARS patients) • 13,358 grade B quarantined persons (those returning from epidemic regions) • Of all people placed under quarantine, 12 (approximately 0.030%) were diagnosed as potential or suspected SARS cases. Response: Strategies to Counter SARS 1. Organization overhaul Establish Division for Disease Control and Prevention and on-site Infectious Disease Research Center 2. Improved Noscomial Infection Control Fever screening stations for all incoming patients Launch training and education of hospital staff Improve prevention noscomial infection Create protective inventory system to allow tracking and distribution of lifecritical equipment Implement preliminary Total Care-based nursing care system 3. Disease Surveillance & Reporting Establish mutual reporting/sharing of Notifiable Disease Surveillance data Establish mobile community-based infectious disease teams Partner with central government to establish disease control measures