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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