這是我的部落格

50歲的生日禮物是肺炎雙球菌疫苗。 今年54歲換成H1N1新型流感疫苗了，是國光牌的唷！

今天週二台北市疫情指揮中心工作小組會報，也是防疫同仁集中施打H1N1疫苗的日子。巧的很，今年陽曆與農曆生日均有幸恭逢佛門大日。

今天農曆十月初八是為佛陀涅槃日，此日若持齋，布施，放生任行一善，比常日持齋，布施行善有百千萬倍的功德。在今天這麼個大好日子裡，登高一乎大家來打疫苗，我今年七月便自動請纓，舉雙手也要打國產疫苗，如今施打有圖為證。

「抗煞，唯行政管理爾」,其中「危機溝通」之重要性，在此次防疫作戰之過程更是屢經驗證。 台北市過去六年建構的防疫架構也累積了許多經驗，其中以2007年Coxsackie A24 紅眼症一役，於周末長假前之關鍵時刻，針對全台北市民發送公益手機簡訊200餘萬通進行「危機溝通」，於第一時間即將疫情控制。該文章經投稿已於11月23日 刊登於PLosOne雜誌，諸位看倌可前往下列網站參閱細部內容及圖示並敬請批評指正。

the paper is available online at 

http://dx.plos.org/10.1371/journal.pone.0007962.

Muh-Yong Yen, Tsung-Shu Joseph Wu,  Allen Wen-Hsiang Chiu, Wing-Wai Wong, Po-En Wang, Ta-Chien Chan and Chwan-Chuen King

PLoS ONE 4(11): e7962. doi:10.1371/journal.pone.0007962

Abstract

Background:

In September 2007, an outbreak of acute hemorrhagic conjunctivitis (AHC) occurred in Keelung City and spread to Taipei City . In response to the epidemic, a new crisis management program was implemented and tested in Taipei .

Methodology and Principal Findings:

Having noticed that transmission surged on weekends during the Keelung epidemic, Taipei City launched a multi-channel mass risk communications program that included short message service (SMS) messages sent directly to approximately 2.2 million Taipei residents on Friday, October 12th, 2007. The public was told to keep symptomatic students from schools and was provided guidelines for preventing the spread of the disease at home.

Epidemiological characteristics of Taipei ’s outbreak were analyzed from 461 sampled AHC cases. Median time from exposure to onset of the disease was 1 day. This was significantly shorter for cases occurring in family clusters than in class clusters (mean + SD: 2.6 ± 3.2 vs. 4.39+4.82 days, p=0.03), as well as for cases occurring in larger family clusters as opposed to smaller ones (1.2±1.7 days vs. 3.9±4.0 days, p<0.01).

Taipei’s program had a significant impact on patient compliance. Home confinement of symptomatic children increased from 10% to 60% (p <0.05) and helped curb the spread of AHC. Taipei experienced a rapid decrease in AHC cases between the Friday of the SMS announcement and the following Monday, October 15, (0.70% vs. 0.36%). By October 26, AHC cases reduced to 0.01%. The success of this risk communication program in Taipei (as compared to Keelung) is further reflected through rapid improvements in three epidemic indicators: (1) significantly lower crude attack rates (1.95% vs. 14.92%, p<0.001), (2) a short epidemic period of AHC (13 vs. 34 days), and (3) a quick drop in risk level (1~2 weeks) in Taipei districts that border Keelung (the original domestic epicenter).

Conclusions and Significance

The timely launch of this systematic, communication-based intervention proved effective at preventing a dangerous spike in AHC and was able to bring this high-risk disease under control. We recommend that public health officials incorporate similar methods into existing guidelines for preventing pandemic influenza and other emerging infectious diseases.

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