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Infectious Disease Prevention and Control Capacity of Community Health Institutions in Beijing: Current Status and Recommendations for Problems

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Abstract
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Background: During the fight against the COVID-19 pandemic, Beijing's community health institutions showed some weaknesses in infectious disease prevention and control. To improve their capabilities in this aspect to fully play their role as a sentinel for monitoring infectious diseases, it is urgent to investigate and analyze their current status to find problems, then put forward recommendations. Objective: To investigate the infectious disease prevention and control level in Beijing's community health institutions, and identify and analyze the problems, with suggestions put forward. Methods: From May to July 2020, a questionnaire survey was conducted in all community health centers(CHCs) in Beijing. Information was collected, including the basic situation, departments, staff structure, infrastructure situation, the provision of public health services, and emergency response capacity for infectious diseases and public health emergencies of the CHC, and was analyzed using descriptive analysis. The above-mentioned data were checked and supplemented if necessary in accordance with the information in the China's National COVID-19 Surveillance Network and Beijing Community Health Statistics 2019. Results: Of the 342 CHCs in total in Beijing as of 2019, 90(26.32%) had a fever clinic, 102(29.82%) had a gastrointestinal clinic, and 54(15.79%) had both a fever clinic and a gastrointestinal clinic. Among the incumbent workers in the CHCs(n=28 809), 2 887(10.02%) held a position in public health, and 178(6.17%) had a senior professional title. HIV testing was carried out in 159 CHCs(46.49%). SARS-CoV-2 nucleic acid testing was accessible in 11 CHCs(3.22%). For 29 kinds of common infectious diseases, 140(40.94%) CHCs had no diagnosis and treatment capabilities, 135(39.47%) had capabilities managing 1-5 kinds, only 29(8.48%) were able to diagnose and treat >10 kinds. Conclusion: The CHCs in Beijing may have a series of problems in the infectious disease prevention and control system and mechanism, sentinel fever clinic, infectious disease diagnosis and treatment capacity, public health workforce development and other aspects. Therefore, the infectious disease prevention and control plan of the CHCs should be developed more appropriately from an overall point of view, to address the problems and improve the current status as soon as possible. Copyright © 2021 by the Chinese General Practice.

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Protection of the right to self-determination of personal information in the era of COVID-19
  • Jun 30, 2021
  • Korean Constitutional Law Association
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개인정보자기결정권은 헌법전에 명문으로 규정되지 않았음에도 불구하고 헌법해석에 의해 기본권으로 인정되는 기본권이다. 그리고 개인정보자기결정권이라는 기본권은 정보화시대에 정보주체의 사생활 보호 등 여러 보호영역과의 관련성을 갖는 중요한 기본권이다. 그런데 메르스 사태 이후 현재의 코로나19 상황에 이르기까지 감염병 예방과 전파방지의 과정 속에서 개인정보의 제한과 침해에 대한 숙고와 검토가 필요하다는 것이 자명해졌다. 왜냐하면 실제로 코로나 19에 대한 효과적 대응을 위한 정보공개 시스템 실행의 이면에는 확진환자 개인의 사생활이 여과 없이 공개되는 부작용 발생이 적지 않았기 때문이다. 이미 국가인권위원회도 확진자의 과도한 사생활 노출로 인한 인권침해가 발생하지 않도록 해야 한다고 권고한 바 있다. 이러한 상황에 대한 문제의식을 바탕으로 이 글에서는 개인의 민감정보 등 개인정보 공개와 관련한 개인정보 보호법과 감염병 예방법의 관련 규정들을 상관적으로 검토하였다. 특히 개인정보자기결정권과 관련하여 감염병 예방법상의 정보공개와 관련된 규정인 제34조의2 규정을 중심으로, 확진자의 내밀한 사생활을 보호할 수 있는 세부적이고 합리적인 공개기준의 정립 여부와 특히 위치정보 등의 공개로 인한 권리침해의 문제에 대해 살펴 보았다. 일반적인 개인정보와 구분되는 개인위치정보의 특성을 고려할 때 개인위치정보가 개인정보 보호법상의 민감정보에 해당될 수 있는가, 개인위치정보의 분류에 관하여 온라인행태정보유형으로 생존하는 개인에 관한 정보로써 개인정보 가명가공정보익명가공정보 중 어디에도 해당하지 않는 정보유형으로 새로이 “개인관련정보”를 입안하는 방안의 검토, 감염병 예방법상 개인위치정보를 비롯한 개인정보를 제공하고 공개함으로써 발생될 수 있는 권리침해에 관한 대책과 절차에 대해 검토하였다. 개인정보에 관련된 법제는 그 정보의 보호와 이용이 동시에 고려되어야 할 필요가 있다. 즉 개인정보 관련법제는 ‘개인정보의 유용성 배려’와 ‘개인의 권리이익 보호’의 균형을 맞추는 병존적 구조를 반영한 것이어야 할 것이다. 다만 양법익 간의 관계에 있어서는 ‘개인의 권리이익 보호’가 우선적으로 고려되는 것이어야만 함은 물론이다. 안전사회 추구로 인한 부작용을 간과해서는 안되는 것도, 개인정보의 유통으로 인한 비재산적 손해에 대한 배상책임을 고민해야 하는 것 도 이러한 헌법정신에 기인한다고 하겠다. 감염병 예방법의 새로운 수정이 시작되어야 한다.The right to self-determination of personal information is a basic right recognized as a basic right by constitutional interpretation, even though it was not prescribed in the Constitution. And this right is an important basic right that has relevance to various areas of protection, such as protection of the privacy of the information subject in the information age. However, from the MERS outbreak to the current COVID-19, it has become apparent that it is necessary to consider and review the restrictions and infringements of personal information in the process of preventing infectious diseases and preventing transmission. This is because, in fact, behind the implementation of the information disclosure system for effective response to COVID-19, there were not a few occurrences of side effects in which the personal life of confirmed patients was disclosed without filtering. The National Human Rights Commission of Korea has already recommended that human rights violations should not occur due to excessive exposure of the confirmed person s private life. Based on the awareness of the problem in this situation, in this article, the related regulations of the Personal Information Protection Act and the Infectious Disease Control and Prevention Act related to the disclosure of personal information, such as personal sensitive information, were reviewed correlatively. In particular, with respect to the right to self-determination of personal information, detailed and reasonable disclosure standards have been established to protect the confidential personal life of the confirmed person, with a focus on Article 34-2, which is a regulation related to the disclosure of information in the Infectious Disease Prevention Act, and, in particular, disclosure of location information, etc., I reviewed the problem of infringement of rights caused by. Considering the characteristics of personal location information that are distinguished from general personal information, can personal location information correspond to sensitive information of the Personal Information Protection Act?, review of a plan to devise a new “personal-related information” as an information type, review measures and procedures for rights infringement that may occur by providing and disclosing personal information including personal location information in the Infectious Disease Control and Prevention Act. Legal systems related to personal information need to consider the protection and use of the information at the same time. In other words, the legislation related to personal information should reflect the coexistence structure that balances “consideration of the usefulness of personal information” and “protection of individual rights and interests”. However, in the relationship between the two legal interests, ‘protection of individual rights and interests’ should be given priority. It can be said that this constitutional spirit should not overlook the side effects caused by the pursuit of a safe society and the need to consider liability for compensation for non-property damages caused by the distribution of personal information. A new modification of the Infectious Disease Control and Prevention Act must be initiated.

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Immune Response 2019: Peste des petits ruminants - Meta-analysis of the virus isolation in molecular epidemiologystudies and Several Viral Diseases - Samuel E. Mantip - National Veterinary Research Institute
  • Jan 1, 2019
  • Samuel Mantip

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  • Cite Count Icon 2
  • 10.46912/jeson.25
Knowledge and practice of preparedness for infectious disease prevention and control among healthcare workers in secondary health care facilities in Osogbo, Nigeria
  • Jul 18, 2020
  • Journal of Epidemiological Society of Nigeria
  • Wo Adebimpe + 2 more

Background: Health care workers have critical roles to play in breaking the chain of infections in health care settings. The outbreak of Lassa Fever and Ebola Virus Disease in the West African sub-region in recent times is a rationale for a dire need for a strong epidemic preparedness system. The objective of the study is to assess the knowledge and practice of preparedness for infectious disease prevention and control among healthcare workers in secondary health care facilities in Osogbo, Nigeria.Methods: It was a Descriptive cross sectional study and 340 healthcare workers were selected using a multistage sampling technique. Research instrument used were semi structured pre-tested interviewer-administered questionnaire. Data was analyzed using the SPSS software version 17 .0.Results: The mean age of the respondents was 42 + 8.9 years. Out of the 340 healthcare workers studied 88.7% had good knowledge, while 72% and 67% had favorable attitude and good practice towards preparedness for infectious disease prevention and control respectively. Three hundred and eight (90.6%) said they washed their hands regularly before and after procedures. Only 37.4% said they still recap used needles and 31.8% said they have Infectious Disease Prevention and Control committee in their health facility. One hundred and ninety eight (58.2%) said they normally practice quarantine for eligible suspected cases and 77.4% perceived themselves to be at occupational risk of contracting infectious diseases. Having more than ten years of working experience was the major predictor of likelihood to have good knowledge, attitude and practice of preparedness on binary logistic regression analysis.Conclusion: The gap between knowledge and practice of preparedness for Infectious Disease and prevention Control calls for improved awareness and training among health workers, and their consistent monitoring towards behavioural change.

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