Act fast, stop COVID: The successful implementation of the first decentralised Victorian COVID-19 contact tracing and monitoring unit

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Australian and New Zealand Journal of Public Health Pub Date : 2024-09-10 DOI:10.1016/j.anzjph.2024.100186

Bridgette J. McNamara , Jessica McDonald , Kelvin Heard , N. Deborah Friedman , Frances Diver , Eugene Athan , Amanda J. Wade , Fiona Brennan , Melissa Warburton , Caroline Bartolo , Callum Maggs , Nicole Miller , Megan Smith , John Stenos , Daniel P. O’Brien

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引用次数: 0

Abstract

Objectives

To describe the operational model, epidemiology and outcomes of COVID-19 cases managed by the first decentralised Victorian Public Health Unit (PHU) in the Barwon South-West (BSW) region in 2020.

Methods

The Barwon Health team used a clinician-led, locally-based interprofessional model of care, combining clinical care and monitoring, contact tracing and public health measures.

Results

From 7th March to 5th October 2020, 575 confirmed COVID-19 cases (82 in Wave 1; 493 in Wave 2) were identified in residents of the BSW region. Overall, 4.7% were admitted to local hospitals (0.7% to intensive care units) and 1.7% died. COVID-19 incidence in the region was 129 cases/100,000. Wave 2 in the region featured community transmission in high-risk settings and among culturally and linguistically diverse and mobile populations. Within 3 months of the initial local case in Wave 2, SARS-COV-2 was eliminated from the community.

Conclusions

A local interprofessional model of care was key to the containment of community transmission and complex outbreaks with the elimination of COVID-19 in the community.

Implications for Public Health

Key successes and learnings from the BSW PHU contributed to the improvement of statewide systems and responses and provided an impetus for the implementation of a decentralised public health model for Victoria.

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快速行动，制止 COVID：维多利亚州首个分散式 COVID-19 接触者追踪和监测单位的成功实施

目标描述 2020 年巴原西南（BSW）地区首个分散式维多利亚州公共卫生单位（PHU）管理的 COVID-19 病例的运作模式、流行病学和结果。方法巴原卫生团队采用临床医生主导的本地跨专业护理模式，将临床护理和监测、接触者追踪和公共卫生措施结合起来。总体而言，4.7%的患者入住当地医院（0.7%入住重症监护室），1.7%的患者死亡。该地区 COVID-19 的发病率为 129 例/100,000 人。该地区第二波的特点是在高风险环境、文化和语言多样性以及流动人口中的社区传播。结论本地跨专业护理模式是遏制社区传播和复杂疫情的关键，并在社区消除了 COVID-19。对公共卫生的启示 BSW 公共卫生单位的主要成功经验和教训有助于改善全州的系统和应对措施，并为维多利亚州实施分散的公共卫生模式提供了动力。

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.