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Community-Based Outbreak Investigation And Response: Enhancing Preparedness, Public Health Capacity, And Equity.
Oza, Shefali; Chen, Flavia; Selser, Victoria; Clougherty, Marguerite M; Dale, Kristi Dews; Iberg Johnson, Jenna; Brock-Fisher, Taylor; Seung, K J; Bourdeaux, Margaret.
  • Oza S; Shefali Oza (shefali@alum.mit.edu), Harvard University, Boston, Massachusetts.
  • Chen F; Flavia Chen, Harvard University.
  • Selser V; Victoria Selser, City of Fitchburg, Fitchburg, Massachusetts.
  • Clougherty MM; Marguerite M. Clougherty, Partners In Health, Boston, Massachusetts.
  • Dale KD; Kristi Dews Dale, Community Care of North Carolina, Cary, North Carolina.
  • Iberg Johnson J; Jenna Iberg Johnson, Louisiana Department of Health, New Orleans, Louisiana.
  • Brock-Fisher T; Taylor Brock-Fisher, Eli and Edythe L. Broad Institute of MIT and Harvard, Cambridge, Massachusetts.
  • Seung KJ; K. J. Seung, Partners In Health.
  • Bourdeaux M; Margaret Bourdeaux, Harvard University and Brigham and Women's Hospital, Boston, Massachusetts.
Health Aff (Millwood) ; 42(3): 349-356, 2023 03.
Article in English | MEDLINE | ID: covidwho-2275239
ABSTRACT
Throughout the COVID-19 pandemic, the US has struggled with many aspects of the public health response, from determining where transmission is occurring to building trust with communities and implementing interventions. Three factors have contributed to these challenges insufficient local public health capacity, siloed interventions, and underuse of a cluster-based approach to outbreak response. In this article we introduce Community-based Outbreak Investigation and Response (COIR), a local public health strategy developed during the COVID-19 pandemic that addresses these shortcomings. COIR can help local public health entities conduct disease surveillance more effectively, take a more proactive and efficient approach to mitigating transmission, coordinate response efforts, build community trust, and advance equity. We offer a practitioner's lens, informed through on-the-ground experience and engagement with policy makers, to highlight the financing, workforce, data system, and information-sharing policy changes needed to scale up COIR throughout the country. COIR can enable the US public health system to develop effective solutions to many of today's public health challenges and improve the nation's preparedness for public health crises in the years to come.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health / COVID-19 Type of study: Observational study Limits: Humans Language: English Journal: Health Aff (Millwood) Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health / COVID-19 Type of study: Observational study Limits: Humans Language: English Journal: Health Aff (Millwood) Year: 2023 Document Type: Article