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    Please use this identifier to cite or link to this item: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/54114

    Title: H1N1新型流感防疫系統危機管理之研究 : 以臺北市為例
    Other Titles: The crisis management of influenza a (H1N1) : a case study of Taipei city
    Authors: 洪淑珍;Hung, Shu-Chen
    Contributors: 淡江大學公共行政學系公共政策碩士在職專班
    Keywords: H1N1新型流感;危機管理;管理機制;Influenza A (H1N1);crisis management;mechanism of crisis management
    Date: 2011
    Issue Date: 2011-06-16 22:01:59 (UTC+8)
    Abstract: 2009年流感大流行(H1N1)始於3月下旬墨西哥,病毒迅速在人與人之間傳播,至當年6月11日全球已逾75個國家出現疫情,確定病例達2萬餘例。WHO同時將流感流行疫情等級提升至第六級,宣布2009年流感大流行開始。因應全球H1N1新型流感大流行,臺北市啟動「因應流感大流行準備計畫」,為瞭解臺北市H1N1新型流感危機管理機制及其防疫系統在處理H1N1新型流感危機管理出現之問題。本研究以資訊、防疫機制、人力資源及危機領導為探討面向,為改善臺北市H1N1新型流感危機管理機制提出建議。
    The pandemic (H1N1) 2009 was discovered in Mexico in late March; the virus has spread rapidly from human to human. As of June 11, 2009, more than 75 countries worldwide reported flu outbreak events and more than 20,000 confirmed cases were found. Meanwhile, WHO raised the flu pandemic phase to 6 and announced the outbreak of the 2009 flu pandemic. Due to the pandemic(H1N1) worldwide, Taipei City Government started the “Strategic flu pandemic preparedness plan” in order to understand problems derived from the crisis management strategy and the epidemic prevention system of the influenza A(H1N1) in Taipei City. The current study discussed from the aspects of information, epidemic prevention strategy, human resource and crisis guidance, so that suggestions for improving the current crisis management of influenza A(H1N1) in Taipei City can be provided.
    The methods used in this study included literature review and in-depth interviews. Through literature review, the framework of the study was established; through in-depth interviews, problems and solutions on facing influenza A(H1N1) pandemic in Taipei City were discussed. To conclude, suggestions were provided.
    The study found that from the aspect of information: the epidemic prevention information system and the disaster prevention and response system in Taipei City were awaiting an integration procedure. From the aspect of epidemic prevention strategy: influenza A(H1N1) crisis management and disaster prevention organization were focused on typhoon events; usually, there was a pack of lateral communication strategy. In a disaster event, the lateral communication channel based on EOC and the influenza A(H1N1) prevention strategy SOP were waiting to be established. From the aspect of human resources: there was a lack of public assistance on the epidemic prevention human resource; the epidemiologists were unstable, and the manpower support across the departments was difficult. General training on epidemic prevention was insufficient; thus, it was difficult to source temporary support which was required in a disaster event. The disaster prevention exercises were focused on typhoon and flood events, which were not suitable for pandemic disaster events. Also, the authoritative human resource for the related tasks was insufficient, which led to a hydra-headed situation on commands and directions. From the aspect of crisis guidance: a disaster prevention system was based on a hierarchy framework, but the crisis guidance for pandemic disasters should be different from the one for typhoon disasters. The study results and findings provide the following suggestions: (1) establish a Taipei City infectious diseases prevention website and establish an epidemic prevention and strategy analysis system, using information technology to support experience deficiency of workers; (2) set up a response plan and the related SOP, and routinely revise and review them after a disaster event; (3) reorganize the epidemiologists, include public health workers in the community epidemic prevention team, combine the community organizations and establish community epidemic prevention teams; (4) reposition the roles of the authoritative organization for pandemic disasters. The above suggestions can be references for future pandemic disaster crisis and response.
    Appears in Collections:[Graduate Institute & Department of Public Administration] Thesis

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