Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
권호 표지
DOI QR코드

DOI QR Code

Improvement of Epidemiology Intelligence Service Officer Program for Preparedness and Response against Future Health Issues Included Communicable and Non-communicable Diseases in Korea

미래 보건문제 발생에 대응·대비를 위한 역학조사관제도 개선방안

  • Lee, Moo-Sik (Department of Preventive Medicine, Konyang University College of Medicine)
  • 이무식 (건양대학교 의과대학 예방의학교실)
  • Received : 2018.07.09
  • Accepted : 2018.07.19
  • Published : 2018.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

The development and management of epidemiology intelligence service (EIS) officer with more specialized competence to cope with and prepare for health threats, including pandemic of emerging and re-emerging infectious diseases, is a high priority policy issue in Korea. First of all, we need to establish the training goal of EIS officer. It is necessary to establish manpower training and management system with at least three tiers including quantitative and qualitative targets. Second, at least 50% of all EIS officer must secure a physician and secure expertise and competence for epidemic. Third, for the ultimate purpose of EIS officer, the establishment of a public health expert should expand the scope of epidemiologist's work to health and medical care, occupational environment, and various disasters. Fourth, it is essential to expand the epidemiologist training and education program to the level of advanced countries. Especially, the training course should be expanded at least twice of current times. Fifth, it is necessary to independently install and operate the 'EIS Officer Training Center' as a mid- and long-term goal. Stewardship and governance are secured with the organization, personnel, etc. that can fully manage the planning, management, and evaluation of the EIS system. In the future, it will be necessary to establish a systematic and phased operational base of education and training programs for EIS officer, and establish a sustainable implementation system for strategy development. In addition, it is urgent to revise the guidelines for training public health professionals and strengthening competencies, and for establishing professional educational institutions.

Keywords

References

  1. World Health Organization. Influenza at the human-animal interface: summary and assessment [Internet]. Geneva: World Health Organization; 2017 [cited 2017 Oct 28]. Available from: http://www.who.int/infu-enza/human_animal_interface/Influenza_Summary_IRA_HA_inter-face_09_27_2017.pdf?ua=1.
  2. Kile JC, Ren R, Liu L, Greene CM, Roguski K, Iuliano AD, et al. Update: increase in human infections with novel Asian lineage avian infuenza A (H7N9) viruses during the fifth epidemic: China, October 1, 2016-August 7, 2017. MMWR Morb Mortal Wkly Rep 2017;66(35):928-932. DOI: https://doi.org/10.15585/mmwr.mm6635a2.
  3. DuPont HL. Emerging infectious diseases, animals, and future epidemics. Tex Med 2017;113(2):31-36.
  4. Korea Centers for Disease Control and Prevention. Guideline for control and management of communicable diseases. Cheongju: Korea Centers for Disease Control and Prevention; 2015.
  5. Lee MS, Kim EY, Lee SW. Experience of 16 years and its associated challenges in the feld epidemiology training program in Korea. Epidemiol Health 2017;39:e2017058. DOI: https://doi.org/10.4178/epih.e2017058.
  6. Tak S. Introduction to applied epidemiologists in US governmental public health agencies. Cheongju: Korea Centers for Disease Control and Prevention, Konyang Universty; 2015.
  7. Council of State and Territorial Epidemiologists. 2004 National assessment of epidemiologic capacity: findings and recommendations. Atlanta (GA): Council of State and Territorial Epidemiologists; 2004.
  8. Kim BK. Increase the number of epidemiologists and strengthen authority: will they prevent a second MERS? Yonhapnews [Internet]. 2015 Jul 26 [cited 2017 Oct 28]. Available from: http://www.yonhapnews.co.kr/bulletin/2015/06/26/0200000000AKR20150626073000017.HTML?from=search.
  9. Tacker SB, Dannenberg AL, Hamilton DH. Epidemic intelligence service of the Centers for Disease Control and Prevention: 50 years of training and service in applied epidemiology. Am J Epidemiol 2001;154(11): 985-992. DOI: https://doi.org/10.1093/aje/154.11.985.
  10. Han HW, Go WY, Lee HJ, Kim SS, Kim DG, Bang JH, et al. Development of textbook for the FEPT practice. Rep Natl Inst Health 2002;39:27-41.
  11. Lee MS. Final report for Korea field epidemiology training program, 2014. Daejeon: Konyang University; 2015.
  12. Park NR, Jeong IS, Lee JG, Kim YT, Chun JH, Kim KS, et al. Evaluation of feld epidemiology specialist training program based on the satisfaction and the changes of educational needs. J Prev Med Public Health 2004;37(1):80-87.
  13. Dongkuk University. Development of educational course and training manual for field epidemiologist training program during 2011-2015. Cheongju: Korea Centers for Disease Control and Prevention; 2011.
  14. Lee MS, Lee K, Park JH, Hong JY, Jang MY, Jeon BH, et al. The direction of restructuring of a Korea feld epidemiology training program through questionnaire survey among communicable disease response staf in Korea. Epidemiol Health 2017;39:e2017032. DOI: https://doi.org/10.4178/epih.e2017032.
  15. Lopez A, Caceres VM. Central America Field Epidemiology Training Program (CA FETP): A pathway to sustainable public health capacity development. Hum Resour Health 2008;6:27. DOI: https://doi.org/10.1186/1478- 4491-6-27.
  16. Boulton ML, Lemmings J, Beck AJ. Assessment of epidemiology capacity in state health departments, 2001-2006. J Public Health Manag Pract 2009; 15(4):328-336. DOI: https://doi.org/10.1097/PHH.0b013e3181a01eb3.
  17. Schneider D, Evering-Watley M, Walke H, Bloland PB. Training the global public health workforce through applied epidemiology training programs: CDC's experience, 1951-2011. Public Health Rev 2011;33(1):190- 203. DOI: https://doi.org/10.1007/bf03391627.
  18. Nguku P, Oyemakinde A, Sabitu K, Olayinka A, Ajayi I, Fawole O, et al. Training and service in public health, Nigeria Field Epidemiology and Laboratory Training, 2008-2014. Pan Afr Med J 2014;18 Suppl 1:2. DOI: https://doi.org/10.11694/pamj.supp.2014.18.1.4930.
  19. Becker KM, Ohuabunwo C, Ndjakani Y, Nguku P, Nsubuga P, Mukanga D, et al. Field Epidemiology and Laboratory Training Programs in West Africa as a model for sustainable partnerships in animal and human health. J Am Vet Med Assoc 2012;241(5):572-579. DOI: https://doi.org/10.2460/ javma.241.5.572.
  20. Dooyema CA, Neri A, Lo YC, Durant J, Dargan PI, Swarthout T, et al. Out-break of fatal childhood lead poisoning related to artisanal gold mining in northwestern Nigeria, 2010. Environ Health Perspect 2012;120(4):601-607. DOI: https://doi.org/10.1289/ehp.1103965.
  21. Abubakar AA, Sambo MN, Idris SH, Sabitu K, Nguku P. Assessment of integrated disease surveillance and response strategy implementation in selected local government areas of Kaduna state. Ann Niger Med 2013; 7(1):14-19. DOI: https://doi.org/10.4103/0331-3131.119981.