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부대건강보호 및 공중보건위기대응을 위한 생물감시체계 소개 및 발전방안
이철우 ( Lee Chulwoo ),윤문수 ( Yoon Moonsoo ),윤창교 ( Yoon Changgyo ),이수진 ( Lee Su-jin ),서지원 ( Seo Ji-weon ),안종성 ( Ahn Jongseong ),탁상우 ( Tak Sangwoo ) 국군의무사령부 2014 대한군진의학학술지 Vol.45 No.1
Biological events or any accidents related to CBRN (Chemical, Biological, Radiation and Nuclear) materials remains a great threat to the safety of the public as well as armed forces in the Republic of Korea. The H1N1 influenza pandemic in 2009 and the recent Ebola outbreak clearly demonstrate that the emerging infectious disease can cross borders and bring public health emergency to any part of the world. The current need for biosurveillance, defined as the process of collecting, integrating, interpreting, and communicating essential information related to all-hazards threats or disease activity, is greater than ever. National effort to enhance disease surveillance is mainly led by Korea Center for Disease Control and Prevention (KCDC). KCDC operates Notifiable Disease Reporting System as well as Emergency Room Syndromic Surveillance System and Infectious Disease Specialist Network. As a part of international biosurveillance effort, Republic of Korea (ROK) Ministry of National Defense has made a project agreement with United States (US) Department of Defense Joint Program Executive Office for Chemical and Biological Defense (JPEO-CBD) to develop Biosurveillance Portal that can provide a set of tools and capabilities to facilitate timely identification and detection of biological events to minimize operational impacts to ROK-US Forces in Korean peninsula. As a part of this project, Armed Forces Medical Command (AFMC) undertook the initiative to construct the Military Active Real-time Syndromic Surveillance (MARSS) system. A few examples of the global effort for biosurveillance system includes:1) Biosense 2.0 by Center for Disease Control and Prevention to provide local, state and federal governments a timely regional and national picture of trends in disease syndromes and situation awareness, 2) BioCaster by Japan, and 3) Health Emergency & Disease Information System (HEDIS) by European Union. In the threat of all potential hazards, well-integrated national biosurveillance system can provide decision makers at all level with critical and essential information. In order to achieve an integrated biosurveillance system, active participation across governmental agencies and unified support from public health infrastructures and human resources are utmost important.
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이철우 ( Rhee Chulwoo ),탁상우 ( Tak Sangwoo ),강인순 ( Kang Insoon ),엄유식 ( Eom Yu Sik ),이수진 ( Lee Su-jin ),윤창교 ( Yoon Changgyo ) 국군의무사령부 2015 대한군진의학학술지 Vol.46 No.1
Recent emerging infectious disease outbreaks at an unprecedented frequency have demonstrated their potential threats to Armed Forces in Republic of Korea. Beyond the pandemics and other emerging infectious disease, bioterrorism also remains as an enduring threat to the safety of military personnels. In order to better our force protection and early response to all hazards, Armed Forces Medical Command under Ministry of National Defense needs to expand their role in disease surveillance. Domestic approaches to enhance disease surveillance is mainly led by Korean Center for Disease Control and Prevention (KCDC). KCDC operates Notifiable Disease Reporting System as well as Emergency Room Syndromic Surveillance System and Infectious Disease Specialist Network. Armed Forces Medical Command also operates similar disease surveillance system as well. However periodic evaluation and methods for dissemination invites further improvements within military surveillance environment. By taking advantages of the current military information technologies and public health infrastructure as well as leveraging other civilian efforts, Armed Forces Medical Command can optimize their disease surveillance capabilities. Through these effort, public health preparedness and response of military will be greatly improved.
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