Yen-Jen Sung, MD PhD Commissioner, Department of Health, Taipei City Government Infectious Disease: Prevention Strategies & Emergency Response Procedures

Table of Contents 1.Department Organizational Structure 2.Taiwan Area Notifiable Disease Statistics 3.Report: Taipei City SARS Epidemic of Response: Strategies to Counter SARS 5.Infectious Disease: Individual Case Reporting & Disease Surveillance Systems 6.Taipei City’s Emergency/Disaster Response Systems 7.New & Emerging Infectious Disease Prevention 8.Enterovirus & Related Disease Prevention 9.Tuberculosis Prevention 10.HIV/AIDS Prevention 11.Future Disease Prevention Strategies & Promotion

Taipei City Government Division for Disease Control and Prevention Food and Drug Division Medical Affairs Division Health Promotion Division Research and Planning Division Laboratory System Administration Office Statistics Office Administrative Services Accounting Office Personnel Office Government Ethics Office Taipei City Hospital Zhongxing Branch Renai Branch Heping Branch Yangming Branch Zhongxiao Branch Branch for Chinese Medicine Songde Branch Branch for Disease Control and Prevention Branch for Women and Children Taipei Municipal Guandu Hospital 12 District Health Centers Taipei Municipal Wanfang Hospital Department of Health of Taipei City Government

Taiwan Area Notifiable Disease Statistics Total Case Statistics for 2004(Legally Defined Notifiable Diseases) Region NationalTaipei Disease Tuberculosis HIV Infection Scarlet Fever Dengue Fever42012 AIDS26041 Bacillary Dysentery14622 Legionnaires' Disease10518 Enterovirus(severe case) Associated Symptoms494 Typhoid377 Encephalitis B.320 Amoebic Dysentery3110 Pertussis213 Influenza(severe case)194 Malaria185 Dengue hemorrhagic fever70

Report: Taipei City SARS Epidemic of 2003 The first case of SARS in Taiwan-Area: A Mainland China-based Taiwanese businessman surnamed Chin and his wife were the first cases of both overseas & local infection, as reported locally on March 14, March 14-August 2003 Taipei City-area Hospitals & clinics reported 1539 cases, 157 of which were Taipei City residents Taiwan was removed from the travel alert list announced by WHO on June, 17 th, On July 15, 2003, Taiwan was removed from the epidemic region list

Residential quarantine 26,942 grade A quarantined persons (those with direct contact with potential SARS patients) 13,358 grade B quarantined persons (those returning from epidemic regions) Of all people placed under quarantine, 12 (approximately 0.030%) were diagnosed as potential or suspected SARS cases. Report: Taipei City SARS Epidemic of 2003

Response: Strategies to Counter SARS 1.Organization overhaul Establish Division for Disease Control and Prevention and on-site Infectious Disease Research Center 2.Improved Noscomial Infection Control Fever screening stations for all incoming patients Launch training and education of hospital staff Improve prevention noscomial infection Create protective inventory system to allow tracking and distribution of life- critical equipment Implement preliminary Total Care-based nursing care system 3.Disease Surveillance & Reporting Establish mutual reporting/sharing of Notifiable Disease Surveillance data Establish mobile community-based infectious disease teams Partner with central government to establish disease control measures