[Structures and concepts for nationwide outbreak management in a federal state].
Identifieur interne : 000191 ( Main/Exploration ); précédent : 000190; suivant : 000192[Structures and concepts for nationwide outbreak management in a federal state].
Auteurs : J. Leidel [Allemagne] ; F. FeilSource :
- Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz [ 1437-1588 ] ; 2013.
Descripteurs français
- KwdFr :
- Allemagne (épidémiologie), Contrôle des maladies transmissibles (méthodes), Contrôle des maladies transmissibles (organisation et administration), Déclaration obligatoire (MeSH), Gouvernement fédéral (MeSH), Humains (MeSH), Modèles d'organisation (MeSH), Notification des maladies (méthodes), Notification des maladies (statistiques et données numériques), Politique de santé (MeSH), Épidémies de maladies (prévention et contrôle).
- MESH :
- méthodes : Contrôle des maladies transmissibles, Notification des maladies.
- organisation et administration : Contrôle des maladies transmissibles.
- prévention et contrôle : Épidémies de maladies.
- statistiques et données numériques : Notification des maladies.
- épidémiologie : Allemagne.
- Déclaration obligatoire, Gouvernement fédéral, Humains, Modèles d'organisation, Politique de santé.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Communicable Disease Control (methods), Communicable Disease Control (organization & administration), Disease Notification (methods), Disease Notification (statistics & numerical data), Disease Outbreaks (prevention & control), Federal Government (MeSH), Germany (epidemiology), Health Policy (MeSH), Humans (MeSH), Mandatory Reporting (MeSH), Models, Organizational (MeSH).
- MESH :
- geographic , epidemiology : Germany.
- methods : Communicable Disease Control, Disease Notification.
- organization & administration : Communicable Disease Control.
- prevention & control : Disease Outbreaks.
- statistics & numerical data : Disease Notification.
- Federal Government, Health Policy, Humans, Mandatory Reporting, Models, Organizational.
Abstract
With pandemic influenza in 2009/2010 and an EHEC outbreak in 2011, the Federal Republic of Germany experienced two extensive outbreaks in the course of only 3 years. Although both infectiological crises were comparatively successfully coped with, certain aspects have been critically examined. One point of criticism has been the presumption that federal structures may not be well suited for the management of a nationwide outbreak. This has been linked to the request for a central authority with responsibility. In fact, centralized as well as federal structures have advantages and disadvantages during infectiological crises. However, the "first response," i.e., immediate action against the spreading of infectious diseases, has to take place locally anyway. Regional differences, even in the context of a nationwide outbreak, might well demand regional action. After all, the federal structure of the Republic of Germany is deliberately firmly rooted in the German constitution, and there are no indications that this may change in the near future. Suitable concepts and structures should be used so as to benefit from the advantages and avoid the disadvantages of a federal state. The current structures are described, and improvements that may be necessary are discussed. The existing structures are shown to be entirely appropriate in allowing necessary decisions to be made and a fast transmission of information even in a federal state. Occasional shortcomings are seen as mainly due to the inadequate implementation of already existing regulations and partly to the ambition of a few spotlight seekers rather than to actual inadequacies of existing federal structures.
DOI: 10.1007/s00103-012-1578-0
PubMed: 23275961
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Although both infectiological crises were comparatively successfully coped with, certain aspects have been critically examined. One point of criticism has been the presumption that federal structures may not be well suited for the management of a nationwide outbreak. This has been linked to the request for a central authority with responsibility. In fact, centralized as well as federal structures have advantages and disadvantages during infectiological crises. However, the "first response," i.e., immediate action against the spreading of infectious diseases, has to take place locally anyway. Regional differences, even in the context of a nationwide outbreak, might well demand regional action. After all, the federal structure of the Republic of Germany is deliberately firmly rooted in the German constitution, and there are no indications that this may change in the near future. Suitable concepts and structures should be used so as to benefit from the advantages and avoid the disadvantages of a federal state. The current structures are described, and improvements that may be necessary are discussed. The existing structures are shown to be entirely appropriate in allowing necessary decisions to be made and a fast transmission of information even in a federal state. 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Feil</name></noCountry><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Leidel, J" sort="Leidel, J" uniqKey="Leidel J" first="J" last="Leidel">J. Leidel</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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