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Abstract：
Objectives. To describe the implementation of a novel disease surveillance model in Puerto Rico, the Municipal Case Investigation and Contact Tracing System for COVID-19, established during the pandemic as the primary response. Methods. We analyzed data from July 2020 to June 2021, including all COVID-19 cases reported by public and private laboratories in Puerto Rico to describe the accomplishments and limitations of the surveillance. Results. During the first year, the system was successfully implemented in all Puerto Rican municipalities, collecting data on more than 132 000 confirmed COVID-19 cases. It improved case investigation coverage, reduced laboratory reporting times, and facilitated community engagement for ongoing response enhancements. Conclusions. Surveillance systems of this scale were new to Puerto Rico\'s Health System, and there was a steep learning and improvement curve. This approach enabled tailored health education, equitable distribution of testing and treatments, and surveillance by educational institutions. Public Health Implications. Near-real-time epidemiological data publication promoted trust, education, and evidence-based policymaking. (Am J Public Health. 2024;114(S1):S96-S102. https://doi.org/10.2105/AJPH.2023.307493).
摘要：
Objectives.为了描述波多黎各新型疾病监测模式的实施，在大流行期间建立的市政COVID-19病例调查和接触追踪系统，作为主要应对措施。方法。我们分析了2020年7月至2021年6月的数据，包括波多黎各公共和私人实验室报告的所有COVID-19病例，以描述监测的成就和局限性。结果。在第一年,该系统在波多黎各的所有城市都成功实施，收集超过132000例确诊COVID-19病例的数据。它提高了案件调查的覆盖面，减少实验室报告时间，并促进社区参与持续的响应增强。Conclusions.这种规模的监测系统对波多黎各的卫生系统来说是新的，有一个陡峭的学习和改进曲线。这种方法实现了量身定制的健康教育，测试和治疗的公平分配，和教育机构的监视。公共卫生影响。近实时的流行病学数据发布促进了信任，教育,和循证决策。（AmJ公共卫生。2024;114(S1):S96-S102。https://doi.org/10.2105/AJPH.2023.307493)。
