背景:澳大利亚迅速制定了COVID-19检疫计划,以减少游客和返回旅客输入的新型病原体的不良后果。大流行期间使用了不同的隔离途径,然而,没有明确的队列地图存在,以指导未来的准备。我们创建了澳大利亚检疫队列的整个系统队列旅程图,以告知未来的大流行准备活动。
方法:从2019年至2023年,搜索了澳大利亚议会网站和Google的公开灰色文献。有关隔离队列的数据,大流行计划和文件,旅程活动,病毒逃逸事件,并提取检疫建议并绘制成全系统队列旅程图。
结果:系统绘图过程确定了COVID-19期间22次不同的隔离队列旅行,但在大流行和应急计划中很少提到这些队列。病毒逃逸事件被记录了27次,和COVID-19的审查和查询产生了282项针对检疫的建议。队列包括经历过回家的国际和国内旅行者,酒店,和设施隔离迭代。其他同伙,比如人道主义撤离,外交官,航空公司机组人员,社区密切接触者,和无家可归的人,有独特的检疫之旅。
结论:整个系统隔离队列图进一步推动了政府和政策制定者通过大流行演习更新大流行计划以包括22个已确定的队列和测试计划的情况。如果在未来的大流行应对措施中需要检疫系统,则应无罪释放询问的建议,以减少病毒逃逸的风险并加强国家准备。
BACKGROUND: Australia rapidly developed COVID-19 quarantine programs to reduce the adverse outcomes of a novel pathogen imported by visitors and returned travellers. Different quarantine pathways were utilised over the pandemic, yet no definitive cohort map exists to guide future preparedness. We created a whole-of-system cohort journey map of Australian quarantine cohorts to inform future pandemic preparedness activities.
METHODS: Australian parliamentary websites and Google were searched for publicly available grey literature from 2019 to 2023. Data about quarantine cohorts, pandemic plans and documents, journey activities, viral escape events, and quarantine
recommendations were extracted and plotted to produce a whole-of-system cohort journey map.
RESULTS: The system mapping process identified 22 distinct quarantine cohort journeys during COVID-19, yet few of the cohorts were mentioned in pandemic and emergency plans. Viral escape events were documented 27 times, and COVID-19 reviews and inquiries produced 282 quarantine-specific
recommendations. Cohorts included international and domestic travellers who experienced home, hotel, and facility quarantine iterations. Other cohorts, such as humanitarian evacuations, diplomats, airline crews, community close contacts, and people experiencing homelessness, had distinctive quarantine journeys.
CONCLUSIONS: This whole-of-system quarantine cohort map furthers the case for governments and policymakers to update pandemic plans to include the 22 identified cohorts and test plans through pandemic exercises.
Recommendations from inquiries should be acquitted to reduce the risk of viral escape and to strengthen national preparedness if quarantine systems are required in future pandemic responses.