埃博拉病毒病的医院应对准备：菲律宾培训课程

(1)

a 㧆ᕟᆒ⛁ᏺएᄺⷨお᠔ˈ㧆ᕟᆒAlabangǄ

b Ϫ⬠ि⫳㒘㒛㧆ᕟᆒҷ㸼໘ˈ㧆ᕟᆒˈ偀ሐᢝǄ

c ि⫳䚼೑ᆊ⮒⮙乘䰆᥻ࠊЁᖗˈ㧆ᕟᆒˈ偀ሐᢝǄ

d 㑺㗄䳡᱂䞥ᮃए䰶ˈ⌕㸠⮙Ϣᛳᶧ᥻ࠊ䚼ˈ㕢೑ˈ偀䞠݄ᎲᏈᇨⱘᨽǄ

e 乒䯂ˈࡴᣓ໻ˈ偀ሐᠬᏈ⏽ሐԽḐǄ

f ⛁ᏺعᒋ㾷އᮍḜӕϮ᳝䰤݀ৌˈ▇໻߽Ѯˈ∸ᮃ㓈ᇨǄ

g 䁍ྚᮃᑧܟ໻ᄺ݀݅ि⫳ᄺ䰶ˈएᄺ੠ݑए᳡ࡵ㋏ˈ▇໻߽Ѯˈ∸ᮃ㓈ᇨǄ

2 014ᑈ8᳜8᮹ˈϪ⬠ि⫳㒘㒛ᅷᏗ㽓䴲඗मᢝ⮙

↦⮙ᲈথᵘ៤೑䰙݇⊼ⱘさথ݀݅ि⫳џӊ

^[1]

Ǆ

޴ ݙ Ѯ ǃ ߽ ↨ 䞠 Ѯ ੠ า ᢝ ߽ ᯖ ϝ ೑ ߎ ⦄ ᣕ 㓁

⭿ ᚙ Ӵ ᪁ ˈ 㾘 ῵ ぎ ࠡ ˈ 㗠偀䞠 ǃ ሐ ᮹ ߽ Ѯ ǃ 㽓 ⧁

⠭ ੠ 㕢 ೑ г ೼ ᔧ ഄ থ ⫳ њ Ѡ ҷ ⭿ ᚙ Ǆ 㽓䴲 ⭿ ᚙ ϝ

೑ ⱘ ⮙ ՟ ⅏ ѵ ⥛ 催 ˈ Ԛ ϡ ৠ Ҏ 㕸 ⿡ ᳝ Ꮒ ᓖ ˖ ៾ 㟇 2014ᑈ12᳜24᮹ˈ㌃䅵⮙՟⮙⅏⥛㑺Ў70%˄ḍ᥂

᳝ᯢ⹂⮒⮙㒧ሔⱘⱏ䆄᭄᥂˅ˈԣ䰶⮙՟ⱘ⮙⅏⥛Ў 58a60%ˈएࡵҎਬⱘ⮙⅏⥛Ў55%˄359/649˅

^[2]

Ǆ བᵰᇚ޴ݙѮǃ߽↨䞠Ѯ੠าᢝ߽ᯖⱘ᠔᳝⭥Ԑ⮙՟

੠⹂䆞⮙՟㒇ܹ㒳䅵ˈ߭㌃䅵⮙⅏⥛Ў39%˄7574/

19 463˅ˈԚ݊Ё㟇ᇥ䍙䖛2000ৡ⮙՟ⱘ㒧ሔϡᯢ

⹂ˈ಴ℸ⮙⅏⥛᳝ৃ㛑㹿ԢԄ

^[2]

Ǆ㽓䴲඗मᢝ⮙↦⮙

ᲈথ⭿ᚙᰃḍ᥂೑䰙ि⫳ᴵ՟˄IHRˈ2005˅ᅷᏗ ⱘ㄀ϝ䍋೑䰙݇⊼ⱘさথ݀݅ि⫳џӊǄ೑䰙ि⫳ᴵ

՟ᰃᣛᇐ੠㾘㣗㓨㑺೑㸠ࡼǃֱᡸ೑䰙⼒Ӯⱘ݀݅

ि⫳ᅝܼǃ䰆ℶ೑䰙䯈さথџӊᕅડⱘ⊩ᕟᗻḚᶊ᭛

ӊ

^[3]

Ǆ݊Ḍᖗᰃ৘೑᳝䋷ӏ੠Нࡵᴹᓎゟǃࡴᔎ੠㓈 ᣕ݀݅ि⫳ⲥ⌟Ϣᑨᇍ㛑࡯ˈ೼থ⫳೑䰙݇⊼ⱘさথ

݀݅ि⫳џӊᯊˈঞᯊথ⦄ǃ䆘Ԅǃ䗮᡹ǃ᡹ਞ੠໘

ˈ

Albert D Anduyon

^a

ˈPetra Buttner

^f

੠Rick Speare

^fg

䗮䆃԰㗙˖Rick Speare (䚂ㆅ˖[email protected])Ǆ

㽓䴲඗मᢝ⭿ᚙᇍܼ⧗ि⫳ᵘ៤Ϲ䞡࿕㚕ˈ೼㘨 ড়೑ᅝ⧚Ӯᬃᣕϟˈ㘨ড়೑໻Ӯ佪⃵ህ݀݅ि⫳џӊ ៤ゟњ㘨ড়೑඗मᢝᑨᗹ⡍⌒ಶ

^[4]

Ǆ

2013 ᑈˈ㧆ᕟᆒ݅ℷᓣ⊼ݠ᳝ 229.5 ϛ⍋໪ࡵᎹ Ҏਬ

^[5]

ˈ㑺 1700 ৡᎺে˄ <1% ˅⊼ݠ೼䴲⌆Ꮉ԰Ǆ Ԛ᥂ 2012 ᑈ㧆ᕟᆒҎ⍋໪ྨਬӮⱘԄ䅵ˈ೼⍋໪䭓ᳳ

៪ЈᯊᎹ԰ⱘ㧆ᕟᆒҎ᭄䖒 1046 ϛҎ

^[6]

Ǆ݊Ёˈ೼޴

ݙѮǃ߽↨䞠Ѯ੠าᢝ߽ᯖㄝ⭿ᚙϝ೑ⱘᎹ԰Ҏ᭄䖒 1212 Ҏ

^[6]

Ǆ㗠ḍ᥂Ӵ㒳ˈ䖭ѯ⍋໪ࡵᎹҎਬ೼↣ᑈⱘ

೷䆲㡖؛ᳳӮ䖨ಲ㧆ᕟᆒ᥶҆䆓ট

^[7]

Ǆ

㧆ᕟᆒि⫳䚼䖥ᑈᴹ㒣ग़њ᭄⃵⮒⮙ᲈথˈ೼⿃

㌃㒣偠ⱘ෎⸔Ϟϡᮁᦤछ೑ݙⱘ⮒⮙ⲥ⌟㋏㒳ˈ᳝ᬜ ᑨᇍњ䕧ܹᗻᮄথӴᶧ⮙੠ݡথӴᶧ⮙

^[8–10]

Ǆ

㗗㰥ࠄ඗मᢝ⮙↦ܼ⧗Ӵ᪁ⱘ亢䰽ǃҹঞ⍋໪

ࡵᎹҎਬᔦ೑䗴៤ⱘৃ㛑䕧ܹˈ㧆ᕟᆒि⫳䚼৥Ϫ⬠

ि⫳㒘㒛偏㧆ᕟᆒ೑ᆊࡲ݀ᅸᇏ∖ᬃᣕˈ䆒䅵ᑊВࡲ

䴶৥݀ゟ੠⾕ゟए䰶एࡵҎਬⱘ඗मᢝЈᑞᬥ⊏෍䆁

⧁Ǆ

(2)

މǄ೼᳔ৢϔϾPPE᪡԰෍䆁⦃㡖ˈ৥PPEϞ஋⋦㑶㡆

∈ⓚˈᴹ῵ᢳԧ⎆੠㸔⎆∵ᶧˈՓPPEこ㜅䖛⿟᳈ࡴ݋

᳝ⳳᅲᛳ˄೒2˅Ǆ

ℸ໪ˈ෍䆁Ё䖬䖯㸠њϔϾ⬅ϝϾ䆆ᑻ੠ϔϾᅲ 䰙᪡԰䚼ߚ㒘៤ⱘए⭫ᡔᴃ⡍⅞෍䆁⦃㡖˄㸼 1 ˅Ǆ

೼㧆ᕟᆒˈएᡔᎹ԰㗙ϔ㠀ᢹ᳝एᄺᡔᴃ⾥ᄺᄺ຿ᄺ ԡˈ㉏ԐѢ݊Ҫ೑ᆊⱘᅲ偠ᅸᡔᴃҎਬǄएᡔ෍䆁⦃

㡖Ёˈᄺਬこ᠈ PPE 䖯㸠䴭㛝こࠎ੠ᅲ偠ᅸ䆒໛᪡԰Ǆ

೼㄀ϝ໽ⱘ䯁ᐩᓣЁˈ㧆ᕟᆒ⛁ᏺएᄺⷨお᠔᠔ 䭓੠Ϫ⬠ि⫳㒘㒛偏㧆ҷ㸼㟈䕲ˈᑊ৥᠔᳝ᄺਬ乕থ њ෍䆁䆕кǄ

ফ䆁㗙

ᣝ✻㧆ᕟᆒि⫳䚼ᖿ䗳໻㾘῵ഄӴ䗦඗मᢝ䰆᥻ⶹ䆚

੠ᡔ㛑ⱘ㽕∖ˈ 2014 ᑈ 10 ᳜ 28 ᮹㟇 11 ᳜ 13 ᮹ᳳ䯈݅

ܜৢВࡲϝᳳ໻ൟ෍䆁⧁Ǆ㧆ᕟᆒि⫳䚼೼↣ⳕ䗝ᢽ ए䰶খࡴ෍䆁ˈ㽕∖↣ᆊए䰶⌒ߎ 5 Ҏϔ㒘ⱘᄺਬˈ 㟇ᇥࣙᣀϔৡए⫳ǃϔৡᡸ຿੠ϔৡएᡔҎਬǄϝᳳ

෍䆁⧁ᄺਬ݅ᴹ㞾ܼ೑ 78 ᆊए䰶˄ 21 ᆊⳕऎ㑻ए䰶ǃ 22 ᆊ⾕ゟए䰶ǃ 35 ᆊഄᮍᬓᑰए䰶˅ˈ↣ᳳߚ߿෍䆁 њ 127 ǃ 115 ੠ 122 ҎǄ

ḍ᥂㕢೑⮒⮙᥻ࠊЁᖗ੠Ϫ⬠ि⫳㒘㒛ⱘ඗मᢝ Ⳍ݇᭛⤂៪೼㒓ֵᙃ᳈ᮄˈ෍䆁⧁ⱘݙᆍгঞᯊ䖯㸠 Ⳍᑨ䇗ᭈ

^[16,17]

Ǆ

䆘Ӌ

෍䆁⧁݅Փ⫼њϝ⾡䆘ӋᎹ݋ˈࣙᣀ෍䆁ࠡৢⱘ

⌟偠ˈ෍䆁⧁ৢⱘϸӑ䆘Ӌ㸼ˈҹঞ೼෍䆁㄀

ϔ໽੠㄀Ѡ໽䖯㸠ⱘϔߚ䩳ড作˄ OMR ˅

^[18]

Ǆ 䆘Ӌ⌟偠⬅Ϫ⬠ि⫳㒘㒛乒䯂䆒䅵ˈ೼⛁ᏺएᄺ

ⷨお᠔ⱘएᡸҎਬЁ䖯㸠њ乘ᅲ偠Ǆ䆘Ӌ㸼ϔЎ RITM ᐌ㾘Փ⫼ⱘⷨ䅼⧁䆘Ӌ㸼Ḑˈ䆘Ӌ㸼ѠЎ 㑺㗄䳡᱂䞥ᮃए䰶ϧ䮼⫼Ѣ඗मᢝ෍䆁ⱘ䆘Ӌ㸼 ḐǄ᠔᳝䇗ᶹ䯂ोഛЎओৡǄ

෍䆁⧁ᇍⶹ䆚ⱘᦤछᬜᵰ䗮䖛෍䆁㄀ϔ໽ᓔ䇒ࠡ

ⱘ⌟偠੠㄀ϝ໽᳔㒜᪡԰䚼ߚৢⱘ⌟偠䖯㸠䆘ӋǄᇍ ⶹᰧᚙމⱘ⌟偠৿ 10 Ͼ䯂乬Ǆ㗠ᇍ඗मᢝ⮙՟ᬥ⊏

ⱘֵᖗ䗮䖛 5 ⚍ Likert 䞣㸼䖯㸠䆘Ӌ˄䴲ᐌϡৠᛣǃϡ ৠᛣǃ᮶ϡৠᛣгϡ৺䅸ǃৠᛣǃ䴲ᐌৠᛣ˅ˈ䯂乬 ЎĀ៥ֵ᳝ᖗ㛑໳ᇍ඗मᢝ⮙՟䖯㸠ᅝܼᬥ⊏āǄ㄀

ϝ໽䯁ᐩᓣࠡˈᇍ⌟偠ㄨḜ䖯㸠ߚᵤ∛ᘏˈᑊᇚ㒧ᵰ ᇍ᠔᳝ᄺਬ䖯㸠њҟ㒡Ǆ

ࣙᣀ㧆ᕟᆒ೼ݙⱘ䴲⭿ᚙ೑ᆊˈᑨخད⮒⮙䕧ܹ

ⱘᑨᗹޚ໛ǄेՓ᮴⮙՟থ⫳ˈҢ㽓䴲ᔦ೑ⱘᮙ␌㗙 ϔᮺߎ⦄ヺড়⭥Ԑ⮙՟ᅮНⱘⳌ݇⮛⢊ˈ߭೼ᥦ䰸ࠡ

ഛᑨᣝ✻⹂䆞⮙՟䖯㸠ㅵ⧚

^[11]

Ǆ㱑✊կ඗मᢝᬥ⊏Ё ᖗएࡵҎਬՓ⫼ⱘ෍䆁ᴤ᭭Ꮖ㒣ॄথ

^[12–14]

ˈԚկথሩ Ё೑ᆊᓔሩ඗मᢝ䕧ܹ⮙՟ᬥ⊏ⱘϧ䮼෍䆁䇒⿟ै᮴ ໘ৃᇏǄ

ᴀ⃵෍䆁ᮼ೼ᦤ催㧆ᕟᆒि⫳㋏㒳݀ゟ੠⾕ゟए 䰶ⱘ඗मᢝ⮙՟ᖿ䗳থ⦄ǃ䱨⾏੠ᅝܼᬥ⊏ⱘᡔᴃ㛑

࡯Ǆ෍䆁ⳂᷛᰃՓফ䆁㗙㛑໳Ў඗मᢝ⮙՟ᦤկ᳈ᅝ

ܼⱘᬥ⊏ˈ乘䰆ए⭫ᴎᵘ੠⼒ऎߎ⦄⮒⮙Ӵ᪁Ǆ෍䆁ㄪ⬹ᰃᇍ㧆ᕟᆒܼ೑ⱘ݀ゟए䰶ǃ⾕ゟए䰶੠ഄᮍᬓ ᑰए䰶ⱘ偼ᑆएࡵҎਬ䖯㸠෍䆁ˈϔ㠀ҹ↣5ҎЎϔ 㒘ˈফ䆁ৢৃ೼݊᠔೼ए䰶থ᣹඗मᢝᑨᇍޚ໛ⱘᣛ ᇐ԰⫼Ǆ㗗㰥ࠄབᵰ㧆ᕟᆒথ⫳඗मᢝ⮙՟ˈ߭⮙՟

ᕜ᳝ৃ㛑೼ए䰶㹿থ⦄੠䖯㸠ᬥ⊏ˈ಴ℸ෍䆁ⱘⴔⴐ

⚍㨑೼ए䰶ǄЎ⹂ֱ᠔᳝ফ䆁㗙㛑䙉ᕾ㒳ϔⱘᅬᮍᣛ फˈ෍䆁⧁ҹ㧆ᕟᆒि⫳䚼থᏗⱘ඗मᢝ⮙՟乘䰆੠

ㅵ⧚Јᯊᣛफ˄2014ᑈ8᳜26᮹˅Ў෎⸔䖯㸠Ǆ ᴀ᭛ᇚᇍ෍䆁⧁ⱘᅲᮑঞ䆘Ӌ䖯㸠ᦣ䗄Ǆ

ᮍ⊩

㒘㒛ऩԡ

෍䆁⧁ⱘ䇒⿟ᅝᥦঞݙᆍ⬅㧆ᕟᆒ⛁ᏺएᄺⷨお᠔

˄ RITM ˅ǃϪ⬠ि⫳㒘㒛㧆ᕟᆒ೑ᆊࡲ݀ᅸǃҹঞϪ

⬠ि⫳㒘㒛Ң㑺㗄䳡᱂䞥ᮃए䰶੠⛁ᏺعᒋ㾷އᮍḜ

݀ৌ㘬䇋ⱘᡔᴃ乒䯂݅ৠ䆒䅵Ǆ㧆ᕟᆒ⛁ᏺएᄺⷨお ᠔ԡѢ偀ሐᢝᏖݙˈᢹ᳝ϔϾ໻ൟ෍䆁Ёᖗ੠㒣偠Є ᆠⱘ෍䆁Ꮉ԰ҎਬǄⷨお᠔ݙⱘ෍䆁ᅲ偠ᅸৃ䖯㸠ᅲ 䰙᪡԰Ǆⷨお᠔ⱘ䰶ᛳ᥻ࠊ䯳ӡ೼ SARS ੠݊ᅗᮄথӴ ᶧ⮙䰆᥻Ё⿃㌃њϔᅮ㒣偠ˈ೼෍䆁Ёгথ᣹њ䞡㽕

԰⫼Ǆ

෍䆁⧁

෍䆁⧁ᣕ㓁ϝ໽ˈࣙᣀ 18 Ͼ䆆ᑻ੠ 10 Ͼᅲ䰙᪡԰⦃

㡖ˈ݊ЁϝϾ᪡԰⦃㡖ЎϾҎ䰆ᡸ⫼ક˄ PPE ˅ⱘこ㜅᪡԰˄㸼 1 ˅

^[15]

Ǆ↣ԡফ䆁㗙খࡴ㟇ᇥϸϾϾҎ䰆 ᡸ⫼ક᪡԰䚼ߚǄ⊼ݠᯊˈ ↣ԡফ䆁㗙থᬒϔ༫ϾҎ 䰆ᡸ⫼ક˄ϡ৿㛊䵈˅ˈկ෍䆁ᯊՓ⫼Ǆ PPE ⱘ᪡԰

෍䆁⦃㡖ߚ໻㒘䖯㸠ˈ↣㒘 50 㟇 120 Ҏϡㄝ˄೒ 1 ˅Ǆ

ܜ೼᠔᳝ᄺਬ䴶ࠡⓨ⼎ PPE こ㜅ᡔᎻˈ✊ৢߚЎϸ㒘

ݡ⃵ⓨ⼎ᑊ⬅ᄺਬ䖯㸠ᅲ䏉Ǆ೼෍䆁㗕Ꮬⱘᣛᇐϟˈ

ᄺਬϹḐ䙉✻೎ᅮ⿟ᑣこ㜅 PPE ˈᑊѦⳌẔ㾚こ㜅ᚙ

(3)

㸼 1. ඗मᢝ⮙↦⮙ए䰶ޚ໛෍䆁⧁ݙᆍḚᶊ

^*

ゴ㡖 ෍䆁㉏ൟ Փ⫼ᴤ᭭

㄀1໽

ᓔᐩᓣ WHO㧆ᕟᆒࡲ݀ᅸ੠㧆ᕟᆒि⫳䚼䖯㸠

ℷᓣᓔᐩ

ҟ㒡䆆ᑻ

඗मᢝü෎⸔ⶹ䆚ǃ㞾✊৆ǃ㽓䴲⭿ᚙ⌕㸠⮙ᄺ˗㧆ᕟ ᆒⱘ඗मᢝ㦅ᮃ乓⮙↦

䆆ᑻ

⮙՟ㄯᶹঞߚ䆞䆆ᑻ˗ᇍ6՟⮙՟ⱘᇣ㒘䅼䆎 կᄺਬՓ⫼ⱘ⮙՟㸼

ᣛᇐ㗕Ꮬᣛफ

㧆ᕟᆒि⫳䚼඗मᢝЈᯊ䰆᥻ᣛफ䰘ӊ B.2ঞB.3

⮙՟⊏⭫Ϣߎ䰶䆆ᑻ

ᅲ偠ᅸẔ⌟Ϣ⫳⠽ᅝܼ 䆆ᑻ

ᅲ偠ᅸ⹂䅸䆆ᑻ

ᛳᶧ᥻ࠊ 䆆ᑻ

㜅᠟༫ⱘᅲ䰙᪡԰

ϾҎՓ⫼ⱘ᠟༫੠䜦㊒ᣁ᠟ẝ⠛

থܝ㉝੠㋿໪♃

඗मᢝ⮙՟Јᑞᬥ⊏ⱘӺ⧚ᄺ䯂乬 ߚ㒘䅼䆎

PPEこ㜅 ⓨ⼎

ᅲ䰙᪡԰

PPEこ㜅⌕⿟

ᣛᇐ㗕Ꮬᣛफ ϾҎPPE⫼ક

㄀໽

䱨⾏੠⮙Ҏߎܹ⌕⿟䆆ᑻ

ए䰶䱨⾏എ᠔䆒䅵 ᅲ䰙᪡԰ ෍䆁ᄺਬ᠔೼ए䰶ⱘ䱨⾏䆒䅵

䩜༈໘⧚੠඗मᢝᲈ䴆ৢ໘⧚ 䆆ᑻ

㾦㡆ᡂⓨ

⦃๗⏙⋕੠඗मᢝൗഒ໘⧚ 䆆ᑻ

඗मᢝ⮙՟䕀䖤䆆ᑻ

PPEこ㜅 ᅲ䰙᪡԰ PPEこ㜅⌕⿟

㄀໽

ᇍए䰶䱨⾏എ᠔䆒䅵䖯㸠䅼䆎䆘䆎↣㒘ᇍए䰶䱨⾏എ᠔ⱘ䆒䅵 PPTҟ㒡ᯊՓ⫼ⱘए䰶䱨⾏എ᠔೒⠛

⼒ऎعᒋϢᬃᣕ 䆆ᑻ

ਬᎹᅝܼϢᬃᣕ 䆆ᑻ

඗मᢝᅝܼඟ㩀䆆ᑻ

⭿ᚙ໘⧚Ϣⲥ⌟ 䆆ᑻ

᥹㾺㗙䗑䏾䆆ᑻ

ഄᮍᅲ偠ᅸⱘ԰⫼Ϣ㘠䋷䆆ᑻ

඗मᢝए䰶ᑨᇍⳌ݇䯂ㄨ⦃㡖 Ϣि⫳䚼ҷ㸼䖯㸠Ѧࡼ

PPEこ㜅 ᅲ䰙᪡԰ˈ⫼㑶㡆∈ⓚᇍ33(䖯㸠∵ᶧẔᶹ PPEこ㜅⌕⿟

∈ⓚ

ᇍएᡔҎਬⱘϧ䮼䇒⿟

ᅲ偠ᅸҎਬⱘ඗मᢝ亢䰽䆘Ԅঞ⫳⠽ᅝܼ 䆆ᑻ

ᷛᴀⱘ䗕Ẕǃ䖤䗕੠ټᄬ 䆆ᑻ

ᅲ偠ᅸൗഒ໘⧚ǃ⍜↦੠ᑨᗹ໘⧚ 䆆ᑻ

඗मᢝⱘᅲ偠ᅸ䰆ᡸ⌕⿟ ᅲ䰙᪡԰˖䞛㸔ǃᷛᴀ໘⧚ǃ䖤䗕ࣙ㺙 ϾҎPPE⫼ક 䞛㸔䆒໛

ᅝܼᶰ

ᷛᴀࣙ㺙੠䖤䗕ᴤ᭭

䯁ᐩᓣ WHO੠ि⫳䚼㟈䕲˗෍䆁䆕кথᬒ ෍䆁䆕к

* ݋ԧݙᆍ㾕˖ http://www.wpro.who.int/philippines/mediacentre/features/ebolatraining_materials/en/Ǆ DOHि⫳䚼EVD඗मᢝ⮙↦⮙PPEϾҎ䰆ᡸ⫼કUV㋿໪㒓WHOϪ⬠ि⫳㒘㒛Ǆ

(4)

೼෍䆁佪᮹੠⃵᮹䇒⿟㒧ᴳৢˈߚ߿䆶䯂ᄺਬϸ Ͼ䯂乬ˈ㦋ᕫϔߚ䩳ড作˖ 1 ǃԴҞ໽ᄺдࠄⱘ᳔᳝

⫼ⱘǃ᳔᳝ᛣНⱘǃ᳔᳝䍷ⱘᰃҔМ˛ 2 ǃ೼Ҟ໽෍䆁㒧ᴳৢˈԴ㛥⍋Ёҡ⬭ᄬⱘ᳔໻䯂乬ᰃҔМ˛ϔߚ䩳 ড作ⱘ㒧ᵰ೼෍䆁⃵᮹੠㄀ϝ᮹䇒⿟ᓔྟৢ䖯㸠њᘏ 㒧Ǆ

㒳䅵ߚᵤ

෍䆁ࠡৢⱘ⌟偠˖བ10Ͼ䯂乬Ёӏϔ䯂乬ⱘㄨḜ㔎

ⓣˈ߭䆹ㄨḜ㾚Ў䫭䇃ㄨḜǄ෍䆁ࠡ⌟偠Ё↣Ͼ䯂乬 ⱘ㔎༅ؐ㣗ೈЎ0–4ˈ෍䆁ৢ⌟偠߭Ў0–6Ǆ10Ͼⶹ䆚 ᗻ䯂乬ⱘㄨḜˈབಲㄨ䫭䇃䆄ЎĀ0āˈಲㄨℷ⹂߭䆄 ЎĀ1āˈᕫߚ䆄ܹᘏߚǄᇚ䖭ϔ಴ব䞣ᇍ᭄䕀ᤶЎ䖥 ԐℷᗕߚᏗˈ䖯㸠㒓ᗻಲᔦߚᵤǄ⬅Ѣ⌟偠ᰃओৡ䖯㸠ˈ಴ℸᄺਬ೼෍䆁ࠡৢⱘ⌟偠㒧ᵰ᮴⊩䖯㸠ऍ䜡↨

䕗Ǆ

䆘Ӌ㒧ᵰ䗮䖛㒱ᇍؐ੠Ⳍᇍ乥⃵ᴹ䖯㸠⡍ᕕᦣ 䗄Ǆᑈ啘ߚᏗՓ⫼ഛ᭄੠ᷛޚᏂ䖯㸠ᦣ䗄ˈᇍ 10 Ͼ ⶹ䆚ᗻ䯂乬ⱘℷ⹂ㄨḜⱘ᭄Ⳃ⫼Ёԡ᭄੠ಯߚԡ䯈䎱

˄ IQR ˅㸼⼎ˈᑊ䅵ㅫ 95% ৃֵऎ䯈˗෍䆁ࠡৢⱘ㒧 ᵰ⫼वᮍẔ偠䖯㸠↨䕗Ǆ෍䆁ࠡৢⱘℷ⹂ㄨḜ᭄ؐ㒣 ᇍ᭄䕀ᤶৢˈ⫼㒓ᗻಲᔦߚᵤ䖯㸠↨䕗ˈҹߚᵤ㘠 Ϯǃᑈ啘੠ᗻ߿ㄝ಴㋴ᰃ৺ᇍѢⶹ䆚ᗻ䯂乬ⱘㄨḜ㒧

ᵰ᳝⣀ゟⱘᕅડǄ㘠Ϯ੠ᗻ߿䖯㸠㰮ᢳ㓪ⷕߚᵤˈᑈ 啘಴㋴ϔᓔྟ㾚Ў䖲㓁ব䞣ˈԚৢᴹ⫼ಯߚԡ᭄䖯㸠 ᦣ䗄ǄवᮍẔ偠⫼ᴹ䆘Ӌᑈ啘ǃᗻ߿੠㘠Ϯㄝ಴㋴ᇍ Ѣ඗मᢝ⮙՟ᬥ⊏ֵᖗⱘᕅડǄ᠔᳝ߚᵤ䛑ḍ᥂ϝᳳ

೒1. 㧆ᕟᆒ඗मᢝए䰶ޚ໛෍䆁⧁ЁⱘPPEこ㜅᪡԰

^*

✻⠛ᴹ⑤˖㧆ᕟᆒ⛁ᏺएᄺⷨお᠔ᦤկ

* ↣ϔԡएࡵҎਬ᪡԰ᯊ䛑᳝ϔৡ㒣䖛䆁㒗ⱘ㾖ᆳਬ䖯㸠㾖ᆳǄ෍䆁㗕Ꮬᇍ↣㒘ᄺਬ䖯㸠ᣛᇐǄഄᵓϞⱘ㛊ᏺ⫼ҹᷛᯢ῵ᢳⱘԢ

ॅ੠催ॅऎඳǄ

೒ 2. ৥ᄺਬⱘ PPE Ϟ⋐⋦㑶㡆∈ⓚ῵ᢳ໻䞣㸔⎆∵ᶧ ᚙމ

^*

✻⠛ᴹ⑤˖Rick Speareᨘᕅ

*᠟༫ǃ䰆ᡸ᳡੠ϔ⃵ᗻ䗣ᯢೈ㺭㹿∵ᶧ

(5)

ⱘℷ⹂ಲㄨ⥛ϟ䰡њ 16.9% ˄⫼㙹ⱖ∈䖯㸠඗मᢝ⮙

↦᠟ि⫳⍜↦ⱘ䯂乬˅ˈԚᏂᓖϡ݋᳝㒳䅵ᄺᰒ㨫ᗻ

˄㸼 2 ˅Ǆ

෍䆁ࠡৢˈℷ⹂ಲㄨњ᠔᳝10Ͼ䯂乬ⱘᄺਬ↨՟

ߚ߿Ў2.8%˄8/285˅੠22.5%˄82/364˅Ǆ೼෍䆁

ࠡˈᄺਬ㛑໳ಲㄨℷ⹂ⱘ䯂乬᭄䞣ⱘЁԡ᭄Ў7˄ಯߚ ԡ䯈䎱Ў6–8ˈܼ䎱3–10˅˗෍䆁ৢ߭䖒ࠄ9˄ಯߚԡ 䯈䎱Ў8–9ˈܼ䎱4–10˅P < 0.009೒3

㒳䅵 ᰒ ⼎ ˈ 㘠 Ϯ ˄ ᡸ ຿ P=0.775 ˈ ए ᡔ Ҏ ਬ P = 0.431ˈ݊ҪҎਬP = 0.335ˈҹए⫳Ўখ✻㒘˅ǃ ᑈ啘˄30–39ቕP = 0.271ˈ40–44ቕP = 0.273ˈ

≥ 45ቕP = 0.728ˈখ✻㒘< 30ቕ˅ঞᗻ˄P = 0.071˅

ㄝ಴㋴ᇍ෍䆁ৢ⌟偠ⱘℷ⹂ㄨḜ᭄䞣᮴ᰒ㨫ⱘ⣀ゟᕅ ડ˄㸼3˅Ǆ

ֵᖗⱘᦤ催

೼ ෍ 䆁㒧 ᴳ ᯊ ˈ ᄺ ਬ Ӏ ᇍ Ѣ ᅝ ܼ ᬥ ⊏ ඗ म ᢝ ⮙ ՟ ⱘ ֵ ᖗ ∈ ᑇ ᕫ ࠄ ᯢ ᰒ ᦤ 催 ˄ P=0.018 ˅ Ǆ ೼ ෍ 䆁

ࠡˈ 27.3% ⱘᄺਬᇍ䯂乬Ā៥ᇍѢ೼ᬥ⊏඗मᢝ⮙՟

䖛⿟Ёֱᣕ㞾䑿ᅝܼᕜֵ᳝ᖗāಲㄨњĀϡৠᛣā

៪Āᔎ⚜ϡৠᛣāˈ㗠೼෍䆁ৢˈ䖭ϔ↨՟ϟ䰡ࠄ 2.6% ˄ P=0.018 ˅ǄҢ঺ϔᮍ䴶ᴹ䇈ˈ೼෍䆁ࠡˈᇍ Ϟ䗄䯂乬ಲㄨњĀৠᛣā៪Āᔎ⚜ৠᛣāⱘᄺਬ↨՟

Ў 32.5% ˗෍䆁ৢ䖭ϔ↨՟Ϟछࠄ 87.2% Ǆ෍䆁ৢⱘ

ֵᖗ∈ᑇ᳾ফᑈ啘˄ P=0.412 ˅ǃᗻ߿˄ P=0.404 ˅

෍䆁⧁ⱘ㕸䲚䲚㘮ᬜᑨ䖯㸠њ䇗ᭈǄ㒳䅵䞛⫼ STATA 12.1 ⠜䕃ӊ䖯㸠ߚᵤ˄ StataCorp LP College Station

Texas ˅Ǆ⬅Ѣᰃᇍ᪡԰䖛⿟ⱘ䆘Ӌˈ䆘Ӌ㒧ᵰᇚ䗤ℹ

⫼Ѣᬍ୘෍䆁⧁ˈ಴ℸ᳾㗗㰥Ӻ⧚ᡍޚ䯂乬Ǆ

㒧ᵰ

ᄺਬ

෍ 䆁 ࠡ ৢ ߚ ߿ ᳝ 285 ৡ ˄ 78.3% ˅ ੠ 364 ৡ ᄺ ਬ

˄100%˅ᅠ៤њ⌟偠Ǆᄺਬⱘ㒘៤ࣙᣀ˖ए⫳˄෍

䆁ࠡ੠෍䆁ৢߚ߿Ў33.3%੠35.0%˅ǃᡸ຿˄ߚ

߿Ў42.9%੠40.0%˅ǃएᡔҎਬ˄ߚ߿Ў20.3%੠

20.1%˅ǃҹঞ݊Ҫ˄3.4%੠4.5%˅Ǆᴹ㞾෍䆁ࠡৢ

ⱘ⌟偠ֵᙃᰒ⼎ˈᄺਬҹཇᗻሙ໮ˈߚ߿ऴ59.6%੠

61.9%Ǆᑈ啘ᑇഛЎ38.2ቕˈ㣗ೈЎ21㟇62ቕǄ ⶹ䆚ⱘᦤ催

ᇍ 10 Ͼⶹ䆚ᗻ䯂乬ⱘಲㄨˈ೼෍䆁ࠡ⌟偠Ёˈᄺਬᇍ Ѣ݊Ё 3 Ͼ䯂乬ⱘℷ⹂ಲㄨ⥛䍙䖛 90% ˄Փ⫼ PPE ᯊϡ ᑨ᳝Ⲃ㙸ᲈ䴆ˈ඗मᢝ᳝݇ᑳ⠽ᑨ䖯㸠⡍߿໘⧚ˈ඗

मᢝ⮙՟ሌԧϡᑨֱᄬ˅˄㸼 2 ˅Ǆ㗠ᇍѢ݊ᅗ 7 Ͼ䯂乬ˈ݊ЁϸϾ䯂乬˄඗मᢝ⮙↦ⱘӴ᪁䗨ᕘǃ 0.5% ⓖ ⱑࠖⱘℷ⹂䜡↨ᮍ⊩˅ⱘ෍䆁ࠡⶹᰧᚙމϡՇ˄ℷ⹂

⥛ <50% ˅Ǆ೼෍䆁ৢ⌟偠Ёˈ 5 Ͼ䯂乬ⱘℷ⹂ಲㄨ⥛

ᦤ催њ 10% ҹϞ˄݊Ё 3 Ͼ᳝㒳䅵ᄺᏂᓖ˅ˈ 4 Ͼ䯂乬 ⱘℷ⹂ಲㄨ⥛೼෍䆁ࠡৢব࣪ϡ໻˄݊Ё 3 Ͼ䯂乬೼

㸼 2. ෍䆁ࠡৢ 10 Ͼⶹ䆚ᗻ䯂乬ⱘℷ⹂ಲㄨ↨՟ঞ 95% ৃֵऎ䯈

^*

䯂乬 ෍䆁ࠡ(n = 285)

% [95% CI]^†

෍䆁ৢ(n = 364)

% [95% CI]^† %ব࣪ p-ؐ^‡

1. ඗मᢝ⮙↦⮙ⱘ᳔䭓┰ӣᳳЎ42໽䫭䇃 80.0%; [62.4, 97.6]^* 90.1%; [77.8, 100] 10.1 0.254 2. ඗मᢝ⮙↦ᛳᶧ㗙೼ߎ⦄⮛⢊ࠡህৃҹӴ᪁⮙↦䫭䇃 55.8%; [26.1, 85.5] 89.0%; [73.8, 100] 33.2 0.018 3. ݇Ѣ඗मᢝӴ᪁䗨ᕘⱘ䯂乬˄໮䗝˅ 34.0%; [11.3, 56.7] 59.1%; [44.6, 73.5] 25.1 0.055 4. 㙹ⱖ∈ᰃ⫼Ѣ໘⧚඗मᢝ⮙Ҏᯊⱘ᠟ि⫳⍜↦ⱘ᳝ᬜᮍ⊩ℷ

⹂

80.4%; [70.8, 89.9] 63.5%; [33.6, 93.3] –16.9 0.081

5. एࡵҎਬこ᠈33(ᓔሩ඗मᢝ⮙՟ᬥᡸᯊˈᑨ䙓ܡⲂ㙸ᲈ䴆ℷ

⹂

96.8%; [94.0, 99.7] 98.9%; [96.7, 100] 2.1 0.073

6. Ϫ⬠ि⫳㒘㒛᥼㤤೼ᬥ⊏඗मᢝ⭥Ԑ៪⹂䆞⮙՟ᯊᑨ᠈ঠሖ᠟

༫ℷ⹂

85.3%; [71.7, 98.8] 98.4%; [96.2, 100] 13.1 0.007

7. ݇Ѣࠊ໛0.5%ⓖⱑ⍜↦⎆ⱘℷ⹂䜡↨䯂乬˄໮䗝˅ 19.6%; [12.8, 26.5] 86.5%; [65.0, 100] 66.9 0.009 8. 㧆ᕟᆒए䰶Ё඗मᢝᙷ㗙ⱘ᳝݇ൗഒৃᣝ✻᱂䗮ൗഒ䖯㸠໘⧚

䫭䇃

95.1%; [91.1, 99.1] 96.7%; [96.3, 97.1] 1.6 0.161

9. ᬥ⊏඗मᢝ⭥Ԑ៪⹂䆞⮙՟ᯊˈϡ㽕䖯㸠䰸඗मᢝ⮙↦Ẕ⌟໪

ⱘӏԩ㸔⎆Ẕ⌟䫭䇃

76.1%; [60.7, 91.6] 75.0%; [47.2, 100] –1.1 0.719

10. ඗मᢝ⅏ѵᙷ㗙ৃ䖯㸠䰆㜤໘⧚䫭䇃 90.5%; [80.8, 100] 97.3%; [91.8, 100] 6.8 0.188

* ᣀোЁЎℷ⹂ㄨḜǄ

† 95% ৃֵऎ䯈are cluster-adjustedǄ

‡ p-ؐЎवᮍẔ偠ⱘ㒧ᵰare results of cluster-adjusted chi-square testsǄ

(6)

㸠⍜↦Ǆ㗠ᅲ䰙Ϟˈ WHO ᥼㤤ˈ೼᮴⊩㦋ᕫ䜦㊒⍜↦

⎆ⱘᚙމϟˈ㙹ⱖ∈ৃ⫼Ѣ᠟䚼ि⫳⍜↦ˈབᵰ᠟䚼 ᯢᰒ㛣∵ˈ㙹ⱖ∈߭Ў佪䗝ᮍ⊩

^[19]

ǄԚ೼ᕜ໮䌘⑤᳝

䰤ⱘഄऎˈए⭫⚍ৃ㛑≵᳝∈∴ˈ㙹ⱖ៪᠟䚼ᑆ➹䆒

໛гৃ㛑㔎У

^[20]

Ǆ߽↨䞠Ѯⱘ䚼ߚए䰶ህᄬ೼䖭ḋⱘ

⦄ᅲ䯂乬

^[21,22]

Ǆ೼෍䆁Ёᔎ䇗њ㙹ⱖ∈ⱘՓ⫼ৃ㛑┰

೼ᦤ催њℷ⹂ㄨḜ⥛Ǆ

೼䴲⌆⼒ऎⱘ⌕㸠⮙ᄺⷨおᰒ⼎ˈᔧϢ᳝⮛⢊

ⱘ඗मᢝ⮙՟থ⫳Ⳉ᥹᥹㾺ৢᠡ㛑ᇐ㟈Ӵ᪁

^[23–25]

Ǆ ҸҎᛳ݈䍷ⱘᰃˈሑㅵᮽᳳⷨお㸼ᯢ೼᳾থ⫳⮙՟Ⳉ

᥹᥹㾺ⱘ⼒ऎ≵᳝ߎ⦄⭿ᚙӴ᪁ˈ✊㗠ϔৡॳথ⮙՟

㱑✊೼থ⮙ࠡ᳒এ䖛㢣Ѝⱘᔧഄए䰶ˈԚै᳾Ϣ݊ᅗ

⮙՟থ⫳ᯢ⹂᥹㾺

^[23]

Ǆ಴ℸ㽕ᛇ䇈⏙඗मᢝ⮙↦೼ए

⭫ᴎᵘⱘӴ᪁䖛⿟ᑊ䴲ᯧџ

^[26,27]

Ǆ㕢೑ⱘϸৡᡸ຿೼

᥹㾺⮙՟ᯊᣝ㾘ᅮこ᠈њPPEˈैгᛳᶧњ඗मᢝ⮙

䆘Ӌ

ϸӑ䆘Ӌ㸼ഛᰒ⼎ˈᄺਬᇍѢ෍䆁ⱘ䆘Ӌ䕗催˄Likert Ѩ ߚ 䞣㸼 ˅ ˄ 㸼 4ǃ 㸼 5˅ Ǆ ᇍ ෍ 䆁 ⧁ ⱘ ᘏ ԧ 䆘 ߚ Ў Ӭ ⾔ ˄ ऴ 72.2%˅ ǃ 䕗 ད ˄ ऴ 26.7% ˅ ǃ ϔ 㠀

˄ऴ0.6%˅ǃ䕗Ꮒ˄0%˅˄㾕㸼4˅ǄᇍѢ䯂乬ĀԴ ᰃ৺ᛳ㾝㞾ᏅᇍѢ඗मᢝ⮙՟ⱘㄯᶹ੠ᬥ⊏ޚ໛ᕫ᳈

ད˛āˈ96.4%ⱘᄺਬಲㄨњĀᰃā˄㸼5˅Ǆ ϔߚ䩳ড作˄ OMR ˅ᇍѢ㾷އࠡϸ໽෍䆁Ё᳾㛑 ಲㄨⱘ䯂乬ᦤկњ㸠П᳝ᬜⱘᮍ⊩Ǆ䯂乬Џ㽕䲚Ё೼

ϸϾᮍ䴶˖ⶹ䆚ᮍ䴶੠ᬃᣕᮍ䴶Ǆࠡϔ㉏䯂乬Џ㽕⍝

ঞ⮒⮙Ⳍ݇ⶹ䆚˗ৢϔ㉏䯂乬Џ㽕⍝ঞ೼⮙՟থ⫳ৢ

བԩᓔሩᎹ԰ⱘ݋ԧ䯂乬ˈ՟བˈҢԩ໘㦋ᕫᶤѯ⡍

ᅮⱘ PPE ˈᑨᗹޚ໛Ꮉ԰ⱘ䌘䞥ᴹ⑤ˈⳌ݇ᴎᵘǃि

⫳䚼ঞ݊ᅗᬓᑰ䚼䮼ⱘ㘠䋷ߚᎹㄝǄ෍䆁⧁䆆㗙੠⛁

ᏺएᄺⷨお᠔ⱘᡔᴃҎਬᇍⶹ䆚ᮍ䴶ⱘ䯂乬䖯㸠њㄨ

⭥Ǆ೼෍䆁ⱘ㄀ϝ໽ˈि⫳䚼ᮄথӴᶧ⮙᥻ࠊ乍ⳂЏ ӏߎᐁ෍䆁⧁ˈህϔѯ⦄ᅲⱘ݋ԧ䯂乬䖯㸠њ㾷ㄨǄ Ҫⱘߎᐁ੠ㄨ⭥ᇍѢњ㾷ϡᮁব࣪ⱘ䰆᥻ᔶ࢓੠ϡᮁ

᳈ᮄⱘㄪ⬹ࠊ䅶䴲ᐌ䞡㽕Ǆ

䅼䆎

Ўᳳϝ໽ⱘए䰶ᑨᇍޚ໛෍䆁⧁ᦤ催њᄺਬᇍ඗मᢝ ⱘⶹ䆚∈ᑇ੠ᬥ⊏ֵᖗǄ᳝ϸϾⶹ䆚⚍ᄺਬ᳾㛑ܙߚ

⧚㾷ˈϔᰃ㙹ⱖ∈ৃ᳝ᬜ䖯㸠඗मᢝⱘ᠟ि⫳䰆ᡸǃ

঺ϔϾᰃ඗मᢝⱘ⮙↦Ӵ᪁ⶹ䆚Ǆࠡ㗙ⱘ䯂乬ৃҹ⧚

㾷ˈ಴Ў೼෍䆁᪡԰⦃㡖ЁˈՓ⫼ⱘᰃ৿䜦㊒ⱘ᠟䚼

⍜↦⎆䖯㸠᠟ि⫳⍜↦੠೼ PPE 㜅এ⦃㡖Ёᇍ᠟༫䖯

㸼 3. ෍䆁ৢℷ⹂ㄨḜⱘ᭄䞣ঞֵᖗ∈ᑇϢᑈ啘ǃᗻ߿ঞ㘠Ϯⱘ݇㘨

ᕅડ಴㋴ ෍䆁ৢℷ⹂ㄨḜЁԡ᭄>ಯ

ߚԡ䯈䎱@ pؐ^* %෍䆁ৢৠᛣ៪䴲ᐌৠᛣĀ៥ৃҹᅝܼഄᇍ

඗मᢝ⮙Ҏᅲᮑᬥ⊏ā pؐ^† 㘠Ϯ

ए⫳ 9 [8, 9] খ✻ؐ 91.7

0.458

ᡸ຿ 9 [8, 10] 0.775 86.6

ᅲ偠ᅸҎਬ 8 [8, 9] 0.431 84.7

݊Ҫ 9 [6.75, 9] 0.335 78.6

ᗻ߿

ཇᗻ 9 [8, 10] খ✻ؐ 86.7

0.404

⬋ᗻ 9 [8, 9] 0.071 91.3

ᑈ啘

0–29ቕ 9 [8, 9] খ✻ؐ 91.5

0.412

30–39ቕ 9 [8, 10] 0.271 91.2

40–44ቕ 9 [8, 9] 0.273 88.2

45ቕҹϞ 9 [8, 10] 0.728 80.8

* p-ؐ˖ҹ㘠Ϯǃᑈ啘ঞᗻ߿԰Ў⣀ゟব䞣ⱘ㒓ᗻಲᔦߚᵤ㒧ᵰǄ

† p-ؐ˖वᮍẔ偠㒧ᵰˈ䇗ᭈњ䲚㕸ᬜᑨǄ IQR, ಯߚि䯈䎱Ǆ

೒ 3. ෍䆁ࠡৢⶹ䆚ᗻ䯂乬ⱘℷ⹂ㄨḜ↨՟

0 10 20 30 40

1 2 3 4 5 6 7 8 9 10

Per cent

Number of correct answers Pre-workshop

Post-workshop

ⱒߚ↨

ℷ⹂ㄨḜ᭄䞣

෍䆁ࠡ

෍䆁ৢ

(7)

⼎᪡԰ˈߌᰒњ೼䴲⭿ᚙ೑ᆊᇍѢ⭥Ԑ⮙՟䆺㒚䆶䯂 ᮙ␌৆ǃ᥹㾺৆੠⮒⮙৆ⱘ䞡㽕ᗻǄ೼߽↨䞠Ѯˈ

᳾ᇍ⮙՟䖯㸠᳝ᬜㄯᶹ੠ߚ䆞ᇐ㟈њएࡵҎਬⱘᛳ

ᶧ

^[21,29]

Ǆ ᇍ Ѣ 䴲 ⭿ ᚙ ೑ ᆊ ᴹ 䇈 ˈ خ ད ⮙ ՟ ㄯ ᶹ ੠

ߚ䆞ᰃᖿ䗳থ⦄඗मᢝ⮙՟੠乘䰆⭿ᚙӴ᪁ⱘ䞡㽕ㄪ

⬹Ǆ

៥Ӏ᮴⊩ᡒࠄկ䴲⭿ᚙ೑ᆊएࡵҎਬՓ⫼ⱘ඗म ᢝϧ䮼෍䆁ᣛफǄ៥Ӏ䞛⫼ⱘ෍䆁ᮍ⊩ᰃˈᇍ㧆ᕟᆒ

ܼ೑ए䰶ⱘएࡵҎਬ偼ᑆߚ㒘䖯㸠෍䆁ˈ䖭ѯ偼ᑆಲ এৢ㛑໳থ᣹ᏺ༈੠⼎㣗԰⫼Ǆ㗠೼থ䖒೑ᆊˈ݇䬂 ᰃᇍᬊ⊏඗मᢝㄝϹ䞡Ӵᶧ⮙ⱘ໻ൟए䰶䖯㸠ᆚ䲚ⱘ

乘໛෍䆁

^[30–32]

Ǆৃ㛑៥Ӏ䞛⫼ⱘᮍ⊩᳈䗖ড়থሩЁ

೑ᆊǄ೼থሩЁ೑ᆊˈ䴲ϧ⾥ⱘЈᑞए⫳гᇚখϢ඗

मᢝ⮙՟ᬥ⊏੠ㅵ⧚Ǆ಴ℸˈЎሑৃ㛑໮ⱘएࡵҎਬ ᦤկ෎⸔෍䆁㛑໳ֱᡸ໮᭄ҎਬⱘᅝܼǄϔᮺ඗मᢝ

⮙՟থ⫳ˈ䖬ৃҹゟेᇍখϢ⮙՟ᬥ⊏ⱘए⭫Ҏਬ䖯㸠᳈⏅ܹⱘ䞡໡෍䆁ˈҹ䖙䗳ᦤ催Ⳍ݇ⶹ䆚੠ᡔ㛑Ǆ 㱑✊䱣ⴔᯊ䯈᥼⿏ˈ෍䆁ⶹ䆚ৃ㛑᮴⊩䭓ЙֱᣕˈԚ

೼♒ᆇᑨᇍޚ໛Ёⱘ㒣偠㸼ᯢˈᇍᡸ຿ᓔሩ8ᇣᯊⱘㅔ ⷁᬭ㚆෍䆁䴲ᐌ᳝ᬜˈᇍᐂࡽֱ݊ᣕⳌ݇ⶹ䆚݋᳝䭓

ᳳᬜᵰ

^[33]

Ǆ

ᴀ⃵෍䆁ⱘЏ㽕ሔ䰤ᗻࣙᣀ˖෍䆁ࠡৢ⌟䆩Փ

⫼ⱘᰃৠϔӑ䯂ोˈⶹᰧᚙމⱘᦤ催ৃ㛑Ϣ䯂ो᳝

݇ˈϡϔᅮҷ㸼݊ⳳᅲⶹᰧᚙމ˗෍䆁ৢㄨḜᦤ催

њ 27.7% ⱘ㒧䆎ᰃ෎Ѣ෍䆁ࠡৢখࡴ⌟偠ⱘЎৠϔҎ

↦

^[28]

ˈЎℸ㕢೑CDC੠WHOᇍPPEⱘᷛޚᦤߎњ᳈Ϲ

Ḑⱘ㽕∖

^[16,17]

Ǆ೼ए䰶੠඗मᢝ䱨⾏എ᠔ˈĀⳈ᥹᥹

㾺āⱘὖᗉ䕗Ў῵㊞ˈ䩜༈ǃ亲≿ǃ⎆ԧ⑙㨑ǃҹঞ

⇨ㅵᦦㅵㄝৃ㛑ѻ⫳⇨⒊㛊ⱘЈᑞ᪡԰䛑ᄬ೼ᛳᶧ亢䰽ˈг㾚ৠѢⳈ᥹᥹㾺ⱘ㣗⭈

^[26]

Ǆ㱑✊෍䆁ৢᄺਬᇍ Ѣ඗मᢝӴ᪁ⱘ䯂乬ಲㄨℷ⹂⥛᳝᠔ᦤ催ˈԚҡ✊䕗 ԢˈҙЎ59.1%Ǆ᳝ᖙ㽕ࠊᅮᮄⱘ෍䆁ᮍ⊩ˈ᳈དഄ

Ӵ᪁໡ᴖⱘए䰶ݙ඗मᢝӴ᪁Ⳍ݇ⶹ䆚Ǆ

ᄺਬⱘֵᖗᦤ催ᚙމ䗮䖛෍䆁ࠡৢ⌟䆩ˈҹঞ

඗मᢝ䆘Ӌ㸼ḐЁⱘϸϾ䯂乬䖯㸠њњ㾷Ǆ㗠ᄺਬᇍ Ѣ඗मᢝⳌ݇ⶹ䆚ⱘᥠᦵǃᇸ݊ᰃᇍPPEこ㜅ᚙމⱘ 㒗дˈг᳝ࡽѢֵ݊ᖗⱘᦤछǄ೼ϔߚ䩳ড作Ёˈ ᄺਬӀড໡ᦤঞPPEᰃҪӀ೼෍䆁⧁Ёᄺࠄⱘ᳔᳝⫼

ⱘⶹ䆚Ǆᴀ⃵෍䆁⧁ᇍѢ໻㾘῵ഄ䖯㸠एࡵҎਬ෎⸔

෍䆁ˈᦤ催Јᑞᛣ䆚䴲ᐌ᳝ᬜǄ

෍ 䆁䆆 ᑻ Ё ᔎ 䇗 њ ⮙ ՟ ⱘ ㄯ ᶹ ੠ ߚ 䆞䖛⿟ ˈ ᑊ䗮䖛ि⫳䚼ⱘ 6 ӑ⮙՟ㄯᶹߚ䆞㸼Ḑ䖯㸠њᅲ䰙ⓨ

㸼 4. ⫼ RITM ᐌ ⫼ 䆘 Ӌ 㸼 ᇍ ඗ म ᢝ ෍ 䆁 ⧁ ⱘ 䆘 Ӌ n = 328

乍Ⳃ 䕗Ꮒ ৃҹ᥹ফ ⒵ᛣ ᕜད 䴲ᐌད

䆆ᑻݙᆍ 0.0% 0.0% 2.1% 34.8% 63.1%

䆆ᑻথ㿔 0.0% 0.3% 4.6% 42.7% 52.4%

ᭈԧ䆘Ӌ 0.0% 0.4% 4.7% 53.3% 41.6%

㸼 5. ඗मᢝ䆘Ӌ㸼ⱘ䆘Ӌᚙމ n = 333

乍Ⳃ ᔎ⚜ডᇍ ডᇍ ᮶ϡৠᛣгϡডᇍ ৠᛣ ᔎ⚜ৠᛣ

䇒⿟Ⳃᷛঞݙᆍ

៥⧚㾷෍䆁䆒䅵ⱘⳂᷛ 0.0% 0.0% 1.8% 37.8% 60.1%

៥䅸Ў෍䆁ⳂᷛᏆ㒣䖒ࠄ 0.0% 0.3% 3.3% 43.1% 53.3%

៥ⶹ䘧བԩ೼ᴀऩԡᓔሩ඗मᢝᑨᇍޚ໛ 0.0% 0.6% 9.8% 53.4% 36.2%

៥⧚㾷඗मᢝ⮙՟ⱘᛳᶧ᥻ࠊ 0.0% 0.3% 3.8% 49.1% 46.7%

៥ֵ᳝ᖗ೼඗मᢝ⮙՟ᬥ⊏䖛⿟Ёℷ⹂䖤⫼ᛳᶧ 䰆᥻᥾ᮑ

0.0% 1.2% 11.5% 58.0% 29.0%

៥ⶹ䘧བԩᇍ⭥Ԑ⮙՟䖯㸠ㄯᶹ੠ߚ䆞 0.0% 0.3% 3.9% 48.5% 47.3%

෍䆁ᴤ᭭

៥䅸Ў෍䆁⧁ᴤ᭭㒘㒛ⱘᕜད 0.0% 1.8% 2.4% 46.7% 49.1%

៥䅸Ў෍䆁ᴤ᭭ᇍҹৢᎹ԰᳝⫼໘I 0.0% 1.5% 8.0% 46.3% 43.7%

෍䆁㗕ᏜⱘᡔᎻ

෍䆁㗕Ꮬᇍ᠔᳝ゴ㡖Ⳃᷛⱘҟ㒡⏙᱄ᯢ⹂ǃᯧѢ

⧚㾷

0.0% 0.6% 2.9% 48.4% 47.8%

෍䆁㗕Ꮬ೼ᄺਬ᳝䯂乬੠ೄ䲒ᯊ㛑໳ќҹणࡽ੠

ᣛᇐ

0.0% 0.0% 4.4% 47.2% 48.4%

෍䆁㗕ᏜᇍѢ᠔Џ䆆ⱘゴ㡖ⶹ䆚Єᆠ 0.0% 0.6% 1.8% 39.9% 57.7%

䇒⿟ᅝᥦ

෍䆁᮹⿟ᅝᥦৃҹ᥹ফ 0.0% 0.9% 6.5% 48.7% 43.9%

෍䆁䖛⿟㒘㒛䕗ད 0.0% 0.9% 6.5% 50.4% 42.1%

(8)

খ㗗᭛⤂

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Geneva, World Health Organization, 2014 (http://apps.who.int/

iris/bitstream/10665/146311/1/roadmapsitrep_24Dec14_eng.

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Geneva, World Health Organization, 2008 (http://whqlibdoc.

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Manila, National Statistics Office, 2014 (http://census.gov.ph/

content/statistical-tables-overseas-filipino-workers-ofw-2013, accessed 25 November 2014).

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Manila, Commission on Filipinos Overseas, 2013 (http://cfo.

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Workers, accessed 21 December 2014).

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journal.pone.0079916 pmid:24244578

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Weekly Epidemiological Record, 2003, 78:189–192.

pmid:12836452

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㕸Ǆ㗠ᅲ䰙ϞˈࠡৢᑨㄨҎਬⱘ㘠Ϯǃᑈ啘੠ᗻ߿㒘 ៤䴲ᐌⳌԐˈԚϡᅠܼϔ㟈Ǆ

ሑㅵ䆹෍䆁⧁Џ㽕Ў㧆ᕟᆒ䆒䅵ˈԚ݊Ҫ೑ᆊҡ

✊ৃҹخ䗖ᔧ䇗ᭈৢ׳䡈Փ⫼ˈᅲ䰙෍䆁ᯊৃᇚ㧆ᕟ ᆒि⫳䚼ⱘ඗मᢝⳌ݇ᣛफ᳓ᤶ៤ᴀ೑ⱘᣛफˈᑊᇚ

඗मᢝ㦅ᮃ乓˄ҙ೼㧆ᕟᆒ੠Ё೑থ⦄˅ⱘϧ䮼ݙᆍ

ⳕ⬹

^[34,35]

ˈҙ೼෍䆁ⱘ㚠᱃䚼ߚᇍ඗मᢝ㦅ᮃ乓⿡

خҟ㒡ेৃǄ

㒧䆎

㧆ᕟᆒि⫳䚼ВࡲⱘЎᳳϝ໽ⱘ෍䆁⧁᳝ᬜᦤ催њए 䰶ⱘ඗मᢝᑨᗹޚ໛∈ᑇˈᇸ݊ᰃᇍएࡵҎਬⱘ඗म ᢝ⮙↦⮙ⶹᰧ∈ᑇ੠ᅝܼᬥ⊏඗मᢝ⮙՟ⱘֵᖗᮍ䴶 ᦤछᬜᵰᰒ㨫Ǆ೼ᅲ䰙থ⫳඗मᢝᲈথᯊˈ䳔㽕ᇍᅲ ᮑ඗मᢝ⮙՟ᬥ⊏ⱘएᡸҎਬ䖯㸠঺໪ⱘPPEՓ⫼ϧ 䮼෍䆁ˈҹࡴᔎ෎⸔෍䆁ⱘᬜᵰǄ݊ᅗথሩЁ೑ᆊৃ

ҹ׳䡈ᴀ⃵෍䆁⧁ⱘخ⊩ˈᇍएࡵҎਬᅲᮑ෍䆁ˈ ᦤ催݊ᖿ䗳থ⦄ǃ䱨⾏੠ᅝܼᬥ⊏඗मᢝ⮙՟ⱘ㛑

࡯Ǆ

߽Ⲟކさ

᮴Ǆ 乍Ⳃ䌘䞥

෍䆁⧁ⱘ䆒䅵੠䆘Ӌ䌍⫼ˈҹঞϪ⬠ि⫳㒘㒛乒䯂

˄ Speare Rhymer Curless Lynch Gavin and

Black ˅ⱘ㘬䇋䌍⫼⬅㧆ᕟᆒ೑䰙থሩ䚼ᦤկǄ෍䆁⧁

ⱘВࡲ䌍⫼⬅㧆ᕟᆒि⫳䚼ᦤկǄ⛁ᏺएᄺⷨお᠔ǃ

ि⫳䚼੠Ϫ⬠ि⫳㒘㒛Ⳍ݇Ꮉ԰Ҏਬⱘ䌍⫼⬅Ⳍᑨऩ ԡⱘᐌ㾘䌘䞥ᬃᣕǄ

㟈䇶

ᛳ䇶⛁ᏺएᄺⷨお᠔Ў෍䆁⧁ীᓔᦤկⱘ໻䞣Ҏ࡯੠

ৢࢸᬃᣕˈ⡍߿ᛳ䇶䅵ㅫᴎֵᙃᡔᴃҎਬणࡽᔩܹ෍

䆁⧁䆘Ӌ㸼᭄᥂Ǆ ᓩ⫼ᴀ᭛ഄഔ˖

Carlos C et al. Hospital preparedness for Ebola virus

disease: a training course in the Philippines. Western

Pacific Surveillance and Response Journal, 2015,

6(1):33–43. doi:10.5365/wpsar.2014.5.4.008

(9)

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