Journal
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE
Volume 115, Issue 1, Pages 110-116Publisher
OXFORD UNIV PRESS
DOI: 10.1093/trstmh/traa099
Keywords
infection prevention; microbiologist; modular laboratory; natural disaster; rapid diagnostics; risk assessment
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In the aftermath of a natural disaster, microbiologists play a crucial role in multispecialty rapid response teams by providing laboratory diagnosis, situational analysis, evaluation, planning, prevention and control support. Their tasks include risk assessment for identifying epidemic and endemic diseases, evaluation of existing laboratory setups, establishment of services, training of laboratory staff, and focus on infection prevention and control. Their expertise proves valuable in providing timely and useful support for infectious disease management in disaster-affected areas.
In the aftermath of a natural disaster, multispecialty rapid response teams are deployed to support health-related relief work. Microbiologists are often part of such teams, along with public health specialists, clinicians and entomologists, and can contribute to the response in multiple ways. The role of a microbiologist is critical not only for laboratory diagnosis of infectious diseases, but also for situational analysis and evaluation, planning, prevention and control. The task begins with risk assessment, specifically for identification of diseases epidemic and endemic to the area. Evaluation of existing laboratory setups and establishment of services where none exist is a priority, including facilitation of a tiered laboratory system. Training of laboratory staff at short notice in field settings, biosafety and biomedical waste management are niche areas where microbiologists can contribute. Emerging focus areas include establishment of modular laboratories, infection prevention and control in community evacuation centres and considerations for reopening of healthcare facilities closed due to extensive natural damage. A trained and efficient microbiologist will prove a valuable asset to provide timely and useful support for infectious disease diagnosis, prevention, control and management in the wake of natural disasters.
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