Page 80 - 2023 Taiwan Health and Welfare Report
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06    2023 Taiwan Health and Welfare Report                                                                                                                                                                                         06





            2. Administrative Framework for Communicable       and 10 contracted laboratories for tuberculosis
               Disease Control                                 testing.
               The Taiwan Centers for Disease Control (Taiwan   4. National Response Framework for Communicable
               CDC), MOHW is responsible for the formulation and   Disease Control
               review of communicable disease control policy and   To respond to communicable disease emergencies,
               supervises six regional control centers that provide   the National Health Command Center (NHCC) was
               local authorities with guidance regarding disease   established in 2005. The NHCC was established
               control and quarantine operations. Local authorities   by combining the functions of the Central Epidemic
               are responsible for formulating and implementing   Command Center, Biological Pathogen Disaster
               disease control plans.                          Command Center,  the Counter-Bioterrorism
            3. Laboratory Testing Framework                    Command Center and the Central Medical
               Taiwan CDC is responsible for laboratory testing   Emergency Operations Center. This joint framework
               and research relating to communicable diseases   serves as a comprehensive disaster prevention
               with an established comprehensive service network.   mechanism. The NHCC operates at the central,
               Besides the 12 Taiwan CDC laboratories, there are   regional, and local government levels. The overall
               262 certified institutions, appointed 266 institutions   command structure is shown in Figure 6-1. In normal
               to conduct tests for COVID-19, 11 for novel     operating times, the International Health Regulations
               influenza A virus infections, one for controlled high-  Focal Point remains operational to facilitate reporting
               risk pathogens / toxins, 8 contracted laboratories   of cases and response to an important epidemic and
               for enterovirus / influenza testing, and 53 approved   public health emergency in normal times.


              Figure 6-1   Command Structure of Communicable Disease Command Center


                                              1. A platform for prompt consolidation and analysis of epidemic information.
                          National Health     2. A diversified communication system for real-time information on the
                                                epidemic situation.
                         Command Center
              Central  (Established at Taiwan CDC)  3. IHR Focal Point facilitates exchanges epidemic information.
                                              4. Depending on the local and international epidemic situations, the Central
                                                Epidemic Command Center (three levels: department, ministry, and

                                   Command      Executive Yuan) is activated to consolidate cross-departmental
                                                resources. As the epidemic subsides, command officials may
                                                recommend disbanding the command center to the Executive Yuan,
                                                which makes the final decision.


                                                        1. Taiwan CDC established six regional centers which
                       Taipei  Communicable Disease Control Network
                                                          oversee communicable disease control efforts conducted
                     Northern
                            Communicable Disease Control Network
                                                          at the local government level.
              Regional  Southern  Communicable Disease Control Network  2. Six Communicable Disease Control Medical Network
                      Central
                                                          (CDCMN) were established throughout the nation. Each
                            Communicable Disease Control Network
                                                          has a head commander, deputy commanders, designated
                   Kaohsiung
                  and Pingtung  Communicable Disease Control Network  isolation hospitals, and response hospitals. When the
                                                          Central Epidemic Command Center is activated, each
                      Eastern Communicable Disease Control Network  CDCMN helps distribute medical resources in its
                                                          jurisdiction, and isolate / treat patients if necessary.
                 Upward Reporting                       1. Conducting local communicable disease control efforts.
              Local  Information  Local health bureau   2. Local officials shall establish local epidemic command
                    of Epidemic
                                                          centers depending on the epidemic situation.


             Source: Taiwan Centers for Disease Control



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