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研究生: 朱美虹
Mei-Hung Chu
論文名稱: 我國關於跨國性傳染病防治規範之研究---以SARS防疫為例
A Legal Perspective on Preventing and Controlling Transnational Infectious Diseases in Taiwan- A Case Study on SARS
指導教授: 牛惠之
Huei-Chih Niu
口試委員:
學位類別: 碩士
Master
系所名稱: 科技管理學院 - 科技法律研究所
Institute of Law for Science and Technology
論文出版年: 2005
畢業學年度: 93
語文別: 中文
中文關鍵詞: 國際衛生條例SARS傳染病防治法公共衛生WHO
外文關鍵詞: IHR(International Health Regulation), SARS, the Communicable Disease Control Act, Public Health, WHO
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  • 本文以2003年嚴重急性呼吸道症候群(Severe Acute Respiratory Syndrome,簡稱SARS)此一新興傳染病蔓延全球三十幾個國家,並在台灣造成地區性大規模感染的傳染病歷史為背景,探討SARS此二十一世紀第一個新興傳染病,對於國際公共衛生法律體系以及以世界衛生組織(WHO)為首的國際防疫體系所造成的衝擊,並促使少數公共衛生國際法之一—-國際衛生條例(International Health Regulation ,簡稱IHR)的修正。
    本文並介紹後SARS時代下的國際防疫體系與國際公共衛生法規,進而構築出IHR法制下的國際防疫架構。由於全球交通與貿易頻繁發展下,區域性公共衛生與傳染病防治問題逐漸國際化,本文除了回顧2003年我國之防疫經驗,並檢討我國傳染病防治及我國防疫體系下,關於傳染病監控、反應以及檢疫法規。基於SARS經驗所修正的傳染病防治法及其相關子法,所構成的我國的傳染病防治體系中,以邊境防疫體系、傳染病監控與通報體系、公共衛生反應體系三方面為主要架構。由於台灣是重要的貿易與交通路線樞紐,並且在經濟上依賴國際交通,台灣應建立國家對全球疾病加以警戒與進行回應行動的能力,因此本文將國內的傳染病防治體系進一步對照IHR之下的國際防疫架構,檢驗台灣的防疫體系是否符合IHR所建立的國家防疫標準。
    經研究發現台灣的傳染病防治法及其相關子法還有進一步修正空間,尤其是在與國際接軌的部分無論是邊境體系、傳染病監控通報體系或是公共衛生措施皆有進一步配合IHR修正之必要。此外,邊境措施與公共衛生措施仍需加強對於人權保障。本文亦就法律層次提出建議,以期我國傳染病防治標準能與國際接軌並調和之,降低傳染入境、爆發與擴散對於我國經濟、交通等影響與風險。


    Based on the history of SARS (Severe Acute Respiratory Syndrome), an emerging infectious disease, spreading worldwide up to 30 countries and caused to locally large scale infectious events in Taiwan, the article discusses how SARS, the first emerging infectious disease in 21st century, lashed international public health legal system as well as WHO directing international infectious disease controlling framework, and promoted the only public health international law, IHR(International Health Regulation), to be revised.
    Meanwhile, the article analyzes and deduces an international infectious disease preventing and controlling framework under IHR legal system in post-SARS era. Owing to global communication and frequently trading, regional public health and infectious disease preventing as well as controlling problem get internationalized progressively. The article review Taiwan’s SARS experience, and examine Taiwan’s Surveillance System of Infectious Diseases, for instance, the Communicable Disease Control Act and its Regulations. SARS history told us microbe doesn’t recognize any boundary, Taiwan has to cooperate with international society and keep up public health system with international standard. Subsequently, these acts/regulations are compared with the surveillance system of new amended IHR, and analyzed in three aspects: frontier measures, infectious disease surveillance and informing system as well as public health measures.
    According to researching results, Taiwan’s Communicable Disease Control Act and its Regulations have lots of space to be amended, especially in connecting with international legal system. The article suggests improving Taiwan’s surveillance system and disease control mechanism according to IHR, as well as strength human right protection in order to reduce the risk of infectious disease endangering Taiwan’s public health, communication and economics.

    第一章 緒論 1 第一節□研究動機與目的 1 第二節□研究方法與架構 3 第三節□名詞界定 6 第四節□研究範圍與章節安排 8 第二章 SARS事件對於國際防疫體系之影響 11 第一節□SARS病毒全球傳染之疾病歷史 11 第二節□ARS事件對於國際防疫體系的意義 17 第三節□SARS事件對於國家防疫體系的意義 18 第三章□篕睍疇苀W則的發展與變革--後SARS時代的國際防疫體系 21 第一節□@界衛生組織(WHO)與國際防疫體系之發展 21 第二節□篕琩冀旼擉t下的國際衛生條例 29 第三節□祭□ 40 第四章 後SARS時代我國傳染病防治法規與防疫體系-- 以我國SARS防疫經驗為中心 49 第一節□SARS發生之前我國的防疫體系概述 51 第二節 SARS防疫經驗對我國防疫體系之重要意義 54 第三節 我國後SARS時代的新防疫法規與體系 79 第四節□結論 90 第五章 後SARS時代下我國防疫體系與國際防疫體系 95 第一節□我國防疫體系與國際防疫體系之關Y 97 第二節 我國防疫體系與國際防疫體系之接軌 106 第三節□結論 120 第六章、研究結論與建議 121 第一節□膍s結論 121 第二節□蛌k建議 124

    中文資料
    期刊
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    1. 禽流感 http://www.nsysu.edu.tw/avian/
    2. 台北市衛生局SARS防治相關手冊http://SARS.health.gov.tw/article.asp?channelid=E&serial=561
    3. SARS 病例定義 http://ntuh.mc.ntu.edu.tw/med/SARS/□
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    網路資料
    1. WHO官方網站 http://www.who.int

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