National Reference Laboratory Surge Capacity Response to a Massive Nationwide Measles Outbreak in 2013-2014

Abstract

This management case documents the experience of the Research Institute for Tropical Medicine (RITM) National Reference Laboratory, when a massive nationwide outbreak of Measles occurred during the last quarter of 2013 to the whole of 2014. This was the largest infectious disease outbreak referred thus far to the Institute, with an unprecedented 40,000 blood specimens from all over the country received by the laboratory, overwhelming its testing capacity, and causing large backlogs. The incident revealed significant gaps in the laboratory’s preparedness to respond to a sudden large surge of specimens.The activation of a department-level Incident Command System was the most appropriate management approach to implement due to the urgency and scale of the surge of specimens. The response to the specimen surge was prioritized leading to temporary rearrangements in the organizational structure of the department in order to effectively and rapidly coordinate the staff and allocate resources.

Life, Death, Transitions

“…Two years ago, I wrote a management case on the national reference laboratory surge capacity response to a massive nationwide measles outbreak in the Philippines. 1 This was part of the requirements for my public management development course at the Development Academy of the Philippines, was subsequently presented to a panel, and was eventually published in our journal. Surge is defined as "a sizable increase in demand for resources compared with a baseline demand" 2 further described as "sudden, unanticipated escalations…caused by exceptional events."…”