WorldWideScience

Sample records for public emergency preparedness

  1. Emergency Preparedness

    CERN Document Server

    2001-01-01

    The trends of RPC work in the area of preparedness for nuclear and radiological accidents are listed. RPC in cooperation with Swedish Government developed the project on preparation for iodine prophylaxis in case of accident at Ignalina NPP and arranged seminar on emergency preparedness issues in 2001.

  2. Emergency preparedness

    CERN Document Server

    Cennini, E; Oortman Gerlings, P

    2009-01-01

    On September 19th 2008, a technical fault was at the centre of a sequence of events which hampered the performance of certain equipments of the LHC 3-4 sector. Once the first effects of this sequence of events were detected, the behaviour of the CERN staff confronted to this complex and critical situation became the centre of the risk control process. During such a downward spiral the preparation of all stakeholders is essential and should respect the (apparently) basic principles of emergency preparedness. Preparedness towards normal operation of CERN facilities towards minor up to major emergency situations will be presented. The main technical, organisational and legal frameworks of the CERN emergency preparedness will be recalled, highlighting the CERN risk management and risk control strategy. Then, the sequence of events experienced by different stakeholders on September 19th will be reported, thus starting the learned lessons process.

  3. Better prepared but spread too thin: the impact of emergency preparedness funding on local public health.

    Science.gov (United States)

    Hyde, Justeen; Kim, Basil; Martinez, Linda Sprague; Clark, Mary; Hacker, Karen

    2006-01-01

    Local public health authorities (LPHAs) are recognized as playing critical roles in response to biological, chemical, and other health emergencies. An influx of emergency preparedness funding has created new and expanding responsibilities for LPHAs. Concern that funding for emergency response is diverting attention and resources away from other core public health responsibilities is increasing. In order to determine the impact of emergency preparedness funding on public health infrastructure, qualitative interviews with 27 LPHAs in the metro-Boston area were conducted as part of an on-going evaluation of preparedness planning in Massachusetts. Feedback on the benefits and challenges of recent emergency preparedness planning mandates was obtained. Benefits include opportunities to develop relationships within and across public health departments and increases in communication between local and state authorities. Challenges include budget constraints, staffing shortages, and competing public responsibilities. Policy recommendations for improving planning for emergency response at the local level are provided.

  4. Terrorism and emergency preparedness in state and territorial public health departments--United States, 2004.

    Science.gov (United States)

    2005-05-13

    After the events of September 11, 2001, federal funding for state public health preparedness programs increased from $67 million in fiscal year (FY) 2001 to approximately $1 billion in FY 2002. These funds were intended to support preparedness for and response to terrorism, infectious disease outbreaks, and other public health threats and emergencies. The Council of State and Territorial Epidemiologists (CSTE) assessed the impact of funding on epidemiologic capacity, including terrorism preparedness and response, in state health departments in November 2001 and again in May 2004, after distribution of an additional $1 billion in FY 2003. This report describes the results of those assessments, which indicated that increased funding for terrorism preparedness and emergency response has rapidly increased the number of epidemiologists and increased capacity for preparedness at the state level. However, despite the increase in epidemiologists, state public health officials estimate that 192 additional epidemiologists, an increase of 45.3%, are needed nationwide to fully staff terrorism preparedness programs.

  5. Linking public health agencies and hospitals for improved emergency preparedness: North Carolina's public health epidemiologist program.

    Science.gov (United States)

    Markiewicz, Milissa; Bevc, Christine A; Hegle, Jennifer; Horney, Jennifer A; Davies, Megan; MacDonald, Pia D M

    2012-02-23

    In 2003, 11 public health epidemiologists were placed in North Carolina's largest hospitals to enhance communication between public health agencies and healthcare systems for improved emergency preparedness. We describe the specific services public health epidemiologists provide to local health departments, the North Carolina Division of Public Health, and the hospitals in which they are based, and assess the value of these services to stakeholders. We surveyed and/or interviewed public health epidemiologists, communicable disease nurses based at local health departments, North Carolina Division of Public Health staff, and public health epidemiologists' hospital supervisors to 1) elicit the services provided by public health epidemiologists in daily practice and during emergencies and 2) examine the value of these services. Interviews were transcribed and imported into ATLAS.ti for coding and analysis. Descriptive analyses were performed on quantitative survey data. Public health epidemiologists conduct syndromic surveillance of community-acquired infections and potential bioterrorism events, assist local health departments and the North Carolina Division of Public Health with public health investigations, educate clinicians on diseases of public health importance, and enhance communication between hospitals and public health agencies. Stakeholders place on a high value on the unique services provided by public health epidemiologists. Public health epidemiologists effectively link public health agencies and hospitals to enhance syndromic surveillance, communicable disease management, and public health emergency preparedness and response. This comprehensive description of the program and its value to stakeholders, both in routine daily practice and in responding to a major public health emergency, can inform other states that may wish to establish a similar program as part of their larger public health emergency preparedness and response system.

  6. Linking public health agencies and hospitals for improved emergency preparedness: North Carolina's public health epidemiologist program

    Directory of Open Access Journals (Sweden)

    Markiewicz Milissa

    2012-02-01

    Full Text Available Abstract Background In 2003, 11 public health epidemiologists were placed in North Carolina's largest hospitals to enhance communication between public health agencies and healthcare systems for improved emergency preparedness. We describe the specific services public health epidemiologists provide to local health departments, the North Carolina Division of Public Health, and the hospitals in which they are based, and assess the value of these services to stakeholders. Methods We surveyed and/or interviewed public health epidemiologists, communicable disease nurses based at local health departments, North Carolina Division of Public Health staff, and public health epidemiologists' hospital supervisors to 1 elicit the services provided by public health epidemiologists in daily practice and during emergencies and 2 examine the value of these services. Interviews were transcribed and imported into ATLAS.ti for coding and analysis. Descriptive analyses were performed on quantitative survey data. Results Public health epidemiologists conduct syndromic surveillance of community-acquired infections and potential bioterrorism events, assist local health departments and the North Carolina Division of Public Health with public health investigations, educate clinicians on diseases of public health importance, and enhance communication between hospitals and public health agencies. Stakeholders place on a high value on the unique services provided by public health epidemiologists. Conclusions Public health epidemiologists effectively link public health agencies and hospitals to enhance syndromic surveillance, communicable disease management, and public health emergency preparedness and response. This comprehensive description of the program and its value to stakeholders, both in routine daily practice and in responding to a major public health emergency, can inform other states that may wish to establish a similar program as part of their larger public

  7. A call for science preparedness for pregnant women during public health emergencies.

    Science.gov (United States)

    Faherty, Laura J; Rasmussen, Sonja A; Lurie, Nicole

    2017-01-01

    Science preparedness, or the ability to conduct scientific research early in a public health emergency, is essential to increase the likelihood that important research questions regarding pregnant women will be addressed during future public health emergencies while the window of opportunity for data collection is open. Science preparedness should include formulation and human subject approval of generic protocols, which could be rapidly updated at the time of the public health emergency; development of a preexisting study network to coordinate time-sensitive research during a public health emergency; and identification of mechanisms for funding these studies. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Understanding Quality: A Guide for Developers and Consumers of Public Health Emergency Preparedness Trainings

    OpenAIRE

    Hites, Lisle; Altschuld, James

    2010-01-01

    The work described in this article represents two years of collaboration among 32 evaluators from 23 schools of public health involved in the Centers for Disease Control and Prevention's Centers for Public Health Preparedness program. Evaluators in public health emergency preparedness (PHEP) training were tasked with identifying what constitutes quality in PHEP training and providing guidance to practitioners in selecting training packages. The results of their deliberations included developm...

  9. The Preparedness and Emergency Response Learning Centers: advancing standardized evaluation of public health preparedness and response trainings.

    Science.gov (United States)

    Hites, Lisle S; Sass, Marcia M; D'Ambrosio, Luann; Brown, Lisa M; Wendelboe, Aaron M; Peters, Karen E; Sobelson, Robyn K

    2014-01-01

    The Centers for Disease Control and Prevention funded Preparedness and Emergency Response Learning Centers (PERLCs) across the United States. The PERLCs provide training to state, local, and tribal public health organizations to meet workforce development needs in the areas of public health preparedness and response, specialized training, education, and consultation. Using Donald Kirkpatrick's training evaluation model, the PERLC network established 4 evaluation working groups that developed evaluation criteria to address each level of the model. The purpose of the working groups was to inform and promote center-level and program-level evaluation across the PERLC network; identify common training evaluation methods and measures; and share materials, resources, and lessons learned with state, local, and tribal public health organizations for potential replication. The evaluation of education and training, irrespective of its modality (eg, in-person, online, webinars, seminars, symposia) can be accomplished using Kirkpatrick's 4-level taxonomy. The 4 levels aim to measure the following aspects of training programs: (1) trainees' reaction; (2) knowledge acquired, skills improved, or attitudes changed; (3) behavior changed; and (4) results or impact. To successfully evaluate emergency preparedness training, drills and exercises, it is necessary to understand the fundamental tenets of each level and how to apply each to measure training outcomes. The PERLC evaluators have adopted the basic schema of Kirkpatrick's 4-level model and applied its structure to a wide variety of preparedness and emergency response training and related activities. The PERLC evaluation working groups successfully developed and tested survey methods and instruments for each of the 4 levels of Kirkpatrick's training evaluation model. Each can be used for replication by state, local, and tribal public health professionals.

  10. Applying behavioral science to workforce challenges in the public health emergency preparedness system.

    Science.gov (United States)

    McCabe, O Lee; DiClemente, Carlo C; Links, Jonathan M

    2012-01-01

    When disasters and other broad-scale public health emergencies occur in the United States, they often reveal flaws in the pre-event preparedness of those individuals and agencies charged with responsibility for emergency response and recovery activities. A significant contributor to this problem is the unwillingness of some public health workers to participate in the requisite planning, training, and response activities to ensure quality preparedness. The thesis of this article is that there are numerous, empirically supported models of behavior change that hold potential for motivating role-appropriate behavior in public health professionals. The models that are highlighted here for consideration and prospective adaptation to the public health emergency preparedness system (PHEPS) are the Transtheoretical Model of Intentional Behavior Change (TTM) and Motivational Interviewing (MI). Core concepts in TTM and MI are described, and specific examples are offered to illustrate the relevance of the frameworks for understanding and ameliorating PHEPS-based workforce problems. Finally, the requisite steps are described to ensure the readiness of organizations to support the implementation of the ideas proposed.

  11. OEM Emergency Preparedness Information

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Office of Emergency Management compiles a wide variety of information in support of Emergency Preparedness, including certain elements of the System for Risk...

  12. Understanding quality: a guide for developers and consumers of public health emergency preparedness trainings.

    Science.gov (United States)

    Hites, Lisle; Altschuld, James

    2010-01-01

    The work described in this article represents two years of collaboration among 32 evaluators from 23 schools of public health involved in the Centers for Disease Control and Prevention's Centers for Public Health Preparedness program. Evaluators in public health emergency preparedness (PHEP) training were tasked with identifying what constitutes quality in PHEP training and providing guidance to practitioners in selecting training packages. The results of their deliberations included development and selection of guidelines for a high-quality course, a justification of the guidelines, and a Training Selection System (TSS) to assist in analyzing extant trainings. In this article, we present the TSS (along with explanatory notes for each of its sections), preliminary feedback from practitioners, and a discussion of next steps.

  13. Public Health System Research in Public Health Emergency Preparedness in the United States (2009-2015): Actionable Knowledge Base.

    Science.gov (United States)

    Savoia, Elena; Lin, Leesa; Bernard, Dottie; Klein, Noah; James, Lyndon P; Guicciardi, Stefano

    2017-09-01

    In 2008, the Institute of Medicine released a letter report identifying 4 research priority areas for public health emergency preparedness in public health system research: (1) enhancing the usefulness of training, (2) improving timely emergency communications, (3) creating and maintaining sustainable response systems, and (4) generating effectiveness criteria and metrics. To (1) identify and characterize public health system research in public health emergency preparedness produced in the United States from 2009 to 2015, (2) synthesize research findings and assess the level of confidence in these findings, and (3) describe the evolution of knowledge production in public health emergency preparedness system research. Search Methods and Selection Criteria. We reviewed and included the titles and abstracts of 1584 articles derived from MEDLINE, EMBASE, and gray literature databases that focused on the organizational or financial aspects of public health emergency preparedness activities and were grounded on empirical studies. We included 156 articles. We appraised the quality of the studies according to the study design. We identified themes during article analysis and summarized overall findings by theme. We determined level of confidence in the findings with the GRADE-CERQual tool. Thirty-one studies provided evidence on how to enhance the usefulness of training. Results demonstrated the utility of drills and exercises to enhance decision-making capabilities and coordination across organizations, the benefit of cross-sector partnerships for successfully implementing training activities, and the value of integrating evaluation methods to support training improvement efforts. Thirty-six studies provided evidence on how to improve timely communications. Results supported the use of communication strategies that address differences in access to information, knowledge, attitudes, and practices across segments of the population as well as evidence on specific

  14. Can merging the roles of public health preparedness and emergency management increase the efficiency and effectiveness of emergency planning and response?

    Science.gov (United States)

    Vielot, Nadja A; Horney, Jennifer A

    2014-03-10

    Some jurisdictions have reduced workforce and reallocated responsibilities for public health preparedness and emergency management to more efficiently use resources and improve planning and response. Key informant interviews were conducted in six counties in North Carolina (USA) to discuss perceptions of the challenges and opportunities provided by the new shared positions. Respondents feel that planning and response have improved, but that requirements related to activities or equipment that are eligible for funding (particularly on the public health side) can present an impediment to consolidating public health preparedness and emergency management roles. As the financial resources available for public health preparedness and emergency management continue to be reduced, the merging of the roles and responsibilities of public health preparedness and emergency management may present jurisdictions with an effective alternative to reducing staff, and potentially, readiness.

  15. Can Merging the Roles of Public Health Preparedness and Emergency Management Increase the Efficiency and Effectiveness of Emergency Planning and Response?

    Directory of Open Access Journals (Sweden)

    Nadja A. Vielot

    2014-03-01

    Full Text Available Some jurisdictions have reduced workforce and reallocated responsibilities for public health preparedness and emergency management to more efficiently use resources and improve planning and response. Key informant interviews were conducted in six counties in North Carolina (USA to discuss perceptions of the challenges and opportunities provided by the new shared positions. Respondents feel that planning and response have improved, but that requirements related to activities or equipment that are eligible for funding (particularly on the public health side can present an impediment to consolidating public health preparedness and emergency management roles. As the financial resources available for public health preparedness and emergency management continue to be reduced, the merging of the roles and responsibilities of public health preparedness and emergency management may present jurisdictions with an effective alternative to reducing staff, and potentially, readiness.

  16. Public Health Emergency Preparedness and Response Communications with Health Care Providers: A Literature Review

    Directory of Open Access Journals (Sweden)

    Duchin Jeffrey

    2011-05-01

    Full Text Available Abstract Background Health care providers (HCPs play an important role in public health emergency preparedness and response (PHEPR so need to be aware of public health threats and emergencies. To inform HCPs, public health issues PHEPR messages that provide guidelines and updates, and facilitate surveillance so HCPs will recognize and control communicable diseases, prevent excess deaths and mitigate suffering. Public health agencies need to know that the PHEPR messages sent to HCPs reach their target audience and are effective and informative. Public health agencies need to know that the PHEPR messages sent to HCPs reach their target audience and are effective and informative. We conducted a literature review to investigate the systems and tools used by public health to generate PHEPR communications to HCPs, and to identify specific characteristics of message delivery mechanisms and formats that may be associated with effective PHEPR communications. Methods A systematic review of peer- and non-peer-reviewed literature focused on the following questions: 1 What public health systems exist for communicating PHEPR messages from public health agencies to HCPs? 2 Have these systems been evaluated and, if yes, what criteria were used to evaluate these systems? 3 What have these evaluations discovered about characterizations of the most effective ways for public health agencies to communicate PHEPR messages to HCPs? Results We identified 25 systems or tools for communicating PHEPR messages from public health agencies to HCPs. Few articles assessed PHEPR communication systems or messaging methods or outcomes. Only one study compared the effectiveness of the delivery format, device or message itself. We also discovered that the potential is high for HCPs to experience "message overload" given redundancy of PHEPR messaging in multiple formats and/or through different delivery systems. Conclusions We found that detailed descriptions of PHEPR messaging from

  17. PERCC Tools: Public Health Preparedness for Clinicians

    Centers for Disease Control (CDC) Podcasts

    2011-08-29

    CDC’s Office of Public Health Preparedness and Response funds Preparedness and Emergency Response Research Centers (PERRCs) to examine components of the public health system. This podcast is an overview of mental and behavioral health tools developed by the Johns Hopkins PERRC.  Created: 8/29/2011 by Emergency Risk Communication Branch (ERCB)/Joint Information Center (JIC); Office of Public Health Preparedness and Response (OPHPR).   Date Released: 8/30/2011.

  18. Business and public health collaboration for emergency preparedness in Georgia: a case study

    Directory of Open Access Journals (Sweden)

    Berkelman Ruth L

    2006-11-01

    Full Text Available Abstract Background Governments may be overwhelmed by a large-scale public health emergency, such as a massive bioterrorist attack or natural disaster, requiring collaboration with businesses and other community partners to respond effectively. In Georgia, public health officials and members of the Business Executives for National Security have successfully collaborated to develop and test procedures for dispensing medications from the Strategic National Stockpile. Lessons learned from this collaboration should be useful to other public health and business leaders interested in developing similar partnerships. Methods The authors conducted a case study based on interviews with 26 government, business, and academic participants in this collaboration. Results The partnership is based on shared objectives to protect public health and assure community cohesion in the wake of a large-scale disaster, on the recognition that acting alone neither public health agencies nor businesses are likely to manage such a response successfully, and on the realization that business and community continuity are intertwined. The partnership has required participants to acknowledge and address multiple challenges, including differences in business and government cultures and operational constraints, such as concerns about the confidentiality of shared information, liability, and the limits of volunteerism. The partnership has been facilitated by a business model based on defining shared objectives, identifying mutual needs and vulnerabilities, developing carefully-defined projects, and evaluating proposed project methods through exercise testing. Through collaborative engagement in progressively more complex projects, increasing trust and understanding have enabled the partners to make significant progress in addressing these challenges. Conclusion As a result of this partnership, essential relationships have been established, substantial private resources and

  19. Telehealth tools for public health, emergency, or disaster preparedness and response: a summary report.

    Science.gov (United States)

    Alverson, Dale C; Edison, Karen; Flournoy, Larry; Korte, Brenda; Magruder, Charles; Miller, Craig

    2010-01-01

    Rapid advances in telehealth development and adoption are increasing the spectrum of information and communication technologies that can be applied not only to individual patient care but more broadly to population health as well. Participants in this breakout session were asked to address, from their diverse perspectives, a series of questions relating to the current and potential uses of telehealth applications and networks for public health and emergency/disaster preparedness and response systems. Participants identified several gaps in current understanding and research emphasis. There is a clear need for more and larger outcome studies to assess the impact and cost benefit of telehealth applications in terms of improving public health at the population and community levels. In addition, more research is needed to demonstrate the ability of telehealth tools and technologies to facilitate and extend the reach of major national clinical and public health research initiatives. Perhaps most importantly, the National Institutes of Health should develop and/or strengthen strategic partnerships with other funding agencies with overlapping or complementary interests to accelerate interdisciplinary research in this rapidly evolving but relatively understudied and complex field.

  20. Promoting public health legal preparedness for emergencies: review of current trends and their relevance in light of the Ebola crisis

    Directory of Open Access Journals (Sweden)

    Odeya Cohen

    2015-10-01

    Full Text Available Background: Public health legal preparedness (PHLP for emergencies is a core component of the health system response. However, the implementation of health legal preparedness differs between low- and middle-income countries (LMIC and developed countries. Objective: This paper examines recent trends regarding public health legal preparedness for emergencies and discusses its role in the recent Ebola outbreak. Design: A rigorous literature review was conducted using eight electronic databases as well as Google Scholar. The results encompassed peer-reviewed English articles, reports, theses, and position papers dating from 2011 to 2014. Earlier articles concerning regulatory actions were also examined. Results: The importance of PHLP has grown during the past decade and focuses mainly on infection–disease scenarios. Amid LMICs, it mostly refers to application of international regulations, whereas in developed states, it focuses on independent legislation and creation of conditions optimal to promoting an effective emergency management. Among developed countries, the United States’ utilisation of health legal preparedness is the most advanced, including the creation of a model comprising four elements: law, competencies, information, and coordination. Only limited research has been conducted in this field to date. Nevertheless, in both developed and developing states, studies that focused on regulations and laws activated in health systems during emergencies, identified inconsistency and incoherence. The Ebola outbreak plaguing West Africa since 2014 has global implications, challenges and paralleling results, that were identified in this review. Conclusions: The review has shown the need to broaden international regulations, to deepen reciprocity between countries, and to consider LMICs health capacities, in order to strengthen the national health security. Adopting elements of the health legal preparedness model is recommended.

  1. Integrating a framework for conducting public health systems research into statewide operations-based exercises to improve emergency preparedness

    Directory of Open Access Journals (Sweden)

    Hunter Jennifer C

    2012-08-01

    Full Text Available Abstract Background Due to the uncommon nature of large-scale disasters and emergencies, public health practitioners often turn to simulated emergencies, known as “exercises”, for preparedness assessment and improvement. Under the right conditions, exercises can also be used to conduct original public health systems research. This paper describes the integration of a research framework into a statewide operations-based exercise program in California as a systems-based approach for studying public health emergency preparedness and response. Methods We developed a research framework based on the premise that operations-based exercises conducted by medical and public health agencies can be described using epidemiologic concepts. Using this framework, we conducted a survey of key local and regional medical and health agencies throughout California following the 2010 Statewide Medical and Health Exercise. The survey evaluated: (1 the emergency preparedness capabilities activated and functions performed in response to the emergency scenario, and (2 the major challenges to inter-organizational communications and information management. Results Thirty-five local health departments (LHDs, 24 local emergency medical services (EMS agencies, 121 hospitals, and 5 Regional Disaster Medical and Health Coordinators/Specialists (RDMHC responded to our survey, representing 57%, 77%, 26% and 83%, respectively, of target agencies in California. We found two sets of response capabilities were activated during the 2010 Statewide Exercise: a set of core capabilities that were common across all agencies, and a set of agency-specific capabilities that were more common among certain agency types. With respect to one response capability in particular, inter-organizational information sharing, we found that the majority of respondents’ comments were related to the complete or partial failure of communications equipment or systems. Conclusions Using the 2010 Statewide

  2. Hospital emergency preparedness

    African Journals Online (AJOL)

    Tamara Shefer

    preparedness of health systems (WHO, 2007a; WHO, 2007b; World Health ... risk assessments through the establishment of a vulnerability assessment ... April 2003 (Ministry of Health and Social Services, 2003); The Namibia National Disaster Risk ..... involve the Oshikoto Regional council as well as the local community.

  3. Radiation Emergency Preparedness Tools: Psychological First Aid

    Centers for Disease Control (CDC) Podcasts

    2010-12-30

    This podcast is an overview of the Clinician Outreach and Communication Activity (COCA) Call: Practical Tools for Radiation Emergency Preparedness. A specialist working with CDC's Radiation Studies Branch describes Psychological First Aid and a newly developed multimedia training program, entitled "Psychological First Aid in Radiation Disasters.".  Created: 12/30/2010 by National Center for Environmental Health (NCEH) Radiation Studies Branch and Emergency Risk Communication Branch (ERCB)/Joint Information Center (JIC); Office of Public Health Preparedness and Response (OPHPR).   Date Released: 1/13/2011.

  4. Emergency Preparedness Concerns for Older Adults

    Centers for Disease Control (CDC) Podcasts

    2009-01-26

    This podcast discusses the special concerns many older adults face during a disaster. It is primarily targeted to public health and aging services professionals.  Created: 1/26/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) and Coordinating Office for Terrorism Preparedness and Emergency Response (COTPER).   Date Released: 1/26/2009.

  5. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan

    Directory of Open Access Journals (Sweden)

    Huang Jianshi

    2008-09-01

    Full Text Available Abstract Background Hospital preparedness is critical for the early detection and management of public health emergency (PHE. Understanding the current status of PHE preparedness is the first step in planning to enhance hospitals' capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Methods Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diagnosis and management; staff training; and risk communication were collected and analyzed. Results Valid responses were received from 318 (79.5% of the 400 hospitals surveyed. Of the valid responses, 264 (85.2% hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity(See in appendix. Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institution's PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5N1 avian flu and SARS. Staff training or drill programs were reported in 94.5% of the institutions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their medical staff to assess PHE-related stress. All of the above

  6. Emergency Preparedness: Are You Ready?

    Science.gov (United States)

    Harley, Lorraine

    2012-01-01

    Most Americans who consider emergency preparedness think of someone or another country attacking the United States. Most newspaper and televised accounts involve community leaders and policymakers preparing for a terrorist attack. However, anyone who operates a child care center, family child care home, or has children of her own, knows that…

  7. Notes and comments "High and dry?" The Public Readiness and Emergency Preparedness Act and liability protection for pharmaceutical manufacturers.

    Science.gov (United States)

    Copper, B Kurt

    2007-01-01

    In an era filled with fears of bioterrorism, Congress approved the Public Readiness and Emergency Preparedness Act (PREPA) to encourage development of vaccines and other countermeasures. By providing pharmaceutical manufacturers with protection from liability for potential side effects, Congress has attempted to motivate manufacturers to produce a national stockpile of countermeasures. As part of PREPA, the government established a compensatory system intended to provide compensation to persons injured by countermeasures used during a public health emergency. Although the Act provides for a compensation fund, it fails to allocate monies for that fund. Thus, in the absence of further congressional action, PREPA will not provide compensation to those injured by countermeasures. Failing to assure the American public of a compensation program constitutes bad public policy and risks inspiring potential vaccinees to refuse necessary drugs. Additionally, arguments as to the constitutionality of the Act exist should Congress fail to adequately fund the program, and the existence of those arguments undermines the purpose of the Act--namely to assure pharmaceutical manufacturers that they will not be sued into oblivion should they attempt to aid national pandemic protection. In addition to detailing both the Act and the statutory precedent for congressional attempts to spur biodefense, this Article addresses important issues of healthcare, tort, and constitutional law that will continue to manifest themselves in this new era of bioterrorism.

  8. Emergency Preparedness at NCI

    Science.gov (United States)

    Information to help prepare for an emergency. Includes resources for patients and health care providers to continue cancer care, NCI contacts for grantees, and resources to prepare and update NCI employees and contractors.

  9. Public Health and Terrorism Preparedness: Cross-Border Issues

    OpenAIRE

    Olson, Debra; Leitheiser, Aggie; Atchison, Christopher; Larson, Susan; Homzik, Cassandra

    2005-01-01

    On December 15, 2003, the Centers for Public Health Preparedness at the University of Minnesota and the University of Iowa convened the “Public Health and Terrorism Preparedness: Cross-Border Issues Roundtable.” The purpose of the roundtable was to gather public health professionals and government agency representatives at the state, provincial, and local levels to identify unmet cross-border emergency preparedness and response needs and develop strategies for addressing these needs. Represen...

  10. A virtual reality approach to public protection and emergency preparedness planning in dam safety analysis

    Energy Technology Data Exchange (ETDEWEB)

    Assaf, H.; Hartford, D.N.D. [BC Hydro, Burnaby, BC (Canada)

    2002-12-01

    BC Hydro has developed a new approach to analyze and assess the consequences of dam emergencies on human communities. The Life Safety Model (LSM) was designed to enable the electric utility to provide different response agencies with realistic dynamic models of a wide range of emergency scenarios that require a response in the event of a dam failure. LSM is pertinent to public safety because it enables response agencies to develop emergency plans and provides insight into the design of risk mitigation measures through its ability to simulate high risk locations. The model can create representations of downstream communities in potentially impacted areas and can geographically illustrate the potential dam breach events with reference to flood propagation and the movement of people on foot or in vehicles. A wide range of downstream dam operation conditions is presented. LSM merges state of the art technologies and recent scientific advances in environmental simulation and modelling, GIS, artificial intelligence, real time modelling of 2-dimensional dam breach flooding scenarios, structural reliability analysis, and human behaviour characterisation. This paper describes the modular architecture of the model and demonstrates how to generate the vital information needed to characterize a dam failure emergency. 2 refs., 1 tab., 7 figs.

  11. Volunteering for Emergency Preparedness

    Science.gov (United States)

    1989-05-01

    Laurier Avenue, West Ottawa KlAOW6 Ontario, CANADA Ms. Sarah Paul Fire and Emergency Services Department - F6 Division Home Office Queen Anne’s Gate London...a0 F,:a-~ ,a. , Ca 0)Ca Q) -Q ’, 0 o o o mCC 03~ 0~ E 0-o c 0 o Ea, ’o ()C E-00)o EL 0) C -- 0 o- 0 W a a’Ca 0 a ’o 𔃺 6 5 E ’ Ca) o o W a)0~ Maa 𔃺

  12. State of emergency preparedness for US health insurance plans.

    Science.gov (United States)

    Merchant, Raina M; Finne, Kristen; Lardy, Barbara; Veselovskiy, German; Korba, Caey; Margolis, Gregg S; Lurie, Nicole

    2015-01-01

    Health insurance plans serve a critical role in public health emergencies, yet little has been published about their collective emergency preparedness practices and policies. We evaluated, on a national scale, the state of health insurance plans' emergency preparedness and policies. A survey of health insurance plans. We queried members of America's Health Insurance Plans, the national trade association representing the health insurance industry, about issues related to emergency preparedness issues: infrastructure, adaptability, connectedness, and best practices. Of 137 health insurance plans queried, 63% responded, representing 190.6 million members and 81% of US plan enrollment. All respondents had emergency plans for business continuity, and most (85%) had infrastructure for emergency teams. Some health plans also have established benchmarks for preparedness (eg, response time). Regarding adaptability, 85% had protocols to extend claim filing time and 71% could temporarily suspend prior medical authorization rules. Regarding connectedness, many plans shared their contingency plans with health officials, but often cited challenges in identifying regulatory agency contacts. Some health insurance plans had specific policies for assisting individuals dependent on durable medical equipment or home healthcare. Many plans (60%) expressed interest in sharing best practices. Health insurance plans are prioritizing emergency preparedness. We identified 6 policy modifications that health insurance plans could undertake to potentially improve healthcare system preparedness: establishing metrics and benchmarks for emergency preparedness; identifying disaster-specific policy modifications, enhancing stakeholder connectedness, considering digital strategies to enhance communication, improving support and access for special-needs individuals, and developing regular forums for knowledge exchange about emergency preparedness.

  13. 75 FR 18214 - Board of Scientific Counselors, Coordinating Office for Terrorism Preparedness and Emergency...

    Science.gov (United States)

    2010-04-09

    ... Office for Terrorism Preparedness and Emergency Response (BSC, COTPER) \\1\\ \\1\\ The Coordinating Office for Terrorism Preparedness and Emergency Response has been renamed and is now the Office of Public...

  14. Emergency Preparedness for People Living with HIV

    Science.gov (United States)

    ... Translate Text Size Print Emergency Preparedness Emergencies and HIV/AIDS Emergencies can take many forms. They include ... planning efforts. Emergency Resources for People Living with HIV The Federal Government offers several resources and programs ...

  15. 77 FR 38248 - Passenger Train Emergency Preparedness

    Science.gov (United States)

    2012-06-27

    ... Federal Railroad Administration 49 CFR Part 239 Passenger Train Emergency Preparedness AGENCY: Federal... (NPRM). SUMMARY: FRA is proposing to revise its regulations for passenger train emergency preparedness... responders during emergency situations receive initial and periodic training and are subject to operational...

  16. Situating Preparedness Education within Public Pedagogy

    Science.gov (United States)

    Kitagawa, Kaori

    2017-01-01

    Both "disaster preparedness" and "public pedagogy" have been broadly defined and diversely utilised. Preparedness has been dealt with in disciplines such as civil engineering, the sociology of disasters, public health and psychology, rather than education. Recently, inquiries into the learning and teaching of preparedness have…

  17. Situating Preparedness Education within Public Pedagogy

    Science.gov (United States)

    Kitagawa, Kaori

    2017-01-01

    Both "disaster preparedness" and "public pedagogy" have been broadly defined and diversely utilised. Preparedness has been dealt with in disciplines such as civil engineering, the sociology of disasters, public health and psychology, rather than education. Recently, inquiries into the learning and teaching of preparedness have…

  18. Radiological emergency: Malaysian preparedness and response.

    Science.gov (United States)

    Yusof, Mohd Abd Wahab; Ali, Hamrah Mohd

    2011-07-01

    Planning and preparation in advance for radiological emergencies can help to minimise potential public health and environmental threats if and when an actual emergency occurs. During the planning process, emergency response organisations think through how they would respond to each type of incident and the resources that will be needed. In Malaysia, planning, preparation for and response to radiological emergencies involve many parties. In the event of a radiological emergency and if it is considered a disaster, the National Security Council, the Atomic Energy Licensing Board and the Malaysian Nuclear Agency (Nuclear Malaysia) will work together with other federal agencies, state and local governments, first responders and international organisations to monitor the situation, contain the release, and clean up the contaminated site. Throughout the response, these agencies use their protective action guidelines. This paper discusses Malaysian preparedness for, and response to, any potential radiological emergency.

  19. Emergency preparedness training of tribal community health representatives.

    Science.gov (United States)

    Hites, Lisle S; Granillo, Brenda S; Garrison, Edward R; Cimetta, Adriana D; Serafin, Verena J; Renger, Ralph F; Wakelee, Jessica F; Burgess, Jefferey L

    2012-04-01

    This study describes the development and evaluation of online Public Health Emergency Preparedness (PHEP) training adapted to the learning styles and needs of tribal Community Health Representatives (CHRs). Working through a university-tribal community college partnership, the Arizona Center for Public Health Preparedness at the University of Arizona and Diné College of the Navajo Nation delivered a blended online and face-to-face public health preparedness certificate program based on core public health emergency preparedness competencies. This program was carefully adapted to meet the environmental and learning needs of the tribal CHRs. The certificate program was subsequently evaluated via a scenario-based decision-making methodology. Significant improvements in five of six competency areas were documented by comparison of pre- and post-certificate training testing. Based on statistical support for this pedagogical approach the cultural adaptations utilized in delivery of the certificate program appear to be effective for PHEP American Indian education.

  20. Promising Practices: A Case Study on Public Health Emergency Preparedness at a University

    Science.gov (United States)

    Mathes, Amy L.

    2013-01-01

    There is little published literature on operational coordination during a real time disaster regardless of the setting. This study describes a university's emergency management plan and its execution in response to a specific natural disaster, the May 8, 2009 "inland hurricane," which was later classified as a "Super Derecho."…

  1. Promising Practices: A Case Study on Public Health Emergency Preparedness at a University

    Science.gov (United States)

    Mathes, Amy L.

    2013-01-01

    There is little published literature on operational coordination during a real time disaster regardless of the setting. This study describes a university's emergency management plan and its execution in response to a specific natural disaster, the May 8, 2009 "inland hurricane," which was later classified as a "Super Derecho."…

  2. Managing emerging risk the capstone of preparedness

    CERN Document Server

    Burton, Kevin D

    2016-01-01

    From Main Street to Mumbai, Managing Emerging Risk: The Capstone of Preparedness considers the new global drivers behind threats and hazards facing all those tasked with protecting the public and private sector. The text delves into the global mindset of public and private sector emergency managers and presents a new risk landscape vastly different from the one existing ten years ago. The book begins by presenting a series of fictitious scenarios each resulting in mass destruction and fatalities. These are each followed by actual news stories that support the scenarios and demonstrate that the proposed events-seemingly unthinkable-have the potential to occur. Next, the author identifies two drivers in the practice of emergency management and general preparedness today that constitute our view of the future and the new face of risk. The first is the Disaster Halo Effect-the idea that modern threats exhibit more than one event. The second is the worldview of our nation as a Market State focused on the trading o...

  3. Emergency preparedness of veterans and nonveterans.

    Science.gov (United States)

    Geiger, Joseph F Iii

    This study examined statistical differences in levels of disaster preparedness between former members of the US Armed Forces (veterans) and civilians (nonveterans). It was hypothesized that veterans would exhibit a higher degree of disaster preparedness as compared to their nonveteran counterparts as a consequence of their training and life experience. Furthermore, if this were proven to be valid, the finding would identify this cohort as an ideal target audience for emergency and disaster preparedness education efforts. A four-page survey consisting principally of closed-ended questions about emergency preparedness was written to measure these differences. Most of the questions required respondents to rank their answers according to a five-step Likert Scale. The survey could be completed either in hard copy or online from September 2014 to January 2015. Ultimately, 113 surveys were returned for evaluation. Of those respondents, 62 were veterans and 51 were nonveterans. The responses were analyzed using one-way analysis of variance tests for statistical significance using the 95 percent confidence standard for each tested value. The results support that veterans are more prepared for domestic emergencies than nonveterans. In addition, veterans were more willing to provide leadership and direction to others in an effort to assist emergency managers in responding to domestic disasters. It is for these reasons that emergency managers should consider targeting veterans for disaster preparedness training to help ensure effective and efficient responses to emergencies.

  4. Improving Team Performance for Public Health Preparedness.

    Science.gov (United States)

    Peck, Megan; Scullard, Mickey; Hedberg, Craig; Moilanen, Emily; Radi, Deborah; Riley, William; Bowen, Paige Anderson; Petersen-Kroeber, Cheryl; Stenberg, Louise; Olson, Debra K

    2017-02-01

    Between May 2010 and September 2011, the University of Minnesota School of Public Health partnered with the Minnesota Department of Health (MDH) to assess the effect of exercises on team performance during public health emergency response. Participants were divided into 3 research teams exposed to various levels of intervention. Groups consisted of a control group that was given standard MDH training exercises, a didactic group exposed to team dynamics and communication training, and a treatment group that received the didactic training in addition to a post-exercise facilitated debriefing. To assess differences in team performance, teams engaged in 15 functional exercises. Differences in team performance across the 3 groups were identified, although there was no trend in team performance over time for any of the groups. Groups demonstrated fluctuation in team performance during the study period. Attitudinal surveys demonstrated an increase in workplace satisfaction and confidence in training among all groups throughout the study period. Findings from this research support that a critical link exists between training type and team performance during public health emergency response. This research supports that intentional teamwork training for emergency response workers is essential for effective public health emergency response. (Disaster Med Public Health Preparedness. 2017;11:7-10).

  5. The danger of declining funds: Public Health Preparedness in NYC.

    Science.gov (United States)

    Marquez, Monica; Patel, Prachee; Raphael, Marisa; Morgenthau, Beth Maldin

    2009-09-01

    Since 2001, the New York City Department of Health and Mental Hygiene (NYC DOHMH) has built a strong public health preparedness foundation, made possible in large part by funding from the Public Health Emergency Preparedness (PHEP) Cooperative Agreement provided by the Centers for Disease Control and Prevention. While this funding has allowed NYC DOHMH to make great progress in areas such as all-hazards planning, risk communication, disease surveillance, and lab capacity, the erosion of federal preparedness dollars for all-hazards preparedness has the potential to reverse these gains. Since the initiation of the PHEP grant in 2002, PHEP funding has steadily declined nationwide. Specifically, the total federal allocation has decreased approximately 20%, from $862,777,000 in 2005 to $688,914,546 in 2009. With city and state budgets at an all-time low, federal funding cuts will have a significant impact on public health preparedness programs nationwide. In this time of strict budgetary constraints, the nation would be better served by strategically awarding federal preparedness funds to areas at greatest risk. The absence of risk-based funding in determining PHEP grant awards leaves the nation's highest-risk areas, like New York City, with insufficient resources to prepare for and respond to public health emergencies. This article examines the progress New York City has made and what is at stake as federal funding continues to wane.

  6. Radiation Emergency Preparedness Tools: Virtual Community Reception Center

    Centers for Disease Control (CDC) Podcasts

    2011-02-28

    This podcast is an overview of resources from the Clinician Outreach and Communication Activity (COCA) Call: Practical Tools for Radiation Emergency Preparedness. A specialist working with CDC's Radiation Studies Branch describes a web-based training tool known as a Virtual Community Reception Center (vCRC).  Created: 2/28/2011 by National Center for Environmental Health (NCEH) Radiation Studies Branch and Emergency Risk Communication Branch (ERCB)/Joint Information Center (JIC); Office of Public Health Preparedness and Response (OPHPR).   Date Released: 2/28/2011.

  7. A Study of Terrorism Emergency Preparedness Policies in School Districts

    Science.gov (United States)

    Umoh, Emmanuel

    2013-01-01

    The threat of terrorism is a concern in public facilities including schools. This study focused on school districts in a southwestern state. Terrorism emergency preparedness policies are well-documented as measures to protect students and staff in school districts from terrorism threats and vulnerabilities. However, those threats and…

  8. A Study of Terrorism Emergency Preparedness Policies in School Districts

    Science.gov (United States)

    Umoh, Emmanuel

    2013-01-01

    The threat of terrorism is a concern in public facilities including schools. This study focused on school districts in a southwestern state. Terrorism emergency preparedness policies are well-documented as measures to protect students and staff in school districts from terrorism threats and vulnerabilities. However, those threats and…

  9. Characterization of emergency preparedness at DOE contractor facilities

    Energy Technology Data Exchange (ETDEWEB)

    Gillings, J.C.; Murphy, B.L.; Corbit, C.D.; MacLellan, J.A.; Essig, T.H.; Higby, D.P.; Hooker, C.D.; Laughlin, G.J.; Stoetzel, G.A.; Swinth, K.L.

    1984-07-01

    A study of emergency preparedness capabilities at DOE facilities was initiated following the incident at the Three Mile Island (TMI) Nuclear Power Station. It was designed to parallel but expand on a study on emergency preparedness instrumentation that was conducted in 1970 by Pacific Northwest Laboratory. The 1970 survey findings led to the publication of four reports on performance criteria for radiological emergency instrumentation. Three of these reports - BNWL-1635 (Selby et al. 1972), BNWL-1742 (Anderson et al. 1974) and BNWL-1857 (Andersen et al. 1976) - addressed the criteria for emergency instrumentation at reactors, mixed oxide fuel fabrication plants, and fuel reprocessing plants, respectively. The fourth report, BNWL-1991 (Bramson et al. 1976), addressed evaluation testing and calibration methodology for these instruments. This report is presented in three parts. Part One is a review of the BNWL documents to determine whether they are applicable to state-of-the-art instrument capabilities. The Appendix to Part One provides a comparison between the instrument performance criteria established in BNWL-1991 to applicable American National Standards Institute (ANSI) standards for portable survey and contamination meters, installed radiation and area monitors, effluent monitors, calibration techniques, criticality detection systems, alarm systems, and direct reading dosimeters. Part Two compares the 1970 survey results with the 1980 survey results to identify trends in emergency preparedness. Part Three is a discussion of the results of the 1980 emergency preparedness survey and the supporting data for each of the 15 modules. 8 references. (ACR)

  10. Build an Emergency Preparedness Kit

    Science.gov (United States)

    ... hat -kitty litter or sand for tire traction -Red or brightly- colored cloth -NOAA weather radio For more information on building emergency kits, contact your local chapter of the American Red Cross. Remember: Your emergency kit should include bottled ...

  11. Radioanalytical chemistry in emergency preparedness

    Energy Technology Data Exchange (ETDEWEB)

    Nygren, U

    2001-11-01

    Radioactive nuclides present a potential health hazard due to the ionising radiation emitted during their decay. The release of large amounts of radioactive nuclides is of concern both for man and the environment. In cases of an accidental (or intentional) release, it is important with early warning systems and rapid methods to determine the extent and composition of the radioactive contamination. Many of the radionuclides released from a nuclear power plant accident or the detonation of a nuclear weapon can be determined by the use of gamma spectrometry. There are, however, some nuclides that are considered to be among the more hazardous that cannot be well determined by this technique, e.g. {sup 90}Sr and the actinides. The determination of these nuclides is usually very time consuming due to the need for their chemical separation prior to counting. Two methods developed for the determination of {sup 90}Sr and actinides in preparedness situations are described in this thesis. The determination of {sup 90}Sr is based on a rapid decomposition of inorganic sample matrixes by lithium-borate fusion and preconcentration of Sr by coprecipitation with calcium oxalate with HF acting as a hold-back carrier for silica. The separation of Sr is then performed by extraction chromatography and measurement by gas-flow proportional counting. The method for actinide-determination is based on collection of the elements from various kinds of sample-materials by the use of two different actinide selective resins. The sample is, in this way, pre concentrated and partially purified prior to the analysis with low-energy gamma spectrometry. Sample preparation by this method only requires 1.5 - 2.5 hours and the sensitivity is sufficient for many of the nuclides of interest. For those nuclides that require a more sensitive analytical finish, the actinides can be removed from the resin and processed further for, e.g., alpha spectrometric determinations.

  12. Emergency preparedness of OSBRA Pipeline

    Energy Technology Data Exchange (ETDEWEB)

    Magalhaes, Milton P.; Torres, Carlos A.R.; Almeida, Francisco J.C. [TRANSPETRO, Rio de Janeiro, RJ (Brazil)

    2009-07-01

    This paper presents the experience of PETROBRAS Transporte S. A. - TRANSPETRO in the preparation for emergencies in the OSBRA pipeline, showing specific aspects and solutions developed. The company has a standardized approach for the emergency management, based on risk analysis studies, risk management plan and contingency plans. To cover almost 1,000 km of pipeline, the Company avails of Emergency Response Centers and Environmental Defense Center, located at strategic points. In order to achieve preparation, fire fighting training and oil leakage elimination training are provided. Additionally, simulation exercises are performed, following a schedule worked out according to specific criteria and guidelines. As a conclusion, a picture is presented of the evolution of the preparation for emergencies in the OSBRA System which bears the enormous responsibility of transporting flammable products for almost 1,000 km of pipeline, crossing 40 municipalities, 3 states and the Federal District. (author)

  13. Nuclear threats and emergency preparedness in Finland; Ydinuhkat ja varautuminen

    Energy Technology Data Exchange (ETDEWEB)

    Mustonen, R.; Aaltonen, H.; Laaksonen, J.; Lahtinen, J.; Rantavaara, A.; Reponen, H.; Rytoemaa, T.; Suomela, M.; Toivonen, H.; Varjoranta, T.

    1995-10-01

    The political and economic upheavals which have taken place in Eastern Europe have had an impact on radiation and nuclear safety throughout Europe. Emergency preparedness systems for unexpected nuclear events have been developed further in all European countries, and prosperous western nations have invested in improving the safety of East European nuclear power plants. The economic crisis facing countries of the former Soviet Union has also promoted illicit trade in nuclear materials; this has made it necessary for various border guards and police authorities to intensify their collaboration and to tighten border controls. On 3-4 October 1995, Finnish Centre for Radiation and Nuclear Safety (STUK) arranged a seminar on nuclear threats and emergency preparedness in Finland. In addition to STUK experts, a wide range of rescue and civil defence authorities, environmental health specialists and other persons engaged in emergency preparedness attended the seminar. The publication contains a compilation of reports presented at the seminar. The reports cover a broad spectrum of nuclear threats analyzed at STUK, the impacts of radioactive fallout on human beings and on the environment, and preparedness systems by which the harmful effects of radiation or nuclear accidents can, if necessary, be minimized. (33 figs., 5 tabs.).

  14. Nuclear threats and emergency preparedness in Finland; Ydinuhkat ja varautuminen

    Energy Technology Data Exchange (ETDEWEB)

    Mustonen, R.; Aaltonen, H.; Laaksonen, J.; Lahtinen, J.; Rantavaara, A.; Reponen, H.; Rytoemaa, T.; Suomela, M.; Toivonen, H.; Varjoranta, T.

    1995-10-01

    The political and economic upheavals which have taken place in Eastern Europe have had an impact on radiation and nuclear safety throughout Europe. Emergency preparedness systems for unexpected nuclear events have been developed further in all European countries, and prosperous western nations have invested in improving the safety of East European nuclear power plants. The economic crisis facing countries of the former Soviet Union has also promoted illicit trade in nuclear materials; this has made it necessary for various border guards and police authorities to intensify their collaboration and to tighten border controls. On 3-4 October 1995, Finnish Centre for Radiation and Nuclear Safety (STUK) arranged a seminar on nuclear threats and emergency preparedness in Finland. In addition to STUK experts, a wide range of rescue and civil defence authorities, environmental health specialists and other persons engaged in emergency preparedness attended the seminar. The publication contains a compilation of reports presented at the seminar. The reports cover a broad spectrum of nuclear threats analyzed at STUK, the impacts of radioactive fallout on human beings and on the environment, and preparedness systems by which the harmful effects of radiation or nuclear accidents can, if necessary, be minimized. (33 figs., 5 tabs.).

  15. Emergency Preparedness Education for Nurses: Core Competency Familiarity Measured Utilizing an Adapted Emergency Preparedness Information Questionnaire.

    Science.gov (United States)

    Georgino, Madeline M; Kress, Terri; Alexander, Sheila; Beach, Michael

    2015-01-01

    The purpose of this project was to measure trauma nurse improvement in familiarity with emergency preparedness and disaster response core competencies as originally defined by the Emergency Preparedness Information Questionnaire after a focused educational program. An adapted version of the Emergency Preparedness Information Questionnaire was utilized to measure familiarity of nurses with core competencies pertinent to first responder capabilities. This project utilized a pre- and postsurvey descriptive design and integrated education sessions into the preexisting, mandatory "Trauma Nurse Course" at large, level I trauma center. A total of 63 nurses completed the intervention during May and September 2014 sessions. Overall, all 8 competencies demonstrated significant (P < .001; 98% confidence interval) improvements in familiarity. In conclusion, this pilot quality improvement project demonstrated a unique approach to educating nurses to be more ready and comfortable when treating victims of a disaster.

  16. Managing Public's Complacency and Public Preparedness in Response to 2006 Avian Influenza Crisis in Turkey

    Directory of Open Access Journals (Sweden)

    Naim Kapucu

    2016-02-01

    Full Text Available Public complacency is one of the problems complicating emergency preparedness and response operations for disaster managers. Effective disaster management is possible to the extent that affected communities cooperate with disaster management. Focusing on the 2006 avian influenza crisis in Turkey, this article analyzes whether the strategies and tools used by government agencies responsible for disaster management were effective in reducing public complacency, and, thus, increasing overall perceived public preparedness and response. Specifically, communication tools used for information collection, organization and dissemination were analyzed to see whether they led increased public situational awareness and immediate public reaction to the crisis. Findings suggest that government's internal preparation and use of communication tools had an impact on the level of the information the public exposed to, while reduced complacency or public reaction to the crisis had an impact on the overall perceived public preparedness.

  17. 突发公共卫生事件风险沟通中准备工作内容的研究%A Study on the suitability and feasibility of risk communication preparedness framework for public health emergency

    Institute of Scientific and Technical Information of China (English)

    解瑞谦; 唐雪峰; 欧剑鸣; 阚坚力

    2011-01-01

    Objective To explore the content of risk communication preparedness framework to improve the risk communication for public health emergency. Methods Focus group interviews and score simulation were used to test and evaluate the preparedness framework of Public Health Emergency and Risk Communication Handbook, and to study the essentiality and feasibility of the framework. Results All of the 12 groups agreed that the organization preparedness was very or extremely important, 41. 67% of the groups considered that the organization preparedness had almost been completed. 83. 33% of the groups considered that the technology preparedness was very or extremely important, 8.33% of the groups considered that the technology preparedness had almost been completed. 75.00% of the groups considered that the liaison preparedness was very or extremely important, 58. 33% of the groups considered that the liaison preparedness had almost been completed. 91.67% of the groups considered that the information preparedness was very or extremely important, 58. 33% of the groups considered that the information preparedness had almost been completed. 41.67% of the groups considered that material preparedness was very or extremely important, 41. 67% of the groups considered that the material preparedness had almost been completed, 8. 33% of the groups considered that the material preparedness had been completed. Conclusion The risk communication preparedness framework is suitable to guide the local officers to conduct risk communication in China.%目的 探讨突发公共卫生事件风险沟通中准备工作的内容设置,为进一步规范风险沟通工作提供科学依据.方法 利用小组讨论和模拟评分的方法 对《突发公共卫生事件应急风险沟通手册》中的准备内容框架进行测试和评价,讨论风险沟通准备内容的重要性和可行性.结果 12个小组均认为组织准备非常/极其重要,41.67%的小组认为组

  18. Public health crisis preparedness and response in Korea.

    Science.gov (United States)

    Lee, Hye-Young; Oh, Mi-Na; Park, Yong-Shik; Chu, Chaeshin; Son, Tae-Jong

    2013-10-01

    Since the 2006 Pandemic Influenza Preparedness and Response Plan according to the World Health Organization's recommendation, the Republic of Korea has prepared and periodically evaluated the plan to respond to various public health crises including pandemic influenza. Korea has stockpiled 13,000,000 doses of antiviral drugs covering 26% of the Korean population and runs 519 isolated beds in 16 medical institutions. The division of public health crisis response in Korea Centers for Disease Control and Prevention are in charge of responding to public health crises caused by emerging infectious diseases including severe acute respiratory syndrome, avian influenza human infection, and pandemic influenza. Its job description includes preparing for emerging infectious diseases, securing medical resources during a crisis, activating the emergency response during the crisis, and fortification of capabilities of public health personnel. It could evolve into a comprehensive national agency to deal with public health crisis based on the experience of previous national emerging infectious diseases.

  19. The role of information technology in emergency preparedness by local health departments: a literature review.

    Science.gov (United States)

    Nguh, Jonas

    2014-01-01

    Ever since the terrorist attacks of 9/11, the federal government increased funding for emergency preparedness. However, the literature continues to document several areas of weaknesses in public health emergency management by local health departments (LHD). This literature review discusses the role of information technology (IT) for emergency preparedness by LHDs. The focus areas for this review include evaluating the strategic management of IT by LHD, evaluation of the adoption and implementation of IT in emergency management, and assessing LHD's capacity and capability for emergency preparedness. Findings reveal that LHDs face significant challenges in the utilization of IT for emergency preparedness purposes such as weak capacity and capabilities, lack of structured planning and program implementation, and limited resources. Implications from this review include the development of "best practices," increased funding for IT infrastructure, and the establishment of strategic management framework for IT initiatives.

  20. Public health and terrorism preparedness: cross-border issues.

    Science.gov (United States)

    Olson, Debra; Leitheiser, Aggie; Atchison, Christopher; Larson, Susan; Homzik, Cassandra

    2005-01-01

    On December 15, 2003, the Centers for Public Health Preparedness at the University of Minnesota and the University of Iowa convened the "Public Health and Terrorism Preparedness: Cross-Border Issues Roundtable." The purpose of the roundtable was to gather public health professionals and government agency representatives at the state, provincial, and local levels to identify unmet cross-border emergency preparedness and response needs and develop strategies for addressing these needs. Representatives from six state and local public health departments and three provincial governments were invited to identify cross-border needs and issues using a nominal group process. The result of the roundtable was identification of the needs considered most important and most doable across all the focus groups. The need to collaborate on and exchange plans and protocols among agencies was identified as most important and most doable across all groups. Development of contact protocols and creation and maintenance of a contact database was also considered important and doable for a majority of groups. Other needs ranked important across the majority of groups included specific isolation and quarantine protocols for multi-state responses; a system for rapid and secure exchange of information; specific protocols for sharing human resources across borders, including emergency credentials for physicians and health care workers; and a specific protocol to coordinate Strategic National Stockpile mechanisms across border communities.

  1. Emergency response preparedness: the French experience of large scale exercises

    Energy Technology Data Exchange (ETDEWEB)

    Chanson, D.; Desnoyers, B. [COGEMA Logistics (AREVA Group) (France); Chabane, J.M. [Autorite de Surete Nucleaire (Direction Generale de la Surete Nucleaire et de la Radioprotection) (France)

    2004-07-01

    In compliance with the IAEA regulations for the transport of radioactive material in the event of accidents during transport of radioactive material, emergency provisions to protect persons, property and environment have to be established and developed by the relevant national organisations. In France, the prefect of the department where the accident occurs is responsible for decisions and measures required to ensure the protection of both population and property at risk owing to the accident. During an accident, the ministers concerned provide the prefect with recommendations and information, in order to help him take the requisite decisions. On their side, the nuclear industry and transport companies also have to be prepared to intervene and to support the authorities at their request, depending on their capacities and their specialities. To prepare the emergency teams properly and acquire effective emergency plans, training exercises have to be conducted regularly with every ministerial department involved, the nuclear industry and transport companies, members of the public and the media. Then, the feedback from such exercises shall be taken into account to improve the emergency procedures. This paper will introduce: - emergency response preparedness: what is required by the relevant regulations? - emergency response preparedness: how is France organised? - the French experience of conducting large training exercises simulating accidents involving the transport of radioactive material; - the main difficulties and lessons learned; - the perspectives.

  2. The role of law in public health preparedness: opportunities and challenges.

    Science.gov (United States)

    Jacobson, Peter D; Wasserman, Jeffrey; Botoseneanu, Anda; Silverstein, Amy; Wu, Helen W

    2012-04-01

    We report the results of a study designed to assess and evaluate how the law shapes the public health system's preparedness activities. Based on 144 qualitative interviews conducted in nine states, we used a model that compared the objective legal environment with how practitioners perceived the laws. Most local public health and emergency management professionals relied on what they perceived the legal environment to be rather than on an adequate understanding of the objective legal requirements. Major reasons for the gap include the lack of legal training for local practitioners and the difficulty of obtaining clarification and consistent legal advice regarding public health preparedness. Narrowing the gap would most likely improve preparedness outcomes. We conclude that there are serious deficiencies in legal preparedness that can undermine effective responses to public health emergencies. Correcting the lack of legal knowledge, coupled with eliminating delays in resolving legal issues and questions during public health emergencies, could have measurable consequences on reducing morbidity and mortality.

  3. Preparedness Now! An Emergency Survival Guide

    CERN Document Server

    Edwards, Aton

    2009-01-01

    In uncertain times, a solid preparedness plan is essential for every individual and family. PREPAREDNESS NOW! navigates the new realities of twenty-first century living: extreme weather, economic instability, terror attacks, and more. Packed with checklists, resources, and step-by-step instructions, PREPAREDNESS NOW! details everything needed for office, car, and home preparedness. This newly expanded and revised edition includes an extended chapter on food and water storage and urban gardening, techniques in personal defense, and the latest and best preparedness products on the market. This b

  4. 75 FR 42448 - Board of Scientific Counselors, Coordinating Office for Terrorism Preparedness and Emergency...

    Science.gov (United States)

    2010-07-21

    ... Office for Terrorism Preparedness and Emergency Response; Notice of Charter Amendment This gives notice... Scientific Counselors, Coordinating Office for Terrorism Preparedness and Emergency Response, Department of...

  5. Emergency nurses' perceptions of emergency department preparedness for an ebola outbreak: A qualitative descriptive study.

    Science.gov (United States)

    Pincha Baduge, Mihirika Sds; Moss, Cheryle; Morphet, Julia

    2017-05-01

    Ebola Virus Disease is highly contagious and has high mortality. In 2014, when the outbreak in West Africa was declared a public health emergency, emergency departments in Australia commenced preparation and vigilance for people presenting with ebola like symptoms, to limit spread of the disease. To examine Australian emergency nurses' perceptions regarding their own and their emergency departments' preparedness to manage an ebola outbreak. A qualitative descriptive design was used to collect and analyse data in one metropolitan emergency department in Victoria, Australia. Four focus groups were conducted with 13 emergency nurses. Data were thematically analysed. Major themes emerged from the data: organisational, personal and future preparedness. Participants' believed that both the organisation and themselves had achieved desirable and appropriate preparedness for ebola in their emergency setting. Participants trusted their organisation to prepare and protect them for ebola. Appropriate policies, procedures, and equipment infrastructure were reportedly in place. Nurses' decisions to care for a patient with ebola were informed by professional commitment, and personal responsibilities. Participants were concerned about transmitting ebola to their families, and suggested that more regular training in personal protective equipment would increase confidence and skill in self-protection. Copyright © 2017 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.

  6. Regionalization in local public health systems: variation in rationale, implementation, and impact on public health preparedness.

    Science.gov (United States)

    Stoto, Michael A

    2008-01-01

    Comparative case studies found that regionalization originated from a crisis or perceived need for a coordinated response, a need to build local public health capacity, or an effort to use federal preparedness funds more efficiently. Regions vary in terms of their congruence with regional structures for partner agencies, such as emergency management agencies, as well as hospital and health services markets and organizational structure. Some focus on building formal organizational relationships to coordinate and sometimes standardize preparedness and response activities or build regional capacity, while others focus on building informal professional networks. Whatever the approach, strong leadership and trust are required for effective planning, emergency response, and sustainability. This article suggests that regionalization improves emergency preparedness by allowing for more efficient use of resources and better coordination and demonstrated progress in terms of planning and coordination; regional capacity-building, training, and exercises; and development of professional networks.

  7. 77 FR 59001 - Fee for Services To Support FEMA's Offsite Radiological Emergency Preparedness Program

    Science.gov (United States)

    2012-09-25

    ... SECURITY Federal Emergency Management Agency Fee for Services To Support FEMA's Offsite Radiological Emergency Preparedness Program AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY... services provided by FEMA personnel for FEMA's Radiological Emergency Preparedness (REP) Program....

  8. 75 FR 19985 - Fee for Services To Support FEMA's Offsite Radiological Emergency Preparedness Program

    Science.gov (United States)

    2010-04-16

    ... SECURITY Federal Emergency Management Agency Fee for Services To Support FEMA's Offsite Radiological Emergency Preparedness Program AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY... services provided by FEMA personnel for FEMA's Radiological Emergency Preparedness (REP) Program....

  9. Terrorism threats and preparedness in Canada: the perspective of the Canadian public.

    Science.gov (United States)

    Gibson, Stacey; Lemyre, Louise; Clément, Mélanie; Markon, Marie-Pierre L; Lee, Jennifer E C

    2007-06-01

    Although Canada has not experienced a major terrorist attack, an increased global pending threat has put preparedness at the top of the Canadian government's agenda. Given its strong multicultural community and close proximity to the recently targeted United States, the Canadian experience is unique. However, minimal research exists on the public's reactions to terrorism threats and related preparedness strategies. In order for response initiatives to be optimally effective, it is important that the public's opinions regarding terrorism and preparedness be considered. This qualitative study examined perceptions of terrorism threats among Canadians living in Central and Eastern Canada (N = 75) in the fall of 2004. Conceptualizations of terrorism threat, psychosocial impacts, and sense of preparedness were explored in a series of qualitative interviews. Findings revealed that the majority of Canadians did not feel overly threatened by terrorist attacks, due in part to a perception of terrorist threats as related to global sociopolitical events and a positive Canadian identity. In addition, while most respondents did not feel they were individually affected by the threat of terrorism, there was some concern regarding larger societal impacts, such as increased paranoia, discrimination, and threats to civil liberties. Participants' views on preparedness focused largely on the utility of emergency preparedness strategies and the factors that could mitigate or inhibit preparedness at the individual and institutional levels, with a specific focus on education. Finally, the significant relevance of these findings in shaping terrorism preparedness, both in Canada and generally, is discussed.

  10. Transportation of Hazardous Materials Emergency Preparedness Hazards Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Blanchard, A.

    2000-02-28

    This report documents the Emergency Preparedness Hazards Assessment (EPHA) for the Transportation of Hazardous Materials (THM) at the Department of Energy (DOE) Savannah River Site (SRS). This hazards assessment is intended to identify and analyze those transportation hazards significant enough to warrant consideration in the SRS Emergency Management Program.

  11. Hospital preparedness and response in CBRN emergencies: TIER assessment tool.

    Science.gov (United States)

    Olivieri, Carlo; Ingrassia, Pier L; Della Corte, Francesco; Carenzo, Luca; Sapori, Jean-Marc; Gabilly, Laurent; Segond, Fredrique; Grieger, Fiene; Arnod-Prin, Philippe; Larrucea, Xabier; Violi, Chrisitan; Lopez, Cédric; Djalali, Ahmadreza

    2017-10-01

    Chemical, biological, radiological, and nuclear (CBRN) emergencies need particular hospital preparedness and resources availability. Also, specific skills and capabilities are required for efficient response to these types of events. The aim of this study was to develop an assessment tool to evaluate hospital preparedness and response performance with respect to CBRN emergencies. An evaluation tool was developed using the Delphi technique. A panel of experts from 10 countries, both European and non-European, with more than 5 years of experience in research or practice in CBRN emergency management was involved in this study. The study was run online, and the experts were asked to evaluate a list of items on hospital preparedness and response in CBRN emergencies. A threshold of 85% agreement level was defined as the consensus of experts in this study. The first-round questionnaire was answered by 13 experts. Consensus on the preparedness section was reached for all 29 items during the first round and one item was also added by the experts. Consensus on the response performance indicators were reached in 51 out of the 59 items, during the first round, and eight items were modified and then approved in the second round by the experts. Hospitals need a specific level of preparedness to enable an effective response to CBRN emergencies. The assessment tool, developed through experts' consensus in this study, provides a standardized method for the evaluation of hospital preparedness and response performance with respect to CBRN emergencies. The feasibility and reliability of this assessment tool could be evaluated before and during simulated exercises in a standardized manner.

  12. Work Scope for Developing Standards for Emergency Preparedness and Response: Fiscal Year 2004 Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Stenner, Robert D.

    2005-09-28

    Summarizes the fiscal year 2004 work completed on PNNL's Department of Homeland Security Emergency Preparedness and Response Standards Development Project. Also, the report includes key draft standards, in various stages of development and publication, that were associated with various tasks of the fiscal year 2004 scope of the project.

  13. US Public Health Preparedness for Zika and Other Threats Remains Vulnerable.

    Science.gov (United States)

    Duchin, Jeffrey S

    2016-04-01

    The unanticipated global outbreak of Zika virus infection is the most current but certainly not the last emerging infectious disease challenge to confront the US public heath system. Despite a number of such threats in recent years, significant gaps remain in core areas of public health system readiness. Stable, sustained investments are required to establish a solid foundation for achieving necessary national public health emergency preparedness and response capacity.

  14. Opperational Systems for Emergency Preparedness and Response

    Energy Technology Data Exchange (ETDEWEB)

    Sugiyama, G; Nasstrom, J S; Baskett, R

    2003-11-10

    Operational systems predict the consequences of atmospheric releases of hazardous materials for real-time emergency response, pre-event planning, and post-incident assessment. Such systems provide federal, state, and local agencies, emergency planners and responders, public health officials, military personnel, and other users with critical information on which to base life-and-death decisions on safe zones for siting of incident command posts, sheltering-in-place or evacuation advisories, the need for protective equipment, and the utilization of hospital and health care resources. A range of operational modeling capabilities is required to support different types of release events, distance scales, and response times. Fast-response deployable models are used to perform hazard assessments and initial response functions, and can serve as a backup when connections to a reach-back center are not available. Higher-fidelity three-dimensional dispersion models, coupled to real-time observational data and numerical weather prediction model output, are used for real-time response and support expert quality-assured predictions and refined assessments. Computational fluid dynamics models, which explicitly resolve urban structures, are used for high fidelity applications including vulnerability analyses and planning studies. This paper will briefly discuss the types and capabilities of models used or under development for emergency response systems, customer products, supporting data, and a few representative examples of operational systems. Some selected research priorities are summarized in the final sections.

  15. An academic approach to climate change emergency preparedness.

    Science.gov (United States)

    Trask, Jeffrey A

    To achieve effective emergency management and business continuity, all hazards should be considered during the planning and preparedness process. In recent years, several new hazards have attracted the attention of Emergency Management and Business Continuity practitioners. Climate change presents a unique challenge. Practitioners must rely on historical data combined with scientific projections to guide their planning and preparedness efforts. This article examines how an academic institution's emergency management programme can plan successfully for this hazard by focusing on best practices in the area of building cross-departmental and cross-jurisdictional relationships. Examples of scientific data related to the hazard of climate change will be presented along with the latest guidance from the Federal Emergency Management Agency encouraging the planning for future hazards. The article presents a functional exercise in which this hazard was prominently featured, and presents testimony from subject matter experts. Recommendations for emergency management and business continuity programmes are so provided.

  16. Designing Emergency Preparedness Resources for Children with Autism

    Science.gov (United States)

    Edmonds, Casey Olivia

    2017-01-01

    Emergency preparedness is a fast developing field of education driven by the numerous disasters worldwide with more recent notable examples including the terrorist attacks of 9/11 in the US in 2001, the 2004 Indian Ocean Tsunami, Hurricane Katrina in 2005, the London bombings in 2005, the earthquake in China in 2008, the Great East Japan…

  17. Emergency Preparedness: Issues for the Year 2000 and Beyond

    Science.gov (United States)

    1991-04-01

    Defense Subcommittee Policy Coordinating Committees on Emergency Preparedness and Mobilization Planning. 29. Ibid. 30. George H. Orrell, "Current...Smart Machine: The Future of Work and Power. Basin Books, NY, 1988, p. 10. 33. Ibid, p. 216. 34. Ibid, p. 392. 35. Ibid, p. 392. 36. Alvin Toffler, Powershift. Danton Books, New York, 1990, p. 172. 31

  18. Surge Capacity of Hospitals in Emergencies and Disasters With a Preparedness Approach: A Systematic Review.

    Science.gov (United States)

    Sheikhbardsiri, Hojjat; Raeisi, Ahmad Reza; Nekoei-Moghadam, Mahmood; Rezaei, Fatemeh

    2017-03-07

    Surge capacity is one of the most important components of hospital preparedness for responding to emergencies and disasters. The ability to provide health and medical care during a sudden increase in the number of patients or victims of disasters is a main concern of hospitals. We aimed to perform a systematic review of hospital surge capacity in emergencies and disasters with a preparedness approach. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The key words "surge," "surge capacity," "preparedness," "hospital emergency department," "hospital," "surge capability," "emergency," "hazard," "disaster," "catastrophe," "crisis," and "tragedy" were used in combination with the Boolean operators OR and AND. The Google Scholar, ISI Web of Science, Science Direct, PubMed, Scopus, Ovid, Pro Quest, and Wiley databases were searched. A total of 1008 articles were extracted and 17 articles were selected for final review of surge capacity based on the objective of the study. Seventeen studies (1 randomized controlled trial, 2 qualitative studies, and 14 cross-sectional studies) investigated the surge capacity of hospitals in emergencies and disasters to evaluate the best evidence to date. The results of selected articles indicated that there are various ways to increase the capacity of hospitals in 4 domains: staff, stuff, structure, and system. Surge capacity is a basic element of disaster preparedness programs. Results of the current study could help health field managers in hospitals to prepare for capacity-building based on surge capacity components to improve and promote hospital preparedness programs. (Disaster Med Public Health Preparedness. 2017;page 1 of 9).

  19. 76 FR 72431 - Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness...

    Science.gov (United States)

    2011-11-23

    ... Plans and Preparedness in Support of Nuclear Power Plants, NUREG-0654/FEMA-REP-1, Supplement 4 and FEMA... Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants,'' NUREG-0654/FEMA-REP- 1, Revision 1 (NUREG-0654), and the Radiological Emergency Preparedness Program Manual (the...

  20. Public health preparedness in Alberta: a systems-level study

    Directory of Open Access Journals (Sweden)

    Noseworthy Tom

    2006-12-01

    Full Text Available Abstract Background Recent international and national events have brought critical attention to the Canadian public health system and how prepared the system is to respond to various types of contemporary public health threats. This article describes the study design and methods being used to conduct a systems-level analysis of public health preparedness in the province of Alberta, Canada. The project is being funded under the Health Research Fund, Alberta Heritage Foundation for Medical Research. Methods/Design We use an embedded, multiple-case study design, integrating qualitative and quantitative methods to measure empirically the degree of inter-organizational coordination existing among public health agencies in Alberta, Canada. We situate our measures of inter-organizational network ties within a systems-level framework to assess the relative influence of inter-organizational ties, individual organizational attributes, and institutional environmental features on public health preparedness. The relative contribution of each component is examined for two potential public health threats: pandemic influenza and West Nile virus. Discussion The organizational dimensions of public health preparedness depend on a complex mix of individual organizational characteristics, inter-agency relationships, and institutional environmental factors. Our study is designed to discriminate among these different system components and assess the independent influence of each on the other, as well as the overall level of public health preparedness in Alberta. While all agree that competent organizations and functioning networks are important components of public health preparedness, this study is one of the first to use formal network analysis to study the role of inter-agency networks in the development of prepared public health systems.

  1. Emergency preparedness curriculum in nursing schools in the United States.

    Science.gov (United States)

    Weiner, Elizabeth; Irwin, Margaret; Trangenstein, Patricia; Gordon, Jeffry

    2005-01-01

    With concern about bioterrorism and inadequacies in responding to mass casualty events, health care professionals have been placed in the category of first responders. The International Nursing Coalition for Mass Casualty Education (INCMCE) was established to plan strategically to address the educational needs of the nation's nurses. This study sought to determine the types and levels of disaster preparedness curricula being delivered or in development in nursing programs at all levels. INCMCE surveyed 2,013 deans or directors of nursing schools as to curricula for emergency preparedness prior to September 11, 2001, and during the two following academic years. Initial requests were sent via email and the US postal service. Respondents were invited to answer the online survey so data could be directly entered into a database for purposes of data analysis. Responses were received from 348 schools of nursing. Curriculum plans, followed by competency lists, were selected as most helpful for teaching content in disaster preparedness. The survey results validated the general assumption that nursing programs provide limited curricula in this area. The mean number of hours of disaster preparedness content provided, approximately four hours, did not change significantly over three academic years. The study also showed that 75 percent of respondents thought that nurse faculty were inadequately prepared in the area of disaster management. The study established a baseline for future curricular growth.

  2. Obstetric emergencies: preparedness among nurses for safe motherhood

    Directory of Open Access Journals (Sweden)

    Shraddha Verma

    2016-04-01

    Results: Total study participants were 36 (100% response rate. Majority (83% were aware about the two leading causes of maternal mortality (PE, PPH. Twenty four (67% knew the warning signs of eclampsia and 61% knew the signs of eclampsia but only 17% were aware of MgSO4 toxicity. Only 56% could correctly prepare the loading dose of MgSO4. All were aware about PPH; however only17% knew methergine as the drug for active management. Grossly wrong attitude noted only in 27% for PPH and 27% for severe PE. Overall preparedness for emergency was satisfactory in LR and PNC. Conclusions: Though the overall awareness for identifying emergencies (PE, PPH was satisfactory, lacunae in awareness were noted about components of eclampsia, magnesium toxicity and drugs required for initial management of PE and PPH. Preparedness of nurses in labour room and postnatal ward was fairly good. Regular assessment of awareness and preparedness for obstetric emergencies would be desirable to optimize the overall delivery outcomes especially at peripheral rural centres where nurses are primarily involved in the care of labouring women. [Int J Reprod Contracept Obstet Gynecol 2016; 5(4.000: 998-1001

  3. A Disaster Preparedness Plan for Small Public Libraries, 2002.

    Science.gov (United States)

    Haines, Jan, Comp.

    The State Library of Ohio designed this disaster preparedness plan to assist small libraries in gathering information that will be invaluable in the event of an emergency. This plan, which focuses on fire and water disaster prevention, is devoted to using simple and inexpensive measures to prevent a disaster or to lessen its effect. The plan…

  4. Emergency Preparedness – Working in Partnership

    Directory of Open Access Journals (Sweden)

    Simon Lewis

    2012-07-01

    Full Text Available I had the immense privilege to provide a presentation of the above title to a conference at the University of St. Andrews in February of this year. The conference, entitled ‘Assessing the Emergency Response to Terrorism’, was hosted by the University’s Centre for the Study of Terrorism and Political Violence (CSTPV.

  5. Accelerating preparedness: leveraging the UNC PERLC to improve other projects related to public health surveillance, assessment, and regionalization.

    Science.gov (United States)

    Horney, Jennifer A; Wilfert, Rachel A

    2014-01-01

    The co-location of the University of North Carolina at Chapel Hill (UNC) Preparedness and Emergency Response Learning Center (PERLC) and the UNC Preparedness and Emergency Response Research Center (PERRC) and other smaller projects within the North Carolina Institute for Public Health, a public health practice-oriented unit of the UNC Gillings School of Global Public Health, facilitated many successful collaborations. By sharing personnel, space, and other resources, the UNC PERLC and PERRC and other projects were able to meet the needs of the public health workforce by developing evidence-based training programs and tools around topics including epidemiology, surveillance, and vulnerable populations.

  6. Iran's disaster risk: now is the time for community-based public health preparedness.

    Science.gov (United States)

    Ardalan, Ali; Mowafi, Hani; Burkle, Frederick M

    2013-10-01

    The Bandar Bushehr, Iran earthquake of April 9, 2013 gravely illustrates how disaster-prone areas of the world are compounding their risk of disaster and major public health emergencies when there is a geographical convergence of natural and technological hazards. Scientists must emphasize to policy makers that ever-increasing regional industrialization and the broader introduction of nuclear facilities, especially in the Middle East, must parallel sound prevention and community-level public health preparedness planning.

  7. Transportation Emergency Preparedness Program Plan, U.S. Department of Energy Region 6

    Energy Technology Data Exchange (ETDEWEB)

    Marsha Keister

    2010-04-01

    The United States Department of Energy (DOE) Region 6 Transportation Emergency Preparedness Program Plan (TEPP Plan) operates within the framework of the DOE emergency management system for developing, coordinating, and directing emergency planning, preparedness, and readiness assurance activities for radiological transportation incidents. The DOE Region 6 TEPP Plan is a narrative description of the DOE Transportation Emergency Preparedness Program activities, training and technical assistance provided to states and tribes along DOE's transportation corridors in DOE Region 6.

  8. Guidelines for accident prevention and emergency preparedness

    Energy Technology Data Exchange (ETDEWEB)

    Fthenakis, V.M.; Morris, S.C.; Moskowitz, P.D.

    1993-05-01

    This report reviews recent developments in the guidelines on chemical accident prevention, risk assessment, and management of chemical emergencies, principally in the United States and Europe, and discusses aspects of their application to developing countries. Such guidelines are either in the form of laws or regulations promulgated by governments, or of recommendations from international, professional, or non governmental organizations. In many cases, these guidelines specify lists of materials of concern and methods for evaluating safe usage of these materials and recommend areas of responsibility for different organizations; procedures to be included in planning, evaluation, and response; and appropriate levels of training for different classes of workers. Guidelines frequently address the right of communities to be informed of potential hazards and address ways for them to participate in planning and decision making.

  9. Transfer factors for nuclear emergency preparedness

    Energy Technology Data Exchange (ETDEWEB)

    Kostiainen, E.; Haenninen, R. [Radiation and Nuclear Safety Authority (STUK) (Finland); Rosen, K.; Haak, E.; Eriksson, Aa. [Swedish Univ. of Agricultural Science (Sweden); Nielsen, S.P.; Keith-Roach, M. [Risoe National Lab. (Denmark); Salbu, B. [Agricultural Univ. of Norway (Norway)

    2002-12-01

    This report by the NKS/BOK-1.4 project subgroup describes transfer factors for radiocaesium and radiostrontium for the fallout year and the years after the fallout. The intention has been to collect information on tools to assess the order of magnitude of radioactive contamination of agricultural products in an emergency situation in Nordic environment. The report describes transfer paths from fallout to plant, from soil to plant and to animal products. The transfer factors of radionuclides (Sr, Cs, I) given in the report are intended to be used for making rough estimates of the contamination of agricultural products soon after the heaviness and composition of the deposition (Bq m{sup -2}) is known. (au)

  10. Emergency preparedness 1995 site support plan WBS 6.7.2.3

    Energy Technology Data Exchange (ETDEWEB)

    Faulk, S.M.

    1994-09-01

    The Emergency Preparedness Program provides an emergency management system including occurrence notification; development, coordination, and direction of planning, preparedness, and readiness assurance for response to emergency events on the Hanford Site; and emergency management support to Department of Energy, Richland Operations Office (RL).

  11. Public health-specific National Incident Management System trainings: building a system for preparedness.

    Science.gov (United States)

    Kohn, Sivan; Barnett, Daniel J; Galastri, Costanza; Semon, Natalie L; Links, Jonathan M

    2010-01-01

    Local health departments (LHDs) are at the hub of the public health emergency preparedness system. Since the 2003 issuance of Homeland Security Presidential Directive-5, LHDs have faced challenges to comply with a new set of all-hazards, 24/7 organizational response expectations, as well as the National Incident Management System (NIMS). To help local public health practitioners address these challenges, the Centers for Disease Control and Prevention-funded Johns Hopkins Center for Public Health Preparedness (JH-CPHP) created and implemented a face-to-face, public health-specific NIMS training series for LHDs. This article presents the development, evolution, and delivery of the JH-CPHP NIMS training program. In this context, the article also describes a case example of practice-academic collaboration between the National Association of County and City Health Officials and JH-CPHP to develop public health-oriented NIMS course content.

  12. Development of radiological emergency preparedness technology

    Energy Technology Data Exchange (ETDEWEB)

    Han, Moon Hee; Kim, In Gyoo; Kim, Kook Chan; Kim, Eun Han; Suh, Kyung Suk; Hwang, Won Tae; Choi, Young gil; Shim, Hae Won; Lee, Jeong Ho; Lee, Kang Suk

    2000-04-01

    Large-scale field tracer experiments have been conducted on Ulchin, Wolsung and Daeduk sites for the purpose of validating FADAS and of analyzing the environmental characteristics around the nuclear sites. The most influential factor in atmospheric dispersion is the meteorological condition. During the experiment, meteorological data were measured on the release point and the selected positions among sampling points. Once radioactive materials are released to the atmosphere, members of public may be exposed through the environmental media such as air, soil and foods. Therefore, to protect the public, adequate countermeasures should be taken at due time for those exposure pathways. both processes, of justification and optimization are applied to a countermeasure simultaneously for decision-making. The work scope of Biological research for the radiation protection had contained the search of biological microanalytic methods for assessing the health effect by {gamma}-radiation and toxic agents, the standardization of human T-lymphocyte cell culture and polymerase chain reaction, T-cell clonal assay, and the quantification of mutation frequency in the hypoxanthine (guanine) phosphoribosyl transferase (HPRT) gene locus by single exposure or combined exposure. Especially, the polymerase chain reaction methods using reverse transcriptase has been developed to analyze the mutant gene induced by {gamma}-radiation and pentachlorophenol(PCP) exposure, and to investigate the point mutations in the HPRT gene locus of T-lymphocytes. The HPRT T-cell clonal assay revealed that could not differentiate {gamma}-irradiation from PCP, because the frequency of somatic mutations induced by both damaging agents increased in a dose-dependent manner. RT/PCR technique will be needed for the mutation spectrum of HPRT gene essential to discriminate that by radiation exposure from health effect by chemical exposure on man. (author)

  13. Managing Public’s Complacency and Public Preparedness in Response to 2006 Avian Influenza Crisis in Turkey

    Directory of Open Access Journals (Sweden)

    Naim Kapucu

    2010-05-01

    Full Text Available Public complacency is one of the problems complicating emergency preparedness and response operations for disaster managers. Effective disaster management is possible to the extent that affected communities cooperate with disaster management. Focusing on the 2006 avian influenza crisis in Turkey, this article analyzes whether the strategies and tools used by government agencies responsible for disaster management were effective in reducing public complacency, and, thus, increasing overall perceived public preparedness and response. Specifically, communication tools used for information collection, organization and dissemination were analyzed to see whether they led increased public situational awareness and immediate public reaction to the crisis. Findings suggest that government’s internal preparation and use of communication tools had an impact on the level of the information the public exposed to, while reduced complacency or public reaction to the crisis had an impact on the overall perceived public preparedness.

  14. A Conceptual Framework to Measure Systems’ Performance during Emergency Preparedness Exercises

    Science.gov (United States)

    Savoia, Elena; Agboola, Foluso; Biddinger, Paul D.

    2014-01-01

    Large-scale public health emergencies require a sophisticated, coordinated response involving multiple entities to protect health and minimize suffering. However, the rarity of such emergencies presents a barrier to gathering observational data about the effectiveness of the public health response before such events occur. For this reason, public health practitioners increasingly have relied on simulated emergencies, known as “exercises” as proxies to test their emergency capabilities. However, the formal evaluation of performance in these exercises, historically has been inconsistent, and there is little research to describe how data acquired from simulated emergencies actually support conclusions about the quality of the public health emergency response system. Over the past six years, we have designed and evaluated more than seventy public health emergency exercises, collaborating with public health agencies, hospitals and others to test a wide variety of systems and their capabilities. Using the data and experience that we gathered, we have developed a conceptual framework that describes the essential elements necessary to consider when applying performance measurement science to public health emergency exercises. We suggest that this framework may assist practitioners and researchers who wish to better measure performance in exercises and to improve public health emergency preparedness. PMID:25233015

  15. A Conceptual Framework to Measure Systems’ Performance during Emergency Preparedness Exercises

    Directory of Open Access Journals (Sweden)

    Elena Savoia

    2014-09-01

    Full Text Available Large-scale public health emergencies require a sophisticated, coordinated response involving multiple entities to protect health and minimize suffering. However, the rarity of such emergencies presents a barrier to gathering observational data about the effectiveness of the public health response before such events occur. For this reason, public health practitioners increasingly have relied on simulated emergencies, known as “exercises” as proxies to test their emergency capabilities. However, the formal evaluation of performance in these exercises, historically has been inconsistent, and there is little research to describe how data acquired from simulated emergencies actually support conclusions about the quality of the public health emergency response system. Over the past six years, we have designed and evaluated more than seventy public health emergency exercises, collaborating with public health agencies, hospitals and others to test a wide variety of systems and their capabilities. Using the data and experience that we gathered, we have developed a conceptual framework that describes the essential elements necessary to consider when applying performance measurement science to public health emergency exercises. We suggest that this framework may assist practitioners and researchers who wish to better measure performance in exercises and to improve public health emergency preparedness.

  16. Emergency Preparedness for Disasters and Crises in the Hotel Industry

    Directory of Open Access Journals (Sweden)

    Ahmad Rasmi AlBattat

    2013-09-01

    Full Text Available Safety and security are the most important issues to tourist while traveling and the first aspect they consider is to be protected from hazards. Emergency planning and preparedness for a crisis are the most significant components of dealing with disasters. Hospitality practitioners noticed a rising number of natural and man-made crises that harm the hospitality industry, regarding its vulnerability to crisis and internal and external hazards. By using secondary data, this study aims to shed some light on this issue, contributing to knowledge and awareness on emergency preparedness for the hospitality industry. Moreover, the study aims to explain the management’s commitment to adopt, develop, and update emergency plans. The results of this study explain that tourism as an international mobile industry must respond to internal and external hazards such as disease movement and terrorist attacks. Marketing safety is important to promote hotels and tourist destinations to the guests and holiday advisors. Hotels have a long history of being a soft target for terrorist attacks, as can be seen in several accidents that have shaken the hotel industry in the past few decades. Hotels invest a lot to install protective techniques, but terrorists are becoming more organized. Practitioners propose disaster management frameworks using several measurements. Recovery from crisis and learning help business retention that minimizes negative impacts and prevent losses. Finally, evaluation and feedback are very important to overcome the hazards and return to normal, as well as adopting new ideas to deal with emergencies. Single- and double-loop organizational learning should benefit proactive preparedness.

  17. Information technology and emergency management: preparedness and planning in US states.

    Science.gov (United States)

    Reddick, Christopher

    2011-01-01

    The purpose of this paper is to examine the impact of information technology (IT) on emergency preparedness and planning by analysing a survey of US state government departments of emergency management. The research results show that there has been a significant impact of IT on emergency planning. IT has proven to be effective for all phases of emergency management, but especially for the response phase. There are numerous technologies used in emergency management, ranging from the internet, Geographic Information Systems and wireless technologies to more advanced hazard analysis models. All were generally viewed as being effective. Lack of financial resources and support from elected officials is a perennial problem in public administration, and was found to be prevalent in this study of IT and emergency management. There was evidence that state governments rating high on a performance index were more likely to use IT for emergency management.

  18. Evaluation of a federally funded workforce development program: the Centers for Public Health Preparedness.

    Science.gov (United States)

    Sobelson, Robyn K; Young, Andrea C

    2013-04-01

    The Centers for Public Health Preparedness (CPHP) program was a five-year cooperative agreement funded by the Centers for Disease Control and Prevention (CDC). The program was initiated in 2004 to strengthen terrorism and emergency preparedness by linking academic expertise to state and local health agency needs. The purposes of the evaluation study were to identify the results achieved by the Centers and inform program planning for future programs. The evaluation was summative and retrospective in its design and focused on the aggregate outcomes of the CPHP program. The evaluation results indicated progress was achieved on program goals related to development of new training products, training members of the public health workforce, and expansion of partnerships between accredited schools of public health and state and local public health departments. Evaluation results, as well as methodological insights gleaned during the planning and conduct of the CPHP evaluation, were used to inform the design of the next iteration of the CPHP Program, the Preparedness and Emergency Response Learning Centers (PERLC).

  19. The US CDC Centers for public health preparedness : building a nationwide exemplar network

    Energy Technology Data Exchange (ETDEWEB)

    Harris, D.A.; Paulson, G.; Perry, E. [New Jersey Univ. of Medicine and Dentistry, New Brunswick, NJ (United States). School of Public Health

    2005-07-01

    The network of Centers for Public Health Preparedness (CPHP) was created by the United States Centers for Disease Control and Prevention in response to the perception that public health professionals were inadequately prepared to respond to terrorism incidents, natural disasters and similar major events. The events of September 11, 2001 and the subsequent anthrax attacks confirmed the wisdom of a concerted approach to emergency preparedness. This paper provides an outline of the network's recent activities as well as a review of the rationale, history and progress of the network to date. In the most recent grant cycle, each center was required to allocate 20 per cent of its resources to network-wide activities, including contribution of CPHP-developed materials to a central resource center maintained by the Association of Schools of Public Health. The materials are publicly available and are to be used in the development of training programs; the establishment of 19 or more exemplar groups that focus on specific preparedness-related knowledge domains such as mental health, educational evaluation methods and field epidemiology, who are also expected to develop tool kits of validated and fully described training materials for use by any CPHP person or group. The outcome of the CPHP network activities is the development of a more comprehensive and robust core of preparedness training materials that aim to facilitate rapid and effective training, while at the same time eliminating redundancy and duplication of effort. It was concluded that the expenditure of 20 per cent of center funds on network development activities is forcing the academically based CPHPs to adopt a new collaborative paradigm in order to ensure effective nationwide preparedness. 3 refs.

  20. Safety and emergency preparedness considerations for geotechnical field operations

    Energy Technology Data Exchange (ETDEWEB)

    Wemple, R.P.

    1989-04-01

    The GEO Energy Technology Department at Sandia National Laboratories is involved in several remote-site drilling and/or experimental operations each year. In 1987, the Geothermal Research Division of the Department developed a general set of Safe Operating Procedures (SOPs) that could be applied to a variety of projects. This general set is supplemented by site-specific SOPs as needed. Effective field operations require: integration of safety and emergency preparedness planning with overall project planning, training of field personnel and inventorying of local emergency support resources, and, developing a clear line of responsibility and authority to enforce the safety requirements. Copies of SOPs used in recent operations are included as examples of working documents for the reader.

  1. Planning guidance for the Chemical Stockpile Emergency Preparedness Program

    Energy Technology Data Exchange (ETDEWEB)

    Shumpert, B.L.; Watson, A.P.; Sorensen, J.H. [and others

    1995-02-01

    This planning guide was developed under the direction of the U.S. Army and the Federal Emergency Management Agency (FEMA) which jointly coordinate and direct the development of the Chemical Stockpile Emergency Preparedness Program (CSEPP). It was produced to assist state, local, and Army installation planners in formulating and coordinating plans for chemical events that may occur at the chemical agent stockpile storage locations in the continental United States. This document provides broad planning guidance for use by both on-post and off-post agencies and organizations in the development of a coordinated plan for responding to chemical events. It contains checklists to assist in assuring that all important aspects are included in the plans and procedures developed at each Chemical Stockpile Disposal Program (CSDP) location. The checklists are supplemented by planning guidelines in the appendices which provide more detailed guidance regarding some issues. The planning guidance contained in this document will help ensure that adequate coordination between on-post and off-post planners occurs during the planning process. This planning guide broadly describes an adequate emergency planning base that assures that critical planning decisions will be made consistently at every chemical agent stockpile location. This planning guide includes material drawn from other documents developed by the FEMA, the Army, and other federal agencies with emergency preparedness program responsibilities. Some of this material has been developed specifically to meet the unique requirements of the CSEPP. In addition to this guidance, other location-specific documents, technical studies, and support studies should be used as needed to assist in the planning at each of the chemical agent stockpile locations to address the specific hazards and conditions at each location.

  2. 77 FR 20823 - Board of Scientific Counselors, Office of Public Health Preparedness and Response (BSC, OPHPR)

    Science.gov (United States)

    2012-04-06

    ... Public Health Preparedness and Response (BSC, OPHPR) In accordance with section 10(a)(2) of the Federal... include: (1) Briefings and BSC deliberation on the following topics: CDC Laboratory Preparedness; OPHPR... Management Team; Estimating the Cost of Preparedness; (2) Programmatic responses to...

  3. A taxonomy of state public health preparedness units: an empirical examination of organizational structure.

    Science.gov (United States)

    Menachemi, Nir; Yeager, Valerie A; Duncan, W Jack; Katholi, Charles R; Ginter, Peter M

    2012-01-01

    State public health preparedness units (SPHPUs) were developed in response to federal funding to improve response to disasters: a responsibility that had not traditionally been within the purview of public health. The SPHPUs were created within the existing public health organizational structure, and their placement may have implications for how the unit functions, how communication takes place, and ultimately how well the key responsibilities are performed. This study empirically identifies a taxonomy of similarly structured SPHPUs and examines whether this structure is associated with state geographic, demographic, and threat-vulnerability characteristics. Data representing each SPHPU were extracted from publically available sources, including organizational charts and emergency preparedness plans for 2009. A cross-sectional segmentation analysis was conducted of variables representing structural attributes. Fifty state public health departments. Variables representing "span of control" and "hierarchal levels" were extracted from organizational charts. Structural "complexity" and "centralization" were extracted from state emergency preparedness documents and other secondary sources. On average, 6.6 people report to the same manager as the SPHPU director; 2.1 levels separate the SPHPU director from the state health officer; and a mean of 13.5 agencies collaborate with SPHPU during a disaster. Despite considerable variability in how SPHPUs had been structured, results of the cluster and principal component analysis identified 7 similarly structured groups. Neither the taxonomic groups nor the individual variables representing structure were found to be associated with state characteristics, including threat vulnerabilities. Our finding supports the hypothesis that SPHPUs are seemingly inadvertently (eg, not strategically) organized. This taxonomy provides the basis for which future research can examine how SPHPU structure relates to performance measures and

  4. Utilization of Functional Exercises to Build Regional Emergency Preparedness among Rural Health Organizations in the US.

    Science.gov (United States)

    Obaid, Jannah M; Bailey, Ginger; Wheeler, Heidi; Meyers, Laura; Medcalf, Sharon J; Hansen, Keith F; Sanger, Kristine K; Lowe, John J

    2017-01-30

    Rural communities face barriers to disaster preparedness and considerable risk of disasters. Emergency preparedness among rural communities has improved with funding from federal programs and implementation of a National Incident Management System. The objective of this project was to design and implement disaster exercises to test decision making by rural response partners to improve regional planning, collaboration, and readiness. Six functional exercises were developed and conducted among three rural Nebraska (USA) regions by the Center for Preparedness Education (CPE) at the University of Nebraska Medical Center (Omaha, Nebraska USA). A total of 83 command centers participated. Six functional exercises were designed to test regional response and command-level decision making, and each 3-hour exercise was followed by a 3-hour regional after action conference. Participant feedback, single agency debriefing feedback, and regional After Action Reports were analyzed. Functional exercises were able to test command-level decision making and operations at multiple agencies simultaneously with limited funding. Observations included emergency management jurisdiction barriers to utilization of unified command and establishment of joint information centers, limited utilization of documentation necessary for reimbursement, and the need to develop coordinated public messaging. Functional exercises are a key tool for testing command-level decision making and response at a higher level than what is typically achieved in tabletop or short, full-scale exercises. Functional exercises enable evaluation of command staff, identification of areas for improvement, and advancing regional collaboration among diverse response partners. Obaid JM , Bailey G , Wheeler H , Meyers L , Medcalf SJ , Hansen KF , Sanger KK , Lowe JJ . Utilization of functional exercises to build regional emergency preparedness among rural health organizations in the US. Prehosp Disaster Med. 2017;32(2):1-7.

  5. The New Mexico School Nurse and Emergency Medical Services Emergency Preparedness Course: Program Description and Evaluation

    Science.gov (United States)

    Elgie, Robert; Sapien, Robert E.; Fullerton-Gleason, Lynne

    2005-01-01

    Illness and injuries are common among students and school staff. Therefore, school nurses must be prepared. In this study, a 16-hour scenario-based emergency preparedness course for school nurses was evaluated for its effectiveness. Effectiveness was measured by (a) traditional methods (written exams and confidence surveys) and (b) skills and…

  6. ERCB directive 071 : emergency preparedness and response requirements for the petroleum industry

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-04-15

    In order to protect the public and environment from harm through responsible petroleum operations, the Energy Resources Conservation Board (ERCB) has a strict regulatory framework whose principles are embodied in ERCB directives. This report consisted of a directive that provides the planning requirements for emergency response plan (ERP) development that licensees are required to meet in order to gain ERCB approval for the ERP. The requirements for a corporate level ERP were also provided. In addition, the report provided the requirements that licensees are required to meet in order to effectively implement their plans and respond to an emergency including things such as public and local authority involvement in emergency preparedness and response; common requirements for site-specific ERPs; sour well site-specific drilling and/or completion ERPs; and, spill cooperative response plans. The report provided an introduction to the directive and its requirements, including licensee responsibility; requirements, enforcement, and expectations; purpose of emergency preparedness and response; what's new in directive 071; directive 071 requirements; and ERP application process for ERCB approval. Several appendices were also provided for non-compliance events; definitions for the purposes of directive 071; ERP approval application; evacuation requirements; assessment and ignition criteria flowchart; and first call communication forms. 10 tabs., 4 figs., 10 appendices.

  7. Southern state radiological emergency preparedness and response agencies

    Energy Technology Data Exchange (ETDEWEB)

    1988-11-01

    This Report provides information on the state agencies assigned to radioactive materials transportation incidents in 16 Southern States Energy Board member states. For each, the report lists the agencies with primary authority for preparedness and response, their responsibilities and personnel within the agencies who can offer additional information on their radioactive materials transportation programs. The report also lists each state's emergency team members and its laboratory and analytical capabilities. Finally, the governor's designee for receiving advance notification of high-level radioactive materials and spent fuel shipments under 10 CFR Parts 71 and 73 of the US Nuclear Regulatory Commission's regulations is listed for each state. Part 71 requires prenotification for large quantity radioactive waste shipments. Part 73 addresses prenotification for spent nuclear reactor fuel shipments.

  8. Southern state radiological emergency preparedness and response agencies

    Energy Technology Data Exchange (ETDEWEB)

    1988-11-01

    This Report provides information on the state agencies assigned to radioactive materials transportation incidents in 16 Southern States Energy Board member states. For each, the report lists the agencies with primary authority for preparedness and response, their responsibilities and personnel within the agencies who can offer additional information on their radioactive materials transportation programs. The report also lists each state`s emergency team members and its laboratory and analytical capabilities. Finally, the governor`s designee for receiving advance notification of high-level radioactive materials and spent fuel shipments under 10 CFR Parts 71 and 73 of the US Nuclear Regulatory Commission`s regulations is listed for each state. Part 71 requires prenotification for large quantity radioactive waste shipments. Part 73 addresses prenotification for spent nuclear reactor fuel shipments.

  9. Nuclear emergency preparedness in the Nordic and Baltic Sea countries

    Energy Technology Data Exchange (ETDEWEB)

    Jaworska, A. [Norwegian Radiation Protection Authority (Norway)

    2002-07-01

    Radiation emergency preparedness systems must be able to deal with the threats posed to each country and the region as a whole. The threats from nuclear accidents differ in the various countries of the region. The most serious nuclear threats are those with cross-border implications and are generally assumed to be due to the presence of nuclear reactors of various kinds. Some countries in the region, Finland, Germany, Lithuania, the Russian Federation and Sweden, have nuclear power plants, and several countries in the region possess smaller research reactors. Other nuclear threats arise from nuclear powered naval vessels or submarines, and from nuclear powered satellites. Production, transportation, use, and disposal of radioactive materials constitute potential local nuclear hazards. Finally, terrorist use of radioactive material poses a nuclear threat to all countries. (au)

  10. Nuclear emergency preparedness in the Nordic and Baltic Sea countries

    CERN Document Server

    Jaworska, A

    2002-01-01

    Radiation emergency preparedness systems must be able to deal with the threats posed to each country and the region as a whole. The threats from nuclear accidents differ in the various countries of the region. The most serious nuclear threats are those with cross-border implications and are generally assumed to be due to the presence of nuclear reactors of various kinds. Some countries in the region, Finland, Germany, Lithuania, the Russian Federation and Sweden, have nuclear power plants, and several countries in the region possess smaller research reactors. Other nuclear threats arise from nuclear powered naval vessels or submarines, and from nuclear powered satellites. Production, transportation, use, and disposal of radioactive materials constitute potential local nuclear hazards. Finally, terrorist use of radioactive material poses a nuclear threat to all countries. (au)

  11. How Health Department Contextual Factors Affect Public Health Preparedness (PHP) and Perceptions of the 15 PHP Capabilities.

    Science.gov (United States)

    Horney, Jennifer A; Carbone, Eric G; Lynch, Molly; Wang, Z Joan; Jones, Terrance; Rose, Dale A

    2017-09-01

    To assess how health department contextual factors influence perceptions of the 15 Public Health Preparedness Capabilities, developed by the Centers for Disease Control and Prevention (CDC) to provide guidance on organizing preparedness activities. We conducted an online survey and focus group between September 2015 and May 2016 with directors of preparedness programs in state, metropolitan, and territorial jurisdictions funded by CDC's Public Health Emergency Preparedness (PHEP) cooperative agreement. The survey collected demographic information and data on contextual factors including leadership, partnerships, organizational structure, resources and structural capacity, and data and evaluation. Seventy-seven percent (48 of 62) of PHEP directors completed the survey and 8 participated in the focus group. Respondents were experienced directors (mean = 10.6 years), and 58% led 7 or more emergency responses. Leadership, partnerships, and access to fiscal and human resources were associated with perception and use of the capabilities. Despite some deficiencies, PHEP awardees believe the capabilities provide useful guidance and a flexible framework for organizing their work. Contextual factors affect perceptions of the capabilities and possibly the effectiveness of their use. Public Health Implications. The capabilities can be used to address challenges in preparedness, including identifying evidence-based practices, developing performance measures, and improving responses.

  12. Emergency Preparedness Education Program for Public Schools.

    Science.gov (United States)

    1980-12-01

    economics, history, government, sociology , human relations, and psychology. 2) Language Arts - including languages and all phases and applications of...Child Behavior. New York: Harper and Row, 1955. Kapfer , Miriam B. Behavioral Objectives in Curriculum Development: Selected Readings and

  13. The meta-leadership summit for preparedness initiative: an innovative model to advance public health preparedness and response.

    Science.gov (United States)

    Sobelson, Robyn K; Young, Andrea C; Marcus, Leonard J; Dorn, Barry C; Neslund, Verla S; McNulty, Eric J

    2013-12-01

    This article reports on the design, evaluation framework, and results from the Meta-Leadership Summit for Preparedness Initiative. The Meta-Leadership Summit for Preparedness was a 5-year initiative based on the premise that national preparedness and emergency response is not solely the responsibility of government. From 2006 to 2011, 36 Meta-Leadership Summits were delivered in communities across the country. Summits were customized, 10-hour leadership development, networking, and community action planning events. They included participation from targeted federal, state, local, nonprofit/philanthropic, and private sector leaders who are directly involved in decision making during a major community or state-wide emergency. A total of 4,971 government, nonprofit, and business leaders attended Meta-Leadership Summits; distribution of attendees by sector was balanced. Ninety-three percent of respondents reported the summit was a valuable use of time, 91% reported the overall quality as "good" or "outstanding," and 91% would recommend the summit to their colleagues. In addition, approximately 6 months after attending a summit, 80% of respondents reported that they had used meta-leadership concepts or principles. Of these, 93% reported that using meta-leadership concepts or principles had made a positive difference for them and their organizations. The Meta-Leadership Summit for Preparedness Initiative was a value-added opportunity for communities, providing the venue for learning the concepts and practice of meta-leadership, multisector collaboration, and resource sharing with the intent of substantively improving preparedness, response, and recovery efforts.

  14. Quality control of meteorological data for the chemical stockpile emergency preparedness program.

    Energy Technology Data Exchange (ETDEWEB)

    Liljegren, J.C.; Tschopp, S.; Rogers, K.; Wasmer, F.; Liljegren, L.; Myirski, M.; Decision and Information Sciences; U.S. Army Chemical Materials Agency

    2009-08-01

    The Chemical Stockpile Emergency Preparedness Program Meteorological Support Project ensures the accuracy and reliability of data acquired by meteorological monitoring stations located at seven U.S. Army chemical weapons depots where storage and weapons destruction (demilitarization) activities are ongoing. The data are delivered in real time to U.S. Army plume dispersion models, which are used to plan for and respond to a potential accidental release of a chemical weapons agent. The project provides maintenance, calibration, and audit services for the instrumentation; collection, automated screening, visual inspection, and analysis of the data; and problem reporting and tracking to carefully control the data quality. The resulting high-quality meteorological data enhance emergency response modeling and public safety.

  15. Employee Perceptions of Their Organization's Level of Emergency Preparedness Following a Brief Workplace Emergency Planning Educational Presentation

    Directory of Open Access Journals (Sweden)

    Lauren A. Renschler

    2016-06-01

    Full Text Available A brief emergency planning educational presentation was taught during work hours to a convenience sample of employees of various workplaces in Northern Missouri, USA. Participants were familiarized with details about how an emergency plan is prepared by management and implemented by management-employee crisis management teams – focusing on both employee and management roles. They then applied the presentation information to assess their own organization’s emergency preparedness level. Participants possessed significantly (p < 0.05 higher perceptions of their organization’s level of emergency preparedness than non-participants. It is recommended that an assessment of organizational preparedness level supplement emergency planning educational presentations in order to immediately apply the material covered and encourage employees to become more involved in their organization’s emergency planning and response. Educational strategies that involve management-employee collaboration in activities tailored to each workplace’s operations and risk level for emergencies should be implemented.

  16. Communicating public health preparedness information to pregnant and postpartum women: an assessment of Centers for Disease Control and Prevention web pages.

    Science.gov (United States)

    McDonough, Brianna; Felter, Elizabeth; Downes, Amia; Trauth, Jeanette

    2015-04-01

    Pregnant and postpartum women have special needs during public health emergencies but often have inadequate levels of disaster preparedness. Thus, improving maternal emergency preparedness is a public health priority. More research is needed to identify the strengths and weaknesses of various approaches to how preparedness information is communicated to these women. A sample of web pages from the Centers for Disease Control and Prevention intended to address the preparedness needs of pregnant and postpartum populations was examined for suitability for this audience. Five of the 7 web pages examined were considered adequate. One web page was considered not suitable and one the raters split between not suitable and adequate. None of the resources examined were considered superior. If these resources are considered some of the best available to pregnant and postpartum women, more work is needed to improve the suitability of educational resources, especially for audiences with low literacy and low incomes.

  17. Emerging and exotic zoonotic disease preparedness and response in the United States - coordination of the animal health component.

    Science.gov (United States)

    Levings, Randall L

    2012-09-01

    For the response to a zoonotic disease outbreak to be effective, animal health authorities and disease specialists must be involved. Animal health measures are commonly directed at known diseases that threaten the health of animals and impact owners. The measures have long been applied to zoonotic diseases, including tuberculosis and brucellosis, and can be applied to emerging diseases. One Health (veterinary, public, wildlife and environmental health) and all-hazards preparedness work have done much to aid interdisciplinary understanding and planning for zoonotic diseases, although further improvements are needed. Actions along the prevention, preparedness, response and recovery continuum should be considered. Prevention of outbreaks consists largely of import controls on animals and animal products and biosecurity. Preparedness includes situational awareness, research, tool acquisition, modelling, training and exercises, animal movement traceability and policy development. Response would include detection systems and specialized personnel, institutions, authorities, strategies, methods and tools, including movement control, depopulation and vaccination if available and appropriate. The specialized elements would be applied within a general (nationally standardized) system of response. Recovery steps begin with continuity of business measures during the response and are intended to restore pre-event conditions. The surveillance for novel influenza A viruses in swine and humans and the preparedness for and response to the recent influenza pandemic illustrate the cooperation possible between the animal and public health communities.

  18. The new Mobile Command Center at KSC is important addition to emergency preparedness

    Science.gov (United States)

    2000-01-01

    Charles Street, part of the Emergency Preparedness team at KSC, uses a phone on the specially equipped emergency response vehicle. The vehicle, nicknamed '''The Brute,''' serves as a mobile command center for emergency preparedness staff and other support personnel when needed. It features a conference room, computer work stations, mobile telephones and a fax machine. It also can generate power with its onboard generator. Besides being ready to respond in case of emergencies during launches, the vehicle must be ready to help address fires, security threats, chemical spills, terrorist attaches, weather damage or other critical situations that might face KSC or Cape Canaveral Air Force Station.

  19. The Meta-Leadership Summit for Preparedness Initiative: An Innovative Model to Advance Public Health Preparedness and Response

    Science.gov (United States)

    Sobelson, Robyn K.; Young, Andrea C.; Marcus, Leonard J.; Dorn, Barry C.; Neslund, Verla S.; McNulty, Eric J.

    2017-01-01

    This article reports on the design, evaluation framework, and results from the Meta-Leadership Summit for Preparedness Initiative. The Meta-Leadership Summit for Preparedness was a 5-year initiative based on the premise that national preparedness and emergency response is not solely the responsibility of government. From 2006 to 2011, 36 Meta-Leadership Summits were delivered in communities across the country. Summits were customized, 10-hour leadership development, networking, and community action planning events. They included participation from targeted federal, state, local, nonprofit/philanthropic, and private sector leaders who are directly involved in decision making during a major community or state-wide emergency. A total of 4,971 government, nonprofit, and business leaders attended Meta-Leadership Summits; distribution of attendees by sector was balanced. Ninety-three percent of respondents reported the summit was a valuable use of time, 91% reported the overall quality as “good” or “outstanding,” and 91% would recommend the summit to their colleagues. In addition, approximately 6 months after attending a summit, 80% of respondents reported that they had used meta-leadership concepts or principles. Of these, 93% reported that using meta-leadership concepts or principles had made a positive difference for them and their organizations. The Meta-Leadership Summit for Preparedness Initiative was a value-added opportunity for communities, providing the venue for learning the concepts and practice of meta-leadership, multisector collaboration, and resource sharing with the intent of substantively improving preparedness, response, and recovery efforts. PMID:24251597

  20. Designing and conducting tabletop exercises to assess public health preparedness for manmade and naturally occurring biological threats

    Directory of Open Access Journals (Sweden)

    Dausey David J

    2007-05-01

    Full Text Available Abstract Background Since 2001, state and local health departments in the United States (US have accelerated efforts to prepare for high-impact public health emergencies. One component of these activities has been the development and conduct of exercise programs to assess capabilities, train staff and build relationships. This paper summarizes lessons learned from tabletop exercises about public health emergency preparedness and about the process of developing, conducting, and evaluating them. Methods We developed, conducted, and evaluated 31 tabletop exercises in partnership with state and local health departments throughout the US from 2003 to 2006. Participant self evaluations, after action reports, and tabletop exercise evaluation forms were used to identify aspects of the exercises themselves, as well as public health emergency responses that participants found more or less challenging, and to highlight lessons learned about tabletop exercise design. Results Designing the exercises involved substantial collaboration with representatives from participating health departments to assure that the scenarios were credible, focused attention on local preparedness needs and priorities, and were logistically feasible to implement. During execution of the exercises, nearly all health departments struggled with a common set of challenges relating to disease surveillance, epidemiologic investigations, communications, command and control, and health care surge capacity. In contrast, performance strengths were more varied across participating sites, reflecting specific attributes of individual health departments or communities, experience with actual public health emergencies, or the emphasis of prior preparedness efforts. Conclusion The design, conduct, and evaluation of the tabletop exercises described in this report benefited from collaborative planning that involved stakeholders from participating health departments and exercise developers and

  1. The road to developing an advanced degree program in public health preparedness.

    Science.gov (United States)

    Cherry, Robert A; Davis, Tom

    2007-08-01

    The master of homeland security (MHS) degree in public health preparedness at the Pennsylvania State University College of Medicine is the first degree program of its kind offered by any U.S. medical school. The field of public health preparedness has been increasingly viewed as a new, emerging professional discipline, which academic medicine is well positioned to complement. The process by which the MHS program has evolved from conception to realization is a case study in the mission-based alignment of core values and leadership between the government and academic medicine. Recognizing the need for multidisciplinary involvement, the program architects reconsidered the traditional approach to the development and implementation of new graduate degree programs. Instead, a more flexible, loosely connected network of strategic partners and alliances was adopted. These partnerships were developed and cultivated by vested individuals who excelled in specific core competencies and came together to create value. This allowed for both the expertise and flexibility needed to adapt quickly to the evolving homeland security environment in the United States. To that end, this article describes the 10-step multidisciplinary program-development process that spanned three years and culminated in the establishment of this new graduate degree program. The MHS program as it now stands focuses on public health preparedness, including epidemiological evaluation, disaster communication and psychology, agricultural biosecurity, and critical infrastructure protection. The program is geared toward the practicing professional already working in the field, and its graduates are positioned to be among the top leaders, educators, and researchers in homeland security.

  2. Examining the importance of incorporating emergency preparedness and disaster training core competencies into allied health curricula.

    Science.gov (United States)

    Curtis, Tammy

    2015-01-01

    Preparation for responding to emergency events that does not warrant outside help beyond the local community resources or responding to disaster events that is beyond the capabilities of the local community both require first responders and healthcare professionals to have interdisciplinary skills needed to function as a team for saving lives. To date, there is no core emergency preparedness and disaster planning competencies that have been standardized at all levels across the various allied health curricula disciplines. To identify if emergency preparedness and disaster training content are currently being taught in allied health program courses, to identify possible gaps within allied health curricula, and to explore the perceptions of allied health college educators for implementing emergency preparedness and disaster training core competencies into their existing curricula, if not already included. A quantitative Internet-based survey was conducted in 2013. Convenient sample. Fifty-one allied health college educators completed the survey. Descriptive statistics indicated that the majority of allied health college instructors do not currently teach emergency preparedness and disaster training core competency content within their current allied health discipline; however, their perceived level of importance for inclusion of the competencies was high. The results of this study supported the need for developing and establishing a basic national set of standardized core emergency preparedness and disaster planning competencies at all levels across various allied health curricula disciplines to ensure victims receive the best patient care and have the best possible chance of survival.

  3. Reactor emergency preparedness: lifesaving or as low as reasonable achievable

    Energy Technology Data Exchange (ETDEWEB)

    Hull, A.P.

    1981-01-01

    An emergency is defined as an unforseen combination of circumstances or the resultant state that calls for immediate action. Although not explicitly indicated, the implication is that the action is intended to protect life, limb and or property from extreme peril. For the most part, the kind and extent of the emergency planning required under current regulations of the USNRC do not appear to be so much related to emergencies (within the above definition) as they do toward the reduction of the off-site radiation doses from uncontrolled releases during reactor accident conditions to as low as reasonably achievable levels. Not only do the latter appear to be of questionable cost-effectiveness, but in their extent and complexity beyond normal disaster planning they may in fact be counter productive to optimum public safety.

  4. Emergency preparedness exercise for biological dosimetry - BIOPEX (2008)

    Energy Technology Data Exchange (ETDEWEB)

    Lindholm, C.; Paile, W. (Radiation and Nuclear Safety Authority (STUK) (Finland)); Stricklin, D. (Swedish Defence Research Agency (FOI) (Sweden)); Jaworska, A. (Norwegian Radiation Protection Authority (NRPA) (Norway))

    2009-03-15

    As a continuation to the NKS-funded BIODOS project, the BIOPEX project has aimed at testing and validation of the newly established dose calibration curve for PCC rings, a specific chromosome aberration for use in biodosimetry in large casualty emergency preparedness. The testing of the PCC ring technique was performed by direct comparison to the conventional dicentric assay, both conducted with a triage approach that gives a crude dose estimate through analysis of a relatively small number of cells. Altogether 62 blood samples were analysed, each irradiated with an individual dose using gamma-rays, and representing casualties in a simulated radiation accident resulting in a broad spectrum of whole body and partial body doses, ranging from zero dose up to a lethal whole body dose of 13 Gy. The results indicated that both triage assays were capable of discerning non-exposed cases and that in the uniform irradiations, the dose estimates based on data from both assays were fairly consistent with the given dose. However, differences were observed depending on the dose level. At doses about 5 Gy and below, dicentric scoring resulted in more accurate whole-body dose estimates than PCC rings. At very high doses, PCC rings appeared to give more accurate dose estimates than dicentrics. The discrepancies are mainly caused by shortcomings in the respective dose calibration curves. In non-uniform irradiations, the PCC ring assay was slightly better in the approximation of the partial body dose than dicentrics, but neither assay enabled accurate estimation of either dose or fraction of cells irradiated. The irradiated fraction of cells for the casualties in this scenario was apparently too small (10-40%) to be distinguished with the triage approach applied in the current study. With respect to the technical aspects, scoring of the PCC rings is easier and therefore somewhat faster but may be more sensitive to quality aspects. In conclusion, the study demonstrated that the PCC

  5. Institutional facilitators and barriers to local public health preparedness planning for vulnerable and at-risk populations.

    Science.gov (United States)

    Bevc, Christine A; Simon, Matthew C; Montoya, Tanya A; Horney, Jennifer A

    2014-01-01

    Numerous institutional facilitators and barriers to preparedness planning exist at the local level for vulnerable and at-risk populations. Findings of this evaluation study contribute to ongoing practice-based efforts to improve response services and address public health preparedness planning and training as they relate to vulnerable and at-risk populations. From January 2012 through June 2013, we conducted a multilevel, mixed-methods evaluation study of the North Carolina Preparedness and Emergency Response Research Center's Vulnerable & At-Risk Populations Resource Guide, an online tool to aid local health departments' (LHDs') preparedness planning efforts. We examined planning practices across multiple local, regional, and state jurisdictions utilizing user data, follow-up surveys, and secondary data. To identify potential incongruities in planning, we compared respondents' reported populations of interest with corresponding census data to determine whether or not there were differences in planning priorities. We used data collected from evaluation surveys to identify key institutional facilitators and barriers associated with planning for at-risk populations, including challenges to conducting assessments and lack of resources. Results identified both barriers within institutional culture and disconnects between planning priorities and evidence-based identification of vulnerable and at-risk populations, including variation in the planning process, partnerships, and perceptions. Our results highlight the important role of LHDs in preparedness planning and the potential implications associated with organizational and bureaucratic impediments to planning implementation. A more in-depth understanding of the relationships among public institutions and the levels of preparedness that contribute to the conditions and processes that generate vulnerability is needed.

  6. 76 FR 76416 - Board of Scientific Counselors, Office of Public Health Preparedness and Response (BSC, OPHPR)

    Science.gov (United States)

    2011-12-07

    ... Public Health Preparedness and Response (BSC, OPHPR) In accordance with section 10(a)(2) of the Federal...-mail: OPHPR.BSC.Questions@cdc.gov . The Director, Management Analysis and Services Office, has...

  7. Bioterrorism and Emergency Preparedness in Aging (BTEPA): HRSA-Funded GEC Collaboration for Curricula and Training

    Science.gov (United States)

    Johnson, Arleen; Roush, Robert E., Jr.; Howe, Judith L.; Sanders, Margaret; McBride, Melen R.; Sherman, Andrea; Palmisano, Barbara; Tumosa, Nina; Perweiler, Elyse A.; Weiss, Joan

    2006-01-01

    Frail elders living alone or in long-term care settings are particularly vulnerable to bioterrorism and other emergencies due to their complex physical, social and psychological needs. This paper provides an overview of the recent literature on bioterrorism and emergency preparedness in aging (BTEPA); discusses federal initiatives by the health…

  8. Emergency Preparedness--The Role of the School Nurse. Position Statement

    Science.gov (United States)

    Cagginello, Joan B.; Clark, Sandra; Compton, Linda; Davis, Catherine; Healy, Marilyn; Hoffmann, Susan; Tuck, Christine M.

    2011-01-01

    It is the position of the National Association of School Nurses (NASN) that school nurses provide leadership in all phases of emergency preparedness and management and are a vital part of the school team that develops emergency response procedures for the school setting, using an all-hazards approach. The school nurse is a vital school…

  9. The effects of terrorism on adult mental health: a public health preparedness approach

    Directory of Open Access Journals (Sweden)

    Sameera S. Karnik

    2014-05-01

    Full Text Available Terrorism is a disruptive man--‐made disaster event challenging human health and wellbeing. It is a hostile activity which brings about much casualty, even death. It not only causes physical casualties but also brings about psychological morbidity and can lead to long term mental disorders. The effects of terrorist attacks on people’s psychological health covers a wide range such as acute stress symptoms to long term disorders like Post--‐traumatic Stress Disorder (PTSD. The psychological disorder due to traumatic distress is treated with psychotherapies such as psychosocial intervention, psychological debriefing, psychological first aid care, psychological counseling services, and psychoeducation. Government is supporting state and local public health departments to develop efficient public health preparedness planning programs in case of emergency situations. There are some newer approaches working towards enhancing health security and managing responses to a psychological impact of a disaster event like a terrorist attack.

  10. Oil spill emergency preparedness in the Russian Arctic: a study of the Murmansk region

    Directory of Open Access Journals (Sweden)

    Maria Ivanova

    2011-06-01

    Full Text Available The issue of oil spill emergency response in north-west Russia has become increasingly important following a substantial increase in maritime transport and major offshore developments in Russian waters. This study is an initial effort to outline the public and private agencies and organizations involved in handling oil spills in the Murmansk region and the structure of the oil spill emergency response system in the region. This study examines the formal relationships between federal and regional authorities and between the different subsystems at the regional level. Due to the paucity of academic literature and public documentation on this topic, this study to a large extent bases itself on interview data. A main finding is that the regional oil spill response system has not been fully developed. It further concludes that the system lacks a clearly formulated state policy, a single governing authority and a unified structure. Finally, the study demonstrates that the agencies and organizations involved in tackling oil spill emergencies in the Murmansk region are hampered by insufficient funding, which probably reduces their preparedness to combat oil spills.

  11. Guidance Manual for preparing Nuclear and Radiological Emergency Preparedness and Response Plan

    Energy Technology Data Exchange (ETDEWEB)

    Muhammed, Kabiru [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Jeong, Seung-Young [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2014-10-15

    The Nuclear and Radiological Emergency Preparedness and Response Plan(NREPRP) describes the capabilities, responsibilities and authorities of government agencies and a conceptual basis for integrating the activities of these agencies to protect public health and safety. The NREPRP addresses issues related to actual or perceived radiation hazard requiring a national response in order to: i. Provide co-ordination of a response involving multi-jurisdictions or significant national responsibilities; or ii. Provide national support to state and local governments. The objective of this research is to establish Guidance Manual for preparing a timely, organized and coordinated emergency response plan for Authorities/agencies to promptly and adequately determine and take actions to protect members of the public and emergency workers. The manual will not provide sufficient details for an adequate response. This level of details is contained in standard operating procedures that are being developed based on the plan developed. Base on the data obtain from integrated planning levels and responsibility sharing, the legal document of major government agencies participating in NREPRP form the legal basis for the response plan. Also the following documents should be some international legal binding documents. Base on the international safety requirement and some countries well developed NREPRP, we have drafted a guidance manual for new comer countries for easy development of their countries NREPRP. Also we have taken in to consideration lessons learn from most accident especially Fukushima accident.

  12. The preparedness of schools to respond to emergencies in children: a national survey of school nurses.

    Science.gov (United States)

    Olympia, Robert P; Wan, Eric; Avner, Jeffrey R

    2005-12-01

    Because children spend a significant proportion of their day in school, pediatric emergencies such as the exacerbation of medical conditions, behavioral crises, and accidental/intentional injuries are likely to occur. Recently, both the American Academy of Pediatrics and the American Heart Association have published guidelines stressing the need for school leaders to establish emergency-response plans to deal with life-threatening medical emergencies in children. The goals include developing an efficient and effective campus-wide communication system for each school with local emergency medical services (EMS); establishing and practicing a medical emergency-response plan (MERP) involving school nurses, physicians, athletic trainers, and the EMS system; identifying students at risk for life-threatening emergencies and ensuring the presence of individual emergency care plans; training staff and students in first aid and cardiopulmonary resuscitation (CPR); equipping the school for potential life-threatening emergencies; and implementing lay rescuer automated external defibrillator (AED) programs. The objective of this study was to use published guidelines by the American Academy of Pediatrics and the American Heart Association to examine the preparedness of schools to respond to pediatric emergencies, including those involving children with special care needs, and potential mass disasters. A 2-part questionnaire was mailed to 1000 randomly selected members of the National Association of School Nurses. The first part included 20 questions focusing on: (1) the clinical background of the school nurse (highest level of education, years practicing as a school health provider, CPR training); (2) demographic features of the school (student attendance, grades represented, inner-city or rural/suburban setting, private or public funding, presence of children with special needs); (3) self-reported frequency of medical and psychiatric emergencies (most common reported school

  13. Emergency preparedness source term development for the Office of Nuclear Material Safety and Safeguards-Licensed Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Sutter, S.L.; Mishima, J.; Ballinger, M.Y.; Lindsey, C.G.

    1984-08-01

    In order to establish requirements for emergency preparedness plans at facilities licensed by the Office of Nuclear Materials Safety and Safeguards, the Nuclear Regulatory Commission (NRC) needs to develop source terms (the amount of material made airborne) in accidents. These source terms are used to estimate the potential public doses from the events, which, in turn, will be used to judge whether emergency preparedness plans are needed for a particular type of facility. Pacific Northwest Laboratory is providing the NRC with source terms by developing several accident scenarios for eleven types of fuel cycle and by-product operations. Several scenarios are developed for each operation, leading to the identification of the maximum release considered for emergency preparedness planning (MREPP) scenario. The MREPP scenarios postulated were of three types: fire, tornado, and criticality. Fire was significant at oxide fuel fabrication, UF/sub 6/ production, radiopharmaceutical manufacturing, radiopharmacy, sealed source manufacturing, waste warehousing, and university research and development facilities. Tornadoes were MREPP events for uranium mills and plutonium contaminated facilities, and criticalities were significant at nonoxide fuel fabrication and nuclear research and development facilities. Techniques for adjusting the MREPP release to different facilities are also described.

  14. The IAEAs incident and emergency centre: the global focal point for nuclear and radiological emergency preparedness and response

    Energy Technology Data Exchange (ETDEWEB)

    Buglova, E.

    2016-08-01

    The continuous use of nuclear power to generate electricity and the continued threat of radioactive materials being used for nefarious reasons reminds us of the importance to stay prepared to respond to nuclear or radiological emergencies. Stringent nuclear safety and nuclear security requirements, the training of personnel, operational checks and legal frameworks cannot always prevent radiation-related emergencies. Though these events can range in severity, each has the potential to cause harm to the public, employees, patients, property and the environment. Until the Chernobyl nuclear accident in 1986, there was no international information exchange system. Immediately following that accident, the international community negotiated the so-called Emergency Conventions to ensure that the country suffering an accident with an international transboundary release of radioactive material would issue timely, authenticated information, while the States that could field technical support, would do so in a coordinated fashion. The Conventions also place specific legal obligations on the International Atomic energy Agency (IAEA) with regard to emergency preparedness and response. (Author)

  15. Emergency preparedness for those who care for infants in developed country contexts

    Directory of Open Access Journals (Sweden)

    Gribble Karleen D

    2011-11-01

    Full Text Available Abstract Emergency management organisations recognise the vulnerability of infants in emergencies, even in developed countries. However, thus far, those who care for infants have not been provided with detailed information on what emergency preparedness entails. Emergency management authorities should provide those who care for infants with accurate and detailed information on the supplies necessary to care for them in an emergency, distinguishing between the needs of breastfed infants and the needs of formula fed infants. Those who care for formula fed infants should be provided with detailed information on the supplies necessary for an emergency preparedness kit and with information on how to prepare formula feeds in an emergency. An emergency preparedness kit for exclusively breastfed infants should include 100 nappies and 200 nappy wipes. The contents of an emergency preparedness for formula fed infants will vary depending upon whether ready-to-use liquid infant formula or powdered infant formula is used. If ready-to-use liquid infant formula is used, an emergency kit should include: 56 serves of ready-to-use liquid infant formula, 84 L water, storage container, metal knife, small bowl, 56 feeding bottles and teats/cups, 56 zip-lock plastic bags, 220 paper towels, detergent, 120 antiseptic wipes, 100 nappies and 200 nappy wipes. If powdered infant formula is used, an emergency preparedness kit should include: two 900 g tins powdered infant formula, 170 L drinking water, storage container, large cooking pot with lid, kettle, gas stove, box of matches/lighter, 14 kg liquid petroleum gas, measuring container, metal knife, metal tongs, feeding cup, 300 large sheets paper towel, detergent, 100 nappies and 200 nappy wipes. Great care with regards hygiene should be taken in the preparation of formula feeds. Child protection organisations should ensure that foster carers responsible for infants have the resources necessary to formula feed in the

  16. Compilation of demographic data for the chemical stockpile emergency preparedness program

    Energy Technology Data Exchange (ETDEWEB)

    Vogt, B.; Sorensen, J.; Coomer, C. [Oak Ridge National Lab., TN (United States); Shumpert, B.; Hardee, H. [Univ. of Tennessee, Knoxville, TN (United States)

    1998-01-01

    There are eight installations in the continental US where lethal unitary chemical agents and munitions have been stored since the late 1950`s. In December, 1985, Congress directed the Department of Defense (DOD) to destroy these stockpiles of aging chemical warfare weapons. The destruction was to take place in such a manner as to provide: (1) maximum protection of the environment, the general public, and the personnel involved in the destruction, (2) adequate and safe facilities designed solely for the destruction of the stockpile, and (3) clean-up dismantling, and disposal of the facilities when the disposal program was complete. To help communities develop emergency response capabilities, the Army established the Chemical Stockpile Emergency Preparedness Program or CSEPP based on principals established in the Emergency Response Concept Plan (ERCP). The Army and the Federal Emergency Management Agency (FEMA) jointly oversee the CSEPP. An important part of the ERCP guidance was establishing cooperative interaction between local, state, and federal agencies and the development of emergency planning zones (EPZs) to support the emergency response concept. The purpose of this document is to describe how the population figures were derived for the population estimates for both the Chemical Stockpile Disposal Program and the CSEPP analyses. Most of the data is derived from the US Census 1990 population figures. However, the Census only counts residential populations and does not attempt to document daytime populations within commercial or residential facilities. One conclusion from this review is that there is a need for better and more consistent population data in the Emergency Planning Guides.

  17. Investment, managerial capacity, and bias in public health preparedness.

    Science.gov (United States)

    Langabeer, James R; DelliFraine, Jami L; Tyson, Sandra; Emert, Jamie M; Herbold, John

    2009-01-01

    Nearly $7 billion has been invested through national cooperative funding since 2002 to strengthen state and local response capacity. Yet, very little outcome evidence exists to analyze funding effectiveness. The objective of this research is to analyze the relationship between investment (funding) and capacity (readiness) for public health preparedness (PHP). The aim of the authors is to use a management framework to evaluate capacity, and to explore the "immediacy bias" impact on investment stability. This study employs a longitudinal study design, incorporating survey research of the entire population of 68 health departments in the state of Texas. The authors assessed the investment-capacity relationship through several statistical methods. The authors created a structural measure of managerial capacity through principal components analysis, factorizing 10 independent variables and augment this with a perceived readiness level reported from PHP managers. The authors then employ analysis of variance, correlation analyses, and other descriptive statistics. There has been a 539 percent coefficient of variation in funding at the local level between the years 2004 and 2008, and a 63 percent reduction in total resources since the peak of funding, using paired sample data. Results suggest that investment is positively associated with readiness and managerial capacity in local health departments. The authors also find that investment was related to greater community collaboration, higher adoption of Incident Command System (ICS) structure, and more frequent operational drills and exercises. Greater investment is associated with higher levels of capacity and readiness. The authors conclude from this that investment should be stabilized and continued, and not be influenced by historical cognitive biases.

  18. Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers. Final rule.

    Science.gov (United States)

    2016-09-16

    This final rule establishes national emergency preparedness requirements for Medicare- and Medicaid-participating providers and suppliers to plan adequately for both natural and man-made disasters, and coordinate with federal, state, tribal, regional, and local emergency preparedness systems. It will also assist providers and suppliers to adequately prepare to meet the needs of patients, residents, clients, and participants during disasters and emergency situations. Despite some variations, our regulations will provide consistent emergency preparedness requirements, enhance patient safety during emergencies for persons served by Medicare- and Medicaid-participating facilities, and establish a more coordinated and defined response to natural and man-made disasters.

  19. The behavioral impacts of SARS and its implication for societal preparedness for other emerging infections

    Directory of Open Access Journals (Sweden)

    Kathleen Pik-san Kwok

    2008-07-01

    Full Text Available Introduction: This study examined public attitudes toward Severe Acute Respiratory Syndrome (SARS in Hong Kong three months after the peak of the 2003 outbreak in order to shed light on SARS-related complaints received by the Equal Opportunities Commission of Hong Kong. Methods: A cross-sectional telephone survey was conducted three months after the SARS outbreak of 1,023 randomly selected Chinese-speaking residents in Hong Kong. Results: Most of the respondents (72.2% reported worry about contracting SARS. They attributed their anxiety to the perceived danger of the disease, the government’s unsatisfactory style of crisis management, and inconsistent health information dissemination. The majority of respondents endorsed up to 3 avoidant (67.8% and 3 imposing (72.7% attitudes toward individuals and/or situations considered to be at risk of spreading SARS. Logistic Regression analyses indicated that the odds for avoidant and imposing attitudes increased significantly for those who were middle aged (35-54, employed full-time or part-time, and worried over contracting SARS. Conclusions: Public attitudes that endorsed avoidant and imposing behaviors were common during the outbreak of SARS. While essential for preventive health practices, they might bring about workplace conflicts, stigma, and other negative interpersonal experiences. These problems may complicate public health efforts to control the epidemic. They may also suggest ways in which societal preparedness for future emerging infections can be improved.

  20. 75 FR 42363 - Public Health Security and Bioterrorism Preparedness and Response Act of 2002; Biennial Review...

    Science.gov (United States)

    2010-07-21

    ... HUMAN SERVICES 42 CFR Part 73 RIN 0920-AA34 Public Health Security and Bioterrorism Preparedness and...: Advance notice of proposed rulemaking and request for comments. SUMMARY: The Public Health Security and... potential to pose a severe threat to public health and safety. In determining whether to include an agent...

  1. Social Capital as a Mediating Factor in Emergency Preparedness and Concerns about Terrorism

    Science.gov (United States)

    Hausman, Alice J.; Hanlon, Alexandra; Seals, Brenda

    2007-01-01

    The purpose of this study was to investigate how social capital might be instrumental in mediating concerns about terrorism and promoting appropriate responses for emergency preparedness. Results are presented from a random-digit dialed survey of a metropolitan area measuring individual characteristics as well as community-level characteristics as…

  2. The Effect of Coping Knowledge on Emergency Preparedness in Elementary School Students

    Science.gov (United States)

    Kim, Shin-Jeong; Kang, So-Ra; Lee, Seung-Hee; Kang, Kyung-Ah

    2014-01-01

    The purpose of this study was to examine the effect of coping knowledge for emergency preparedness in Korean elementary school students. A school-based coping education program was provided seven times to 271 fourth- and fifth-grade students in two urban schools by researchers with the school nurses. The Process Model of Stress and Coping and…

  3. School Nurse Online Emergency Preparedness Training: An Analysis of Knowledge, Skills, and Confidence

    Science.gov (United States)

    Elgie, Robert; Sapien, Robert; Fullerton, Lynne; Moore, Brian

    2010-01-01

    The objective of this study was to evaluate the effectiveness of a computer-assisted emergency preparedness course for school nurses. Participants from a convenience sample (52) of school nurses from New Mexico were randomly assigned to intervention or control groups in an experimental after-only posttest design. Intervention group participants…

  4. Emergency Preparedness with People Who Sign: Toward the whole community approach.

    Science.gov (United States)

    Cripps, Jody H; Cooper, Sheryl B; Austin, Elizabeth N

    2016-01-01

    The concept of the "whole community" involves including everyone in the community in preparing for emergencies, including members of often-overlooked groups. Deaf people who sign are one example of this type of group. An innovative model based on the whole community approach, Emergency Preparedness with People Who Sign (EPPS), is introduced in this article. This model focuses on members of the deaf community directly training first responders using a variety of techniques for effective communication and cultural understanding to achieve safety for all. This model was developed and field tested by a university Deaf Studies program through student service-learning activities and faculty involvement including on-site role-playing. Through the reciprocal awareness training for both professionals and community members, deaf individuals become actively empowered to participate in developing culturally and linguistically sensitive public safety services. Response to the concurrent training of first responders and deaf community members has been positive, and it is hoped that this model can be replicated with deaf people and first responders in other locations, as well as with other often-overlooked groups.

  5. A baseline assessment of emergency planning and preparedness in Italian universities.

    Science.gov (United States)

    Marincioni, Fausto; Fraboni, Rita

    2012-04-01

    Besides offering teaching and research services, schools and universities also must provide for the safety and security of their employees, students, and visitors. This paper describes emergency preparedness in a sample of Italian universities. In particular it examines risk perception within a specific professional category (university safety and security officers) in a specific cultural context (Italy). In addition, it discusses the transposition and implementation in a European Union (EU) member state of EU Council Directive 89/391/EEC of 12 June 1989, on the introduction of measures to encourage improvements in the safety and health of workers. The findings highlight heterogeneous and fragmented emergency management models within the Italian university system, underlining the need for a stricter framework of standardised safety protocols and emergency management guidelines. The study also points out that enhancing emergency planning and preparedness in Italian universities entails increasing safety leadership, employee engagement and individual responsibility for safety and security; essentially, it necessitates improving the culture of risk prevention.

  6. 78 FR 79081 - Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid...

    Science.gov (United States)

    2013-12-27

    ... Health Preparedness and Response OPO Organ Procurement Organization OPT Outpatient Physical Therapy OPTN..., and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology... Outpatient Physical Therapy and Speech-Language Pathology (``Organizations'')--Testing (Sec. 485.727(d)(2)(i...

  7. Healthcare coalitions: the new foundation for national healthcare preparedness and response for catastrophic health emergencies.

    Science.gov (United States)

    Courtney, Brooke; Toner, Eric; Waldhorn, Richard; Franco, Crystal; Rambhia, Kunal; Norwood, Ann; Inglesby, Thomas V; O'Toole, Tara

    2009-06-01

    After 9/11 and the 2001 anthrax letters, it was evident that our nation's healthcare system was largely underprepared to handle the unique needs and large volumes of people who would seek medical care following catastrophic health events. In response, in 2002 Congress established the Hospital Preparedness Program (HPP) in the U.S. Department of Health and Human Services (HHS) to strengthen the ability of U.S. hospitals to prepare for and respond to bioterrorism and naturally occurring epidemics and disasters. Since 2002, the program has resulted in substantial improvements in individual hospitals' disaster readiness. In 2007, the HHS Office of the Assistant Secretary for Preparedness and Response (ASPR) contracted with the Center for Biosecurity of the University of Pittsburgh Medical Center to conduct an assessment of U.S. hospital preparedness and to develop tools and recommendations for evaluating and improving future hospital preparedness efforts. One of the most important findings from this work is that healthcare coalitions-collaborative groups of local healthcare institutions and response agencies that work together to prepare for and respond to emergencies-have emerged throughout the U.S. since the HPP began. This article provides an overview of the HPP and the Center's hospital preparedness research for ASPR. Based on that work, the article also defines healthcare coalitions and identifies their structure and core functions, provides examples of more developed coalitions and common challenges faced by coalitions, and proposes that healthcare coalitions should become the foundation of a national strategy for healthcare preparedness and response for catastrophic health events.

  8. Preparedness of hazardous materials emergencies in railyards: Guidance for railroads and adjacent communities

    Energy Technology Data Exchange (ETDEWEB)

    1991-09-01

    Railroads are a key part of the distribution system for hazardous materials and, thus, much hazardous material passes through railyards en route to intermediate or final consumers. While the vast majority of these materials are shipped without incident, both the number of shipments and the nature of the materials themselves dictate that railyards and surrounding communities be prepared to respond quickly and effectively to emergencies. This report contains information on 11 emergency preparedness functions and 150 guidance recommendations.

  9. Outcomes-Balanced Framework for Emergency Management: A Predictive Model for Preparedness

    Science.gov (United States)

    2013-09-01

    the Center for Homeland Defense and Security (Naval Postgraduate School ), points out that “emergency management has customarily been a gathering of...efforts on elementary school students to create the preparedness responsibility, called Student 52 Tools for Emergency Planning (STEP). The STEP...awareness with family members. In 2012–13 school year, Wisconsin will have over 10,000 students in more than 270 classrooms enrolled across the state

  10. Evaluation of the preparedness of the children's emergency rooms ...

    African Journals Online (AJOL)

    2017-02-09

    %) centres have a pharmacy that is dedicated to .... for Paediatric emergency care as an important first step ... tance, point-of-care testing, chart documentation, and ... effective care and medical-legal safety.5-7 Emergency.

  11. 75 FR 50730 - Public Health Security and Bioterrorism Preparedness and Response Act of 2002: Biennial Review...

    Science.gov (United States)

    2010-08-17

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES 42 CFR Part 73 RIN 0920-AA34 Public Health Security and Bioterrorism Preparedness and...: Extension of public comment period. SUMMARY: On July 21, 2010, the Department of Health and Human...

  12. Application of Behavioral Theories to Disaster and Emergency Health Preparedness: A Systematic Review.

    Science.gov (United States)

    Ejeta, Luche Tadesse; Ardalan, Ali; Paton, Douglas

    2015-07-01

    Preparedness for disasters and emergencies at individual, community and organizational levels could be more effective tools in mitigating (the growing incidence) of disaster risk and ameliorating their impacts. That is, to play more significant roles in disaster risk reduction (DRR). Preparedness efforts focus on changing human behaviors in ways that reduce people's risk and increase their ability to cope with hazard consequences. While preparedness initiatives have used behavioral theories to facilitate DRR, many theories have been used and little is known about which behavioral theories are more commonly used, where they have been used, and why they have been preferred over alternative behavioral theories. Given that theories differ with respect to the variables used and the relationship between them, a systematic analysis is an essential first step to answering questions about the relative utility of theories and providing a more robust evidence base for preparedness components of DRR strategies. The goal of this systematic review was to search and summarize evidence by assessing the application of behavioral theories to disaster and emergency health preparedness across the world. The protocol was prepared in which the study objectives, questions, inclusion and exclusion criteria, and sensitive search strategies were developed and pilot-tested at the beginning of the study. Using selected keywords, articles were searched mainly in PubMed, Scopus, Mosby's Index (Nursing Index) and Safetylit databases. Articles were assessed based on their titles, abstracts, and their full texts. The data were extracted from selected articles and results were presented using qualitative and quantitative methods. In total, 2040 titles, 450 abstracts and 62 full texts of articles were assessed for eligibility criteria, whilst five articles were archived from other sources, and then finally, 33 articles were selected. The Health Belief Model (HBM), Extended Parallel Process Model

  13. Community Assessment Tool for Public Health Emergencies Including Pandemic Influenza

    Energy Technology Data Exchange (ETDEWEB)

    HCTT-CHE

    2011-04-14

    The Community Assessment Tool (CAT) for Public Health Emergencies Including Pandemic Influenza (hereafter referred to as the CAT) was developed as a result of feedback received from several communities. These communities participated in workshops focused on influenza pandemic planning and response. The 2008 through 2011 workshops were sponsored by the Centers for Disease Control and Prevention (CDC). Feedback during those workshops indicated the need for a tool that a community can use to assess its readiness for a disaster—readiness from a total healthcare perspective, not just hospitals, but the whole healthcare system. The CAT intends to do just that—help strengthen existing preparedness plans by allowing the healthcare system and other agencies to work together during an influenza pandemic. It helps reveal each core agency partners' (sectors) capabilities and resources, and highlights cases of the same vendors being used for resource supplies (e.g., personal protective equipment [PPE] and oxygen) by the partners (e.g., public health departments, clinics, or hospitals). The CAT also addresses gaps in the community's capabilities or potential shortages in resources. While the purpose of the CAT is to further prepare the community for an influenza pandemic, its framework is an extension of the traditional all-hazards approach to planning and preparedness. As such, the information gathered by the tool is useful in preparation for most widespread public health emergencies. This tool is primarily intended for use by those involved in healthcare emergency preparedness (e.g., community planners, community disaster preparedness coordinators, 9-1-1 directors, hospital emergency preparedness coordinators). It is divided into sections based on the core agency partners, which may be involved in the community's influenza pandemic influenza response.

  14. Involving Youth in Community Emergency Preparedness: Impacts of a Multistate Initiative

    Directory of Open Access Journals (Sweden)

    Pamela Powell

    2009-12-01

    Full Text Available The National Preparedness Guidelines (2007 state, “as uniformed responders account for less than 1% of the total U.S. population, it is clear that citizens must be better prepared, trained, and practiced on how best to take care of themselves and assist others in those first crucial hours during and after a catastrophic incident.” This is increasingly more evident due to recent disasters such as hurricane Katrina. The Alert, Evacuate and Shelter (AES program identified and trained youth/adult teams to use geospatial technology to map shelter locations and evacuation routes. Training began with team building activities to strengthen and build youth/adult preparedness partnerships. Program evaluations revealed a major shift in thinking about the positive potential level of involvement of youth in emergencies. Survey results immediately following trainings revealed statistically significant increases in participant knowledge gain regarding emergency preparedness. Follow-up evaluations indicate the success of this project in meeting community preparedness goals.

  15. Tsunami Preparedness

    Science.gov (United States)

    ... How to Prepare for Emergencies Types of Emergencies Tsunami Preparedness Learn how, why and where to evacuate ... hour away. [Recommendation: Create unique infographic] Before a Tsunami VIDEO: 3 Easy Steps to Prepare Prepare in ...

  16. Emergency and disaster preparedness for chronically ill patients: a review of recommendations

    Directory of Open Access Journals (Sweden)

    Tomio J

    2014-12-01

    Full Text Available Jun Tomio,1 Hajime Sato2 1Department of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; 2Department of Health Policy and Technology Assessment, National Institute of Public Health, Wako, Japan Abstract: Recent disasters, especially those in developed countries, have highlighted the importance of disaster preparedness measures for chronic diseases. A number of surviving patients experienced the exacerbation of a chronic illness, such as hypertension, diabetes, cancer, and chronic respiratory diseases, due to disaster-related stress, interruption of care, or both; for some patients, these exacerbations resulted in death. Here, we review reports from recent disasters in developed countries and summarize the recommendations for disaster preparedness of chronically ill patients. A considerable number of recommendations based on the lessons learned from recent disasters have been developed, and they provide practical and essential steps to prevent treatment interruption during and after a disaster. To improve preparedness efforts, we suggest that health care providers should be aware of the following three suggestions: 1 recommendations should be evidence-based; 2 recommendations should contain consistent messages; and 3 recommendations should be feasible. Keywords: disaster, chronic illness, preparedness

  17. Chemical Emergency Preparedness and Prevention Advisory: Hydrogen Fluoride

    Science.gov (United States)

    This advisory recommends ways Local Emergency Planning Committees (LEPCs) and chemical facilities can reduce risks posed by the presence of hydrogen fluoride (HF), a strong inorganic acid used to manufacture CFCs, in their communities.

  18. Emergency Preparedness and Response: Information for Pregnant Women - Fact Sheet

    Science.gov (United States)

    ... Alert Network (HAN) Responders Disaster Relief Volunteers Preventing Chain Saw Injuries During Tree Removal Electrical Safety and ... American Heart Association Have a kit of emergency supplies in your home; such as, clean towels, sheets, ...

  19. Probabilistic risk assessment support of emergency preparedness at the Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    O`Kula, K.R.; Baker, W.H.; Simpkins, A.A.; Taylor, R.P. [Westinghouse Savannah River Co., Aiken, SC (United States); Wagner, K.C.; Amos, C.N. [Science Applications International Corp., Albuquerque, NM (United States)

    1992-12-31

    Integration of the Probabilistic Risk Assessment (PRA) for K Reactor operation into related technical areas at the Savannah River Site (SRS) includes coordination with several onsite organizations responsible for maintaining and upgrading emergency preparedness capabilities. Major functional categories of the PRA application are scenario development and source term algorithm enhancement. Insights and technologies from the SRS PRA have facilitated development of: (1) credible timelines for scenarios; (2) algorithms tied to plant instrumentation to provide best-estimate source terms for dose projection; and (3) expert-system logic models to implement informed counter-measures to assure onsite and offsite safety following accidental releases. The latter methodology, in particular, is readily transferable to other reactor and non-reactor facilities at SRS and represents a distinct advance relative to emergency preparedness capabilities elsewhere in the DOE complex.

  20. Probabilistic risk assessment support of emergency preparedness at the Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    O' Kula, K.R.; Baker, W.H.; Simpkins, A.A.; Taylor, R.P. (Westinghouse Savannah River Co., Aiken, SC (United States)); Wagner, K.C.; Amos, C.N. (Science Applications International Corp., Albuquerque, NM (United States))

    1992-01-01

    Integration of the Probabilistic Risk Assessment (PRA) for K Reactor operation into related technical areas at the Savannah River Site (SRS) includes coordination with several onsite organizations responsible for maintaining and upgrading emergency preparedness capabilities. Major functional categories of the PRA application are scenario development and source term algorithm enhancement. Insights and technologies from the SRS PRA have facilitated development of: (1) credible timelines for scenarios; (2) algorithms tied to plant instrumentation to provide best-estimate source terms for dose projection; and (3) expert-system logic models to implement informed counter-measures to assure onsite and offsite safety following accidental releases. The latter methodology, in particular, is readily transferable to other reactor and non-reactor facilities at SRS and represents a distinct advance relative to emergency preparedness capabilities elsewhere in the DOE complex.

  1. New and recently finalised activities within the NKS Programmes for Nordic cooperation on nuclear reactor safety and emergency preparedness

    DEFF Research Database (Denmark)

    Andgren, Karin; Andersson, Kasper Grann; Magnússon, Sigurður M.

    2015-01-01

    Over the years, NKS has provided funding for hundreds of research activities in fields comprising reactor safety, decommissioning, nuclear and radiological emergency preparedness, and management of radioactive waste. Advanced technologies and methods developed under the NKS framework have been used...

  2. Guide 71 : Emergency preparedness and response requirements for the upstream petroleum industry

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-06-01

    This guide presents current emergency preparedness and response requirements for the upstream petroleum industry. It applies to any hazard related to upstream petroleum operations and describes requirements specific to sour wells, sour production facilities and gathering systems, high vapour pressure pipelines, spills of hydrocarbons and produced water, and hydrocarbon storage in caverns. The report describes initial planning requirements for specific emergency response plans (ERP) with reference to how an emergency planning zone is determined. It also describes requirements for corporate level ERPs. Compliance and enforcement programs for ERPs were also presented. 8 tabs., 2 figs., 6 appendices.

  3. Emergency radiobioassay preparedness exercises through the NIST radiochemistry intercomparison program.

    Science.gov (United States)

    Nour, Svetlana; LaRosa, Jerry; Inn, Kenneth G W

    2011-08-01

    The present challenge for the international emergency radiobioassay community is to analyze contaminated samples rapidly while maintaining high quality results. The National Institute of Standards and Technology (NIST) runs a radiobioassay measurement traceability testing program to evaluate the radioanalytical capabilities of participating laboratories. The NIST Radiochemistry Intercomparison Program (NRIP) started more than 10 years ago, and emergency performance testing was added to the program seven years ago. Radiobioassay turnaround times under the NRIP program for routine production and under emergency response scenarios are 60 d and 8 h, respectively. Because measurement accuracy and sample turnaround time are very critical in a radiological emergency, response laboratories' analytical systems are best evaluated and improved through traceable Performance Testing (PT) programs. The NRIP provides participant laboratories with metrology tools to evaluate their performance and to improve it. The program motivates the laboratories to optimize their methodologies and minimize the turnaround time of their results. Likewise, NIST has to make adjustments and periodical changes in the bioassay test samples in order to challenge the participating laboratories continually. With practice, radioanalytical measurements turnaround time can be reduced to 3-4 h.

  4. 78 FR 69682 - Board of Scientific Counselors, Office of Public Health Preparedness and Response: Notice of...

    Science.gov (United States)

    2013-11-20

    ... HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, Office of Public Health Preparedness and Response: Notice of Charter Renewal This gives notice under the Federal Advisory Committee Act (Pub. L. 92-463) of October 6, 1972, that the Board of Scientific Counselors,...

  5. 76 FR 77235 - Board of Scientific Counselors, Office of Public Health Preparedness and Response: Notice of...

    Science.gov (United States)

    2011-12-12

    ... HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors, Office of Public Health Preparedness and Response: Notice of Charter Renewal This gives notice under the Federal Advisory Committee Act (Pub. L. 92-463) of October 6, 1972, that the Board of Scientific Counselors,...

  6. 76 FR 18221 - Board of Scientific Counselors, Office of Public Health Preparedness and Response (BSC, OPHPR)

    Science.gov (United States)

    2011-04-01

    ... Public Health Preparedness and Response (BSC, OPHPR) In accordance with section 10 (a) (2) of the Federal... Conference. Please contact the BSC Coordinator (see Contact Person for More Information) to obtain further... Address. For foreign nationals or non-U.S. citizens, pre-approval is required. Please contact the...

  7. 78 FR 15369 - Board of Scientific Counselors, Office of Public Health Preparedness and Response (BSC, OPHPR)

    Science.gov (United States)

    2013-03-11

    ... Public Health Preparedness and Response (BSC, OPHPR) In accordance with section 10(a)(2) of the Federal....m. (BSC, OPHPR meeting) April 3, 2013 8:30 a.m.-3:30 p.m. (Joint meeting of the BSC, OPHPR and the... . Matters To Be Discussed: Agenda items for this meeting include: (1) Briefings and BSC deliberation on...

  8. 78 FR 56235 - Board of Scientific Counselors, Office of Public Health Preparedness and Response, (BSC, OPHPR)

    Science.gov (United States)

    2013-09-12

    ... Public Health Preparedness and Response, (BSC, OPHPR) In accordance with section 10(a)(2) of the Federal... this 2-day meeting include: (1) Briefings and BSC deliberation on the following topics: Program... OPHPR BSC; program response to recommendations made in the peer review of the Career Epidemiology...

  9. Public Health and Medical Preparedness for a Nuclear Detonation: The Nuclear Incident Medical Enterprise

    Science.gov (United States)

    Coleman, C. Norman; Sullivan, Julie M.; Bader, Judith L.; Murrain-Hill, Paula; Koerner, John F.; Garrett, Andrew L.; Weinstock, David M.; Case, Cullen; Hrdina, Chad; Adams, Steven A.; Whitcomb, Robert C.; Graeden, Ellie; Shankman, Robert; Lant, Timothy; Maidment, Bert W.; Hatchett, Richard C.

    2014-01-01

    Resilience and the ability to mitigate the consequences of a nuclear incident are enhanced by (1) effective planning, preparation and training; (2) ongoing interaction, formal exercises, and evaluation among the sectors involved; (3) effective and timely response and communication; and (4) continuous improvements based on new science, technology, experience and ideas. Public health and medical planning require a complex, multi-faceted systematic approach involving federal, state, local, tribal and territorial governments, private sector organizations, academia, industry, international partners, and individual experts and volunteers. The approach developed by the U.S. Department of Health and Human Services Nuclear Incident Medical Enterprise (NIME) is the result of efforts from government and nongovernment experts. It is a “bottom-up” systematic approach built on the available and emerging science that considers physical infrastructure damage, the spectrum of injuries, a scarce resources setting, the need for decision making in the face of a rapidly evolving situation with limited information early on, timely communication and the need for tools and just-in-time information for responders who will likely be unfamiliar with radiation medicine and uncertain and overwhelmed in the face of the large number of casualties and the presence of radioactivity. The components of NIME can be used to support planning for, response to, and recovery from the effects of a nuclear incident. Recognizing that it is a continuous work-in-progress, the current status of the public health and medical preparedness and response for a nuclear incident is provided. PMID:25551496

  10. The Current Crisis in Emergency Care and the Impact on Disaster Preparedness

    Directory of Open Access Journals (Sweden)

    Trainer Marcia

    2008-05-01

    Full Text Available Abstract Background The Homeland Security Act (HSA of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. Discussion After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. Summary Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need.

  11. Nurses’ roles, knowledge and experience in national disaster pre-paredness and emergency response: A literature review

    Directory of Open Access Journals (Sweden)

    Thomas Grochtdreis

    2016-12-01

    Results: The sub-themes of the first main theme (a roles of nurses during emergency response include the expectations of the hospital and the public, general and special roles of nurses, assignments of medical tasks, special role during a pandemic influenza, role conflicts during a disaster, willingness to respond to a disaster. For (b disaster preparedness knowledge of nurses, the corresponding sub-themes include the definition of a disaster, core competencies and curriculum, undergraduate nursing education and continuing education programs, disaster drills, training and exercises, preparedness. The sub-themes for the last theme (c disaster experiences of nurses include the work environment, nursing care, feelings, stressors, willingness to respond as well as lessons learned and impacts. Conclusion: There is consensus in the literature that nurses are key players in emergency response. However, no clear mandate for nurses exists concerning their tasks during a disaster. For a nurse, to be able to respond to a disaster, personal and professional preparedness, in terms of education and training, are central. The Framework of Disaster Nursing Competencies of the WHO and ICN, broken down into national core competencies, will serve as a sufficient complement to the knowledge and skills of nurses already acquired through basic nursing curricula. During and after a disaster, attention should be applied to the work environment, feelings and stressors of nurses, not only to raise the willingness to respond to a disaster. Where non-existent, national directives and concepts for disaster nursing should be developed and nurses should be aware of their duties. Nursing educators should prepare nurses for disasters, by adjusting the curricula and by meeting the increased need for education and training in disaster nursing for all groups of nurses. The appropriateness of theoretical and practical preparation of disaster nursing competencies in undergraduate nursing courses and

  12. The challenge of measuring emergency preparedness: integrating component metrics to build system-level measures for strategic national stockpile operations.

    Science.gov (United States)

    Jackson, Brian A; Faith, Kay Sullivan

    2013-02-01

    Although significant progress has been made in measuring public health emergency preparedness, system-level performance measures are lacking. This report examines a potential approach to such measures for Strategic National Stockpile (SNS) operations. We adapted an engineering analytic technique used to assess the reliability of technological systems-failure mode and effects analysis-to assess preparedness. That technique, which includes systematic mapping of the response system and identification of possible breakdowns that affect performance, provides a path to use data from existing SNS assessment tools to estimate likely future performance of the system overall. Systems models of SNS operations were constructed and failure mode analyses were performed for each component. Linking data from existing assessments, including the technical assistance review and functional drills, to reliability assessment was demonstrated using publicly available information. The use of failure mode and effects estimates to assess overall response system reliability was demonstrated with a simple simulation example. Reliability analysis appears an attractive way to integrate information from the substantial investment in detailed assessments for stockpile delivery and dispensing to provide a view of likely future response performance.

  13. Mass casualty events: blood transfusion emergency preparedness across the continuum of care.

    Science.gov (United States)

    Doughty, Heidi; Glasgow, Simon; Kristoffersen, Einar

    2016-04-01

    Transfusion support is a key enabler to the response to mass casualty events (MCEs). Transfusion demand and capability planning should be an integrated part of the medical planning process for emergency system preparedness. Historical reviews have recently supported demand planning for MCEs and mass gatherings; however, computer modeling offers greater insights for resource management. The challenge remains balancing demand and supply especially the demand for universal components such as group O red blood cells. The current prehospital and hospital capability has benefited from investment in the management of massive hemorrhage. The management of massive hemorrhage should address both hemorrhage control and hemostatic support. Labile blood components cannot be stockpiled and a large surge in demand is a challenge for transfusion providers. The use of blood components may need to be triaged and demand managed. Two contrasting models of transfusion planning for MCEs are described. Both illustrate an integrated approach to preparedness where blood transfusion services work closely with health care providers and the donor community. Preparedness includes appropriate stock management and resupply from other centers. However, the introduction of alternative transfusion products, transfusion triage, and the greater use of an emergency donor panel to provide whole blood may permit greater resilience.

  14. 10 Guiding principles of a comprehensive Internet-based public health preparedness training and education program.

    Science.gov (United States)

    Alexander, Lorraine K; Horney, Jennifer A; Markiewicz, Milissa; MacDonald, Pia D M

    2010-01-01

    Distance learning is an effective strategy to address the many barriers to continuing education faced by the public health workforce. With the proliferation of online learning programs focused on public health, there is a need to develop and adopt a common set of principles and practices for distance learning. In this article, we discuss the 10 principles that guide the development, design, and delivery of the various training modules and courses offered by the North Carolina Center for Public Health Preparedness (NCCPHP). These principles are the result of 10 years of experience in Internet-based public health preparedness educational programming. In this article, we focus on three representative components of NCCPHP's overall training and education program to illustrate how the principles are implemented and help others in the field plan and develop similar programs.

  15. Self-reported preparedness of New Zealand acute care providers to mass emergencies before the Canterbury Earthquakes: a national survey.

    Science.gov (United States)

    Al-Shaqsi, Sultan; Gauld, Robin; McBride, David; Al-Kashmiri, Ammar; Al-Harthy, Abdullah

    2015-02-01

    Disasters occur more frequently. Acute care providers are the first to respond to mass emergencies from the healthcare sector. The preparedness of acute care providers in New Zealand to respond to mass emergencies has not been previously studied. To assess the self-reported training and experience of New Zealand acute care providers to respond to mass emergencies and the factors associated with strong preparedness. A cross-sectional national survey of 1500 acute care providers in New Zealand carried out between 2009 and 2010. The survey assessed experience, training and self-reported preparedness. It also determined the factors associated with strong perceived preparedness. The response rate to this survey was 60.7%. Nurses had a higher response rate than doctors or paramedics. Only 29.2% of acute care providers reported responding to a previous mass emergency event. There were 53.5% of acute care providers who reported having formal training in how to deal with mass emergencies, whereas 58.1% of participants reported that they were aware of their role during a healthcare mass emergency response. The factors associated with self-reported strong preparedness to deal with mass emergencies included: being a paramedic, previous training, participation in a drill, willingness to report to work during an infection or man-made emergency, ability to triage and general awareness of the role during a mass emergency. Almost half of New Zealand acute healthcare providers have no training in dealing with mass emergency events. Training and general awareness of the role during a mass emergency response were the main factors associated with strong self-reported preparedness of acute care providers. The apparent efficacy of training allied to lack of availability means that it should be a national priority. © 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  16. Development of radiological emergency preparedness and biological dosimetry technology

    Energy Technology Data Exchange (ETDEWEB)

    Han, Moon Hee; Kim, In Gyoo; Kim, Kook Chan; Kim, Eun Han; Suh, Kyung Suk; Hwang, Won Tae; Choi, Young Gil; Shim, Hae Won; Lee, Jeong Ho; Lee, Kang Suk

    1999-04-01

    Large-scale field tracer experiments have been conducted on Ulchin and Wolsung nuclear sites for the purpose of validating FADAS and of analyzing the environmental characteristics around the nuclear site. The most influential factor in atmospheric dispersion is the meteorological condition. During the experiment, meteorological data were measured on the release point and the selected positions among sampling points. Once radioactive materials are released to the atmosphere, members of public may be exposed through the environmental media such as air, soil and foods. Therefore, to protect the public, adequate countermeasures should be taken at due time for those exposure pathways. Both processes of justification and optimization are applied to a countermeasure simultaneously for decision-making. The work scope of biological research for the radiation protection had contained the search of biological microanalytic methods for the assessment of health effect by radiation and toxic agents, the standardization of human t-lymphocyte cell culture and polymerase chain reaction, T-cell clonal assay, and the quantification of mutation frequency in hypoxanthine (guanine) phosphoribosyl transferase (hprt) gene locus by single exposure or combined exposure. Especially, the polymerase chain reaction methods by usage of reverse transcriptase had been developed to analyze of gene product by {gamma} - radiation and chemical (pentachlorophenol) agent exposure, and investigate the point mutation in hprt gene locus of T-lymphocytes. (author)

  17. Geographic Situational Awareness: Mining Tweets for Disaster Preparedness, Emergency Response, Impact, and Recovery

    Directory of Open Access Journals (Sweden)

    Qunying Huang

    2015-08-01

    Full Text Available Social media data have emerged as a new source for detecting and monitoring disaster events. A number of recent studies have suggested that social media data streams can be used to mine actionable data for emergency response and relief operation. However, no effort has been made to classify social media data into stages of disaster management (mitigation, preparedness, emergency response, and recovery, which has been used as a common reference for disaster researchers and emergency managers for decades to organize information and streamline priorities and activities during the course of a disaster. This paper makes an initial effort in coding social media messages into different themes within different disaster phases during a time-critical crisis by manually examining more than 10,000 tweets generated during a natural disaster and referencing the findings from the relevant literature and official government procedures involving different disaster stages. Moreover, a classifier based on logistic regression is trained and used for automatically mining and classifying the social media messages into various topic categories during various disaster phases. The classification results are necessary and useful for emergency managers to identify the transition between phases of disaster management, the timing of which is usually unknown and varies across disaster events, so that they can take action quickly and efficiently in the impacted communities. Information generated from the classification can also be used by the social science research communities to study various aspects of preparedness, response, impact and recovery.

  18. Computational fluid dynamics modeling for emergency preparedness and response

    Energy Technology Data Exchange (ETDEWEB)

    Lee, R.L.; Albritton, J.R.; Ermak, D.L.; Kim, J.

    1995-02-01

    Computational fluid dynamics (CFD) has (CFD) has played an increasing in the improvement of atmospheric dispersion modeling. This is because many dispersion models are now driven by meteorological fields generated from CFD models or, in numerical weather prediction`s terminology, prognostic models. Whereas most dispersion models typically involve one or a few scalar, uncoupled equations, the prognostic equations are a set of highly-couple equations whose solution requires a significant level of computational power. Recent advances in computer hardware and software have enabled modestly-priced, high performance, workstations to exhibit the equivalent computation power of some mainframes. Thus desktop-class machines that were limited to performing dispersion calculations driven by diagnostic wind fields may now be used to calculate complex flows using prognostic CFD models. The Release and Advisory Capability (ARAC) program at Lawrence Livermore National Laboratory (LLNL) has, for the past several years, taken advantage of the improvements in hardware technology to develop a national emergency response capability based on executing diagnostic models on workstations. Diagnostic models that provide wind fields are, in general, simple to implement, robust and require minimal time for execution. Because these models typically contain little physics beyond mass-conservation, their performance is extremely sensitive to the quantity and quality of input meteorological data and, in spite of their utility, can be applied with confidence to only modestly complex flows. We are now embarking on a development program to incorporate prognostic models to generate, in real-time, the meteorological fields for the dispersion models. In contrast to diagnostic models, prognostic models are physically-based and are capable of incorporating many physical processes to treat highly complex flow scenarios.

  19. Climate change: The challenges for public health preparedness and response- An Indian case study

    Directory of Open Access Journals (Sweden)

    Patil Rajan

    2007-01-01

    Full Text Available Extremes weather changes surpassing their usual statistical ranges and tumbling records in India could be an early warning bell of global warming. Extreme weather events like the recent record setting in western Indian city of Mumbai or all time high fatalities due to the heat wave in southern Indian states or increasing vulnerability of easten Indian states to flood could all be a manifestation of climate change in the Asian subcontinent. While the skeptics may be inclined to dismiss these events as simple local aberrations, when viewed in an epidemiological paradigm in terms of person, time and space couple with frequency, intensity and fatalities, it could well be an early manifestation of climate change. Global warming poses serious challenge to the health sector and hence warrants emergency health preparedness and response. Climate-sensitive diseases are among the largest global killers, hence major brunt of global climate change in terms of adverse health impact will be mostly borne by poor and developing countries in Asia, given the levels of poverty, nutional levels and poor public health infrastructure.

  20. Employee Perceptions of Their Organization's Level of Emergency Preparedness Following a Brief Workplace Emergency Planning Educational Presentation.

    Science.gov (United States)

    Renschler, Lauren A; Terrigino, Elizabeth A; Azim, Sabiya; Snider, Elsa; Rhodes, Darson L; Cox, Carol C

    2016-06-01

    A brief emergency planning educational presentation was taught during work hours to a convenience sample of employees of various workplaces in Northern Missouri, USA. Participants were familiarized with details about how an emergency plan is prepared by management and implemented by management-employee crisis management teams - focusing on both employee and management roles. They then applied the presentation information to assess their own organization's emergency preparedness level. Participants possessed significantly (p planning educational presentations in order to immediately apply the material covered and encourage employees to become more involved in their organization's emergency planning and response. Educational strategies that involve management-employee collaboration in activities tailored to each workplace's operations and risk level for emergencies should be implemented.

  1. Perceived Safety at Work in the Wake of Terror: The Importance of Security Measures and Emergency Preparedness.

    Science.gov (United States)

    Nissen, Alexander; Heir, Trond

    2016-12-01

    We aimed to explore how perceived safety after terrorism is connected to views on security measures and emergency preparedness in a workplace setting. Using a questionnaire-based, cross-sectional study of ministerial employees in Norway who were targeted in a terrorist attack in 2011 (n=3344), we investigated how employees' perceived safety at work 9 to 10 months after the attack was associated with their perceptions of whether security measures were sufficiently prioritized at work, whether there had been sufficient escape and evacuation training, and whether they were confident with evacuation procedures. We found strong evidence of increasing perceived safety at work the more employees believed security measures were sufficiently prioritized at work (partially confounded by post-traumatic stress disorder), and the better their knowledge of evacuation procedures (modified by gender and education). The present study suggests that employers may enhance perceived safety at work for terror-exposed employees by showing a commitment to security measures and by ensuring employees know evacuation procedures well. More research is needed to investigate causality patterns behind the associations found in this cross-sectional study. (Disaster Med Public Health Preparedness. 2016;10:805-811).

  2. Evaluation of management of communication in the actions of preparedness and response to nuclear and radiological emergencies

    Energy Technology Data Exchange (ETDEWEB)

    Mello Filho, Mauro Otto de Cavalcanti; Beserra, Marcela Tatiana Fernandes, E-mail: maurootto@cefet-rj.br, E-mail: maurootto@gmail.com, E-mail: mbeserra@cefet-rj.br [Centro Federal de Educacao Celso Sucknow da Fonseca (CEFET-RJ), Rio de Janeiro, RJ (Brazil); Wasserman, Maria Angelica Vergara, E-mail: mwasserman@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Wasserman, Julio Cesar de Faria Alvim, E-mail: geowass@vm.uff.br [Universidade Federal Fluminense (UFF), Niteroi, RJ (Brazil)

    2013-07-01

    The use of practices involving the use of ionizing radiation in diverse areas of knowledge increases every day. This growth warning about the increased probability of accidents, radiological and nuclear emergencies, with possible consequences for the public, workers and the environment. Within this scenario, it is clear that studies and reassessments of the emergency response actions, receive proposals for continuous improvement. The achievement of the objectives of the response must be sustained by tactical, operation and logistics optimized processes. The articulation through communication between the teams involved in the response must be adaptable to each accident or emergency, respecting its size. The objectives of this study is to perform an assessment on the management of communication in the actions of Preparedness and Response to Nuclear and Radiological Emergencies. This assessment is supported by best practices of the Incident Command System (ICS) and the Institute of Project Management (Project Management Institute-PMI). For this purpose, based on models referred were established performance indicators supported by the BSC (Balanced Scorecard). These indicators allowed to evaluate more objectively the performance of the communication processes associated with each phase of the response. The study resulted in the proposed model documents aiming to assist planning of communications exercises in preparation and response actions, supported and adapted the best practices of PMI. These methodologies were evaluated by real cases selected from radiological and nuclear emergencies published by the International Atomic Energy Agency (IAEA). (author)

  3. Emergency preparedness in high school-based athletics: a review of the literature and recommendations for sport health professionals.

    Science.gov (United States)

    Olympia, Robert P; Brady, Jodi

    2013-05-01

    Approximately 7.6 million high school students in the United States participate in sports. Although most sport-related injuries in adolescents are considered minor emergencies, life-threatening illnesses or injuries may occur, such as sudden cardiac arrest, heat stroke, status asthmaticus and exercise-induced asthma, catastrophic brain injuries, cervical spine injuries, heat- and cold-related illness, blunt chest/abdominal injuries, and extremity fractures resulting in compartment syndrome. Emergency preparedness in athletics involves the identification of and planning for medical services to promote the safety of the athlete, to limit injury, and to provide medical care at the site of practice or competition. Several national organizations have published guidelines for emergency preparedness in school-based athletics. Our article reviews guidelines for emergency preparedness put forth by the Sideline Preparedness collaboration (comprised of 6 major professional associations, including the American Academy of Family Physicians, American Academy of Orthopedic Surgeons, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine), the National Athletic Trainers' Association, the American Academy of Pediatrics' Committee on School Health, and the American Heart Association. Additionally, we review published data examining compliance of US high schools with these recommendations for emergency preparedness in school-based athletics, determine deficiencies, and provide recommendations for improvement based on these deficiencies.

  4. Development and use of consolidated criteria for evaluation of emergency preparedness plans for DOE facilities

    Energy Technology Data Exchange (ETDEWEB)

    Lerner, K.; Kier, P.H.; Baldwin, T.E.

    1995-07-01

    Emergency preparedness at US Department of Energy (DOE) facilities is promoted by development and quality control of response plans. To promote quality control efforts, DOE has developed a review document that consolidates requirements and guidance pertaining to emergency response planning from various DOE and regulatory sources. The Criteria for Evaluation of Operational Emergency Plans (herein referred to as the Criteria document) has been constructed and arranged to maximize ease of use in reviewing DOE response plans. Although developed as a review instrument, the document also serves as a de facto guide for plan development, and could potentially be useful outside the scope of its original intended DOE clientele. As regulatory and DOE requirements are revised and added in the future, the document will be updated to stay current.

  5. Association Between Home Visit Programs and Emergency Preparedness Among Elderly Vulnerable People in New South Wales, Australia

    Directory of Open Access Journals (Sweden)

    W. Kathy Tannous PhD

    2017-03-01

    Full Text Available Objective: The purpose of this study is to examine the association between home visit programs and emergency preparedness among elderly vulnerable people in New South Wales, Australia. Method: The study used data acquired from an intervention program run by emergency agencies and consisted of 370 older people. Seven emergency outcome measures were examined by adjusting for key demographic factors, using a generalized estimating equation model, to examine the association between home visit programs and emergency preparedness. Results: The study revealed that knowledge demonstrated by participants during visits and post home visits showed significant improvements in the seven emergency outcome measures. The odds of finding out what emergencies might affect one’s area were significantly lower among older participants who were born outside Australia and those who were women. Discussion: The findings suggest that the intervention via home visits and periodic reminders post these visits may be a useful intervention in improving emergency preparedness among older people, especially among men and those who were born outside of Australia. In addition, other reminders such as safety messaging via mobile or landline telephone calls may also be a supplementary and useful intervention to improve emergency preparedness among older people.

  6. Emergency Preparedness and Response in the School Setting--The Role of the School Nurse. Position Statement

    Science.gov (United States)

    Tuck, Christine M.; Haynie, Kathey; Davis, Catherine

    2014-01-01

    It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) provides leadership in all phases of emergency preparedness and response. School nurses are a vital part of the school team responsible for developing emergency response procedures for the…

  7. Community Assessment for Public Health Emergency Response (CASPER): An Innovative Emergency Management Tool in the United States.

    Science.gov (United States)

    Schnall, Amy; Nakata, Nicole; Talbert, Todd; Bayleyegn, Tesfaye; Martinez, DeAndrea; Wolkin, Amy

    2017-09-01

    To demonstrate how inclusion of the Centers for Disease Control and Prevention's Community Assessment for Public Health Emergency Response (CASPER) as a tool in Public Health Preparedness Capabilities: National Standards for State and Local Planning can increase public health capacity for emergency response. We reviewed all domestic CASPER activities (i.e., trainings and assessments) between fiscal years 2012 and 2016. Data from these CASPER activities were compared with respect to differences in geographic distribution, type, actions, efficacy, and usefulness of training. During the study period, the Centers for Disease Control and Prevention conducted 24 domestic in-person CASPER trainings for 1057 staff in 38 states. On average, there was a marked increase in knowledge of CASPER. Ninety-nine CASPERs were conducted in the United States, approximately half of which (53.5%) assessed preparedness; the others were categorized as response or recovery (27.2%) or were unrelated to a disaster (19.2%). CASPER trainings are successful in increasing disaster epidemiology skills. CASPER can be used by Public Health Emergency Preparedness program awardees to help build and sustain preparedness and response capabilities.

  8. New and recently finalised activities within the NKS Programmes for Nordic cooperation on nuclear reactor safety and emergency preparedness

    DEFF Research Database (Denmark)

    Andgren, Karin; Andersson, Kasper Grann; Magnússon, Sigurður M.

    2015-01-01

    Over the years, NKS has provided funding for hundreds of research activities in fields comprising reactor safety, decommissioning, nuclear and radiological emergency preparedness, and management of radioactive waste. Advanced technologies and methods developed under the NKS framework have been used...... within the Nordic countries as well as internationally. Two programme areas are defined under the NKS platform: The NKS-R programme on nuclear reactor safety and the NKS-B programme on emergency preparedness. Three articles, giving an introduction to NKS and its two programmes, were published...

  9. Nuclear emergency preparedness. Final report of the Nordic nuclear safety research project BOK-1

    Energy Technology Data Exchange (ETDEWEB)

    Lauritzen, Bent [Risoe National Lab., Roskilde (Denmark)

    2002-02-01

    Final report of the Nordic Nuclear Safety Research project BOK-1. The BOK-1 project, 'Nuclear Emergency Preparedness', was carried out in 1998-2001 with participants from the Nordic and Baltic Sea regions. The project consists of six sub-projects: Laboratory measurements and quality assurance (BOK-1.1); Mobile measurements and measurement strategies (BOK-1.2); Field measurement and data assimilation (BOK-1.3); Countermeasures in agriculture and forestry (BOK-1.4); Emergency monitoring in the Nordic and Baltic Sea countries (BOK-1.5); and Nuclear exercises (BOK-1.6). For each sub-project, the project outline, objectives and organization are described and main results presented. (au)

  10. Emergency Preparedness and Management at the University of L’aquila (Central Italy) and the Role of Students’ Associations in the April 6th 2009 Earthquake

    Science.gov (United States)

    Magni, Michele; Fraboni, Rita; Marincioni, Fausto

    2017-01-01

    Introduction: On April 6th 2009 an earthquake of Mw=6.3 hit the historical downtown of L’Aquila and its hinterland causing more than 300 fatalities and severe damage to private and public buildings. At the time, the University of L’Aquila represented a major source of employment and income for the city. The earthquake impacted both the facilities and the administrative, financial and patrimonial activities of the university, bringing into the open the tendency – widespread in Italy – to rely on adaptive tactics rather than on strategic pre-disaster plans. This paper investigates the university’s emergency preparedness and response capability and  the strategies adopted to restore the education activities as well as avoid students migration to other universities. In addition, emphasis is placed on the role played by Student Associations in pre and post-disaster phases, and how students perceived the activities performed by these associations. Methods: To achieve this goal, it was undertaken: i) qualitative evaluation to assess the impact of earthquake on services and facilities of the university, the emergency preparedness and the measures adopted to face the emergency, ii) survey on the role played by Student Associations, both in emergency preparedness and response, according to students’ perception; iii) quantitative analysis to measure changes in the enrollment trend after the earthquake, and how university policies could curb students’ migration. Results: The policies adopted by the University allowed to diminish students’ migration; however, the measures taken by the university were based on an ad hoc plan as no emergency and continuity plans were prepared in advance. Similarly Student Associations got involved more in restoration activities than in emergency preparedness and risk awareness promotion. Discussion: Greater awareness and involvement are essential at each level (administrators, faculties, students) to plan in advance for an

  11. Assessing the legal and ethical preparedness of master of public health graduates.

    Science.gov (United States)

    Agee, Brian; Gimbel, Ronald W

    2009-08-01

    We explored the relationship between the preparedness of master of public health (MPH) graduates in public health law and ethics and their completion of courses in these areas. We reviewed accredited public health schools and programs to assess the supply of required and elective courses in law and ethics. In addition, we conducted an Internet-based scenario survey of MPH graduates. Survey results were analyzed, and relationships between scenario responses and completion of law and ethics courses were assessed. Of the 93 programs and schools reviewed, 14% required a course in ethics and 16% required a course in law. The majority (range = 55%-76%) of the survey respondents indicated being "prepared" or "very prepared" for each of the 9 public health scenarios. There were no significant relationships between scenario responses and completion of an ethics course. Responses to 2 scenarios (one involving food code violations and one involving a prison population) were significantly related to participants' completion of a course in law. Few public health schools and programs require graduate courses in ethics and law. Most MPH graduates report being prepared to address public health challenges. Additional research is necessary to improve techniques for measuring preparedness.

  12. Enhancing the chemical mixture methodology in emergency preparedness and consequence assessment analysis.

    Science.gov (United States)

    Yu, Xiao-Ying; Glantz, Clifford S; Yao, Juan; He, Hua; Petrocchi, Achille J; Craig, Douglas K; Ciolek, John T; Booth, Alexander E

    2013-11-16

    Emergency preparedness personnel at U.S. Department of Energy (DOE) facilities use the chemical mixture methodology (CMM) to estimate the potential health impacts to workers and the public from the unintended airborne release of chemical mixtures. The CMM uses a Hazard Index (HI) for each chemical in a mixture to compare a chemical's concentration at a receptor location to an appropriate concentration limit for that chemical. This limit is typically based on Protection Action Criteria (PAC) values developed and published by the DOE. As a first cut, the CMM sums the HIs for all the chemicals in a mixture to conservatively estimate their combined health impact. A cumulative HI>1.0 represents a concentration exceeding the concentration limit and indicates the potential for adverse health effects. Next, Health Code Numbers (HCNs) are used to identify the target organ systems that may be impacted by exposure to each chemical in a mixture. The sum of the HIs for the maximally impacted target organ system is used to provide a refined, though still conservative, estimate of the potential for adverse health effects from exposure to the chemical mixture. This paper explores approaches to enhance the effectiveness of the CMM by using HCN weighting factors. A series of 24 case studies have been defined to evaluate both the existing CMM and three new approaches for improving the CMM. The first approach uses a set of HCN weighting factors that are applied based on the priority ranking of the HCNs for each chemical. The second approach uses weighting factors based on the priority rankings of the HCNs established for a given type of concentration limit. The third approach uses weighting factors that are based on the exposure route used to derive PAC values and a priority ranking of the HCNs (the same ranking as used in the second approach). Initial testing indicates that applying weighting factors increases the effectiveness of the CMM in general, though care must be taken to

  13. Preliminary report on operational guidelines developed for use in emergency preparedness and response to a radiological dispersal device incident.

    Energy Technology Data Exchange (ETDEWEB)

    Yu, C.; Cheng, J.-J.; Kamboj, S.; Domotor, S.; Wallo, A.; Environmental Science Division; DOE

    2006-12-15

    This report presents preliminary operational guidelines and supporting work products developed through the interagency Operational Guidelines Task Group (OGT). The report consolidates preliminary operational guidelines, all ancillary work products, and a companion software tool that facilitates their implementation into one reference source document. The report is intended for interim use and comment and provides the foundation for fostering future reviews of the operational guidelines and their implementation within emergency preparedness and response initiatives in the event of a radiological dispersal device (RDD) incident. The report principally focuses on the technical derivation and presentation of the operational guidelines. End-user guidance providing more details on how to apply these operational guidelines within planning and response settings is being considered and developed elsewhere. The preliminary operational guidelines are categorized into seven groups on the basis of their intended application within early, intermediate, and long-term recovery phases of emergency response. We anticipate that these operational guidelines will be updated and refined by interested government agencies in response to comments and lessons learned from their review, consideration, and trial application. This review, comment, and trial application process will facilitate the selection of a final set of operational guidelines that may be more or less inclusive of the preliminary operational guidelines presented in this report. These and updated versions of the operational guidelines will be made available through the OGT public Web site (http://ogcms.energy.gov) as they become finalized for public distribution and comment.

  14. Field exercises are useful for improving public health emergency responses

    Directory of Open Access Journals (Sweden)

    Kirsty Hope

    2010-12-01

    Full Text Available Problem: Emergencies resulting from disease outbreaks and extreme environmental events present significant challenges for health services.Context: Preparing to effectively manage emergencies is a core activity in public health units. Field exercises support consolidation of biopreparedness by testing plans, identifying weaknesses, providing training opportunities and developing surge capacity.Action: An extended field exercise to test response to a novel influenza strain was conducted in New South Wales, Australia in September 2008, eight months before the influenza A(H1N1 2009 pandemic emerged. Lasting four days and involving over 300 participants, the exercise was set in the early response phase with the staggered presentation of 41 cases to 36 emergency departments in the health area. An additional 150 contacts were written into a complex scenario to test the public health response.Outcome: The subsequent pandemic emergence in mid-2009 offered a unique opportunity to assess the field exercise format for disaster preparedness. Most roles were adequately tested with recognized benefit during the actual pandemic response. However, the exercise did not adequately challenge the public health planning team that synthesizes surveillance data and forecasts risk, nor did it identify planning issues that became evident during the subsequent pandemic. Discussion: Field exercises offer the opportunity to rigorously test public health emergency preparedness but can be expensive and labour-intensive. Our exercise provided effective and timely preparation for the influenza A(H1N1 2009 pandemic but showed that more emphasis needs to be placed on the role and training of the public health planning team.

  15. Crisis management, capabilities and preparedness: the case of public hospitals in Iran.

    Science.gov (United States)

    Najafbagy, Reza

    2010-01-01

    Crises occurred in recent decades show that organizations' preparedness to predict and respond to undesired problems is directly related to the degree of their capabilities and preparedness to manage crises in this context, hospitals compared to other organizations are more viable to suffer damages if a crisis occurs. This study investigates the degree of public hospitals capabilities and preparedness to handled possible crises. Responses from hospital managers and directors show that most of them were not familiar with crisis management, while majority of them mentioned that they had crisis management plan and committee in their hospitals. Moreover, most of the respondents believed that if a crisis occurs in the hospital, patients, personnel and documents will be the first victims of the crisis. The study also indicates that having a crisis plan and crisis committee without being familiar with knowledge of crisis management, do not help managers to cope with crisis. Moreover, correlations show that older managers were more familiar with crisis management experiences abroad, and defined responsibilities contributed to setting up crisis committee, and taking crisis seriously.

  16. An Evaluation of Emergency Preparedness of Local Government Unit on National Calamities

    Directory of Open Access Journals (Sweden)

    ROME B. MORALISTA

    2014-02-01

    Full Text Available This descriptive survey method was used to evaluate the Emergency Preparedness practices of Local Government Unit Municipality of Calinog on the National Calamities specifically the Typhoon Haiyan hit the town last November 8, 2013. The findings revealed that in preparing for the storm, the respondents preferred to contact a local geologist or country planning department; in making sure the family knows the name, address, and phone number of the contact person, they prefer to post emergency phone numbers at every phone; during flood watch and warning, the respondents preferred to gather the emergency supplies you previously stocked in your home and stay tuned to local radio or television station for updates; when it comes to an emergency supplies at home, the respondents have several cleaned containers of water, large enough for a 3-5 day supply of water; in preparing to evacuate, they prefer to fill their vehicle’s gas tank and make sure the emergency kit for their car is ready. Finally, when ordered to evacuate, the respondents preferred to take only essential items.

  17. Use of mock media in emergency management exercises: the Chemical Stockpile Emergency Preparedness Program experience.

    Science.gov (United States)

    Lerner, Ken; Meshenberg, Michael

    2014-01-01

    Disasters of any kind attract significant attention from news media, and media play an important role in disaster response. In a US government program for hazardous materials preparedness, risk communication functions were incorporated into planning and are demonstrated during response exercises. To provide the best training and most realistic play, exercise controllers play the role of news media reporters-mock media-during these exercises. They attend news conferences, interview exercise players in the field, and make calls to participants. They produce news stories including television reports, newspaper articles, radio spots, blog entries, and social media messages. This allows exercise players to experience how their actions and statements would be represented in the media, more effectively mimicking the environment of a real event.

  18. Emergency preparedness exercises and information. Annual report 1996. Project plans 1997; Beredskapsoevelser og informasjonsutveksling. Aarsrapport 1996. Plan 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-01

    EKO-4, Emergency preparedness exercises and information exchange, consists of two sub projects. In EKO-4.1, Exercises and scenario development, a functional exercise on dose calculation has been arranged and followed up by a seminar. In addition, a seminar for intercomparison of Nordic dispersion models has been arranged bases on results from the international full scale experiment ETEX-1. Both arrangements showed to be useful for the nuclear emergency preparedness in the Nordic countries and contributed to better knowledge about the different models. Such arrangements also strengthen the personal networks. In EKO-4.1, a survey on available tools for scenario development for national and regional exercises in the Nordic country is going on. The needs from the exercise planners point of view will be focused before further development is suggested. In EKO-4.2, Nordic system for exchange of data and information, the working group has evaluated different technical solutions. The results have been presented in a report. The work with implementing the system has been delayed but it will continue next year in close co-operation with the Nordic authorities working group on emergency preparedness (NEP). A new version of the nuclear emergency preparedness handbook has been published. There is a need for further revisions and these are planned for 1997. With the new revision, the handbook will be made available on WWW. (EG).

  19. An Examination of Hurricane Emergency Preparedness Planning at Institutions of Higher Learning of the Gulf South Region Post Hurricane Katrina

    Science.gov (United States)

    Ventura, Caterina Gulli

    2010-01-01

    The purpose of the study was to examine hurricane emergency preparedness planning at institutions of higher learning of the Gulf South region following Hurricane Katrina. The problem addressed the impact of Hurricane Katrina on decision-making and policy planning processes. The focus was on individuals that administer the hurricane emergency…

  20. An Examination of Hurricane Emergency Preparedness Planning at Institutions of Higher Learning of the Gulf South Region Post Hurricane Katrina

    Science.gov (United States)

    Ventura, Caterina Gulli

    2010-01-01

    The purpose of the study was to examine hurricane emergency preparedness planning at institutions of higher learning of the Gulf South region following Hurricane Katrina. The problem addressed the impact of Hurricane Katrina on decision-making and policy planning processes. The focus was on individuals that administer the hurricane emergency…

  1. 47 CFR Appendix A to Part 64 - Telecommunications Service Priority (TSP) System for National Security Emergency Preparedness (NSEP)

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Telecommunications Service Priority (TSP) System for National Security Emergency Preparedness (NSEP) A Appendix A to Part 64 Telecommunication... RELATING TO COMMON CARRIERS Pt. 64, App. A Appendix A to Part 64—Telecommunications Service Priority...

  2. An evaluation of dairy producer emergency preparedness and farm security education.

    Science.gov (United States)

    Moore, D A; Payne, M

    2007-04-01

    Dairy producer education on securing the milk and meat supply is important to reduce the food system's vulnerability to contamination, and reduce the likelihood for disease transmission onto and within the farm. The purpose of this project was to develop and test a producer-audience curriculum on emergency preparedness and biosecurity awareness. Forty-three attendees from 3 organizations responded to pre- and posttests and a course evaluation. After the program, most of the participants found the program relevant (95%), that it provided practical solutions to biosecurity (97%), were very likely to assess their farms for biosecurity and security (70%), and would suggest the program to other producers (98%). Participants who strongly agreed that the program was relevant and provided practical solutions to biosecurity were very likely to assess their farms. Awareness and knowledge are the first steps toward changing attitudes and behavior and can be accomplished with directed, relevant, practical educational programs.

  3. Emergency river storage in the Ooij polder - A bridge too far? Forms of participation in flood preparedness policy

    NARCIS (Netherlands)

    Warner, J.F.

    2008-01-01

    Disaster policy tends to be in the domain of top-down security governance. However, international organizations are calling for more 'horizontal', participatory forms of planning for flood preparedness together with local stakeholders. But what modality of public involvement do they mean? A case

  4. Emergency river storage in the Ooij polder - A bridge too far? Forms of participation in flood preparedness policy

    NARCIS (Netherlands)

    Warner, J.F.

    2008-01-01

    Disaster policy tends to be in the domain of top-down security governance. However, international organizations are calling for more 'horizontal', participatory forms of planning for flood preparedness together with local stakeholders. But what modality of public involvement do they mean? A case stu

  5. Emergency river storage in the Ooij polder - A bridge too far? Forms of participation in flood preparedness policy

    NARCIS (Netherlands)

    Warner, J.F.

    2008-01-01

    Disaster policy tends to be in the domain of top-down security governance. However, international organizations are calling for more 'horizontal', participatory forms of planning for flood preparedness together with local stakeholders. But what modality of public involvement do they mean? A case stu

  6. Fear of Terrorism in New York After the September 11 Terrorist Attacks: Implications for Emergency Mental Health and Preparedness

    Science.gov (United States)

    Boscarino, Joseph A.; Figley, Charles R.; Adams, Richard E.

    2009-01-01

    To examine the public’s response to future terrorist attacks, we surveyed 1,001 New Yorkers in the community one year after the September 11 attacks. Overall, New Yorkers were very concerned about future terrorist attacks and also concerned about attacks involving biological or nuclear weapons. In addition, while most New Yorkers reported that if a biological or nuclear attack occurred they would evaluate available information before evacuating, a significant number reported they would immediately evacuate, regardless of police or public health communications to the contrary. The level of public concern was significantly higher on all measures among New York City and Long Island residents (downstate) compared to the rest of the state. A model predicting higher fear of terrorism indicated that downstate residents, women, those 45 to 64 years old, African Americans and Hispanics, those with less education/income, and those more likely to flee, were more fearful of future attacks. In addition, making disaster preparations and carefully evaluating emergency information also predicted a higher level of fear as well. A second model predicting who would flee suggested that those more likely to evaluate available information were less likely to immediately evacuate, while those with a higher fear of future attacks were more likely to flee the area. Given these findings and the possibility of future attacks, mental health professionals need to be more involved in preparedness efforts, especially related to the psychological impact of attacks involving weapons of mass destruction. PMID:14730761

  7. Investigating the knowledge and preparedness of proximal residents to a general-emergency event at the Koeberg Nuclear Power Station

    Directory of Open Access Journals (Sweden)

    Alberto P. Francioli

    2016-01-01

    Full Text Available Ward 23 in the City of Cape Town South Africa is situated within 16 km of Koeberg Nuclear Power Station (KNPS. Massive investments were made to provide the 13 800 residents of Ward 23 with information on emergency preparedness and evacuation procedures in case of a general-emergency event at KNPS. However, it is not known whether these efforts to inform and prepare the proximal residents for a general emergency have been effective or not. The objective of this study was to investigate the level of knowledge of and preparedness for an emergency exhibited by residents of Ward 23. Data was collected through the distribution of semi-structured questionnaires to 204 residents at the study site to ascertain their views on the provision and accessibility of emergency information and to find out whether they utilised this information to prepare themselves. The results revealed that the majority of interviewed residents had very poor knowledge concerning emergency procedures, and few had made any effort to prepare themselves. The majority of better-informed and prepared residents tended to reside closer to KNPS. The poor levels of knowledge and preparedness are attributed to residents’ lack of awareness concerning the availability of information, misconceptions regarding a nuclear hazard and a general emergency event or a lack of incentive to inform themselves due to a perceived high sense of security and the improbability of such an event occurring. To improve resident knowledge and preparedness, efforts should be made to advertise the availability and importance of such emergency information and enhance incentives for residents to inform themselves.

  8. Emergency preparedness for mass gatherings: Lessons of “12.31” stampede in Shanghai Bund

    Directory of Open Access Journals (Sweden)

    Yong-He Dong

    2017-08-01

    Full Text Available According to WHO, one of these mass gatherings with critical risk is stampedes. Shanghai “12.31” stampede was a preventable tragedy that the government and event planner hold responsibility for. At the same time, it can be a legacy for improvement in the future. The government should draw experience on the implementation of an emergency preparedness system, in order to improve the rapid emergency response during mass gatherings in the future.

  9. Development and application of the PCC biodosimetry method in emergency preparedness

    Energy Technology Data Exchange (ETDEWEB)

    Stricklin, D. (Swedish Defence Research Agency, FOI (Sweden)); Lindholm, C. (Finnish Radiation and Nuclear Safety Authority, STUK (Finland)); Jaworska, A. (Norwegian Radiation Protection Authority, NRPA (Norway))

    2008-07-15

    A method for biological assessment of radiation dose for specific application in emergency preparedness was developed. Premature chromosome condensation (PCC) was investigated to provide a potentially faster means of analysis and the ability to assess higher doses than with the dicentric assay which is routinely applied in biodosimetry today. A review of existing methods was made, followed by experiments determine optimal assay conditions, and evaluations to determination of optimal conditions and the most appropriate endpoints for analyses. Twelve different experimental conditions were examined with four different evaluation approaches. Aspects during optimization such as practicality, speed, and reliability were considered. The conclusion from these studies was a PCC protocol utilizing okadaic acid for induction of PCC cells in stimulated lymphocytes but without the use of colcemid for metaphase arrest with the subsequent evaluation of ring chromosomes. Well-defined criteria were established for evaluation of PCC cells and ring chromosome aberrations. An inter-calibration was made by comparing assessment of ring chromosomes between all three laboratories. Agreement was made to count only rings with observable open spaces or large, obvious rings without open spaces. Finally a dose response curve for the PCC method was prepared and a comparison of the PCC method to the traditional dicentric assay in triage mode was made. The triage method requires a minimal number of evaluations so that categorization of high, medium and low doses may be made in an emergency situation where large numbers of people should be evaluated. The comparison of the PCC method with the dicentric assay triage method indicated that the PCC assay performed superior to the dicentric assay for evaluation of samples at higher doses, however, the dicentric assay appeared to provide more accurate dose assessment at lower doses. This project suggests a PCC assay method for biological dose estimates

  10. Changes in public health preparedness services provided to local health departments by regional offices in North Carolina: a comparison of two cross-sectional studies.

    Science.gov (United States)

    Donovan, Catherine V; Markiewicz, Milissa; Horney, Jennifer A

    2014-05-28

    In 2011, seven decentralized Public Health Regional Surveillance Teams (PHRSTs) were restructured into four centralized Public Health Preparedness and Response (PHP&R) regional offices to realign preparedness priorities and essential services with appropriate infrastructure; field-based staff was reduced, saving approximately $1 million. The objective of this study was to understand the impact that restructuring had on services provided to local health departments (LHDs) throughout North Carolina. A survey to document services that regional offices provide to LHDs in North Carolina was administered by the North Carolina Preparedness and Emergency Response Research Center in 2013. The results were compared to a similar survey from 2009, which identified services provided by regional teams prior to restructuring. Of 69 types of assistance, 14 (20%) were received by 50% or more LHDs in 2012. Compared to 2009, there was a significant decrease in the proportion of LHDs receiving 67% (n = 47) of services. The size of the region served by regional offices was shown to inversely impact the proportion of LHDs receiving services for 25% of services. There was a slight significant decline in perceived quality of the services provided by regional teams in 2012 as comparison to 2009. Following a system-wide review of preparedness in North Carolina, the state's regional teams were reorganized to refine their focus to planning, exercises, and training. Some services, most notably under the functions of epidemiology and surveillance and public health event response, are now provided by other state offices. However, the study results indicate that several services that are still under the domain of the regional offices were received by fewer LHDs in 2012 than 2009. This decrease may be due to the larger number of counties now served by the four regional offices.

  11. Development and evaluation of a leadership training program for public health emergency response: results from a Chinese study

    Directory of Open Access Journals (Sweden)

    Xu Yihua

    2008-10-01

    Full Text Available Abstract Background Since the 9/11 attack and severe acute respiratory syndrome (SARS, the development of qualified and able public health leaders has become a new urgency in building the infrastructure needed to address public health emergencies. Although previous studies have reported that the training of individual leaders is an important approach, the systemic and scientific training model need further improvement and development. The purpose of this study was to develop, deliver, and evaluate a participatory leadership training program for emergency response. Methods Forty-one public health leaders (N = 41 from five provinces completed the entire emergency preparedness training program in China. The program was evaluated by anonymous questionnaires and semi-structured interviews held prior to training, immediately post-training and 12-month after training (Follow-up. Results The emergency preparedness training resulted in positive shifts in knowledge, self-assessment of skills for public health leaders. More than ninety-five percent of participants reported that the training model was scientific and feasible. Moreover, the response of participants in the program to the avian influenza outbreak, as well as the planned evaluations for this leadership training program, further demonstrated both the successful approaches and methods and the positive impact of this integrated leadership training initiative. Conclusion The emergency preparedness training program met its aims and objectives satisfactorily, and improved the emergency capability of public health leaders. This suggests that the leadership training model was effective and feasible in improving the emergency preparedness capability.

  12. Financial assistance to states and tribes to support emergency preparedness and response and the safe transportation of hazardous shipments: 1996 Update

    Energy Technology Data Exchange (ETDEWEB)

    Bradbury, J.A.; Leyson, J.; Lester, M.K.

    1996-07-01

    This report revises and updates the 1995 report Financial Assistance to States and Tribes to Support Emergency Preparedness and Response and the Safe Transportation of Hazardous Shipments, PNL-10260 (UC-620). The presentation of data and some of the data reported have been changed; these data supersede those presented in the earlier publication. All data have been updated to fiscal year 1995, with the exception of FEMA data that are updated to fiscal year 1994 only. The report identifies and summarizes existing sources of financial assistance to States and Tribes in preparing and responding to transportation emergencies and ensuring the safe transportation of hazardous shipments through their jurisdictions. It is intended for use as an information resource for the U.S. Department of Energy`s Office of Environmental Management (EM), Office of Transportation, Emergency Management, and Analytical Services (EM-76).

  13. 45 CFR 205.45 - Federal financial participation in relation to State emergency welfare preparedness.

    Science.gov (United States)

    2010-10-01

    ... Public Welfare OFFICE OF FAMILY ASSISTANCE (ASSISTANCE PROGRAMS), ADMINISTRATION FOR CHILDREN AND... emergency welfare situations resulting from natural disasters, civil disorders, and enemy caused disasters, as prescribed in “Guidelines for the Preparation of State Emergency Welfare Services Plan” issued by...

  14. Can the Social Vulnerability Index Be Used for More Than Emergency Preparedness? An Examination Using Youth Physical Fitness Data.

    Science.gov (United States)

    Gay, Jennifer L; Robb, Sara W; Benson, Kelsey M; White, Alice

    2016-02-01

    The Social Vulnerability Index (SVI), a publicly available dataset, is used in emergency preparedness to identify communities in greatest need of resources. The SVI includes multiple socioeconomic, demographic, and geographic indicators that also are associated with physical fitness and physical activity. This study examined the utility of using the SVI to explain variation in youth fitness, including aerobic capacity and body mass index. FITNESSGRAM data from 2,126 Georgia schools were matched at the census tract level with SVI themes of socioeconomic, household composition, minority status and language, and housing and transportation. Multivariate multiple regression models were used to test whether SVI factors explained fitness outcomes, controlling for grade level (ie, elementary, middle, high school) and stratified by gender. SVI themes explained the most variation in aerobic fitness and body mass index for both boys and girls (R2 values 11.5% to 26.6%). Socioeconomic, Minority Status and Language, and Housing and Transportation themes were salient predictors of fitness outcomes. Youth fitness in Georgia was related to socioeconomic, demographic, and geographic themes. The SVI may be a useful needs assessment tool for health officials and researchers examining multilevel influences on health behaviors or identifying communities for prevention efforts.

  15. Do social media have a place in public health emergency response?

    Science.gov (United States)

    Black, David R; Dietz, J Eric; Stirratt, Amanda A; Coster, Daniel C

    2015-01-01

    To ascertain whether analyses of social media trends for various Twitter responses following a major disaster produce implications for improving the focus on public health resources and messaging to disaster victims. Radian6 and trend analyses were used to analyze 12-hour counts of Twitter data before, during, and after the March 2011 Japanese earthquake and tsunami. Radian6 was used to organize tweets into categories of preparedness, emergency response, and public health. Radian6 revealed that 49 percent of tweets were either positive or somewhat positive in sentiment about preparedness and only 7 percent were negative or somewhat negative. Trend analyses revealed a rapid onset of tweet activity associated with all keywords followed by mostly fast exponential decline. Analyses indicate that opportunities for improving public health awareness by leveraging social media communications exist for as much as 5 days after a disaster. Analyses suggest key times for public health social media communication to promote emergency response.

  16. Teacher Preparedness in the Implementation of the Integrated Business Studies Curriculum in Public Secondary Schools in Kenya

    Science.gov (United States)

    Jerotich, Florah; Kurgat, Susan J.; Kimutai, Chris K.

    2017-01-01

    The main purpose of this paper was to assess teacher preparedness in the implementation of the integrated Business Studies curriculum in public secondary schools in Kenya. Specifically, the study sought to: find out the level of preservice training of the Business Studies teachers implementing the integrated Business Studies curriculum and to find…

  17. Air leakage analysis of research reactor HANARO building in typhoon condition for the nuclear emergency preparedness

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Goany Up; Lee, Hae Cho; Kim, Bong Seok; Kim, Jong Soo; Choi, Pyung Kyu [Dept. of Emergency Preparedness, Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2016-12-15

    To find out the leak characteristic of research reactor 'HANARO' building in a typhoon condition MELCOR code which normally is used to simulate severe accident behavior in a nuclear power plant was used to simulate the leak rate of air and fission products from reactor hall after the shutdown of the ventilation system of HANARO reactor building. For the simulation, HANARO building was designed by MELCOR code and typhoon condition passed through Daejeon in 2012 was applied. It was found that the leak rate is 0.1%·day{sup -1} of air, 0.004%·day{sup -1} of noble gas and 3.7×10{sup -5}%·day{sup -1} of aerosol during typhoon passing. The air leak rate of 0.1%·day can be converted into 1.36 m{sup 3}·hr{sup -1} , but the design leak rate in HANARO safety analysis report was considered as 600 m3·hr{sup -1} under the condition of 20 m·sec{sup -1} wind speed outside of the building by typhoon. Most of fission products during the maximum hypothesis accident at HANARO reactor will be contained in the reactor hall, so the direct radiation by remained fission products in the reactor hall will be the most important factor in designing emergency preparedness for HANARO reactor.

  18. A study on emergency preparedness for nuclear power plant/ Establishment of emergency communication network system

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Y. K.; Jung, Y. D.; Kim, S. Y. [Korea Institute of Science and Technology, Seoul (Korea, Republic of)

    1991-12-15

    The objective of this study was to develop an emergency database search system for nuclear power plants during nuclear incidents / accidents. Image data reported from nuclear power plants to the regulatory body and other related data will be stored systematically in the computer. The data will be utilized during nuclear emergency to prevent the accident from spreading out and to minimize its effect. It will also be used in exchanging information on accident or incidents with the foreign countries. The operational documents in the Kori-4 nuclear power plant are used as the major source for the categorization and analysis in performing this research. It was not easy to access the detailed operational data due to its unique characteric for the security. Therefore, we strongly suggest to increase manpower for this project in Korea Institute of Nuclear Safety (KINS) and archive involvement from Korea Electric Power Company to establish better database retrieval system.

  19. Resource mapping and emergency preparedness to infectious diseases in human and animal populations in Kibaha and Ngorongoro districts, Tanzania

    Directory of Open Access Journals (Sweden)

    E.D. Karimuribo

    2012-06-01

    Full Text Available A rapid situation analysis was conducted in Kibaha and Ngorongoro districts in Tanzania to map resources as well as analysing emergency preparedness to infectious diseases in animal (domestic and wild and human populations. Kibaha was chosen as a district close to a commercial city (Dar es Salaam while Ngorongoro represented a remote, border district with high interactions between humans, domestic and wild animals. In this study, data on resources and personnel as well as emergency preparedness were collected from all wards (n = 22, human health facilities (n = 40 and livestock facilities in the two districts using interview checklists and questionnaires. Descriptive statistics for resources were calculated and mapped by district. Kibaha district had a higher human population density, more health workers, better equipped health facilities and better communication and transport systems. On the other hand, Ngorongoro had a higher population of livestock and more animal health facilities but a poorer ratio of animal health workers to livestock. The average ratio of health personnel to population in catchment areas of the health facilities was 1:147 (range of 1:17−1:1200. The ratio of personnel to human population was significantly higher in Kibaha (1:95 than in Ngorongoro (1:203 district (p = 0 < 0.001. Considering the limited resources available to both human and animal health sectors and their different strengths and weaknesses there are opportunities for greater collaboration and resource-sharing between human and animal health for improved surveillance and emergency-preparedness.

  20. Academic-community partnerships for sustainable preparedness and response systems.

    Science.gov (United States)

    Isakov, Alexander; O'Neal, Patrick; Prescott, John; Stanley, Joan; Herrmann, Jack; Dunlop, Anne

    2014-01-01

    Academic institutions possess tremendous resources that could be important for community disaster response and preparedness activities. In-depth exploration of the role of academic institutions in community disaster response has elicited information about particular academic resources leveraged for and essential to community preparedness and response; factors that contribute to the decision-making process for partner engagement; and facilitators of and barriers to sustainable collaborations from the perspectives of academic institutions, public health and emergency management agencies, and national association and agency leaders. The Academic-Community Partnership Project of the Emory University Preparedness and Emergency Response Research Center in collaboration with the Association of Schools of Public Health convened an invitational summit which included leadership from the National Association of County and City Health Officials, Association of State and Territorial Health Officials, Directors of Public Health Preparedness, Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response, CDC Office of Public Health Preparedness and Response, Association of Schools of Public Health, Association of American Medical Colleges, Association of Academic Health Centers, American Association of Colleges of Nursing, Council of State and Territorial Epidemiologists, and American Association of Poison Control Centers. From this convention, emerged recommendations for building and sustaining academic-public health-community collaborations for preparedness locally and regionally.

  1. Integrating Social Media Monitoring Into Public Health Emergency Response Operations.

    Science.gov (United States)

    Hadi, Tamer A; Fleshler, Keren

    2016-10-01

    Social media monitoring for public health emergency response and recovery is an essential response capability for any health department. The value of social media for emergency response lies not only in the capacity to rapidly communicate official and critical incident information, but as a rich source of incoming data that can be gathered to inform leadership decision-making. Social media monitoring is a function that can be formally integrated into the Incident Command System of any response agency. The approach to planning and required resources, such as staffing, logistics, and technology, is flexible and adaptable based on the needs of the agency and size and scope of the emergency. The New York City Department of Health and Mental Hygiene has successfully used its Social Media Monitoring Team during public health emergency responses and planned events including major Ebola and Legionnaires' disease responses. The concepts and implementations described can be applied by any agency, large or small, interested in building a social media monitoring capacity. (Disaster Med Public Health Preparedness. 2016;page 1 of 6).

  2. NKS - The Nordic region's cooperative network for addressing challenges in nuclear safety and emergency preparedness

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, K.G. [NKS/Technical University of Denmark (Denmark); Andgren, K. [NKS/Vattenfall R and D (Sweden); Leino, K. [NKS/Fortum Power and Heat Oy (Finland); Magnusson, S. [NKS/Icelandic Radiation Safety Authority (Iceland); Physant, F. [NKS/FRIT, Roskilde (Denmark)

    2014-07-01

    Based on the foundation of a common cultural and historical heritage and a long tradition of collaboration, NKS aims to facilitate a common Nordic view on nuclear and radiation safety. A common understanding of rules, practice and measures, and national differences in this context, is here an essential requirement. Problems can generally be tackled quicker, more efficiently, more consistently and at a lower cost through collaboration, bearing in mind that key competencies are not equally distributed in the different Nordic countries. For instance common Nordic challenges emerge in relation to nuclear installations, where nuclear power plants are in operation in Finland and Sweden, and research reactors have been operated in Denmark, Finland, Norway and Sweden. There is an obvious benefit in exchanging ideas and technologies in relation to plant operation, and since a number of reactors in different Nordic countries are under decommissioning, a collaborative benefit can also be realised in that context. Sweden also has a nuclear fuel production plant, and its collaboration with other Nordic nuclear installations can also be beneficial. Further, a number of large radiological installations are projected in Nordic areas (e.g., the MAX-LAB/MAX IV synchrotron radiation source and the European spallation source ESS), where Nordic organisations are collaborating in addressing, e.g., potential environmental implications. On the emergency preparedness side, the Fukushima accident in March 2011 was a reminder that large accidents at nuclear installations can lead to widespread radioactive contamination in the environment. In order to respond to nuclear or radiological emergencies, should they affect Nordic populations, it is necessary to maintain an operational emergency preparedness. By continuously improving detection, response and decision aiding tools while maintaining an informal collaborative network between relevant stakeholders in the Nordic countries (including

  3. Evaluation of preparedness for medical emergencies among dental practitioners in Khammam town: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    L Surya Chandra Varma

    2015-01-01

    Full Text Available Introduction: Medical emergencies can occur frequently in the dental setting. Effective management of an emergency situation in the dental office is ultimately the dentist responsibility. The assessment of preparedness of dental practitioners would help to bring about required changes in the teaching aspects of dental institutions, which would ultimately help dental graduates to improve knowledge regarding management of medical emergencies. This would also make dental offices available with required emergency drugs. Aim: To evaluate the preparedness for medical emergencies among the dental practitioners in Khammam town. Materials and Methods: A cross-sectional questionnaire-based study with a sample of 301 was conducted among dental clinicians at Khammam to evaluate their knowledge regarding medical emergencies. The questionnaire consisted of nineteen questions. First nine questions are objective questions, requiring a simple yes or no reply. Next ten questions are multiple choice questions regarding Emergency Medical Services and basic life support. Chi-square test was used to analyze the data. A P < 0.05 is considered significant. Results: The results of this study showed that almost all the participants (94.02% enquired about medical and drug history, but only 67.11% of them obtained a complete health history proforma of the patient. About 83.06% record vital signs, 74.09% of members report about attending workshops on emergency training and management, and 50.5% of members were either not sure or not in a position to handle the emergency condition. Conclusion: The results of this study reflect an alarming situation of the capability of dentists to deal with medical emergencies at dental offices and make available all the emergency drugs at their offices.

  4. Filling the gap between disaster preparedness and response networks of urban emergency management: Following the 2013 Seoul Floods.

    Science.gov (United States)

    Song, Minsun; Jung, Kyujin

    2015-01-01

    To examine the gap between disaster preparedness and response networks following the 2013 Seoul Floods in which the rapid transmission of disaster information and resources was impeded by severe changes of interorganizational collaboration networks. This research uses the 2013 Seoul Emergency Management Survey data that were collected before and after the floods, and total 94 organizations involving in coping with the floods were analyzed in bootstrap independent-sample t-test and social network analysis through UCINET 6 and STATA 12. The findings show that despite the primary network form that is more hierarchical, horizontal collaboration has been relatively invigorated in actual response. Also, interorganizational collaboration networks for response operations seem to be more flexible grounded on improvisation to coping with unexpected victims and damages. Local organizations under urban emergency management are recommended to tightly build a strong commitment for joint response operations through full-size exercises at the metropolitan level before a catastrophic event. Also, interorganizational emergency management networks need to be restructured by reflecting the actual response networks to reduce collaboration risk during a disaster. This research presents a critical insight into inverse thinking of the view designing urban emergency management networks and provides original evidences for filling the gap between previously coordinated networks for disaster preparedness and practical response operations after a disaster.

  5. Mapping US pediatric hospitals and subspecialty critical care for public health preparedness and disaster response, 2008.

    Science.gov (United States)

    Brantley, Mary D; Lu, Hua; Barfield, Wanda D; Holt, James B; Williams, Alcia

    2012-06-01

    The objective is to describe by geographic proximity the extent to which the US pediatric population (aged 0-17 years) has access to pediatric and other specialized critical care facilities, and to highlight regional differences in population and critical resource distribution for preparedness planning and utilization during a mass public health disaster. The analysis focused on pediatric hospitals and pediatric and general medical/surgical hospitals with specialized pediatric critical care capabilities, including pediatric intensive care units (PICU), pediatric cardiac ICUs (PCICU), level I and II trauma and pediatric trauma centers, and general and pediatric burn centers. The proximity analysis uses a geographic information system overlay function: spatial buffers or zones of a defined radius are superimposed on a dasymetric map of the pediatric population. By comparing the population living within the zones to the total population, the proportion of children with access to each type of specialized unit can be estimated. The project was conducted in three steps: preparation of the geospatial layer of the pediatric population using dasymetric mapping methods; preparation of the geospatial layer for each resource zone including the identification, verification, and location of hospital facilities with the target resources; and proximity analysis of the pediatric population within these zones. Nationally, 63.7% of the pediatric population lives within 50 miles of a pediatric hospital; 81.5% lives within 50 miles of a hospital with a PICU; 76.1% lives within 50 miles of a hospital with a PCICU; 80.2% lives within 50 miles of a level I or II trauma center; and 70.8% lives within 50 miles of a burn center. However, state-specific proportions vary from less than 10% to virtually 100%. Restricting the burn and trauma centers to pediatric units only decreases the national proportion to 26.3% for pediatric burn centers and 53.1% for pediatric trauma centers. This

  6. Emergency preparedness incident response and radiation monitoring in Finland. Annual report 1998; Valmiustapahtumat ja valtakunnallinen saeteilyvalvonta. Vuosiraportti 1998

    Energy Technology Data Exchange (ETDEWEB)

    Ristonmaa, S. [ed.

    1999-03-01

    The Radiation and Nuclear Safety Authority (STUK) publishes annually a report about STUK's preparedness measures. The report describes notifications received by STUK's on duty system and further measures carried out after receiving a message. In addition, the emergence exercises STUK participated in during the year are described. The radiation situation in Finland is continuously monitored. STUK is the authority who carries out a wide range of environmental measurements, sampling and sensitive laboratory analyses. The measurement results are presented in the form of tables and graphically. (editor)

  7. Emergency preparedness incident response and radiation monitoring in Finland. Annual report 1999; Valmiustapahtumat ja saeteilyvalvonta. Vuosiraportti 1999

    Energy Technology Data Exchange (ETDEWEB)

    Ristonmaa, S. [ed.

    2000-04-01

    The Radiation and Nuclear Safety Authority (STUK) publishes annually a report about STUK's preparedness measures. The report describes notifications received by STUK's on duty system and further measures carried out after receiving a message. In addition, the emergence exercises STUK participated in during the year are described. The radiation situation in Finland is continuously monitored. STUK is the authority who carries out a wide range of environmental measurements, sampling and sensitive laboratory analyses. The measurement results are presented in the form of tables and graphically. (editor)

  8. Emergency preparedness incident response and radiation monitoring in Finland. Annual report 1999; Valmiustapahtumat ja saeteilyvalvonta. Vuosiraportti 1999

    Energy Technology Data Exchange (ETDEWEB)

    Ristonmaa, S. [ed.

    2000-04-01

    The Radiation and Nuclear Safety Authority (STUK) publishes annually a report about STUK's preparedness measures. The report describes notifications received by STUK's on duty system and further measures carried out after receiving a message. In addition, the emergence exercises STUK participated in during the year are described. The radiation situation in Finland is continuously monitored. STUK is the authority who carries out a wide range of environmental measurements, sampling and sensitive laboratory analyses. The measurement results are presented in the form of tables and graphically. (editor)

  9. A survey of hospitals to determine the prevalence and characteristics of healthcare coalitions for emergency preparedness and response.

    Science.gov (United States)

    Rambhia, Kunal J; Waldhorn, Richard E; Selck, Frederick; Mehta, Ambereen Kurwa; Franco, Crystal; Toner, Eric S

    2012-09-01

    Previous reports have identified the development of healthcare coalitions as the foundation for disaster response across the United States. This survey of acute care hospitals characterizes the current status of participation by US hospitals in healthcare coalitions for emergency preparedness planning and response. The survey results show the nearly universal nature of a coalition approach to disaster response. The results suggest a need for wide stakeholder involvement but also for flexibility in structure and organization. Based on the survey results, the authors make recommendations to guide the further development of healthcare coalitions and to improve local and national response to disasters.

  10. An analysis of Chemical Stockpile Emergency Preparedness Program exercise results. Volume 1: The CSEPP Exercise Results Database

    Energy Technology Data Exchange (ETDEWEB)

    Hewett, P.L. Jr.; Mitrani, J.E.; Absil-Mills, M.J.G.; Tallarovic, P.; Molsen, J.; Vercellone, J.; Madore, M.A.

    1998-06-01

    The primary focus of the Chemical Stockpile Emergency Preparedness Program (CSEPP) is to enhance the response capabilities of the eight US Army installations that store chemical weapons agent and of the communities immediately surrounding each Army storage installation. Exercises are a major component of the program and are conducted annually at each of the eight installations. Following each exercise, a report summarizing the results of the exercise is produced. To gain a better perspective on the site-specific and program-wide results of these exercises, the Project Manager for Chemical Stockpile Emergency Preparedness requested that Argonne National Laboratory develop a database containing the results of exercises held through June 1996. This document provides a summary of the process used to develop the CSEPP Exercise Results Database. The database provides CSEPP managers in the Department of the Army and the Federal Emergency Management Agency a method for tracking and analyzing exercise results. The report discusses the collection and coding of exercise data and provides tables to guide coding of future exercise results. An electronic copy of the database (CD-ROM) accompanies the report. This report focuses only on methods used to collect exercise data and develop the database; Volume 2 discusses the analysis of the data collected.

  11. An exploration of conceptual and temporal fallacies in international health law and promotion of global public health preparedness.

    Science.gov (United States)

    Bhattacharya, Dhrubajyoti

    2007-01-01

    In February 2007, Indonesia withheld sharing H5N1 viral samples in order to compel the World Health Organization and Member States to guarantee future access to vaccines for States disproportionately burdened by infectious diseases. This article explores conceptual and temporal fallacies in the International Health Regulations (2005) and the Doha Declaration on the TRIPS Agreement and Public Health, as relates to global public health preparedness. Recommendations include adopting laws to facilitate non-pharmaceutical interventions; securing the rights of affected populations; and fostering inter-State collaborations to promote intra-State public health capacity building.

  12. Building evidence for legal decision making in real time: legal triage in public health emergencies.

    Science.gov (United States)

    Hodge, James G; Lant, Timothy; Arias, Jalayne; Jehn, Megan

    2011-09-01

    Similar to the triaging of patients by health care workers, legal and public health professionals must prioritize and respond to issues of law and ethics in declared public health emergencies. As revealed by the 2009-2010 H1N1 influenza outbreak and other events, there are considerable inconsistencies among professionals regarding how to best approach these issues during a public health emergency. Our project explores these inconsistencies by attempting to assess how practitioners make legal and ethical decisions in real-time emergencies to further critical public health objectives. Using a fictitious scenario and interactive visualization environment, we observed real-time decision-making processes among knowledgeable participants. Although participants' decisions and perspectives varied, the exercise demonstrated an increase in the perception of the relevance of legal preparedness in multiple aspects of the decision-making process and some key lessons learned for consideration in future repetitions of the exercise and actual, real-time emergency events.

  13. Bioterror Preparedness-Educational Programming for Military, Public Health and Civilian Medical Personnel

    Science.gov (United States)

    2006-10-01

    Houston School of Public Health COL. James Martin USAMRIID CJ Peters, MD John Sealy Distinguished University Chair in Tropical and Emerging Virology...Iceland, Puerto Rico, Sicily , Japan, the Middle East, and Europe. For 11 years he served as Director of Strategic Communications for the National Center...Distinguished University Chair in Tropical and Emerging Virology. Previously, Dr. Peters was Chief of the Special Pathogens Branch, Division of Viral and

  14. Europe's preparedness for an influenza pandemic: commentary.

    NARCIS (Netherlands)

    Paget, W.J.

    2006-01-01

    The paper in this month's edition of the European Journal of Public Health on Europe's preparedness for an influenza pandemic is highly relevant in the light of the emergence of the influenza A (H5N1) virus in humans in Southeast Asia and more recently, in Turkey and Iraq. The paper provides a nic

  15. Understanding Public Responses to Emerging Technologies

    NARCIS (Netherlands)

    Macnaghten, Philip; Davies, S.R.; Kearnes, Matthew

    2015-01-01

    Previous studies aimed at understanding public responses to emerging technologies have given limited attention to the social and cultural processes through which public concerns emerge. When probed, these have tended to be explained either in cognitive social psychological terms, typically in the

  16. Preparedness actions towards seismic risk mitigation for the general public in Martinique, French Lesser Antilles: a mid-term appraisal

    Directory of Open Access Journals (Sweden)

    J. C. Audru

    2013-08-01

    Full Text Available Martinique is a French island in the Lesser Antilles, with a high seismic hazard. In 2006, Martinican stakeholders involved in seismic safety formed the "Réplik" working group ("Aftershock" in French, the first of its kind in this region. This paper addresses a mid-term appraisal of the first seismic awareness campaign organised by Réplik from 2006 to 2011, and how it has modified, or not, local earthquake and tsunami preparedness. Despite efforts from Réplik to assess its efficiency through surveys, a growing gap is noted between the observed awareness and the actual preparedness of the public. As usual, gender, age, educational level, then boredom and saturation contribute to this discrepancy; strong cultural items may also influence the perception of actions. To remain efficient and respond to the public's expectations, Réplik must redirect its actions towards a cultural congruence of information: consideration of religion and local beliefs, comprehensive messages on TV and radio, use of the Creole language, participatory experiences and drills, and a little science. With this, the Réplik stakeholders can hope to increase Martinicans' involvement into the preparedness process, to cope quickly with a strong earthquake and this know-how can be shared with other seismically active islands in the Caribbean.

  17. Assessment of the level of knowledge of Physicians in Bushehr Province about preparedness and response for Nuclear Emergency

    Directory of Open Access Journals (Sweden)

    Eshagh Abbasi

    2005-02-01

    Full Text Available Responses to recent incidents involving radiation indicate that most general practitioners are uncertain about the health consequences of exposure to ionizing radiation and the medical management of exposed patients. Acute radiation syndrome is an acute illness caused by irradiation of the entire body by a high dose of penetrating radiation in a very short period of time. In order to assess the level of knowledge of physicians in Bushehr province about preparedness and response for nuclear emergency, we used a questionnaire based on IAEA-WHO protocol. A total of 233 doctors (47 of specialist and 186 of general practitioners participated in a cross-sectional study. The mean of score for doctors was 3.99 (from 13 3.7 score for general practitioners and 4.28 scores for specialists. Overall, the doctors did not gain the acceptable scores in subjects like physics of radiation, diagnosis and management of acute radiation syndrome, triage and management of nuclear accidents. In conclusion, the level of doctors’ knowledge in Bushehr province about preparedness and response to nuclear or radiological emergency is deficient. Therefore, medical education and postgraduate training programs for doctors should be designed.

  18. Saudi EMS Students' Perception of and Attitudes toward Their Preparedness for Disaster Management

    Science.gov (United States)

    Alrazeeni, Daifallah

    2015-01-01

    Background: Disasters led not only to the loss of life and destruction of public infrastructures, but also resulted in consequent healthcare delivery concerns. Disaster preparedness is considered one of the key steps in emergency management. EMS students had very scanty knowledge, attitude and practices about disaster preparedness and mitigation.…

  19. Availability and readability of emergency preparedness materials for deaf and hard-of-hearing and older adult populations: issues and assessments.

    Science.gov (United States)

    Neuhauser, Linda; Ivey, Susan L; Huang, Debbie; Engelman, Alina; Tseng, Winston; Dahrouge, Donna; Gurung, Sidhanta; Kealey, Melissa

    2013-01-01

    A major public health challenge is to communicate effectively with vulnerable populations about preparing for disasters and other health emergencies. People who are Deaf or Hard of Hearing (Deaf/HH) and older adults are particularly vulnerable during health emergencies and require communications that are accessible and understandable. Although health literacy studies indicate that the readability of health communication materials often exceeds people's literacy levels, we could find no research about the readability of emergency preparedness materials (EPM) intended for Deaf/HH and older adult populations. The objective of this study was to explore issues related to EPM for Deaf/HH and older adult populations, to assess the availability and readability of materials for these populations, and to recommend improvements. In two California counties, we interviewed staff at 14 community-based organizations (CBOs) serving Deaf/HH clients and 20 CBOs serving older adults selected from a stratified, random sample of 227 CBOs. We collected 40 EPM from 10 CBOs and 2 public health departments and 40 EPM from 14 local and national websites with EPM for the public. We used computerized assessments to test the U.S. grade reading levels of the 16 eligible CBO and health department EPM, and the 18 eligible website materials. Results showed that less than half of CBOs had EPM for their clients. All EPM intended for clients of Deaf/HH-serving CBOs tested above the recommended 4(th) grade reading level, and 91% of the materials intended for clients of older adult-serving CBOs scored above the recommended 6(th) grade level. EPM for these populations should be widely available through CBOs and public health departments, adhere to health literacy principles, and be accessible in alternative formats including American Sign Language. Developers should engage the intended users of EPM as co-designers and testers. This study adds to the limited literature about EPM for these populations.

  20. Examining physicians’ preparedness for tobacco cessation services in India: Findings from primary care public health facilities in two Indian states

    Directory of Open Access Journals (Sweden)

    Rajmohan Panda

    2013-03-01

    Full Text Available BackgroundA total of 275 million tobacco users live throughout India and are in need of tobacco cessation services. However, the preparation of physicians to deliver this service at primary care health facilities remains unknown.AimsThe study aimed to examine the primary care physicians’ preparedness to deliver tobacco cessation services in two Indian states.MethodResearchers surveyed physicians working in primary care public health facilities, primarily in rural areas using a semistructured interview schedule. Physicians’ preparedness was defined in the study as those possessing knowledge of tobacco cessation methods and exhibiting a positive attitude towards the benefits of tobacco cessation counselling as well as being willing to be part of tobacco prevention or cessation program.ResultsOverall only 17% of physicians demonstrated adequate preparation to provide tobacco cessation services at primary care health facilities in both the States. The findings revealed minimal tobacco cessation training during formal medical education (21.3% and on-the-job training (18.9%. Factors, like sex and age of service provider, type of health facility, location of health facility and number of patients attended by the service provider, failed to show significance during bivariate and regression analysis. Preparedness was significantly predicted by state health system.ConclusionThe study highlights a lack of preparedness of primary care physicians to deliver tobacco cessation services. Both the curriculum in medical school and on-the-job training require an addition of a learning component on tobacco cessation. The addition of this component will enable existing primary care facilities to deliver tobacco cessation services.

  1. 灾害救援护理备灾体系的构建与管理%Construction and Management of Disaster Nursing and Emergency Preparedness System

    Institute of Scientific and Technical Information of China (English)

    赵光昱; 朱兴莲; 刘梅瑶; 朱建军

    2013-01-01

    Objective To study the training of medical multi-disciplinary or interdisciplinary nurses in public emergency rescue. Methods Twelve backbones from nursing staff were selected and trained respectively in Emergency Department, ICU, operating room, obstetrics, blood purification center in and out of the hospital to master first-aid knowledge and skills. Results Disaster nursing and emergency preparedness system, in which nurses ’ role in public emergency rescue was highlighted, played an important role in the research and teaching of the whole hospital. Disaster preparedness nurses ’ average scores of medical theory tests increased from 78.50 to 90.60 after training and their scores of first-aid skills increased from 84.35 to 94.56. The nursing service quality increased significantly and was unanimously approved by doctors, peer nurses and society. Conclusion It is important to set up the disaster nursing and emergency preparedness system to improve nursing disaster rescue ability comprehensively.%目的:探讨培养和储备“一人多能”、“多能一专”、“多学科交叉专病护理”的突发性公共事件紧急医疗救援备灾护士的管理实践。方法从全院考核择优选拔出12名骨干护士,分别在急诊科、ICU、手术室、产科、血液净化中心等进行院内培训、优先参加院外进修学习,重点掌握相关专业急救知识和技能。结果护理备灾体系的建立促进科研教学水平;备灾护士在突发性公共事件的抢救护理中作用地位凸显;备灾护士的急救理论成绩由培训前的平均78.50分上升到90.60分、急救技能则由84.35分提高到94.56分,综合业务素质明显提高,得到医生、同事及社会一致认可。结论构建护理备灾体系对全面提升护士灾害救护能力有重要意义,是体现护理学在救援医学中地位和作用的路径之一。

  2. The NKS-B Programme for Nordic cooperation on nuclear and radiological emergency preparedness, including measurement strategies, radioecology and waste management

    DEFF Research Database (Denmark)

    Andersson, Kasper Grann; Leino, Kaisu; Magnússon, Sigurður M.

    2014-01-01

    The NKS platform for Nordic cooperation and competence maintenance in nuclear and radiological safety comprises two parallel programmes: the NKS-R programme on nuclear reactor safety and the NKS-B programme on emergency preparedness. This paper introduces the NKS-B programme and its current...

  3. Law, liability, and public health emergencies.

    Science.gov (United States)

    Hoffman, Sharona; Goodman, Richard A; Stier, Daniel D

    2009-06-01

    According to many experts, a public health emergency arising from an influenza pandemic, bioterrorism attack, or natural disaster is likely to develop in the next few years. Meeting the public health and medical response needs created by such an emergency will likely involve volunteers, health care professionals, public and private hospitals and clinics, vaccine manufacturers, governmental authorities, and many others. Conducting response activities in emergency circumstances may give rise to numerous issues of liability, and medical professionals and other potential responders have expressed concern about liability exposure. Providers may face inadequate resources, an insufficient number of qualified personnel, overwhelming demand for services, and other barriers to providing optimal treatment, which could lead to injury or even death in some cases. This article describes the different theories of liability that may be used by plaintiffs and the sources of immunity that are available to public health emergency responders in the public sector, private sector, and as volunteers. It synthesizes the existing immunity landscape and analyzes its gaps. Finally, the authors suggest consideration of the option of a comprehensive immunity provision that addresses liability protection for all health care providers during public health emergencies and that, consequently, assists in improving community emergency response efforts.

  4. Weaving latino cultural concepts into Preparedness Core Competency training.

    Science.gov (United States)

    Riley-Jacome, Mary; Parker, Blanca Angelica Gonzalez; Waltz, Edward C

    2014-01-01

    The New York • New Jersey Preparedness and Emergency Response Learning Center (NY•NJ PERLC) is one of 14 Centers funded by the Centers for Disease Control and Prevention designed to address the preparedness and response training and education needs of the public health workforce. One of the important niches, or focus areas for the Center, is training to improve the capacity of public health workers to respond with competence to the needs of vulnerable populations. During every phase of a disaster, racial and ethnic minorities, including Latinos, suffer worse outcomes than the general population. Communities with diverse cultural origins and limited English speakers often present more complex issues during public health emergencies. Training that incorporates cultural concepts into the Preparedness Core Competencies may improve the ability of public health workers to engage the Latino community in preparedness activities and ultimately improve outcomes during disasters. This article describes initiatives undertaken by the NY•NJ PERLC to improve the capacity of the public health workforce to respond competently to the needs of Latino populations. In 2012, the Center collaborated with national, state, and local partners to develop a nationwide broadcast founded on the Preparedness Core Competencies, Latinos During Emergencies: Cultural Considerations Impacting Disaster Preparedness. The widely viewed broadcast (497 sites in 47 states and 13 nations) highlighted the commonalities and differences within Latino culture that can impact emergency preparedness and response and outlined practical strategies to enhance participation. The success of the broadcast spurred a number of partner requests for training and technical assistance. Lessons learned from these experiences, including our "undercover" work at local Points of Dispensing, are incorporated into subsequent interactive trainings to improve the competency of public health workers. Participants recommended

  5. Longitudinal Community Assessment for Public Health Emergency Response to Wildfire, Bastrop County, Texas.

    Science.gov (United States)

    Kirsch, Katie R; Feldt, Bonnie A; Zane, David F; Haywood, Tracy; Jones, Russell W; Horney, Jennifer A

    2016-01-01

    On September 4, 2011, a wildfire ignited in Bastrop County, Texas, resulting in losses of 34,068 acres of land and 1,645 homes and 2 deaths. At the request of the Texas Department of State Health Services Health Service Region 7 and the Bastrop County Office of Emergency Management, Community Assessments for Public Health Emergency Response (CASPER) were conducted in the weeks following the wildfire and again 3.5 years later to assess both the immediate and long-term public health and preparedness impacts of the wildfire. The objective of these assessments was to learn more about the trajectory of disaster recovery, including rebuilding, evacuation, household emergency planning, and mental and physical health outcomes among both adults and children. In 2015, households exposed to the 2011 wildfires were significantly more likely to have established a family meeting place and evacuation route, to have confidence in the local government's ability to respond to disaster, and to report symptoms of depression and higher stress. Longitudinal assessments using the CASPER method can provide actionable information for improved planning, preparedness, and recovery to public health and emergency management agencies and community residents.

  6. Integrating business continuity, emergency preparedness and emergency response: How these seemingly different disciplines can come together to make a comprehensive integrated programme.

    Science.gov (United States)

    Halsne, Julia

    2015-01-01

    The East Bay Municipal Utility District provides potable water to approximately 1.3 million customers and treats wastewater for approximately 680,000 customers on the eastern side of San Francisco Bay in Northern California. Corporate policy requires the District to create and maintain an active emergency preparedness programme to manage its critical functions during an emergency and protect people, property and the environment. The policy also requires the District to create and maintain a business continuity programme to minimise disruptions of critical business functions and enhance its capability to recover operations. For these programmes to work effectively they must be coordinated. As the programmes at the District have evolved, the natural interrelationship, overlaps and integration have become inherent in their success. To ensure integration and coordination of these programmes, the District has developed management systems to effectively drive towards a seamless overarching programme.

  7. Community Assessment Tool for Public Health Emergencies Including Pandemic Influenza

    Energy Technology Data Exchange (ETDEWEB)

    ORAU' s Oak Ridge Institute for Science Education (HCTT-CHE)

    2011-04-14

    The Community Assessment Tool (CAT) for Public Health Emergencies Including Pandemic Influenza (hereafter referred to as the CAT) was developed as a result of feedback received from several communities. These communities participated in workshops focused on influenza pandemic planning and response. The 2008 through 2011 workshops were sponsored by the Centers for Disease Control and Prevention (CDC). Feedback during those workshops indicated the need for a tool that a community can use to assess its readiness for a disaster - readiness from a total healthcare perspective, not just hospitals, but the whole healthcare system. The CAT intends to do just that - help strengthen existing preparedness plans by allowing the healthcare system and other agencies to work together during an influenza pandemic. It helps reveal each core agency partners (sectors) capabilities and resources, and highlights cases of the same vendors being used for resource supplies (e.g., personal protective equipment [PPE] and oxygen) by the partners (e.g., public health departments, clinics, or hospitals). The CAT also addresses gaps in the community's capabilities or potential shortages in resources. This tool has been reviewed by a variety of key subject matter experts from federal, state, and local agencies and organizations. It also has been piloted with various communities that consist of different population sizes, to include large urban to small rural communities.

  8. Prior notice of imported food under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002. Final rule.

    Science.gov (United States)

    2008-11-07

    The Food and Drug Administration (FDA) is issuing a final regulation that requires the submission to FDA of prior notice of food, including animal feed, that is imported or offered for import into the United States. The final rule implements the Public Health Security and Bioterrorism Preparedness and Response Act of 2002 (the Bioterrorism Act), which required prior notification of imported food to begin on December 12, 2003. The final rule requires that the prior notice be submitted to FDA electronically via either the U.S. Customs and Border Protection (CBP or Customs) Automated Broker Interface (ABI) of the Automated Commercial System (ACS) or the FDA Prior Notice System Interface (FDA PNSI). The information must be submitted and confirmed electronically as facially complete by FDA for review no less than 8 hours (for food arriving by water), 4 hours (for food arriving by air or land/rail), and 2 hours (for food arriving by land/road) before the food arrives at the port of arrival. Food imported or offered for import without adequate prior notice is subject to refusal and, if refused, must be held. Elsewhere in this issue of the Federal Register, FDA is announcing the availability of a draft compliance policy guide (CPG) entitled "Sec. 110.310 Prior Notice of Imported Food Under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002."

  9. Influenza vaccine scarcity 2004-05: implications for biosecurity and public health preparedness.

    Science.gov (United States)

    Schoch-Spana, Monica; Fitzgerald, Joseph; Kramer, Bradley R

    2005-01-01

    In the event of a bioterrorist event or a pandemic flu outbreak, it might be necessary to ration vaccine or other treatments. In this article, researchers examine how medical and public health decision makers negotiated the unanticipated 2004-05 influenza vaccine shortage, using the regional hospital system headquartered in Pittsburgh, Pennsylvania, as the focal study site. This account of that case study describes the circumstances that contributed to the national and local vaccine shortage; the improvisation by health policymakers, hospital administrators, physicians, and nurses to prevent influenza cases despite the shortfall; and some of the legal, fiscal, logistical, social, and political pressures that local health professionals faced in deciding who should receive the limited supply of influenza vaccine. This instance of an acute vaccine shortage provided an opportunity to examine the practical and ethical dilemmas of managing medical resources during a public health emergency.

  10. Microbiological aspects of public health planning and preparedness for the 2012 Olympic Games.

    Science.gov (United States)

    Moran-Gilad, J; Chand, M; Brown, C; Shetty, N; Morris, G; Green, J; Jenkins, C; Ling, C; McLauchlin, J; Harrison, T; Goddard, N; Brown, K; Bolton, F J; Zambon, M

    2012-12-01

    Although communicable diseases have hitherto played a small part in illness associated with Olympic Games, an outbreak of infection in a national team, Games venue or visiting spectators has the potential to disrupt a global sporting event and distract from the international celebration of athletic excellence. Preparation for hosting the Olympic Games includes implementation of early warning systems for detecting emerging infection problems. Ensuring capability for rapid microbiological diagnoses to inform situational risk assessments underpins the ability to dispel rumours. These are a prelude to control measures to minimize impact of any outbreak of infectious disease at a time of intense public scrutiny. Complex multidisciplinary teamwork combined with laboratory technical innovation and efficient information flows underlie the Health Protection Agency's preparation for the London 2012 Olympic and Paralympic Games. These will deliver durable legacies for clinical and public health microbiology, outbreak investigation and control in the coming years.

  11. Cooperation in Nuclear Waste Management, Radiation Protection, Emergency Preparedness, Reactor Safety and Nuclear Non-Proliferation in Eastern Europe

    Energy Technology Data Exchange (ETDEWEB)

    Dassen, Lars van; Delalic, Zlatan; Ekblad, Christer; Keyser, Peter; Turner, Roland; Rosengaard, Ulf; German, Olga; Grapengiesser, Sten; Andersson, Sarmite; Sandberg, Viviana; Olsson, Kjell; Stenberg, Tor

    2009-10-15

    The Swedish Radiation Safety Authority (SSM) is trusted with the task of implementing Sweden's bilateral assistance to Russia, Ukraine, Georgia, Belarus and Armenia in the fields of reactor safety, nuclear waste management, nuclear non-proliferation as well as radiation protection and emergency preparedness. In these fields, SSM also participates in various projects financed by the European Union. The purpose of this project-oriented report is to provide the Swedish Government and other funding agencies as well as other interested audiences in Sweden and abroad with an encompassing understanding of our work and in particular the work performed during 2008. the activities are divided into four subfields: Nuclear waste management; Reactor safety; Radiation safety and emergency preparedness; and, Nuclear non-proliferation. SSM implements projects in the field of spent nuclear fuel and radioactive waste management in Russia. The problems in this field also exist in other countries, yet the concentration of nuclear and radioactive materials are nowhere higher than in north-west Russia. And given the fact that most of these materials stem from the Cold War era and remain stored under conditions that vary from 'possibly acceptable' to 'wildly appalling' it is obvious that Sweden's first priority in the field of managing nuclear spent fuel and radioactive waste lies in this part of Russia. The prioritisation and selection of projects in reactor safety are established following thorough discussions with the partners in Russia and Ukraine. For specific guidance on safety and recommended safety improvements at RBMK and VVER reactors, SSM relies on analyses and handbooks established by the IAEA in the 1990s. In 2008, there were 16 projects in reactor safety. SSM implements a large number of projects in the field of radiation protection and emergency preparedness. The activities are at a first glance at some distance from the activities covered and

  12. Design and quantification of an extreme winter storm scenario for emergency preparedness and planning exercises in California

    Science.gov (United States)

    Dettinger, M.D.; Martin, Ralph F.; Hughes, M.; Das, T.; Neiman, P.; Cox, D.; Estes, G.; Reynolds, D.; Hartman, R.; Cayan, D.; Jones, L.

    2012-01-01

    The USGS Multihazards Project is working with numerous agencies to evaluate and plan for hazards and damages that could be caused by extreme winter storms impacting California. Atmospheric and hydrological aspects of a hypothetical storm scenario have been quantified as a basis for estimation of human, infrastructure, economic, and environmental impacts for emergency-preparedness and flood-planning exercises. In order to ensure scientific defensibility and necessary levels of detail in the scenario description, selected historical storm episodes were concatentated to describe a rapid arrival of several major storms over the state, yielding precipitation totals and runoff rates beyond those occurring during the individual historical storms. This concatenation allowed the scenario designers to avoid arbitrary scalings and is based on historical occasions from the 19th and 20th Centuries when storms have stalled over the state and when extreme storms have arrived in rapid succession. Dynamically consistent, hourly precipitation, temperatures, barometric pressures (for consideration of storm surges and coastal erosion), and winds over California were developed for the so-called ARkStorm scenario by downscaling the concatenated global records of the historical storm sequences onto 6- and 2-km grids using a regional weather model of January 1969 and February 1986 storm conditions. The weather model outputs were then used to force a hydrologic model to simulate ARkStorm runoff, to better understand resulting flooding risks. Methods used to build this scenario can be applied to other emergency, nonemergency and non-California applications. ?? 2011 The Author(s).

  13. Enhancing crisis leadership in public health emergencies.

    Science.gov (United States)

    Deitchman, Scott

    2013-10-01

    Reviews of public health emergency responses have identified a need for crisis leadership skills in health leaders, but these skills are not routinely taught in public health curricula. To develop criteria for crisis leadership in public health, published sources were reviewed to identify attributes of successful crisis leadership in aviation, public safety, military operations, and mining. These sources were abstracted to identify crisis leadership attributes associated with those disciplines and compare those attributes with crisis leadership challenges in public health. Based on this review, the following attributes are proposed for crisis leadership in public health: competence in public health science; decisiveness with flexibility; ability to maintain situational awareness and provide situational assessment; ability to coordinate diverse participants across very different disciplines; communication skills; and the ability to inspire trust. Of these attributes, only competence in public health science is currently a goal of public health education. Strategies to teach the other proposed attributes of crisis leadership will better prepare public health leaders to meet the challenges of public health crises.

  14. Response to an emerging vector-borne disease: Surveillance and preparedness for Schmallenberg virus.

    NARCIS (Netherlands)

    Roberts, H.C.; Elbers, A.R.W.; Conraths, F.J.; Holsteg, M.; Hoereth-Boentgen, D.; Gethmann, J.; Schaik, van G.

    2014-01-01

    Surveillance for new emerging animal diseases from a European perspective is complicated by the non-harmonised approach across Member States for data capture, recording livestock populations and case definitions. In the summer of 2011, a new vector-borne Orthobunyavirus emerged in Northern Europe an

  15. Instructor Quality Affecting Emergency Medical Technician (EMT) Preparedness: A LEADS Project

    Science.gov (United States)

    Russ-Eft, Darlene F.; Dickison, Philip D.; Levine, Roger

    2005-01-01

    This represents one of a series of studies of the Longitudinal Emergency Medical Technician Attributes and Demographics Study (LEADS) being undertaken by the National Registry of Emergency Medical Technicians and the National Highway Traffic Safety Administration (NHTSA). This secondary analysis of the LEADS database, which provides a…

  16. Integrated Baseline System (IBS), Version 1.03. User guide: Chemical Stockpile Emergency Preparedness Program

    Energy Technology Data Exchange (ETDEWEB)

    Bailey, B.M.; Burford, M.J.; Downing, T.R.; Matsumoto, S.W.; Schrank, E.E.; Williams, J.R.; Winters, C.

    1993-01-01

    The Integrated Baseline System (IBS), operated by the Federal Emergency Management Agency (FEMA), is a system of computerized tools for emergency planing and analysis. This document is the user guide for the IBS and explains how to operate the IBS system. The fundamental function of the IBS is to provide tools that civilian emergency management personnel can use in developing emergency plans and in supporting emergency management activities to cope with a chemical-releasing event at a military chemical stockpile. Emergency management planners can evaluate concepts and ideas using the IBS system. The results of that experience can then be factored into refining requirements and plans. This document provides information for the general system user, and is the primary reference for the system features of the IBS. It is designed for persons who are familiar with general emergency management concepts, operations, and vocabulary. Although the IBS manual set covers basic and advanced operations, it is not a complete reference document set. Emergency situation modeling software in the IBS is supported by additional technical documents. Some of the other LBS software is commercial software for which more complete documentation is available. The IBS manuals reference such documentation where necessary. IBS is a dynamic system. Its capabilities are in a state of continuing expansion and enhancement.

  17. Integrated Baseline System (IBS), Version 1. 03. [Chemical Stockpile Emergency Preparedness Program

    Energy Technology Data Exchange (ETDEWEB)

    Bailey, B.M.; Burford, M.J.; Downing, T.R.; Matsumoto, S.W.; Schrank, E.E.; Williams, J.R.; Winters, C.

    1993-01-01

    The Integrated Baseline System (IBS), operated by the Federal Emergency Management Agency (FEMA), is a system of computerized tools for emergency planing and analysis. This document is the user guide for the IBS and explains how to operate the IBS system. The fundamental function of the IBS is to provide tools that civilian emergency management personnel can use in developing emergency plans and in supporting emergency management activities to cope with a chemical-releasing event at a military chemical stockpile. Emergency management planners can evaluate concepts and ideas using the IBS system. The results of that experience can then be factored into refining requirements and plans. This document provides information for the general system user, and is the primary reference for the system features of the IBS. It is designed for persons who are familiar with general emergency management concepts, operations, and vocabulary. Although the IBS manual set covers basic and advanced operations, it is not a complete reference document set. Emergency situation modeling software in the IBS is supported by additional technical documents. Some of the other LBS software is commercial software for which more complete documentation is available. The IBS manuals reference such documentation where necessary. IBS is a dynamic system. Its capabilities are in a state of continuing expansion and enhancement.

  18. 10 CFR Appendix E to Part 50 - Emergency Planning and Preparedness for Production and Utilization Facilities

    Science.gov (United States)

    2010-01-01

    .... Plant staff emergency assignments; c. Authorities, responsibilities, and duties on an onsite emergency... would be permitted, operating staff would have the opportunity to resolve problems (success paths... availability and operability. The frequency of ERDS testing will be quarterly unless otherwise set by NRC based...

  19. Rapid Spread of Zika Virus in The Americas - Implications for Public Health Preparedness for Mass Gatherings at the 2016 Brazil Olympic Games

    Directory of Open Access Journals (Sweden)

    Eskild Petersen

    2016-03-01

    Full Text Available Mass gatherings at major international sporting events put millions of international travelers and local host-country residents at risk of acquiring infectious diseases, including locally endemic infectious diseases. The mosquito-borne Zika virus (ZIKV has recently aroused global attention due to its rapid spread since its first detection in May 2015 in Brazil to 22 other countries and other territories in the Americas. The ZIKV outbreak in Brazil, has also been associated with a significant rise in the number of babies born with microcephaly and neurological disorders, and has been declared a ‘Global Emergency by the World Health Organization. This explosive spread of ZIKV in Brazil poses challenges for public health preparedness and surveillance for the Olympics and Paralympics which are due to be held in Rio De Janeiro in August, 2016. We review the epidemiology and clinical features of the current ZIKV outbreak in Brazil, highlight knowledge gaps, and review the public health implications of the current ZIKV outbreak in the Americas. We highlight the urgent need for a coordinated collaborative response for prevention and spread of infectious diseases with epidemic potential at mass gatherings events.

  20. Rapid Spread of Zika Virus in The Americas--Implications for Public Health Preparedness for Mass Gatherings at the 2016 Brazil Olympic Games.

    Science.gov (United States)

    Petersen, Eskild; Wilson, Mary E; Touch, Sok; McCloskey, Brian; Mwaba, Peter; Bates, Matthew; Dar, Osman; Mattes, Frank; Kidd, Mike; Ippolito, Giuseppe; Azhar, Esam I; Zumla, Alimuddin

    2016-03-01

    Mass gatherings at major international sporting events put millions of international travelers and local host-country residents at risk of acquiring infectious diseases, including locally endemic infectious diseases. The mosquito-borne Zika virus (ZIKV) has recently aroused global attention due to its rapid spread since its first detection in May 2015 in Brazil to 22 other countries and other territories in the Americas. The ZIKV outbreak in Brazil, has also been associated with a significant rise in the number of babies born with microcephaly and neurological disorders, and has been declared a 'Global Emergency by the World Health Organization. This explosive spread of ZIKV in Brazil poses challenges for public health preparedness and surveillance for the Olympics and Paralympics which are due to be held in Rio De Janeiro in August, 2016. We review the epidemiology and clinical features of the current ZIKV outbreak in Brazil, highlight knowledge gaps, and review the public health implications of the current ZIKV outbreak in the Americas. We highlight the urgent need for a coordinated collaborative response for prevention and spread of infectious diseases with epidemic potential at mass gatherings events.

  1. Ebola outbreak preparedness planning: a qualitative study of clinicians' experiences.

    Science.gov (United States)

    Broom, J; Broom, A; Bowden, V

    2017-02-01

    The 2014-15 Ebola outbreak in West Africa highlighted the challenges many hospitals face when preparing for the potential emergence of highly contagious diseases. This study examined the experiences of frontline health care professionals in an Australian hospital during the outbreak, with a focus on participant views on information, training and preparedness, to inform future outbreak preparedness planning. Semi-structured interviews were conducted with 21 healthcare professionals involved in Ebola preparedness planning, at a hospital in Australia. The data were systematically coded to discover key themes in participants' accounts of Ebola preparedness. Three key themes identified were: 1) the impact of high volumes of-often inconsistent-information, which shaped participants' trust in authority; 2) barriers to engagement in training, including the perceived relative risk Ebola presented; and finally, 3) practical and environmental impediments to preparedness. These clinicians' accounts of Ebola preparedness reveal a range of important factors which may influence the relative success of outbreak preparedness and provide guidance for future responses. In particular, they illustrate the critical importance of clear communication and guidelines for staff engagement with, and implementation of training. An important outcome of this study was how individual assessments of risk and trust are produced via, and overlap with, the dynamics of communication, training and environmental logistics. Consideration of the dynamic ways in which these issues intersect is crucial for fostering an environment that is suitable for managing an infectious threat such as Ebola. Copyright © 2016 The Royal Society for Public Health. All rights reserved.

  2. [El niño phenomenon and natural disasters: public health interventions for disaster preparedness and response].

    Science.gov (United States)

    Hijar, Gisely; Bonilla, Catherine; Munayco, Cesar V; Gutierrez, Ericson L; Ramos, Willy

    2016-06-01

    This article reviews public health interventions for preparedness and response to natural disasters within the context of El Niño phenomenon using systematic reviews and a review of revisions with emphasis on vector-borne diseases, water-borne diseases, malnutrition, heat stress, drought, flood-associated diseases, mental health problems, vulnerability of the physical health-system infrastructure, as well as long-term policies aimed at protecting the populations of these cases. Environmental interventions were identified, including vector control, chemoprophylaxis, immunization, and intradomiciliary water treatment. While these finds are based primarily on systematic reviews, it is necessary to evaluate the benefit of these interventions within the population, according to the context of each region.

  3. Report of Workshop on Emerging Concerns of Fishing Communities: Issues of Labour, Trade, Gender, Disaster Preparedness Biodiversity and Responsible Fisheries, Fortaleza, Brazil, 04-06 July 2006

    OpenAIRE

    2006-01-01

    The workshop on "Emerging Concerns of Fishing Communities: Issues of Labour, Trade, Gender, Disaster Preparedness, Biodiversity and Responsible Fisheries", 04 to 06 July 2006, was held in SESC, Fortaleza, Brazil. The workshop was co-hosted by the NGO Instituto Terramar. The document gives a detailed report of the presentations and discussions transpired in the workshop. It is also worth noting that the discussions at the workshop as well as the issues identified, fed directly into ICSF's Gene...

  4. An analysis of Chemical Stockpile Emergency Preparedness Program exercise results. Volume 2: Preliminary evaluation and analysis of CSEPP exercise database

    Energy Technology Data Exchange (ETDEWEB)

    Wernette, D.; Lerner, K.

    1998-06-01

    This study investigated the quality and usefulness of the information in the Chemical Stockpile Emergency Preparedness Program (CSEPP) exercise database. It incorporates the results of two separate analytical efforts. The first effort investigated the process of assigning standardized codes to issues identified in CSEPP exercise reports. A small group of issues was coded independently by each of several individuals, and the results of the individual codings were compared. Considerable differences were found among the individuals` codings. The second effort consisted of a statistical multivariate analysis, to investigate whether exercise issues are evenly distributed among exercise tabs, sites, and objectives. It was found that certain tabs, sites, and objectives were disproportionately associated with problem areas in exercises. In some cases, these problem areas have persisted over time, but in other cases they have undergone significant shifts over the time span of the investigation. The study concludes that the database can be a useful resource for analyzing problem areas and setting priorities for CSEPP program resources. However, some further analyses should be performed in order to more fully explore the data and increase confidence in the results.

  5. Nuclear emergency preparedness. Final report of the Nordic Nuclear Safety Research Project BOK-1

    DEFF Research Database (Denmark)

    Lauritzen, B.

    2002-01-01

    Final report of the Nordic Nuclear Safety Research project BOK-1. The BOK-1 project, “Nuclear Emergency Preparedness”, was carried out in 1998-2001 with participants from the Nordic and Baltic Sea regions. The project consists of six sub-projects:Laboratory measurements and quality assurance (BOK-1.......1); Mobile measurements and measurement strategies (BOK-1.2); Field measurements and data assimilation (BOK-1.3); Countermeasures in agriculture and forestry (BOK-1.4); Emergency monitoring in theNordic and Baltic Sea countries (BOK-1.5); and Nuclear exercises (BOK-1.6). For each sub-project, the project...

  6. Homeland Emergency Preparedness and the National Exercise Program: Background, Policy Implications, and Issues for Congress

    Science.gov (United States)

    2008-11-10

    rescue and medical professionals, among others. 18 Federal Emergency Management Agency, National Integration Center ( NIC ) Incident Management Systems...Program NEXS National Exercise Schedule NGB National Guard Bureau, DOD NGO Nongovernmental Organization NGO Nongovernmental Organization NIC National...Integration Center, FEMA NIMS National Incident Management System NLE National Level Exercise NOC National Operations Center NORAD North American Aerospace

  7. Emergency Preparedness Plan. DeWitt Army Community Hospital, Fort Belvoir, Virginia,

    Science.gov (United States)

    1997-12-31

    emergency situation. 5. DENT AC will respond to DACH’s requests for oral surgeons, a dental forensic team, and other manpower requirements as...Department of Psychology & Neurology Chief, Department of Radiology Chief, Department of Obstetrics & Gynecology Chief, Department of Dentistry

  8. Establishment of Dose-response Curves for Dicentrics and Premature Chromosome Condensation for Radiological Emergency Preparedness in Thailand

    Science.gov (United States)

    Rungsimaphorn, Benchawan; Rerkamnuaychoke, Budsaba; Sudprasert, Wanwisa

    2016-01-01

    The in vitro dose calibration curves using conventional biological dosimetry – dicentric chromosome assay (DCA) and premature chromosome condensation (PCC) assay – were performed for the first time in Thailand for reconstruction of radiation dose in the exposed individuals. The peripheral blood lymphocyte samples from healthy donors were irradiated with 137Cs source at a dose rate of 0.652 Gy/min to doses of 0.1, 0.25, 0.5, 0.75, 1, 2, 3, 4, and 5 Gy for DCA technique, and 5, 10, 15, 20, and 25 Gy for PCC technique. The blood samples were cultured and processed following the standard procedure as prescribed in the International Atomic Energy Agency report with slight modifications. The yield of dicentrics with dose from at least 1000 metaphases or 100 dicentrics was fitted to a linear quadratic model using Chromosome Aberration Calculation Software (CABAS, version 2.0) whereas those of PCC rings with dose from 100 rings was fitted to a linear quadratic equation at doses from 0 to 15 Gy. These curves will be useful for in vitro dose reconstruction and can support the preparedness for overexposure to radiation among public or occupational workers and eventual radiological accident in Thailand. PMID:28217284

  9. Next Generation Public Safety and Emergency Technologies

    DEFF Research Database (Denmark)

    Bonde, Camilla; Tadayoni, Reza; Skouby, Knud Erik

    2014-01-01

    The paper researches the existing European standards for Public Safety and Emergency (PSE) services (also called Public Protection Disaster Relief “PPDR”), and identifies based on user studies in Denmark conflicts between the current deployments of the standards and the user requirements. The aim...... is further to identify the potentials of new technologies for PSE. The paper deals with policy and technology frameworks, regulatory issues and in particular the spectrum issues in the current PPDR deployments in the EU countries. The paper draws on the results and concepts developed in two EU...

  10. Nuclear Disaster Preparedness for the Nuclear Facilities in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jong Soo; Lee, Gun Yub; Khang, Byung Oui; Lee, Hae Cho [KAERI, Daejeon (Korea, Republic of)

    2011-01-15

    An accident which is resulted a radiological emergency is very rare. However, once it is occurred, the accident will be affected to the near resident from the accident facility due to a radiation exposure. Further more it can be resulted in a negative growth of the nuclear industry. To reduce the exposure from the environment release of the radioactive materials and help the public relation from any vague mental stress, it is possible that the nuclear emergency preparedness is established in advance. Japan, JCO critical accident experienced, is commenced or renewed every year continuously related a law, regulations, manuals and procedures by Japan Nuclear Safety Committee. These are also considerable matters in our nuclear facility in point of view a technic or an arrangement. Therefore, this technical report is described the nuclear disaster preparedness which has published by Japan Nuclear Safety Committee. It will be useful as reference document for more improvement or establishment of the planning on our nuclear emergency preparedness

  11. Survey of emergency medicine resident debt status and financial planning preparedness.

    Science.gov (United States)

    Glaspy, Jeffrey N; Ma, O John; Steele, Mark T; Hall, Jacqueline

    2005-01-01

    Most resident physicians accrue significant financial debt throughout their medical and graduate medical education. The objective of this study was to analyze emergency medicine resident debt status, financial planning actions, and educational experiences for financial planning and debt management. A 22-item questionnaire was sent to all 123 Accreditation Council on Graduate Medical Education-accredited emergency medicine residency programs in July 2001. Two follow-up mailings were made to increase the response rate. The survey addressed four areas of resident debt and financial planning: 1) accrued debt, 2) moonlighting activity, 3) financial planning/debt management education, and 4) financial planning actions. Descriptive statistics were used to analyze the data. Survey responses were obtained from 67.4% (1,707/2,532) of emergency medicine residents in 89 of 123 (72.4%) residency programs. Nearly one half (768/1,707) of respondents have accrued more than 100,000 dollars of debt. Fifty-eight percent (990/1,707) of all residents reported that moonlighting would be necessary to meet their financial needs, and more than 33% (640/1,707) presently moonlight to supplement their income. Nearly one half (832/1,707) of residents actively invested money, of which online trading was the most common method (23.3%). Most residents reported that they received no debt management education during residency (82.1%) or medical school (63.7%). Furthermore, 79.1% (1,351/1,707) of residents reported that they received no financial planning lectures during residency, although 84.2% (1,438/1,707) reported that debt management and financial planning education should be available during residency. Most emergency medicine residency programs do not provide their residents with financial planning education. Most residents have accrued significant debt and believe that more financial planning and debt management education is needed during residency.

  12. The New York City eClinician Project: using Personal Digital Assistants and wireless internet access to support emergency preparedness and enhance clinical care in community health centers.

    Science.gov (United States)

    Adusumilli, Sri Raj; Tobin, Jonathan N; Younge, Richard G; Kendall, Mat; Kukafka, Rita; Khan, Sharib; Chang, Otto; Mahabir, Kasandra

    2006-01-01

    The New York City Department of Health and Mental Hygiene, The Community Health Care Association of New York State and Clinical Directors Network are collaborating on the "eClinician Project," which has distributed seven hundred public health-friendly, wireless (WiFi) enabled Personal Digital Assistants (PDAs) to primary care clinicians working in New York City, federally funded, Community Health Centers (CHC) which serve minority underserved communities that suffer a disproportionate burden of chronic disease and lack access to health promotion disease prevention services. Each participating health center also received a wireless router to create an onsite internet hot spot to enable clinicians to have internet access. The goals of the eClinician Project are to: 1) To encourage adoption of information technology among providers in Community Health Centers in New York City by providing PDAs as a first line strategy towards achieving this goal, 2) enhance access to information on emergency preparedness, 3) improve patient outcomes by providing PDA-based clinical decision-support tools that support evidence-based care, 4) encourage chronic care management and health promotion/disease prevention activities, and 5) increase productivity and efficiency. CHC clinicians have received a hands-on, on-site orientation to PDAs. Ongoing training has continued via online CME-accredited webcasts (see www.CDNetwork.org). Clinical decision-support tools are available for download via the eClinician project web portal (see www.eClinician.org ). Public health alerts can be delivered to the PDAs or to the clinicians' desktop computers. Pre and post training surveys, in addition to a case study, have been used to evaluate the population demographics, PDA adoption by the clinicians, clinician attitudes towards using PDAs, PDA influence on clinical-decision making and barriers to adoption of PDAs and information technology in general.

  13. Lessons from Chornobyl: Considerations for Strengthening Radiation Emergency Preparedness in Ukraine.

    Science.gov (United States)

    Bazyka, Dimitry; Belyi, David; Chumak, Anatolii

    2016-09-01

    The response to the accident at the Chornobyl Nuclear Power Plant was analyzed. Measures taken in the early and late period after the accident were considered, and achievements and mistakes were estimated. The legal framework for dose estimation and registration and treatment of radiation effects were described. Disseminating scientific information to the public is critical to preventing early and remote radiation effects.

  14. Re-Emergence of Congo Virus in Pakistan: Call for Preparedness

    Directory of Open Access Journals (Sweden)

    Tauseef Ahmad

    2016-08-01

    Full Text Available Crimean-congo hemorrhagic fever (CCHF once again re-emerged in Pakistan. In July 2016, 2 CCHF cases were reported from Lodhran and Bahawalpur districts of Pakistan. Later on the CCHF virus was also reported from other region of the country including Balochistan, Karachi and Khyber Pakhtunkhwa. Up to 22 August 2016, a total of 20 deaths were reported of which 12 from Balochistan, 5 from Karachi, 2 from Bahawalpur and 1 from Khyber Pakhtunkhwa. Precautions measurements and awareness is necessary to protect the normal individuals away from this fatal disease. The media, health department and government need to play their active role to stop the spread of CCHF in the country. [Biomed Res Ther 2016; 3(8.000: 742-744

  15. Establishment of a radiological dose assessment system for HANARO emergency preparedness

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Eun Han; Han, Moon Hee; Suh, Kyung Suk; Hwang, Won Tae; Choi, Young Gil

    1999-12-01

    A radiological dose assessment system has been established to calculate the three-dimensional wind field based on the observed data at meteorological towers, and to calculate the exposure dose in the radiological accidents or for emergency training. The wind fields program has been constructed to calculate the real-time wind field using the atmospheric stability and the diffusion parameters based on the meteorological data sets measured from two meteorological towers. The result is separated into the effective dose and thyroid dose with 4 age groups such as infant, children, teenage and adult. Dose rate and cumulated dose for above each termare calculated and repeated for the prediction and modification according to the elapsed time. The evaluated data sets are displayed on the map around KAERI site with social and environmental information which is made with GIS. (author)

  16. Improved Emergency Preparedness For Management Of The Food chain Via Stakeholder Involvement: Belgian and European Experience

    Energy Technology Data Exchange (ETDEWEB)

    Hardeman, Frank; Carle, Benny [SCK.CEN, the Belgian Nuclear Research Centre, Boeretang 200, 2400 Mol (Belgium); Turcanu, Catrinel [Universite Libre de Bruxelles, Av. F. Roosevelt 50, 1050 Brussels (Belgium); Vandecasteele, Christian [FANC, Federal Agency for Nuclear Control, Ravensteinstraat 36, 1000 Brussels (Belgium)

    2006-07-01

    Initiatives involving stakeholder engagement have gained increasing importance in sustainable decision making for many risk-related issues. This paper describes a Belgian experience within a European context related to food management options in the event of a radioactive contamination of the food chain. Under the auspices of the European Commission's 5. Framework Programme, the F.A.R.M.I.N.G. (F.A.R.M.I.N.G. 2000) project (co-ordinated by H.P.A.) a stakeholder network was established in a number of European countries, following a successful approach originally adopted in the UK. In a comparable approach, national working groups were thus established in Belgium, Finland, France and Greece in order to organise stakeholder panels and to discuss the outcomes of scientific and technical research related to management options for the food chain. The results of these panels were exchanged between participating Member States and on a wider international basis at the W.I.S.D.O.M.2. workshop in 2003. The F.A.R.M.I.N.G. project had many achievements and there were also several important lessons learned for Belgium (Vandecasteele et al., 2005): Firstly, many stakeholders showed a real interest in tackling problems relating to food chain contamination; Secondly, the Belgian agricultural system is very intensive and technically and economically optimised, making many of the options envisaged difficult to implement; thirdly, the applicability of management options is also limited by political and legal issues (e.g. competencies, environmental legislation), operational constraints (e.g. waste treatment, supplies of materials), societal and ethical aspects (e.g. milk disposal to sea, animal welfare), and economics (e.g. who pays the intervention cost?); fourthly, there is a now a greater awareness of these problems in both the food production sector and among the experts involved in emergency management; Fifthly, increased attention is now given in Belgium to the medium and

  17. Medical Countermeasures for Children in Public Health Emergencies, Disasters, or Terrorism.

    Science.gov (United States)

    2016-02-01

    Significant strides have been made over the past 10 to 15 years to develop medical countermeasures (MCMs) to address potential disaster hazards, including chemical, biological, radiologic, and nuclear threats. Significant and effective collaboration between the pediatric health community, including the American Academy of Pediatrics, and federal partners, such as the Office of the Assistant Secretary for Preparedness and Response, Centers for Disease Control and Prevention, Federal Emergency Management Agency, National Institutes of Health, Food and Drug Administration, and other federal agencies, over the past 5 years has resulted in substantial gains in addressing the needs of children related to disaster preparedness in general and MCMs in particular. Yet, major gaps still remain related to MCMs for children, a population highly vulnerable to the effects of exposure to such threats, because many vaccines and pharmaceuticals approved for use by adults as MCMs do not yet have pediatric formulations, dosing information, or safety information. As a result, the nation's stockpiles and other caches (designated supply of MCMs) where pharmacotherapeutic and other MCMs are stored are less prepared to address the needs of children compared with those of adults in the event of a disaster. This policy statement provides recommendations to close the remaining gaps for the development and use of MCMs in children during public health emergencies or disasters. The progress made by federal agencies to date to address the needs of children and the shared commitment of collaboration that characterizes the current relationship between the pediatric health community and the federal agencies responsible for MCMs should encourage all child advocates to invest the necessary energy and resources now to complete the process of remedying the remaining significant gaps in preparedness.

  18. Competency in chaos: lifesaving performance of care providers utilizing a competency-based, multi-actor emergency preparedness training curriculum.

    Science.gov (United States)

    Scott, Lancer A; Swartzentruber, Derrick A; Davis, Christopher Ashby; Maddux, P Tim; Schnellman, Jennifer; Wahlquist, Amy E

    2013-08-01

    Providing comprehensive emergency preparedness training (EPT) to care providers is important to the future success of disaster operations in the US. Few EPT programs possess both competency-driven goals and metrics to measure performance during a multi-patient simulated disaster. A 1-day (8-hour) EPT course for care providers was developed to enhance provider knowledge, skill, and comfort necessary to save lives during a simulated disaster. Nine learning objectives, 18 competencies, and 34 performance objectives were developed. During the 2-year demonstration of the curriculum, 24 fourth-year medical students and 17 Veterans Hospital Administration (VHA) providers were recruited and volunteered to take the course (two did not fully complete the research materials). An online pre-test, two post-tests, course assessment, didactic and small group content, and a 6-minute clinical casualty scenario were developed. During the scenario, trainees working in teams were confronted with three human simulators and 10 actor patients simultaneously. Unless appropriate performance objectives were met, the simulators "died" and the team was exposed to "anthrax." After the scenario, team members participated in a facilitator-led debriefing using digital video and then repeated the scenario. Trainees (N = 39) included 24 (62%) medical students; seven (18%) physicians; seven (18%) nurses; and one (3%) emergency manager. Forty-seven percent of the VHA providers reported greater than 16 annual hours of disaster training, while 15 (63%) of the medical students reported no annual disaster training. The mean (SD) score for the pre-test was 12.3 (3.8), or 51% correct, and after the training, the mean (SD) score was 18.5 (2.2), or 77% (P < .01). The overall rating for the course was 96 out of 100. Trainee self-assessment of "Overall Skill" increased from 63.3 out of 100 to 83.4 out of 100 and "Overall Knowledge" increased from 49.3 out of 100 to 78.7 out of 100 (P < .01). Of the 34

  19. Ireland's Agricultural Preparedness for Nuclear Emergencies - Application to the Dairy Sector

    Energy Technology Data Exchange (ETDEWEB)

    Organo, Catherine [Environmental Protection Agency, Office of Radiological Protection, 3 Clonskeagh Square, Clonskeagh Road, Dublin 14 (Ireland); Darcy, Marie [Department of Agriculture, Food and the Marine, Grattan Business Centre, Portlaoise, Co. Laois (Ireland)

    2014-07-01

    Nuclear Accident Abroad. Based on the generic EURANOS Food Handbook (2009) which advises on the management of a radiological emergency in Europe, the Irish Food Handbook is a living document developed by a multi-agency working group set up to specifically address potential Irish scenarios and their possible consequences for the Irish agriculture and agri-food sectors. Contributors include the RPII, the Food Safety Authority of Ireland (FSAI), the DECLG and the Department of Agriculture, Food and the Marine (DAFM). The presentation will specifically look at the example of the dairy sector because of its importance to the Irish economy (second largest share of Ireland's gross agriculture output with 80-85% of dairy products exported) and also due to the fact that milk is particularly vulnerable to nuclear fallout/contamination and can be considered a key food group. (authors)

  20. Emergency preparedness activities during an ongoing seismic swarm: the experience of the 2011-2012 Pollino (Southern Italy) sequence

    Science.gov (United States)

    Masi, A.; Mucciarelli, M.; Chiauzzi, L.; De Costanzo, G.; Loperte, G.

    2012-04-01

    Facing natural disasters effects can be a very difficult task lacking suitable activities and tools to preventively prepare the involved community (people, authorities, professionals, …) to the expected events. Therefore, a suite of preventive actions should be carried out to mitigate natural risks, in particular working to reduce the territorial vulnerability with respect to the specific natural hazard at hand, and to increase people response capacity. In fact, building social capacity helps to increase the risk perception and the people capacity to adapt to and cope with natural hazards. Since October 2011 a seismic swarm is affecting the Pollino mountain range, Southern Italy. At present the sequence is still ongoing, with more than 500 events with M>1, at least 40 well perceived by the population and a maximum magnitude at 3.6. The area mainly affected by the seismic sequence includes 12 villages, with a total population of about 50.000 inhabitants and, according to the current seismic hazard map it has high seismicity level. Such area was hit by a magnitude Ml=5.7 event in 1998 that produced macroseismic intensity not higher that VII-VIII degree of MCS scale and caused one dead, some injured and widespread damage in at least six municipalities. During the sequence, the National Department of Civil Protection (DPC) and the Civil Protection of Basilicata Region decided to put in action some measures aimed at verifying and enhancing emergency preparedness. These actions have been carried out with a constant and fruitful collaboration among the main stakeholders involved (scientific community, local and national governmental agencies, civil protection volunteers, etc) trough the following main activities: 1. collaboration between scientific community and the local and national offices of Civil Protection especially in the relationship with local authorities (e.g. mayors, which are civil protection authorities in their municipality); 2. interaction between DPC

  1. Legionella is an emerging Public Health problem

    Directory of Open Access Journals (Sweden)

    Paola Borella

    2004-12-01

    Full Text Available

    The issue of Legionnaires’ disease has emerged as a major public health problem, interesting not only researchers, but also managers of public and private organisations, those responsible for public health, the general population and occasionally magistrates.

    The cases of legionellosis are increasing as a result of improved etiological diagnostic methods, population lifestyles and characteristics which favour the presence of the responsible organism in the environment which leads to the frequent exposure and transmission of the disease to at-risk groups whose relative numbers are growing.

    Legionella spp is an opportunistic waterborne pathogen that finds its ideal habitat in warm-humid environments, it is able to survive in conditions unfavourable to other germs (elevated temperatures, presence of biocides, etc. and multiply in particular ecological niches (amoebas and other protozoa, biofilm.

    Because of this, it frequently colonises the hot water systems of houses, hotels, campsites, sports centres, hospitals, tertiary care centres, etc., as well as air-conditioning cooling towers, evaporative condensers and places where water stagnates at temperatures of at least 20°C. From our experience,the disease is frequently contracted by inhaling aerosols from the contaminated water systems of houses or work places, but it has also been contracted during stays in holiday accommodation, from using baths/showers in sports and recreation centres and finally during hospital stays.

  2. Facilitators and Barriers for Effective Academic-Community Collaboration for Disaster Preparedness and Response.

    Science.gov (United States)

    Dunlop, Anne L; Logue, Kristi M; Vaidyanathan, Lekshmi; Isakov, Alexander P

    2016-01-01

    For academic institutions to meaningfully contribute to community-disaster preparedness and response, they must effectively collaborate with governmental public health and emergency management agencies. To explore the opinions of leaders of public health and emergency management agencies and academic institutions regarding the facilitators for and barriers to effective collaboration for disaster preparedness and response. We convened focus groups of leaders of state and local public health and emergency management agencies and academic institutions in conjunction with the 2010 Public Health Preparedness Summit and the 2010 Southeastern Center for Emerging Biological Threats Meeting. We employed a semistructured interview guide to elicit information about resources leveraged for community preparedness and response and perceived facilitators and barriers to engagement and on-going collaboration. Focus groups were transcribed verbatim. We performed thematic analysis of the transcripts employing a data-coding scheme based on emergent themes. Academic institutions engaged with public health and emergency management agencies in the provision of an array of resources for community-disaster preparedness and response, ranging from technical expertise to the conduct of training activities, workforce surge capacity, and facility sharing. Recognized barriers to engagement included unfamiliarity of organizational personnel, concerns about ownership of outputs resulting from the collaboration, and differences in organizational culture and modus operandi. On-going relationships through shared training of students and staff and participation in community-level partner meetings facilitated collaboration in disaster response as does having a recognizable point of contact that can comprehensively represent academic institutional resources. Legal issues were identified as both facilitators (eg, contracts) and barriers (eg, liability concerns) to engagement. There are both recognized

  3. Emergency Responder Personal Preparedness

    Science.gov (United States)

    2011-12-01

    Question 31: If you are on duty and highly contagious disease outbreak, such as a bird flu epidemic, were to happen in your community how severe do you...and a hazardous materials accident (average rating of 2.70, n=1,155). If a bird flu epidemic or hazardous materials accident occurred in the

  4. Preparedness on the frontline: what's law got to do with it?

    Science.gov (United States)

    Lichtveld, Maureen; Hodge, James G; Gebbie, Kristine; Thompson, F E; Loos, Diane I

    2002-01-01

    The article provides an overview of current work toward identifying core competencies for public health emergency and bio-terrorism response, including law-related competencies. It demonstrates how competency sets are interrelated and how they provide a framework for developing preparedness training for public health leaders, public health and health care professionals, law enforcement, public health attorneys, and others. The health and safety of America's communities hinge on the nation's public health workforce--the estimated 448,254 public health professionals and 3 million related workforce professionals who form the expanded public health system that protects us during times of national crisis and in our daily lives. The response capacity of our health agencies and communities and their ability to respond effectively will be unpredictable without adequate training. Education in the core competencies in emergency preparedness and bio-terrorism response is essential. Preparedness at the front-line means that public health leaders and administrators must be able to communicate information, roles, capacities, and legal authorities to all emergency response partners during planning, drills, and actual emergencies. Each public health worker must be able to describe his or her communication role in emergency response within the agency, with the media, and with the general public. Law enforcement and state government representatives must understand the legal powers of their agencies and of public health agencies for coordinated response, mitigation, and recovery efforts in a public health emergency event.

  5. Emergence of cooperation in public goods games.

    Science.gov (United States)

    Kurokawa, Shun; Ihara, Yasuo

    2009-04-07

    Evolution of cooperation has been a major issue in evolutionary biology. Cooperation is observed not only in dyadic interactions, but also in social interactions involving more than two individuals. It has been argued that direct reciprocity cannot explain the emergence of cooperation in large groups because the basin of attraction for the 'cooperative' equilibrium state shrinks rapidly as the group size increases. However, this argument is based on the analysis of models that consider the deterministic process. More recently, stochastic models of two-player games have been developed and the conditions for natural selection to favour the emergence of cooperation in finite populations have been specified. These conditions have been given as a mathematically simple expression, which is called the one-third law. In this paper, we investigate a stochastic model of n-player games and show that natural selection can favour a reciprocator replacing a population of defectors in the n-player repeated Prisoner's Dilemma game. We also derive a generalized version of the one-third law (the {2/[n(n+1)]}1/(n-1) law). Additionally, contrary to previous studies, the model suggests that the evolution of cooperation in public goods game can be facilitated by larger group size under certain conditions.

  6. Public health preparedness for the world's largest mass gathering: 2010 World Exposition in Shanghai, China.

    Science.gov (United States)

    Yi, He; Zheng'an, Yuan; Fan, Wu; Xiang, Guo; Chen, Dong; Yongchao, He; Xiaodong, Sun; Hao, Pan; Mahany, Mollie; Keim, Mark

    2012-12-01

    The 2010 World Exposition in Shanghai China (Expo) was the largest mass gathering in world history, attracting a record 72 million visitors. More than 190 countries participated in the Expo, along with more than 50 international organizations. The 2010 Expo was six months in duration (May 1 through October 30, 2010), and the size of the venue site comprised 5.28 square kilometers. Great challenges were imposed on the public health system in Shanghai due to the high number and density of visitors, long duration of the event, and other risk factors such as high temperatures, typhoon, etc. As the major metropolitan public health agency in Shanghai, the Shanghai Municipal Center for Disease Control and Prevention (SCDC) implemented a series of actions in preparing for, and responding to, the potential health impact of the world's largest mass gathering to date, which included partnerships for capacity building, enhancement of internal organizational structure, risk assessment, strengthened surveillance, disaster planning and exercises, laboratory management, vaccination campaign, health education, health intervention, risk communication and mass media surveillance, and technical support for health inspection. The clear-cut organizational structures and job responsibilities, as well as comprehensive operational and scientific preparations, were key elements to ensure the success of the 2010 World Exposition.

  7. Zika Virus: An Emerging Public Health Challenge

    Directory of Open Access Journals (Sweden)

    Sumeena Basundra

    2016-07-01

    Full Text Available Emerging infectious diseases comprise a substantial proportion of global morbidity and mortality. The world has been hit by Zika virus (ZIKV after it was able to surmount an effective public health response for its control. ZIKV disease is an emerging mosquitoborne disease which occurred as large outbreaks in Yap since 2007, Polynesia in 2013 and Brazil in 2015. ZIKV infection in pregnant women has been observed to be associated with congenital microcephaly with neurological and autoimmune sequelae in general population of Brazil. The incubation period of ZIKV varies from few days to weeks. Only 20% of infected cases have symptoms like any other arboviral illness. ZIKV is diagnosed using RT-PCR (reverse transcriptase-polymerase chain reaction and virus isolation from blood samples. The treatment comprises of relief of symptoms by conservative management with no specific vaccine being available. The prevention and control of ZIKV is based on reduction of vector density by Integrated Vector Management and personal protection measures. As per Indian scenario, Ministry of Health had issued guidelines based on effective surveillance, risk communication, laboratory and travel regulations. Approaches to such a potential global health security threat should be consistent, proactive, and should involve coordinated, multi-pronged, multilateral collaborative efforts since the concern is at the highest and immediate because of Global epidemic, Rio de Janeiro Olympic Games starting from Aug 5-21, 2016 and strong association with microcephaly. Most importantly the need of the hour is the development of vaccine for protection especially the young women who are in the reproductive age groups. The research for which is ongoing as far as the current situation of global epidemic response is concerned.

  8. Social Media: Gateway to Public Preparedness and Understanding of GeoHazards

    Science.gov (United States)

    Ballmann, J. E.; Bohon, W.; Bartel, B. A.

    2016-12-01

    The clear, timely communication of natural hazards information is critical to providing the public with the tools and information they need to make informed decisions before, during, and after events such as earthquakes, tsunamis, and volcanic eruptions. For the geohazards community, this is a multi-sector collaboration involving partners from national, state, and local governments, businesses, educational organizations, non-profit groups, and scientific institutions, for the benefit and participation of the whole community. Communications channels must be clear, consistent, and unified for the sake of maximum reach. One method of public communication that has proven to be particularly effective in disseminating hazards-related information is social media. The broad social and geographic reach of social media coupled with its ubiquitous use in all age groups makes it a powerful way to reach large segments of the population. Social media is already widely used by mass media and scientific organizations to communicate science and hazards. However, it is important that science organizations present a united and clear message, particularly about hazards preparation and response. The Southern California Earthquake Center (SCEC), UNAVCO, and the Incorporated Research Institutions for Seismology (IRIS) have created a Joint Social Media Task Force. The objective of this collaboration is 1) to build social media communities and improve the reach of science messaging, 2) to create and present consistent and clear messaging across social media platforms and regional facilities, 3) to promote outstanding products and educational information , 4) to assist and collaborate in regional, national and international efforts (TweetChats, Reddit fora, ShakeOut, etc.) and 5) to assist and support the efforts of FEMA, the USGS and other partner organizations during crisis situations. Here, we outline the difficulties and successes of creating such an alliance and provide a road map

  9. Interim directive ID 2001-5 : public safety and sour gas policy implementation recommendations 54, 60, and 61 : site-specific emergency response plans for sour gas operations, emergency planning zones, and reduced planning zones

    Energy Technology Data Exchange (ETDEWEB)

    McCrank, N. [Alberta Energy and Utilities Board, Calgary, AB (Canada)

    2001-08-01

    A report of findings and recommendations was presented to the Alberta Energy and Utilities Board (EUB) in December 2000 by the Provincial Advisory Committee on Public Safety and Sour Gas (Advisory Committee). Emergency planning zones (EPZs) and emergency response plans (ERPs) for sour gas operations and how they translate into EUB practices and requirements are topics that were identified in the recommendations. A full review of current emergency preparedness requirements, including the methodology for the determination of EPZs, will be undertaken by the EUB to address these recommendations. The outcome of the update of information concerning health effects of hydrogen sulfide and sulphur dioxide, as well as the review of the current use of dispersion models and probabilistic risk assessment is expected to greatly affect the review on emergency preparedness. The comprehensive review of ERP requirements and determination of EPZs, including reduced EPZs, will take place upon completion of the updated health information, which is expected to take approximately 18 to 24 months. Effective immediately, this interim directive provides additional clarification on the administration of these existing requirements by the EUB, and the document includes new requirements to be used in the interim. This document was prepared in response to Recommendations 54, 60, and 61. It should be noted that the current emergency response planning and preparedness requirements in place remain valid until they are replaced or rescinded. 4 figs.

  10. Climate change and local public health in the United States: preparedness, programs and perceptions of local public health department directors.

    Directory of Open Access Journals (Sweden)

    Edward W Maibach

    Full Text Available While climate change is inherently a global problem, its public health impacts will be experienced most acutely at the local and regional level, with some jurisdictions likely to be more burdened than others. The public health infrastructure in the U.S. is organized largely as an interlocking set of public agencies at the federal, state and local level, with lead responsibility for each city or county often residing at the local level. To understand how directors of local public health departments view and are responding to climate change as a public health issue, we conducted a telephone survey with 133 randomly selected local health department directors, representing a 61% response rate. A majority of respondents perceived climate change to be a problem in their jurisdiction, a problem they viewed as likely to become more common or severe over the next 20 years. Only a small minority of respondents, however, had yet made climate change adaptation or prevention a top priority for their health department. This discrepancy between problem recognition and programmatic responses may be due, in part, to several factors: most respondents felt personnel in their health department--and other key stakeholders in their community--had a lack of knowledge about climate change; relatively few respondents felt their own health department, their state health department, or the Centers for Disease Control and Prevention had the necessary expertise to help them create an effective mitigation or adaptation plan for their jurisdiction; and most respondents felt that their health department needed additional funding, staff and staff training to respond effectively to climate change. These data make clear that climate change adaptation and prevention are not currently major activities at most health departments, and that most, if not all, local health departments will require assistance in making this transition. We conclude by making the case that, through their

  11. Climate change and local public health in the United States: preparedness, programs and perceptions of local public health department directors.

    Science.gov (United States)

    Maibach, Edward W; Chadwick, Amy; McBride, Dennis; Chuk, Michelle; Ebi, Kristie L; Balbus, John

    2008-07-30

    While climate change is inherently a global problem, its public health impacts will be experienced most acutely at the local and regional level, with some jurisdictions likely to be more burdened than others. The public health infrastructure in the U.S. is organized largely as an interlocking set of public agencies at the federal, state and local level, with lead responsibility for each city or county often residing at the local level. To understand how directors of local public health departments view and are responding to climate change as a public health issue, we conducted a telephone survey with 133 randomly selected local health department directors, representing a 61% response rate. A majority of respondents perceived climate change to be a problem in their jurisdiction, a problem they viewed as likely to become more common or severe over the next 20 years. Only a small minority of respondents, however, had yet made climate change adaptation or prevention a top priority for their health department. This discrepancy between problem recognition and programmatic responses may be due, in part, to several factors: most respondents felt personnel in their health department--and other key stakeholders in their community--had a lack of knowledge about climate change; relatively few respondents felt their own health department, their state health department, or the Centers for Disease Control and Prevention had the necessary expertise to help them create an effective mitigation or adaptation plan for their jurisdiction; and most respondents felt that their health department needed additional funding, staff and staff training to respond effectively to climate change. These data make clear that climate change adaptation and prevention are not currently major activities at most health departments, and that most, if not all, local health departments will require assistance in making this transition. We conclude by making the case that, through their words and actions

  12. Regional approaches to hospital preparedness.

    Science.gov (United States)

    Maldin, Beth; Lam, Clarence; Franco, Crystal; Press, David; Waldhorn, Richard; Toner, Eric; O'Toole, Tara; Inglesby, Thomas V

    2007-03-01

    This article describes issues related to the engagement of hospitals and other community partners in a coordinated regional healthcare preparedness and response effort. The report is based on interviews with public health and hospital representatives from 13 regions or states across the country. It aims to identify key ingredients for building successful regional partnerships for healthcare preparedness as well as critical challenges and policy and practical recommendations for their development and sustainability.

  13. Emerging vector-borne zoonoses: eco-epidemiology and public health implications in India.

    Science.gov (United States)

    Dhiman, Ramesh C

    2014-01-01

    The diseases originating from animals or associated with man and animals are remerging and have resulted in considerable morbidity and mortality. The present review highlights the re-emergence of emerging mainly zoonotic diseases like chikungunya, scrub typhus, and extension of spatial distribution of cutaneous leishmaniasis from western Rajasthan to Himachal Pradesh, Kerala, and Haryana states; West Nile virus to Assam, and non-endemic areas of Japanese encephalitis (JE) like Maharashtra and JE to Delhi; Crimean-Congo hemorrhagic fever making inroads in Ahmedabad; and reporting fifth parasite of human malaria with possibility of zoonosis have been highlighted, which necessitates further studies for prevention and control. Emphasis has been given on understanding the ecology of reservoir hosts of pathogen, micro niche of vector species, climatic, socioeconomic risk factors, etc. Development of facilities for diagnosis of virus from insects, reservoirs, and human beings (like BSL4, which has been established in NIV, Pune), awareness about symptoms of new emerging viral and other zoonotic diseases, differential diagnosis, risk factors (climatic, ecological, and socioeconomic) and mapping of disease-specific vulnerable areas, and mathematical modeling for projecting epidemiological scenario is needed for preparedness of public health institutes. It is high time to understand the ecological link of zoonotic or anthroponotic diseases for updated risk maps and epidemiological knowledge for effective preventive and control measures. The public health stakeholders in India as well as in Southeast Asia should emphasize on understanding the eco-epidemiology of the discussed zoonotic diseases for taking preventive actions.

  14. Transparency during public health emergencies: from rhetoric to reality

    OpenAIRE

    2009-01-01

    Effective management of public health emergencies demands open and transparent public communication. The rationale for transparency has public health, strategic and ethical dimensions. Despite this, government authorities often fail to demonstrate transparency. A key step in bridging the gap between the rhetoric and reality is to define and codify transparency to put in place practical mechanisms to encourage open public health communication for emergencies. The authors demonstrate this appro...

  15. Transparency during public health emergencies: from rhetoric to reality.

    Science.gov (United States)

    O'Malley, P; Rainford, J; Thompson, A

    2009-08-01

    Effective management of public health emergencies demands open and transparent public communication. The rationale for transparency has public health, strategic and ethical dimensions. Despite this, government authorities often fail to demonstrate transparency. A key step in bridging the gap between the rhetoric and reality is to define and codify transparency to put in place practical mechanisms to encourage open public health communication for emergencies. The authors demonstrate this approach using the example of the development and implementation process of a public health emergency information policy.

  16. Leptospirosis: an emerging global public health problem

    Indian Academy of Sciences (India)

    P Vijayachari; A P Sugunan; A N Shriram

    2008-11-01

    Leptospirosis has been recognized as an emerging global public health problem because of its increasing incidence in both developing and developed countries. A number of leptospirosis outbreaks have occurred in the past few years in various places such as Nicaragua, Brazil and India. Some of these resulted due to natural calamities such as cyclone and floods. It is a direct zoonotic disease caused by spirochetes belonging to different pathogenic species of the genus Leptospira. Large number of animals acts as carriers or vectors. Human infection results from accidental contact with carrier animals or environment contaminated with leptospires. The primary source of leptospires is the excretor animal, from whose renal tubules leptospires are excreted into the environment with the animal urine. Majority of leptospiral infections are either sub clinical or result in very mild illness and recover without any complications. However, a small proportion develops various complications due to involvement of multiple organ systems. In such patients, the clinical presentation depends upon the predominant organs involved and the case fatality ratio could be about 40% or more. Febrile illness with icterus, splenomegaly and nephritis (known as Weil’s disease), acute febrile illness with severe muscle pain, febrile illness with pulmonary haemorrhages in the form of haemoptysis, jaundice with pulmonary haemorrhages, jaundice with heamaturea, meningitis with haemorrhages including sub conjunctival haemorrhage or febrile illness with cardiac arrhythmias with or without haemorrhages are some of the syndromes. Because of the protean manifestations of leptospirosis it is often misdiagnosed and under-reported. Although the basic principles of prevention such as source reduction, environmental sanitation, more hygienic work-related and personal practices etc., are same everywhere, there is no universal control method applicable to all epidemiological settings. Comprehensive

  17. Death preparedness: a concept analysis.

    Science.gov (United States)

    McLeod-Sordjan, Renee

    2014-05-01

    To report analysis of the concept death preparedness in the context of end-of-life shared decisions and communication. Forty percent of older people require decision-making and communication in the final days of life. Elaborate defence mechanisms have yielded a public consciousness that no longer passively views death acceptance, but instead has a defensive orientation of preparedness. The term 'death preparedness' depicts this death attitude. Concept analysis. Data were collected over 3 months in 2013. A series of searches of scholarly peer-reviewed literature published in English were conducted of multiple databases. Specific keywords included such phrases as: death acceptance, death avoidance, death rejection, death preparedness, resolution of life, breaking bad news and readiness to die. Walker and Avant's method was chosen as a deductive method to distinguish between the defining attributes of death preparedness and its relevant attributes. Death preparedness involves a transition of facilitated communication with a healthcare provider that leads to awareness and/or acceptance of end of life, as evidenced by an implementation of a plan. An appraisal of attitudes towards death and one's mortality precedes the concept, followed by an improved quality of death and dignity at end of life. The concept of death preparedness in the process of dying should be the focus of research to explore areas to improve advanced directive planning and acceptance of palliation for chronic health conditions. © 2013 John Wiley & Sons Ltd.

  18. Preparedness for the evaluation and management of mass casualty incidents involving anticholinesterase compounds: a survey of emergency department directors in the 12 largest cities in the United States.

    Science.gov (United States)

    Madsen, James M; Greenberg, Michael I

    2010-01-01

    Anticholinesterases include carbamate and organophosphorus (OP) insecticides and nerve agents. Release of these compounds can flood emergency departments (EDs) with large numbers of poisoned victims and worried individuals. It was hypothesized that despite the focus of disaster preparedness on large metropolitan areas, EDs in these cities would still report self-perceptions of deficiencies in preparedness for mass casualty incidents (MCIs) involving these chemicals. A secure and anonymous online survey was prepared and piloted, and E-mail invitations were sent to the physician directors of the 220 continuously staffed EDs in the 12 most populous incorporated cities in the United States. Forty-six ED directors could not be contacted despite repeated attempts. Of the remaining 174 directors, eight declined and 89 took the survey, for a response rate of 51.1 percent. Fewer than 20 percent were very confident in the effectiveness of their training, and only 4.9 percent were very confident that drills had given them the preparation that they needed. Only 45. 7 percent of reporting hospitals had a board-certified medical toxicologist to help in such an emergency. Almost two-thirds (73.6 percent) of those familiar with the online Radiation Event Medical Management (REMM) module from the National Library of Medicine and the National Institutes of Health thought that a chemical counterpart to REMM would be either moderately or very helpful for MCIs involving anticholinesterases. This study demonstrates that physician ED directors perceived marked deficiencies in their abilities to respond to this kind of toxicological emergency and suggests critical directions for remediation of these deficiencies.

  19. Preparedness of Operation Teams' Non-technical Skills in a Main Control Room of Nuclear Power Plants to Manage Emergency Situations

    Energy Technology Data Exchange (ETDEWEB)

    Yim, Ho Bin; Kim, Ar Ryum; Seong, Poong Hyun [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2012-05-15

    Human reliability is one of the important determinants for the system safety. Nuclear Energy Agency reported that approximately half of events reported by foreign nuclear industry were related with inappropriate human actions. The human error problems can be viewed in two ways: the person approach and the system approach. Other terms to represent each approach are active failures and latent conditions. Active failures are unsafe acts committed by people who are in direct contact with systems whereas latent conditions are the inevitable 'resident pathogens' within the system. To identify what kinds of non-technical skills were needed to cope with emergency conditions, a method to evaluate preparedness of task management in emergency conditions based on monitoring patterns was presented. Five characteristics were suggested to evaluate emergency task management and communication: latent mistake resistibility, latent violation resistibility, thoroughness, communication, and assertiveness. Case study was done by analyzing emergency training of 9 different real operation teams in the reference plant. The result showed that the 9 teams had their own emergency task management skills which resulted in good and bad performances

  20. Regional and Demographic Variations in Public Perceptions Related to Emergency Preparedness.

    Science.gov (United States)

    1986-11-01

    responses readily reveals that they are not accidental, but deeply rooted in the cultural background, religious- moral philosophy, life conditions, and...11 p rtful pooer.10 4’ 1.: free librt 26 6 progress progreso 15 43. potency.oower potencia . 9- -: w.t9 uion g 6 technology Icfnologa 1. 71 15 big...polite behavior. With.a deeper knowledge of the cultural background, all the responses can be traced to the religious- moral philosophy, history, life

  1. An Overview of the U.S. Public Health System in the Context of Emergency Preparedness

    Science.gov (United States)

    2005-03-17

    Mexico , New York, and Virginia. Federal funding to support state laboratory capacity for biological and chemical testing required by the LRN is...recently destroyed cattle tissue samples that tested positive for brucellosis before the results could be confirmed by a state-run lab, leading to...confusion about the state’s brucellosis -free status.84 The bacterium that causes brucellosis (Brucella abortus) is a select agent, and the lab had elected to

  2. A Descriptive Study to Determine the Level of Crisis Preparedness Frontline Leaders Are Trained to Perform during an Exploding Crisis in Los Angeles County Healthcare Facilities, Providing Emergency Services

    Science.gov (United States)

    Corbaley, Salomay Rose

    2010-01-01

    Purpose: The purpose of this study was to determine the level of crisis leadership preparedness facility administrators report frontline healthcare leaders are trained to perform during an exploding crisis in Los Angeles County healthcare facilities, providing emergency services. Methodology: This was a mixed method descriptive study. The…

  3. Pacific Northwest Laboratory annual report for 1983 to the DOE Office of the Assistant Secretary for Environmental Protection, Safety and Emergency Preparedness. Part 5. Overview and assessment

    Energy Technology Data Exchange (ETDEWEB)

    Bair, W.J.

    1984-02-01

    The 1983 annual report from Pacific Northwest Laboratory (PNL) to the Department of Energy (DOE) describes research in environment, health, and safety conducted during fiscal year 1983. The report again consists of five parts, each in a separate volume. Part 5 of the 1983 Annual Report to the Department of Energy's Assistant Secretary for Environmental Protection, Safety and Emergency Preparedness presents Pacific Northwest Laboratory's progress on work performed for the Office of Nuclear Safety and the Office of Operational Safety. For each project, as identified by the Field Task Proposal/Agreement, articles describe progress made during FY 1983. Authors of these articles represent a broad spectrum of capabilities derived from various segments of the Laboratory, reflecting the interdisciplinary nature of the work.

  4. 77 FR 55097 - National Preparedness Month, 2012

    Science.gov (United States)

    2012-09-06

    ..., emergencies and natural disasters have tested the fabric of our country. During National Preparedness Month... recover from natural disasters that have spanned historic drought to devastating wildfires and storms, we... role to play in bolstering our preparedness for disasters of all types--from cyber incidents and...

  5. Public Value Mapping of Equity in Emerging Nanomedicine

    Science.gov (United States)

    Slade, Catherine P.

    2011-01-01

    Public values failure occurs when the market and the public sector fail to provide goods and services required to achieve the core values of society such as equity (Bozeman 2007). That public policy for emerging health technologies should address intrinsic societal values such as equity is not a novel concept. However, the ways that the public…

  6. 21 CFR 25.16 - Public health and safety emergencies.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Public health and safety emergencies. 25.16... ENVIRONMENTAL IMPACT CONSIDERATIONS Agency Actions Requiring Environmental Consideration § 25.16 Public health... importance to the public health or safety, may make full adherence to the procedural provisions of NEPA...

  7. Back-to-School Preparedness

    Centers for Disease Control (CDC) Podcasts

    2014-07-28

    CDC provides direction, support, and coordination to help the public be prepared. This podcast discusses how parents and students can be prepared at school.  Created: 7/28/2014 by Office of Public Health Preparedness and Response (PHPR).   Date Released: 7/31/2014.

  8. The Pandemic Pendulum: A Critical Analysis of Federal and State Preparedness for a Pandemic Event

    Science.gov (United States)

    2009-03-01

    National Emergency Communications Plan (NECP), the Department of Agriculture Pandemic Planning Report, the U.S. Food and Drug Administration Pandemic...pharmaceutical initiatives.98 Capturing the sentiment from national and international health leaders at a meeting in Malaysia , CIDRAP noted attendees...preparedness kiosks , touch-screen computers available to assist county and city public health departments in outreach programs to provide interactive

  9. Factors associated with the willingness of health care personnel to work during an influenza public health emergency: an integrative review.

    Science.gov (United States)

    Devnani, Mahesh

    2012-12-01

    the provision of a vaccine for the individual and his/her family. Understanding the factors that contribute to the willingness of HCP to report to work during an influenza public health emergency is critical to emergency planning and preparedness. Information from this review can guide emergency policy makers, planners, and implementers in both understanding and influencing the willingness of HCP to work during an influenza public health emergency.

  10. Bulgarian emergency responce system for release of hazardous pollutants - design and first test of the preparedness mode

    Science.gov (United States)

    Ganev, Kostadin; Todorova, Angelina; Jordanov, Georgi; Gadzhev, Georgi; Syrakov, Dimiter; Miloshev, Nikolai; Prodanova, Maria

    2010-05-01

    The NATO SfP N 981393 project aims at developing of a unified Balkan region oriented modelling system for operational response to accidental releases of harmful gases in the atmosphere, which would be able to: 1.Perform highly acurate and reliable risk analysis and assessment for selected "hot spots"; 2.Support the emergency fast decisions with short-term regional scale forecast of the propagation of harmful gasesin case of accidental release; 3.Perform, in an off-line mode, a more detailed and comprehensive analysis of the possible longer-term impacts on the environment and human health and make the results available to the authorities and the public. The present paper describes the set up and the testing of the system, mainly focusing on the risk analysis mode. The modeling tool used in the system is the US EPA Models-3 System: WRF, CMAQ and SMOKE (partly). The CB05 toxic chemical mechanism, including chlorine reactions, is employed. The emission input exploits the high-resolution TNO emission inventory. The meteorological pre-processor WRF is driven by NCAR Final Reanalysis data and performs calculations in 3 nested domains, covering respectively the regions of South-Eastern Europe, Bulgaria, and the area surrounding the particular site. The risk assessment for the region of "Vereja Him" factory, Jambol, Bulgaria is performed on the basis of one-year long model calculations. The calculations with CMAQ chemical transport model are performed for the two inner domains. An ammount of 25 tons of chlorine is released two times daily in the innermost domain, and sepаrate calculations are performed for every release. The results are averaged over one year in order to evaluate the probability of exceeding some regulatory treshold value in each grid point. The completion of this task in a relatively short period of time was made possible by using the newly developed Grid computational environment, which allows for shared use of facilities in the research community.

  11. Public Health Emergency of International Concern (PHEIC has Declared Twice in 2014; Polio and Ebola at the Top

    Directory of Open Access Journals (Sweden)

    Mohammed A. Soghaier

    2015-06-01

    Full Text Available Background: The current Ebola outbreak in West Africa and the large scale wild Polio virus outbreak in several countries are the top most issues among international public health and scientific communities' debates and concerns. These two outbreaks were judged to be declared as Public Health Emergency of International Concern (PHEIC during 2014. This is the first time ever to have such circumstance of two PHEICs at the same time. Discussion: PHEIC, which has to be declared by WHO Director General after a recommendation of IHR Emergency Committee; is observed to start in countries with fragile health system and conflict areas. Then it rapidly spread to threaten the global public health. The year 2014 has uniquely witnessed declaration of two events as PHEIC according to IHR (2005; Polio and Ebola Virus Disease (EVD. Both outbreaks are caused by viruses such as H1N1 which was previously declared as PHEIC in 2009. Summary: Public Health Emergencies of International Concern in 2014 occurred in countries with weak health systems and conflicts and threatening the whole globe. International collaborative work is required to contain the event and to mobilize resources/capacities between countries. Moreover, public health surveillance systems as core capacity for IHR (2005 should be strengthened in all countries with focus on those with limited capacity and ongoing conflicts. The ultimate aim is timely detection of potential PHEIC events in the future along with early preparedness and response plans.

  12. Assessing the readiness and training needs of non-urban physicians in public health emergency and response.

    Science.gov (United States)

    Hsu, Chiehwen Ed; Mas, Francisco Soto; Jacobson, Holly; Papenfuss, Richard; Nkhoma, Ella T; Zoretic, James

    2005-01-01

    Emergency readiness has become a public health priority for United States communities after the 9/11 attacks. Communities that have a less developed public health infrastructure are challenged to organize preparedness and response efforts and to ensure that health care providers are capable of caring for victims of terrorist acts. A survey was used to assess non-urban physicians' prior experience with and self-confidence in treating, and preferred training needs for responding to chemical, biologic, radiologic, nuclear, and explosive (CBRNE) cases. Data were collected through a mailed and Web-based survey. Although the response rate was calculated at 30%, approximately one third of the surveys were not able to be delivered. Most respondents reported never having seen or treated CBRNE-inflicted cases and were not confident in their ability to diagnose or treat CBRNE cases, but many were willing to participate in a state-led response plan. Almost half of the individuals had not participated in any related training but expressed interest in receiving training in small group workshops or through CD-ROM. These results provide potential direction for strategic preparedness planning for non-urban health care providers.

  13. 44 CFR 350.5 - Criteria for review and approval of State and local radiological emergency plans and preparedness.

    Science.gov (United States)

    2010-10-01

    ... exist for prompt communications among principal response organizations to emergency personnel and to the... information during an emergency (including the physical location or locations) are established in advance and... capabilities, periodic drills are (will be) conducted to develop and maintain key skills and...

  14. Analytical challenges for emerging public health surveillance.

    Science.gov (United States)

    Rolka, Henry; Walker, David W; English, Roseanne; Katzoff, Myron J; Scogin, Gail; Neuhaus, Elizabeth

    2012-07-27

    The root of effective disease control and prevention is an informed understanding of the epidemiology of a particular disease based on sound scientific interpretation of evidence. Such evidence must frequently be transformed from raw data into consumable information before it can be used for making decisions, determining policy, and conducting programs. However, the work of building such evidence in public health practice--doing the right thing at the right time--is essentially hidden from view. Surveillance involves acquiring, analyzing, and interpreting data and information from several sources across various systems. Achieving the goals and objectives of surveillance investments requires attention to analytic requirements of such systems. The process requires computer programming, statistical reasoning, subject matter expertise, often modeling, and effective communication skills.

  15. Ebola virus disease: radiology preparedness.

    Science.gov (United States)

    Bluemke, David A; Meltzer, Carolyn C

    2015-02-01

    At present, there is a major emphasis on Ebola virus disease (EVD) preparedness training at medical facilities throughout the United States. Failure to have proper EVD procedures in place was cited as a major reason for infection of medical personnel in the United States. Medical imaging does not provide diagnosis of EVD, but patient assessment in the emergency department and treatment isolation care unit is likely to require imaging services. The purpose of this article is to present an overview of relevant aspects of EVD disease and preparedness relevant to the radiologic community. © RSNA, 2014.

  16. Ebola Preparedness Planning and Collaboration by Two Health Systems in Wisconsin, September to December 2014.

    Science.gov (United States)

    Leonhardt, Kathryn Kraft; Keuler, Megan; Safdar, Nasia; Hunter, Paul

    2016-08-01

    We describe the collaborative approach used by 2 health systems in Wisconsin to plan and prepare for the threat of Ebola virus disease. This was a descriptive study of the preparedness planning, infection prevention, and collaboration with public health agencies undertaken by 2 health systems in Wisconsin between September and December 2014. The preparedness approach used by the 2 health systems relied successfully on their robust infrastructure for planning and infection prevention. In the setting of rapidly evolving guidance and unprecedented fear regarding Ebola, the 2 health systems enhanced their response through collaboration and coordination with each other and government public health agencies. Key lessons learned included the importance of a rigorous planning process, robust infection prevention practices, and coalitions between public and private health sectors. The potential threat of Ebola virus disease stimulated emergency preparedness in which acute care facilities played a leading role in the public health response. Leveraging the existing expertise of health systems is essential when faced with emerging infectious diseases. (Disaster Med Public Health Preparedness. 2016;10:691-697).

  17. Mass fatality preparedness among medical examiners/coroners in the United States: a cross-sectional study.

    Science.gov (United States)

    Gershon, Robyn R M; Orr, Mark G; Zhi, Qi; Merrill, Jacqueline A; Chen, Daniel Y; Riley, Halley E M; Sherman, Martin F

    2014-12-15

    In the United States (US), Medical Examiners and Coroners (ME/Cs) have the legal authority for the management of mass fatality incidents (MFI). Yet, preparedness and operational capabilities in this sector remain largely unknown. The purpose of this study was twofold; first, to identify appropriate measures of preparedness, and second, to assess preparedness levels and factors significantly associated with preparedness. Three separate checklists were developed to measure different aspects of preparedness: MFI Plan Elements, Operational Capabilities, and Pre-existing Resource Networks. Using a cross-sectional study design, data on these and other variables of interest were collected in 2014 from a national convenience sample of ME/C using an internet-based, anonymous survey. Preparedness levels were determined and compared across Federal Regions and in relation to the number of Presidential Disaster Declarations, also by Federal Region. Bivariate logistic and multivariable models estimated the associations between organizational characteristics and relative preparedness. A large proportion (42%) of respondents reported that less than 25 additional fatalities over a 48-hour period would exceed their response capacities. The preparedness constructs measured three related, yet distinct, aspects of preparedness, with scores highly variable and generally suboptimal. Median scores for the three preparedness measures also varied across Federal Regions and as compared to the number of Presidential Declared Disasters, also by Federal Region. Capacity was especially limited for activating missing persons call centers, launching public communications, especially via social media, and identifying temporary interment sites. The provision of staff training was the only factor studied that was significantly (positively) associated (p < .05) with all three preparedness measures. Although ME/Cs ranked local partners, such as Offices of Emergency Management, first responders, and

  18. A new preparedness policy for EMS logistics.

    Science.gov (United States)

    Lee, Seokcheon

    2017-03-01

    Response time in emergency medical services (EMS) is defined as the interval for an ambulance to arrive the scene after receipt of a 911 call. When several ambulances are available upon the receipt of a new call, a decision of selecting an ambulance has to be made in an effort to reduce response time. Dispatching the closest unit available is commonly used in practice; however, recently the Preparedness policy was designed that is in a simplistic form yet being capable of securing a long-term efficiency. This research aims to improve the Preparedness policy, resolving several critical issues inherent in the current form of the policy. The new Preparedness policy incorporates a new metric of preparedness based on the notion of centrality and involves a tuning parameter, weight on preparedness, which has to be appropriately chosen according to operational scenario. Computational experiment shows that the new policy significantly improves the former policy robustly in various scenarios.

  19. Cooperation in Nuclear Waste Management, Radiation Protection, Emergency Preparedness, Reactor Safety and Nuclear Non-Proliferation with the Russian Federation, Ukraine, Armenia, Georgia and Belarus.

    Energy Technology Data Exchange (ETDEWEB)

    Dassen, Lars van; Andersson, Sarmite; Bejarano, Gabriela; Delalic, Zlatan; Ekblad, Christer; German, Olga; Grapengiesser, Sten; Karlberg, Olof; Olsson, Kjell; Sandberg, Viviana; Stenberg, Tor; Turner, Roland; Zinger, Irene

    2010-06-15

    The Swedish Radiation Safety Authority (SSM) is trusted with the task of implementing Sweden's bilateral cooperation with Russia, Ukraine, Georgia, Belarus and Armenia in the fields of reactor safety, nuclear waste management, nuclear non-proliferation as well as radiation protection and emergency preparedness. In these fields, SSM also participates in a number of projects financed by the European Union. This report gives an overview of the cooperation projects in 2009 as well as the framework in which they are performed. Summaries of each project are given in an Appendix. The project managers in the Section for Cooperation and Development in the Department of International Affairs are responsible for the cooperation projects and the implementation of the bilateral programmes. But the positive outcome of the projects is also dependent on a large number of experts at SSM who work with the regulatory functions in the nuclear and radiation protection fields in a Swedish context as well as on external consultants. Together, their experience is invaluable for the implementation of the projects. But the projects also give experience of relevance for the SSM staff.

  20. Emergency Preparedness technology support to the Health and Safety Executive (HSE), Nuclear Installations Inspectorate (NII) of the United Kingdom. Appendix A

    Energy Technology Data Exchange (ETDEWEB)

    O`Kula, K.R.

    1994-03-01

    The Nuclear Installations Inspectorate (NII) of the United Kingdom (UK) suggested the use of an accident progression logic model method developed by Westinghouse Savannah River Company (WSRC) and Science Applications International Corporation (SAIC) for K Reactor to predict the magnitude and timing of radioactivity releases (the source term) based on an advanced logic model methodology. Predicted releases are output from the personal computer-based model in a level-of-confidence format. Additional technical discussions eventually led to a request from the NII to develop a proposal for assembling a similar technology to predict source terms for the UK`s advanced gas-cooled reactor (AGR) type. To respond to this request, WSRC is submitting a proposal to provide contractual assistance as specified in the Scope of Work. The work will produce, document, and transfer technology associated with a Decision-Oriented Source Term Estimator for Emergency Preparedness (DOSE-EP) for the NII to apply to AGRs in the United Kingdom. This document, Appendix A is a part of this proposal.

  1. Defining European preparedness and research needs regarding emerging infectious animal diseases: results from a Delphi expert consultation.

    Science.gov (United States)

    Wentholt, M T A; Cardoen, S; Imberechts, H; Van Huffel, X; Ooms, B W; Frewer, L J

    2012-02-01

    Emerging and major infectious animal diseases can have significant international impact on social, economic and environmental level, and are being driven by various factors. Prevention and control measures should be prepared at both national and international level to mitigate these disease risks. Research to support such policy development is mostly carried out at national level and dedicated transnational research programmes are still in its infancy. This research reports on part of a process to develop a common strategic research agenda on emerging and major infectious diseases of livestock in Europe, covering a 5-15-year time span. A two round online Delphi study was conducted to explore the views of experts on issues relating to research needs on emerging infectious diseases of livestock in Europe. Drivers that may influence the incidence of emerging infectious animal diseases in both the short (next 5 years) and medium term (10-15 years) were identified. Drivers related to regulatory measures and biological science developments were thought to decrease the incidence, and socio-economic factors to increase the incidence of emerging infectious animal diseases. From the first round a list of threats to animal health was compiled and participants combined these threats with relevant drivers in the second round. Next to identifying threats to animal health, also possible mitigatory actions to reduce the negative impact of these threats were identified. Participants emphasised that interdisciplinary research is needed to understand drivers of emerging infectious animal diseases, as well as to develop prevention and control measures which are both socio-economic and technical. From this it can be concluded that interdisciplinary research combining both natural and social research themes is required. Some of the European member states research budget needs to be allocated so that effective prevention and mitigation strategies can be developed. Copyright © 2011

  2. Modeling and public health emergency responses: lessons from SARS.

    Science.gov (United States)

    Glasser, John W; Hupert, Nathaniel; McCauley, Mary M; Hatchett, Richard

    2011-03-01

    Modelers published thoughtful articles after the 2003 SARS crisis, but had limited if any real-time impact on the global response and may even have inadvertently contributed to a lingering misunderstanding of the means by which the epidemic was controlled. The impact of any intervention depends on its efficiency as well as efficacy, and efficient isolation of infected individuals before they become symptomatic is difficult to imagine. Nonetheless, in exploring the possible impact of quarantine, the product of efficiency and efficacy was varied over the entire unit interval. Another mistake was repeatedly fitting otherwise appropriate gamma distributions to times to event regardless of whether they were stationary or not, particularly onset-isolation intervals whose progressive reduction evidently contributed to SARS control. By virtue of their unknown biology, newly-emerging diseases are more challenging than familiar human scourges. Influenza, for example, recurs annually and has been modeled more thoroughly than any other infectious disease. Moreover, models were integrated into preparedness exercises, during which working relationships were established that bore fruit during the 2009 A/H1N1 pandemic. To provide the most accurate and timely advice possible, especially about the possible impact of measures designed to control diseases caused by novel human pathogens, we must appreciate the value and difficulty of policy-oriented modeling. Effective communication of insights gleaned from modeling SARS will help to ensure that policymakers involve modelers in future outbreaks of newly-emerging infectious diseases. Accordingly, we illustrate the increasingly timely care-seeking by which, together with increasingly accurate diagnoses and effective isolation, SARS was controlled via heuristic arguments and descriptive analyses of familiar observations.

  3. Financial assistance to States and tribes to support emergency preparedness and response and the safe transportation of hazardous shipments

    Energy Technology Data Exchange (ETDEWEB)

    Bradbury, J.A.; Jones, M.L.

    1995-01-01

    This report identifies and summarizes existing sources of financial assistance to States and Indian tribes in preparing and responding to transportation emergencies and ensuring the safe transportation of hazardous shipments through their jurisdictions. The report has been prepared as an information resource for the US Department of Energy`s Office of Environmental Restoration and Waste Management, Office of Transportation, Emergency Management and Analytical Services. The report discusses funding programs administered by the following Federal agencies: Federal Emergency Management Agency; Department of Transportation; the Environmental Protection Agency; and the Department of Energy. Also included is a summary of fees assessed by some States on carriers of hazardous materials and hazardous waste. The discussion of programs is supplemented by an Appendix that provides a series of tables summarizing funding sources and amounts. The report includes several conclusions concerning the level of funding provided to Indian tribes, the relative ranking of funding sources and the variation among States in overall revenues for emergency response and safe transportation.

  4. Defining European preparedness and research needs regarding emerging infectious animal diseases: Results from a Delphi expert consultation

    NARCIS (Netherlands)

    Wentholt, M.T.A.; Cardoen, S.; Imberechts, H.; Huffel, van X.; Ooms, B.W.; Frewer, L.J.

    2012-01-01

    Emerging and major infectious animal diseases can have significant international impact on social, economic and environmental level, and are being driven by various factors. Prevention and control measures should be prepared at both national and international level to mitigate these disease risks.

  5. Emergency Management Operations Process Mapping: Public Safety Technical Program Study

    Science.gov (United States)

    2011-02-01

    DRDC CSS CR 2011-09 i Emergency Management Operations Process Mapping : Public Security Technical Program Study Anet Greenley ...processus/outils). DRDC CSS CR 2011-09 iii Executive summary Emergency Management Operations Process Mapping PSTP Study [ Greenley , A...technique de sécurité publique – Etude DSTP [ Greenley , A.; Poursina, S.]; DRDC CSS CR 2011-09 L’objectif principal du Programme technique de sécurité

  6. NBC Surveillance and Emergency Preparedness in Guangzhou Asia Game%广州亚运会核化生监测与应急处置备勤

    Institute of Scientific and Technical Information of China (English)

    李权超; 杨阳; 于泱; 曾婷

    2011-01-01

    Objective To summary the measures of surveillance of NBC and emergency preparedness in Guangzhou Asia Game for the development of similar work experience. Methods According to the security situation and task characteristics, exploring the steps and methods of completing diversified military missions. Results The effective experience included controlling the situation of terror, familiar with the emergency management steps, detailing the tasks of the medical rescue of NBC injuries, and strengthening ability construction. Conclusion Targeted work is the important guarantee to completing diversified military missions.%目的 总结某“三防”医学救援队在广州亚运会期间执行核化生监测与应急处置备勤的做法,为今后开展类似工作提供经验.方法 根据亚运安保形势、任务及联合备勤的特点,探索搞好多样化军事任务中核化生监测与应急处置备勤的方法、步骤.结果 此次亚运会备勤任务圆满完成的经验是:掌控亚运会核化生恐怖袭击形势,细化“三防”医学救援安保备勤的职责任务,熟悉核化生监测与应急处置的方法步骤,强化安保备勤应急处置能力建设.结论 根据任务特点,有针对性地开展备勤是完成多样化军事任务的重要保证.

  7. TEKNA - preparedness seminary

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    The seminary contains several presentations on various aspects of preparedness in the offshore petroleum sector. The authority organization, Norwegian regulations, industrial management, planning and principles are discussed. Risk assessment and preparedness analysis is emphasized. Some technological aspects are also discussed.

  8. Rural Community Disaster Preparedness and Risk Perception in Trujillo, Peru.

    Science.gov (United States)

    Stewart, Matthew; Grahmann, Bridget; Fillmore, Ariel; Benson, L Scott

    2017-08-01

    , vulnerability, and preparedness in LMIC communities. The current study established that selected communities near Trujillo, Peru recognize a high disaster impact from earthquakes and infection, but are not adequately prepared for potential future disasters. By identifying high-risk demographics, targeted public health interventions are needed to prepare vulnerable communities in the following areas: emergency food supplies, emergency water plan, medical supplies at home, and establishing evacuation plans. Stewart M , Grahmann B , Fillmore A , Benson LS . Rural community disaster preparedness and risk perception in Trujillo, Peru. Prehosp Disaster Med. 2017;32(4):387-392.

  9. Disaster Preparedness: Guidelines for School Nurses

    Science.gov (United States)

    Doyle, Janice; Loyacono, Thomas R.

    2007-01-01

    These guidelines help school nurses understand their role in preparing for disasters and major emergencies. The guidelines are suitable for planning for a variety of emergency and disaster situations. Disaster Preparedness Guidelines for School Nurses is based on the four phases of disaster management as defined by the Federal Emergency Management…

  10. Avian influenza and pandemic influenza preparedness in Hong Kong.

    Science.gov (United States)

    Lam, Ping Yan

    2008-06-01

    Avian influenza A H5N1 continues to be a major threat to global public health as it is a likely candidate for the next influenza pandemic. To protect public health and avert potential disruption to the economy, the Hong Kong Special Administrative Region Government has committed substantial effort in preparedness for avian and pandemic influenza. Public health infrastructures for emerging infectious diseases have been developed to enhance command, control and coordination of emergency response. Strategies against avian and pandemic influenza are formulated to reduce opportunities for human infection, detect pandemic influenza timely, and enhance emergency preparedness and response capacity. Key components of the pandemic response include strengthening disease surveillance systems, updating legislation on infectious disease prevention and control, enhancing traveller health measures, building surge capacity, maintaining adequate pharmaceutical stockpiles, and ensuring business continuity during crisis. Challenges from avian and pandemic influenza are not to be underestimated. Implementing quarantine and social distancing measures to contain or mitigate the spread of pandemic influenza is problematic in a highly urbanised city like Hong Kong as they involved complex operational and ethical issues. Sustaining effective risk communication campaigns during interpandemic times is another challenge. Being a member of the global village, Hong Kong is committed to contributing its share of efforts and collaborating with health authorities internationally in combating our common public health enemy.

  11. International health law : an emerging field of public international law

    NARCIS (Netherlands)

    Toebes, Brigit

    This article discusses the nature and scope of international health law as an emerging field of public international law. It is argued that the protection of health reflects a pressing social need that should now be spoken of in the vocabulary of international law. Furthermore, there is an urgent

  12. Cyclosporiasis: an emerging public health concern around the world ...

    African Journals Online (AJOL)

    Cyclosporiasis: an emerging public health concern around the world and in Africa. ... Methods: All literature on Cyclospora, C. cayetanensis,cyclosporiasis in Africa, and endemic cyclosporiasis was searched from libraries ... Its management is based on antibiotics, an unusual scenario for a protozoa. ... 7 (2) 2007: pp. 62-67 ...

  13. Regulatory analysis on emergency preparedness for fuel cycle and other radioactive material licensees. Draft report for comment

    Energy Technology Data Exchange (ETDEWEB)

    McGuire, S.A.

    1985-06-01

    Potential accidents for 15 types of fuel cycle and other radioactive material licensees were analyzed. The most potentially hazardous accident, by a large margin, was determined to be the sudden rupture of a heated multi-ton cylinder of UF/sub 6/. Acute fatalities offsite are probably not credible. Acute permanent injuries may be possible for many hundreds of meters, and clinically observable transient effects of unknown long term consequences may be possible for distances up to a few miles. These effects would be caused by the chemical toxicity of the UF/sub 6/. Radiation doses would not be significant. The most potentially hazardous accident due to radiation exposure was determined to be a large fire at certain facilities handling large quantities of alpha-emitting radionuclides (i.e., Po-210, Pu-238, Pu-239, Am-241, Cm-242, Cm-244) or radioiodines (I-125 and I-131). However, acute fatalities or injuries to people offsite due to accidental releases of these materials do not seem plausible. The only other significant accident was identified as a long-term pulsating criticality at fuel cycle facilities handling high-enriched uranium or plutonium. An important feature of the most serious accidents is that releases are likely to start without prior warning. The releases would usually end within about half an hour. Thus protective actions would have to be taken quickly to be effective. There is not likely to be enough time for dose projections, complicated decisionmaking during the accident, or the participation of personnel not in the immediate vicinity of the site. The appropriate response by the facility is to immediately notify local fire, police, and other emergency personnel and give them a brief predetermined message recommending protective actions. Emergency personnel are generally well qualified to respond effectively to small accidents of these types.

  14. Social Networking for Emergency Management and Public Safety

    Energy Technology Data Exchange (ETDEWEB)

    Lesperance, Ann M.; Olson, Jarrod; Godinez, Melanie A.

    2010-08-31

    On March 10, 2010 the workshop titled Social Networking for Emergency Management and Public Safety was held in Seattle, WA. The objective of this workshop was to showcase ways social media networking technologies can be used to support emergency management and public safety operations. The workshop highlighted the current state of social networking and where this dynamic engagement is heading, demonstrated some of the more commonly used technologies, highlighted case studies on how these tools have been used in a variety of jurisdictions and engaged the private sector on how these tools might serve as a conduit for two way communication between with the public sector to address regional recovery issues and decision making.

  15. Public health emergencies and the public health/managed care challenge.

    Science.gov (United States)

    Rosenbaum, Sara; Skivington, Skip; Praeger, Sandra

    2002-01-01

    The relationship between insurance and public health is an enduring topic in public health policy and practice. Insurers share certain attributes with public health. But public health agencies operate in relation to the entire community that they are empowered by public law to serve and without regard to the insurance status of community residents; on the other hand, insurers (whether managed care or otherwise) are risk-bearing entities whose obligations are contractually defined and limited to enrolled members and sponsors. Public insurers such as Medicare and Medicaid operate under similar constraints. The fundamental characteristics that distinguish managed care-style insurance and public health become particularly evident during periods of public health emergency, when a public health agency's basic obligations to act with speed and flexibility may come face to face with the constraints on available financing that are inherent in the structure of insurance. Because more than 70% of all personal health care in the United States is financed through insurance, public health agencies effectively depend on insurers to finance necessary care and provide essential patient-level data to the public health system. Critical issues of state and federal policy arise in the context of the public health/insurance relations during public health emergencies. These issues focus on coverage and the power to make coverage decisions, as well as the power to define service networks and classify certain data as exempt from public reporting. The extent to which a formal regulatory approach may become necessary is significantly affected by the extent to which private entities themselves respond to the problem with active efforts to redesign their services and operations to include capabilities and accountability in the realm of public health emergency response.

  16. Characterizing public health emergency perceptions and influential modifiers of willingness to respond among pediatric healthcare staff.

    Science.gov (United States)

    Watson, Christopher M; Barnett, Daniel J; Thompson, Carol B; Hsu, Edbert B; Catlett, Christina L; Gwon, Howard S; Semon, Natalie L; Balicer, Ran D; Links, Jonathan M

    2011-01-01

    The aim of this study was to characterize the public health emergency perceptions and willingness to respond (WTR) of hospital-based pediatric staff and to use these findings to propose a methodology for developing an institution-specific training package to improve response willingness. A prospective anonymous web-based survey was conducted at the Johns Hopkins Hospital, including the 180-bed Johns Hopkins Children's Center, between January and March 2009. In this survey, participants' attitudes/beliefs regarding emergency response to a pandemic influenza and a radiological dispersal device (RDD or "dirty bomb") event were assessed. Of the 1,620 eligible pediatric staff 246 replies (15.2 percent response rate) were received, compared with an overall staff response rate of 18.4 percent. Characteristics of respondent demographics and professions were similar to those of overall hospital staff. Self-reported WTR was greater for a pandemic influenza than for an RDD event if required (84.6 percent vs 75.1 percent), and if asked, but not required (74.4 percent vs 64.5 percent). The majority of pediatric staff were not confident in their safety at work (pandemic influenza: 51.8 percent and RDD: 76.6 percent), were far less likely to respond if personal protective equipment was unavailable (pandemic influenza: 33.5 percent and RDD: 21.6percent), and wanted furtherpre-event preparation and training (pandemic influenza: 89.6 percent and RDD: 82.6 percent). The following six distinct perceived attitudes / beliefs were identified as having institution-specific high impact on response willingness: colleague response, skill mastery, safety getting to work, safety at work, ability to perform duties, and individual response efficacy. Children represent a uniquely vulnerable population in public health emergencies, and pediatric hospital staff accordingly represent a vital subset of responders distinguished by specialized education, training, clinical skills, and disaster

  17. Tsunami Preparedness in Washington (video)

    Science.gov (United States)

    Loeffler, Kurt; Gesell, Justine

    2010-01-01

    Tsunamis are a constant threat to the coasts of our world. Although tsunamis are infrequent along the West coast of the United States, it is possible and necessary to prepare for potential tsunami hazards to minimize loss of life and property. Community awareness programs are important, as they strive to create an informed society by providing education and training. This video about tsunami preparedness in Washington distinguishes between a local tsunami and a distant event and focus on the specific needs of this region. It offers guidelines for correct tsunami response and community preparedness from local emergency managers, first-responders, and leading experts on tsunami hazards and warnings, who have been working on ways of making the tsunami affected regions safer for the people and communities on a long-term basis. This video was produced by the US Geological Survey (USGS) in cooperation with Washington Emergency Management Division (EMD) and with funding by the National Tsunami Hazard Mitigation Program.

  18. Analysis of good practice of Public Health Emergency Operations Centers

    Institute of Scientific and Technical Information of China (English)

    Min Xu; Shi-Xue Li

    2015-01-01

    Objective:To study the public health Emergency Operations Centers (EOCs)in the US, the European Union, the UK and Australia, and summarize the good practice for the improvement of National Health Emergency Response Command Center in Chinese National Health and Family Planning Commission.Methods:Literature review was conducted to explore the EOCs of selected countries.Results:The study focused on EOC function, organizational structure, human resources and information management. The selected EOCs had the basic EOC functions of coordinating and commanding as well as the public health related functions such as monitoring the situation, risk assessment, and epidemiological briefings. The organizational structures of the EOCs were standardized, scalable and flexible. Incident Command System was the widely applied organizational structure with a strong preference. The EOCs were managed by a unit of emergency management during routine time and surge staff were engaged upon emergencies. The selected EOCs had clear information management framework including information collection, assessment and dissemination.Conclusions:The performance of National Health Emergency Response Command Center can be improved by learning from the good practice of the selected EOCs, including setting clear functions, standardizing the organizational structure, enhancing the human resource capacity and strengthening information management.

  19. Emerging zoonoses: the challenge for public health and biodefense.

    Science.gov (United States)

    Murphy, Frederick A

    2008-09-15

    The concept of new and emerging diseases has captured the public interest and has revitalized the public health infectious disease research community. This interest has also resulted in competition for funding and turf wars between animal health and public health scientists and public officials and, in some cases, has delayed and hindered progress toward effective prevention, control and biodefense. There is a dynamic list of outbreaks causing substantial morbidity and mortality in humans and often in the reservoir animal species. Some agents have the potential to grow into major epidemics. There are many determinants that influence the emergence of diseases of concern that require the use of current understanding of the nature of agent persistence and spread. Additional factors that are global must be added to plans for prevention and control. To this complex mix has been added the potential for accidental or malicious release of agents. The nature of emerging infectious agents and their impact is largely unpredictable. Models that strive to predict the dynamics of agents may be useful but can also blind us to increasing disease risks if it does not match a specific model. Field investigations of early events will be critical and should drive prevention and control actions. Many disease agents have developed strategies to overcome extremes of reservoir qualities like population size and density. Every infectious agent spreads easier when its hosts are closer together. Zoonoses must be dealt with at the interface of human and animal health by all available information. Lessons learned from the emergence of and response to agents like West Nile virus, H5N1 avian influenza, SARS and bovine spongiform encephalopathy, the cause of new-variant Creutzfeldt-Jakob disease in humans, must be used to create better plans for response and meet the challenge for public health and biodefense.

  20. The National Atmospheric Release Advisory Center (NARAC) Modeling and Decision Support System for Radiological and Nuclear Emergency Preparedness and Response

    Energy Technology Data Exchange (ETDEWEB)

    Nasstrom, J S; Sugiyama, G; Baskett, R; Larsen, S; Bradley, M

    2005-04-01

    This paper describes the tools and services provided by the National Atmospheric Release Advisory Center (NARAC) at Lawrence Livermore National Laboratory (LLNL) for modeling the impacts of airborne hazardous materials. NARAC provides atmospheric plume modeling tools and services for chemical, biological, radiological, and nuclear airborne hazards. NARAC can simulate downwind effects from a variety of scenarios, including fires, industrial and transportation accidents, radiation dispersal device explosions, hazardous material spills, sprayers, nuclear power plant accidents, and nuclear detonations. NARAC collaborates with several government agencies and laboratories in order to accomplish its mission. The NARAC suite of software tools include simple stand-alone, local-scale plume modeling tools for end-user's computers, and Web- and Internet-based software to access advanced modeling tools and expert analyses from the national center at LLNL. Initial automated, 3-D predictions of plume exposure limits and protective action guidelines for emergency responders and managers are available from the center in 5-10 minutes. These can be followed immediately by quality-assured, refined analyses by 24 x 7 on-duty or on-call NARAC staff. NARAC continues to refine calculations using updated on-scene information, including measurements, until all airborne releases have stopped and the hazardous threats are mapped and impacts assessed. Model predictions include the 3-D spatial and time-varying effects of weather, land use, and terrain, on scales from the local to regional to global. Real-time meteorological data and forecasts are provided by redundant communications links to the U.S. National Oceanic and Atmospheric Administration (NOAA), U.S. Navy, and U.S. Air Force, as well as an in-house mesoscale numerical weather prediction model. NARAC provides an easy-to-use Geographical Information System (GIS) for display of plume predictions with affected population counts and

  1. Radiation protection issues on preparedness and response for a severe nuclear accident: experiences of the Fukushima accident.

    Science.gov (United States)

    Homma, T; Takahara, S; Kimura, M; Kinase, S

    2015-06-01

    Radiation protection issues on preparedness and response for a severe nuclear accident are discussed in this paper based on the experiences following the accident at Fukushima Daiichi nuclear power plant. The criteria for use in nuclear emergencies in the Japanese emergency preparedness guide were based on the recommendations of International Commission of Radiological Protection (ICRP) Publications 60 and 63. Although the decision-making process for implementing protective actions relied heavily on computer-based predictive models prior to the accident, urgent protective actions, such as evacuation and sheltering, were implemented effectively based on the plant conditions. As there were no recommendations and criteria for long-term protective actions in the emergency preparedness guide, the recommendations of ICRP Publications 103, 109, and 111 were taken into consideration in determining the temporary relocation of inhabitants of heavily contaminated areas. These recommendations were very useful in deciding the emergency protective actions to take in the early stages of the Fukushima accident. However, some suggestions have been made for improving emergency preparedness and response in the early stages of a severe nuclear accident.

  2. What's In Your Emergency Kit?

    Centers for Disease Control (CDC) Podcasts

    2012-12-04

    An emergency kit can help you survive during a disaster. This podcast discusses supplies to include in your kit.  Created: 12/4/2012 by Office of Public Health Preparedness and Response (OPHPR).   Date Released: 12/20/2012.

  3. The promises and facts of emergent strategy in public management

    DEFF Research Database (Denmark)

    Aagaard, Peter

    Public managers are experiencing a growing demand for innovation. One of the promising approaches to instigating innovation is that of emergent strategic patterns (ESPs). According to the literature, the institutional barriers and drivers of ESPs are shaped by the two dominant public management...... models, NPM (the barriers) and governance (the drivers). However, based on an empirical case study of the institutional barriers and drivers for ESPs in the Danish Crime Prevention Council, this article concludes that ESPs are in fact enabled by a much more mixed management model....

  4. The promises and facts of emergent strategy in public management

    DEFF Research Database (Denmark)

    Aagaard, Peter

    Public managers are experiencing a growing demand for innovation. One of the promising approaches to instigating innovation is that of emergent strategic patterns (ESPs). According to the literature, the institutional barriers and drivers of ESPs are shaped by the two dominant public management m...... models, NPM (the barriers) and governance (the drivers). However, based on an empirical case study of the institutional barriers and drivers for ESPs in the Danish Crime Prevention Council, this article concludes that ESPs are in fact enabled by a much more mixed management model....

  5. Public apprehension of emerging infectious diseases: are changes afoot?

    Science.gov (United States)

    Joffe, Helene

    2011-07-01

    Using social representations theory this paper casts light on the pattern of content that characterises the public response to emerging and re-emerging infectious diseases (EID). The pattern is: distancing the disease from the self/ one's in-groups; blame of particular entities for the disease's origin and/or spread; and stigmatisation of those who have contracted it and/or who are represented as having intensified its spread. This pattern is not unique to EID but extends to many risks, making EID fruitful events for understanding public apprehension of potential dangers. This process may be driven by worry, fear and anxiety since when levels of these are low, as has arguably been the case with the 2009/10 "Swine Flu" pandemic, the pattern transforms. The distancing-blame-stigma pattern may also be transformed by growing reflexivity, a feature of late modern societies, as well as material features of the epidemic and "EID fatigue".

  6. Public private partnerships for emergency obstetric care: Lessons from Maharashtra

    OpenAIRE

    Sarika Chaturvedi; Bharat Randive

    2011-01-01

    Background: The National Rural Health Mission of India advocates public private partnerships (PPPs) to meet its "service guarantee" of Emergency obstetric care (EmOC) provision. The Janani Suraksha Yojana (JSY) has a provision of Rs. 1500 for contracting in obstetric specialists. Objectives: The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. Materials and Me...

  7. Politics and Emerging Media: The Revenge of Publicity

    Directory of Open Access Journals (Sweden)

    Darin Barney

    2008-01-01

    Full Text Available Emerging media technologies and applications have accompanied by an explosion of diverse means and practices for engaging in public life, raising the possibility of an invigorated and improved democratic politics. Investment in this possibility is premised on acceptance of the norms associated with publicity, specifically access to information and enhanced communication. Starting from the premise that democracy is a term whose defining attributes are best understood as the politicization of moral and ethical questions and equality (as opposed to a characteristic set of procedures and practices, the discussion in this paper investigates the potential for democratic participation via Web 2.0 platforms such as Facebook and other social networking sites. What emerges from this exercise is the recognition that within the contemporary context, information, communication and participation stand-in for motivation, judgment and action when it comes to democratic politics. This implies, in turn, that we may be settling for publicity in the place of the more the demanding democratic goods of politicization and equality. Somewhat more ominously, the popular embrace of these surrogates via emerging media technologies may actually undermine the prospect of a politics aimed at more radical outcomes.

  8. A systematic review of retracted publications in emergency medicine.

    Science.gov (United States)

    Chauvin, Anthony; De Villelongue, Cedric; Pateron, Dominique; Yordanov, Youri

    2017-08-18

    The objective of this study was to characterize retracted publications in emergency medicine. We searched MEDLINE, Web of Science and Cochrane Central Register of Controlled Trials to identify all retracted publications in the field of emergency medicine. We also searched an independent website that reports and archives retracted scientific publications. Two researchers independently screened titles, abstracts and full text of search results. Data from all included studies were then independently extracted. We identified 28 retraction notes. Eleven (39%) articles were published by authors from Europe. The oldest retracted article was published in 2001. The 28 retracted papers were published by 22 different journals. Two authors were named on multiples retractions. The median impact factor of journals was 1.03 (0.6-1.9). Almost all studies were available online [26/28 (93%)], but only 40% had watermarking on the article. The retraction notification was available for all articles. Three (11%) retraction notices did not clearly report the retraction reasons, and most retraction notices were issued by the editors [14 (56%)]. The most frequent retraction reasons were plagiarism [eight (29%)], duplicate publication [three (11%)] and overlap [two (2%)]. Retracted articles were cited on average 14 times. In most cases, the retraction cause did not invalidate the study's results [17 (60%)]. The most common reason for retraction was related to a misconduct by the authors. These results can question the necessity to normalize retraction procedures among the large number of biomedical editors and to educate future researchers on research integrity.

  9. Emergency Preparedness and Response - Lightning

    Science.gov (United States)

    ... NCEH’s Health Studies Branch Related CDC Resources Floods Hurricanes Tornadoes Health and Safety Concerns for All Disasters Illnesses, ... more. Disasters & Severe Weather Earthquakes Extreme Heat Floods Hurricanes Landslides Tornadoes Tsunamis Volcanoes Wildfires Winter Weather Language: English Español ( ...

  10. Emergency Preparedness and Response Systems

    Science.gov (United States)

    2006-09-01

    entities (people, organizations, and systems). Our perspective centered on Hippocrates as a central link or “dashboard” over all other systems. We...then connected all other nodes to Hippocrates , and then branched out to origins of those systems’ data. The symbol convention used in this diagram... Hippocrates acts as the central hub for all information flows, pulling from and sometimes pushing to other systems within the state, and displaying

  11. Model of health? Distributed preparedness and multi-agency interventions surrounding UK regional airports.

    Science.gov (United States)

    Warren, Adam; Bell, Morag; Budd, Lucy

    2012-01-01

    The liberalisation of the European aviation sector has multiplied paths of entry into the United Kingdom (UK) for the international traveller. These changing mobilities necessitate a reconceptualisation of the border as a series of potentially vulnerable nodes occurring within, and extending beyond, national boundaries. In this paper, we consider the border through the lens of port health, the collective term for various sanitary operations enacted at international transport terminals. In the UK, a critical player in the oversight of port health is the Health Protection Agency (HPA), which became a non-Departmental public body in 2005. A major part of port health is preparedness, a set of techniques aimed at managing, and responding to, emergencies of public health concern. More recently, certain jurisdictions have embarked on public health preparedness work across a number of different geographical scales. Using methods pioneered by the military, this form of 'distributed preparedness' is of increased interest to social science and medical scholars. With reference to case studies conducted in localities surrounding two UK regional airports following the 2009-10 H1N1 influenza pandemic, we consider the extent to which distributed preparedness as a concept and a set of practices can inform current debates - in the UK, and beyond - concerning interventions at the border 'within'.

  12. Global agenda, local health: including concepts of health security in preparedness programs at the jurisdictional level.

    Science.gov (United States)

    Eby, Chas

    2014-01-01

    The Global Health Security Agenda's objectives contain components that could help health departments address emerging public health challenges that threaten the population. As part of the agenda, partner countries with advanced public health systems will support the development of infrastructure in stakeholder health departments. To facilitate this process and augment local programs, state and local health departments may want to include concepts of health security in their public health preparedness offices in order to simultaneously build capacity. Health security programs developed by public health departments should complete projects that are closely aligned with the objectives outlined in the global agenda and that facilitate the completion of current preparedness grant requirements. This article identifies objectives and proposes tactical local projects that run parallel to the 9 primary objectives of the Global Health Security Agenda. Executing concurrent projects at the international and local levels in preparedness offices will accelerate the completion of these objectives and help prevent disease epidemics, detect health threats, and respond to public health emergencies. Additionally, future funding tied or related to health security may become more accessible to state and local health departments that have achieved these objectives.

  13. Public Health Ethics Related Training for Public Health Workforce: An Emerging Need in the United States

    Directory of Open Access Journals (Sweden)

    A Kanekar

    2012-04-01

    Full Text Available Background: Ethics is a discipline, which primarily deals with what is moral and immoral behavior. Public Health Ethics is translation of ethical theories and concepts into practice to address complex multidimensional public health problems. The primary purpose of this paper was to conduct a narrative literature review-addressing role of ethics in developing curriculum in programs and schools of public health, ethics-related instruction in schools and programs of public health and the role of ethics in developing a competent public health workforce. Methods: An open search of various health databases including Google scholar and Ebscohost yielded 15 articles related to use of ethics in public health practice or public health training and the salient features were reported.  Results: Results indicated a variable amount of ethics' related training in schools and programs of public health along with public health practitioner training across the nation. Bioethics, medical ethics and public health ethics were found to be subspecialties' needing separate ethical frameworks to guide decision making.Conclusions: Ethics based curricular and non-curricular training for emerging public health professionals from schools and programs of public health in the United States is extremely essential.  In the current age of public health challenges faced in the United States and globally, to have an ethically untrained public health force is arguably, immoral and unethical and jeopardizes population health.  There is an urgent need to develop innovative ethic based curriculums in academia as well as finding effective means to translate these curricular competencies into public health practice.

  14. Tsunami Preparedness in Oregon (video)

    Science.gov (United States)

    Filmed and edited by: Loeffler, Kurt; Gesell, Justine

    2010-01-01

    Tsunamis are a constant threat to the coasts of our world. Although tsunamis are infrequent along the West coast of the United States, it is possible and necessary to prepare for potential tsunami hazards to minimize loss of life and property. Community awareness programs are important, as they strive to create an informed society by providing education and training. This video about tsunami preparedness in Oregon distinguishes between a local tsunami and a distant event and focus on the specific needs of this region. It offers guidelines for correct tsunami response and community preparedness from local emergency managers, first-responders, and leading experts on tsunami hazards and warnings, who have been working on ways of making the tsunami affected regions safer for the people and communities on a long-term basis. This video was produced by the US Geological Survey (USGS) in cooperation with Oregon Department of Geology and Mineral Industries (DOGAMI).

  15. Regional public health preparedness teams in North Carolina: an analysis of their structural capacity and impact on services provided.

    Science.gov (United States)

    Horney, Jennifer A; Markiewicz, Milissa; Meyer, Anne Marie; Casani, Julie; Hegle, Jennifer; MacDonald, Pia D M

    2011-01-01

    In December 2001, the North Carolina Division of Public Health established Public Health Regional Surveillance Teams (PHRSTs) to build local public health capacity to prevent, prepare for, respond to, and recover from public health incidents and events. Seven PHRSTs are colocated at local health departments (LHDs) around the state. The authors assessed structural capacity of the PHRSTs and analyzed the relationship between structural capacity and the frequency of support and services provided to LHDs by PHRSTs. Five categories of structural capacity were measured: human, fiscal, informational, physical, and organizational resources. In addition, variation in structural capacity among teams was also examined. The most variation was seen in human resources. Although each team was originally designed to include a physician/epidemiologist, industrial hygienist, nurse/epidemiologist, and administrative support technician, team composition varied such that only the administrative support technician is common to all teams. Variation in team composition was associated with differences in the support and services that PHRSTs provide to LHDs. Teams that reported having a medical doctor or a doctor of osteopathic medicine (chi2 = 9.95; p < 0.01) or an epidemiologist (chi2 = 5.35; p < 0.02) had larger budgets and provided more support and services, and teams that housed a pharmacist reported more partners (chi2 = 52.34; p < 0.01). Teams that received directives from more groups (such as LHDs) also provided more support and services in planning (Z = 21.71; p < 0.01), communication and liaison (Z = 12.11; p < 0.01), epidemiology and surveillance (Z = 5.09; p < 0.01), consultation and technical support (Z = 2.25; p = 0.02), H1N1 outbreak assistance (Z = 10.25; p < 0.01), and public health event response (Z = 2.19; p = 0.03). In the last 10 years, significant variation in structural capacity, particularly in human resources, has been introduced among PHRSTs. These differences

  16. Bridging radiology and public health: the emerging field of radiologic public health informatics.

    Science.gov (United States)

    Mollura, Daniel J; Carrino, John A; Matuszak, Diane L; Mnatsakanyan, Zaruhi R; Eng, John; Cutchis, Protagoras; Babin, Steven M; Sniegoski, Carol; Lombardo, Joseph S

    2008-03-01

    Radiology and public health have an emerging opportunity to collaborate, in which radiology's vast supply of imaging data can be integrated into public health information systems for epidemiologic assessments and responses to population health problems. Fueling the linkage of radiology and public health include (i) the transition from analog film to digital formats, enabling flexible use of radiologic data; (ii) radiology's role in imaging across nearly all medical and surgical subspecialties, which establishes a foundation for a consolidated and uniform database of images and reports for public health use; and (iii) the use of radiologic data to characterize disease patterns in a population occupying a geographic area at one time and to characterize disease progression over time via follow-up examinations. The backbone for this integration is through informatics projects such as Systematized Nomenclature of Medicine Clinical Terms and RadLex constructing terminology libraries and ontologies, as well as algorithms integrating data from the electronic health record and Digital Imaging and Communications in Medicine Structured Reporting. Radiology's role in public health is being tested in disease surveillance systems for outbreak detection and bioterrorism, such as the Electronic Surveillance System for the Early Notification of Community-based Epidemics. Challenges for radiologic public health informatics include refining the systems and user interfaces, adhering to privacy regulations, and strengthening collaborative relations among stakeholders, including radiologists and public health officials. Linking radiology with public health, radiologic public health informatics is a promising avenue through which radiology can contribute to public health decision making and health policy.

  17. Marketing and public relations in the emergency department.

    Science.gov (United States)

    Mayer, T A; Tilson, W; Hemingway, J

    1987-02-01

    This article outlines the elements of successful ED marketing, as well as providing definitions for terms used within the marketing process. In today's competition and rapidly changing environment, marketing and public relations are tools that every ED Medical Director may want to consider. Because the marketing process requires a great deal of time and effort, as well as a high degree of intellectual honesty, it should never be entered into without a strong commitment. However, marketing the ED can be among the most productive, stimulating, and gratifying experiences for the ED Medical Director, the emergency department physicians, and all ED service personnel.

  18. Backcountry Travel Emergencies in Arctic Canada: A Pilot Study in Public Health Surveillance.

    Science.gov (United States)

    Young, Stephanie K; Tabish, Taha B; Pollock, Nathaniel J; Young, T Kue

    2016-03-03

    Residents in the Canadian Arctic regularly travel in remote, backcountry areas. This can pose risks for injuries and death, and create challenges for emergency responders and health systems. We aimed to describe the extent and characteristics of media-reported backcountry travel emergencies in two Northern Canadian territories (Nunavut and Northwest Territories). A case-series of all known incidents between 2004 and 2013 was established by identifying events in an online search of two media outlets, Nunatsiaq News and Northern News Services. We identified 121 incidents; these most commonly involved young men, and death occurred in just over 25% of cases. The territories differed in the seasonal patterns. News media provides a partial source of data to estimate the extent and characteristics of backcountry emergencies. This information is needed to improve emergency preparedness and health system responsiveness in the Arctic.

  19. College/school of pharmacy affiliation and community pharmacies' involvement in public health activities.

    Science.gov (United States)

    Westrick, Salisa C; Mount, Jeanine; Watcharadamrongkun, Suntaree

    2009-11-12

    To examine the relationship between pharmacy college/school affiliation and community pharmacies' involvement in immunization and emergency preparedness activities. Telephone interviews were completed with 1,704 community pharmacies randomly sampled from 17 states to determine the pharmacies' involvement in immunization promotion, vaccine distribution, in-house immunization delivery, and health emergency preparedness and response, affiliation with college/school of pharmacy, and selected pharmacy and public health-related characteristics. Pharmacy college/school-affiliated community pharmacies were more likely than non-affiliated pharmacies to participate in immunization and emergency preparedness when controlling for pharmacy characteristics. College/school affiliation generally became nonsignificant, however, when public health-related characteristics were included in the analysis. Affiliation with a college/school of pharmacy was related to community pharmacies' involvement in immunization and emergency preparedness.

  20. Multitier specification for NSEP (National Security/Emergency Preparedness) enhancement of fiber-optic long-distance telecommunication networks. Volume 1. The multitier specification - an executive summary. Technical Information Bulletin

    Energy Technology Data Exchange (ETDEWEB)

    Peach, D.F.

    1987-12-01

    Fiber optic telecommunication systems are susceptible to both natural and man-made stress. National Security/Emergency Preparedness (NSEP) is a function of how durable these systems are in light of projected levels of stress. Emergency Preparedness in 1987 is not just a matter of--can they deliver food, water, energy and other essentials--but can they deliver the vital information necessary to maintain corporate function of our country. 'Communication stamina' is a function of 'probability of survival' when faced with stress. This report provides an overview of the enhancements to a fiber-optic communication system/installation that will increase durability. These enhancements are grouped, based on their value in protecting the system, such that a Multitier Specification is created that presents multiple levels of hardness. Mitigation of effects due to high-altitude electromagnetic pulse (HEMP) and gamma radiation, and protection from vandalism and weather events are discussed in the report. The report is presented in two volumes. Volume I presents the Multitier Specification in a format that is usable for management review. The attributes of specified physical parameters, and the levels of protection stated in Volume I, are discussed in more detail in Volume II.

  1. Towards a coherent conceptual framework for emergency preparedness/response and rehabilitation - the application of the new ICRP recommendations given in ICRP 103

    Energy Technology Data Exchange (ETDEWEB)

    Weiss, W., E-mail: wweiss@bfs.d [Federal Office for Radiation Protection, Department Radiation Protection and Health, 85764 Oberschleissheim (Germany)

    2009-12-15

    In the past, most emphasis in planning for and response to an emergency situation has been placed on selected protective measures in the early phase of an emergency to keep the doses received below levels where severe deterministic health effects can be excluded and/or where the risk of stochastic effects in the population is considered 'acceptable'. Less emphasis has been placed on the development of comprehensive protection strategies which include considerations of the consequences of all exposure pathways and all phases, e.g. long-term rehabilitation. In its new publication 103, ICRP proposed a coherent conceptual framework for protection in all types of exposure situations including 'emergency exposure situations' and 'existing exposure situations'. In the context of developing protection strategies for these exposure situations, the Commission recommends that national authorities set reference levels between, typically, 20 mSv and 100 mSv annual effective dose (emergency exposure situation) and 1 mSv and 20 mSv (existing exposure situation). In order to optimise protection strategies, it is necessary to identify the dominant exposure pathways, the timescales over which the dose will be received, and the effectiveness of available protection options. The characteristics of the development and implementation of such protection strategies is described.

  2. Preparing for Volcanic Hazards: An Examination of Lahar Knowledge, Risk Perception, and Preparedness around Mount Baker and Glacier Peak, WA

    Science.gov (United States)

    Corwin, K.; Brand, B. D.

    2015-12-01

    As the number of people living at risk from volcanic hazards in the U.S. Pacific Northwest continues to rise, so does the need for improved hazard science, mitigation, and response planning. The effectiveness of these efforts relies not only on scientists and policymakers, but on individuals and their risk perception and preparedness levels. This study examines the individual knowledge, perception, and preparedness of over 500 survey respondents living or working within the lahar zones of Mount Baker and Glacier Peak volcanoes. We (1) explore the common disconnect between accurate risk perception and adequate preparedness; (2) determine how participation in hazard response planning influences knowledge, risk perception, and preparedness; and (3) assess the effectiveness of current lahar hazard maps for public risk communication. Results indicate that a disconnect exists between perception and preparedness for the majority of respondents. While 82% of respondents accurately anticipate that future volcanic hazards will impact the Skagit Valley, this knowledge fails to motivate increased preparedness. A majority of respondents also feel "very responsible" for their own protection and provision of resources during a hazardous event (83%) and believe they have the knowledge and skills necessary to respond effectively to such an event (56%); however, many of these individuals still do not adequately prepare. When asked what barriers prevent them from preparing, respondents primarily cite a lack of knowledge about relevant local hazards. Results show that participation in response-related activities—a commonly recommended solution to this disconnect—minimally influences preparedness. Additionally, although local hazard maps successfully communicate the primary hazard—97% of respondents recognize the lahar hazard—many individuals incorrectly interpret other important facets of the maps. Those who participate in response-related activities fail to understand these

  3. Tsunami Preparedness, Response, Mitigation, and Recovery Planning in California

    Science.gov (United States)

    Miller, K.; Wilson, R. I.; Johnson, L. A.; Mccrink, T. P.; Schaffer, E.; Bower, D.; Davis, M.

    2016-12-01

    In California officials of state, federal, and local governments have coordinated to implement a Tsunami Preparedness and Mitigation Program. Building upon past preparedness efforts carried out year-round this group has leveraged government support at all levels. A primary goal is for everyone who lives at or visits the coast to understand basic life-safety measures when responding to official tsunami alerts or natural warnings. Preparedness actions include: observation of National Tsunami Preparedness Week, local "tsunami walk" drills, scenario-based exercises, testing of notification systems for public alert messaging, outreach materials, workshops, presentations, and media events.Program partners have worked together to develop emergency operations, evacuation plans, and tsunami annexes to plans for counties, cities, communities, and harbors in 20 counties along the coast. Working with the state and federal partner agencies, coastal communities have begun to incorporate sophisticated tsunami "Playbook" scenario information into their planning. These innovative tsunami evacuation and response tools provide detailed evacuation maps and associated real-time response information for identifying areas where flooding could occur. This is critical information for evacuating populations on land, near the shoreline.Acting on recommendations from the recent USGS-led, multi-discipline Science Application for Risk Reduction Tsunami Scenario report on impacts to California and American Society of Civil Engineering adoption proposals to the International Building Code, the state has begun to develop a strategy to incorporate probabilistic tsunami findings into state level policy recommendations for addressing building code adoption, as well as approach land use planning and building code implementation in local jurisdictions. Additional efforts, in the context of sustained community resiliency, include developing recovery planning guidance for local communities.

  4. Global Public Goods and The Role of Emerging Power: Considering the Concept of Impure Public Goods

    Directory of Open Access Journals (Sweden)

    Liu Rieshøj Yi

    2016-12-01

    Full Text Available The existing analysis of global public goods over-emphasizes the significance of public. Great power as a main provider has played an active role in these strategic initiatives, which may be ignored. In fact, main power has thought about the possible free-riders when providing public goods and making its foreign strategic plan. China’s announcement to “welcome the neighbouring countries to be a free-rider and benefit from China’s rise” is a good example. It is necessary to think about the theory of public goods and take another look at the free-riding phenomenon. The concept of impure public goods may be useful and effective when we understand the reason why global public goods are being provided and are relatively efficient. As an emerging power, China should have a clear strategy on global public goods with a possible “marketing” viewpoint, including more initiatives and specific measures, so that the global public goods provision may be more diverse and well-planned.

  5. Relative risk perception for terrorism: implications for preparedness and risk communication.

    Science.gov (United States)

    Caponecchia, Carlo

    2012-09-01

    Terrorism presents a significant risk that is often approached at public policy, infrastructure, or emergency management level. Public perceptions of the likelihood of terrorist events, and how this may relate to individual preparedness, are not always extensively examined. The tendency to think that negative events are less likely to happen to oneself than to the average person is known as optimism bias. Optimism bias is relevant to perceptions of terrorism, because it is thought to be related to a reduction in precaution use. Using an online survey of 164 participants, this study aimed to determine whether Sydney residents thought they had a lower likelihood of experiencing terrorist events than other Australians. Significant optimism bias was observed for witnessing terrorist events, but not for personally experiencing terrorist events. In addition, Sydney residents tended to think that terrorist attacks were more likely to occur in Sydney than another major Australian city in the next five years. At the same time, household and workplace preparedness for terrorism was quite low, as was awareness of emergency strategies in the central business district. Perceptions of high likelihood of terrorism happening in one's own city, yet low preparedness present a challenge for risk communication and emergency management strategies. The diversity of possible terrorist targets, and the simple plans that can moderate the effects of a disaster may need to be emphasized in future anti-terrorism initiatives. © 2012 Society for Risk Analysis.

  6. Emerging arboviruses and public health challenges in Brazil

    Science.gov (United States)

    Lima-Camara, Tamara Nunes

    2016-01-01

    ABSTRACT Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country’s public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans. Without effective vaccine and specific treatment, the maintainance and integration of a continuos entomological and epidemiological surveillance are important so we can set methods to control and prevent these arboviruses in the Country. PMID:27355468

  7. Emerging arboviruses and public health challenges in Brazil

    Directory of Open Access Journals (Sweden)

    Tamara Nunes Lima-Camara

    2016-01-01

    Full Text Available ABSTRACT Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country’s public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans. Without effective vaccine and specific treatment, the maintainance and integration of a continuos entomological and epidemiological surveillance are important so we can set methods to control and prevent these arboviruses in the Country.

  8. Energy drinks: an emerging public health hazard for youth.

    Science.gov (United States)

    Pomeranz, Jennifer L; Munsell, Christina R; Harris, Jennifer L

    2013-05-01

    Energy drinks are emerging as a public health threat and are increasingly consumed by youth internationally. Energy drinks contain high levels of caffeine, sugar, and novel ingredients, and are often marketed through youth-oriented media and venues. We review these practices and the current inconsistent state of labeling. We also examine international support for regulation of these products, including a survey showing that 85 per cent of United States parents agreed that regulations requiring caffeine content disclosure and warning labels on energy drinks are warranted. We then examine the regulatory structure for energy drinks in the United States, analyzing legal and self-regulatory strategies to protect consumers, especially youth, from these potentially dangerous products. Recommended government interventions include revised labeling requirements, addressing problematic ingredients, and enacting retail restrictions. We conclude by identifying areas for future research.

  9. Electronic media, violence, and adolescents: an emerging public health problem.

    Science.gov (United States)

    David-Ferdon, Corinne; Hertz, Marci Feldman

    2007-12-01

    Adolescents' access to and use of new media technology (e.g., cell phone, personal data assistant, computer for Internet access) are on the rise, and this explosion of technology brings with it potential benefits and risks. Attention is growing about the risk of adolescents to become victims of aggression perpetrated by peers with new technology. In September 2006, the Centers for Disease Control and Prevention convened a panel of experts in technology and youth aggression to examine this specific risk. This special issue of the Journal of Adolescent Health presents the data and recommendations for future directions discussed at the meeting. The articles in the Journal support the argument that electronic aggression is an emerging public health problem in need of additional prevalence and etiological research to support the development and evaluation of effective prevention programs.

  10. 21 CFR 880.6260 - Filtering facepiece respirator for use by the general public in public health medical emergencies.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Filtering facepiece respirator for use by the... Filtering facepiece respirator for use by the general public in public health medical emergencies. (a) Identification. A filtering facepiece respirator for use by the general public in public health...

  11. 33 CFR 263.25 - Authority for emergency streambank and shoreline protection of public works and nonprofit public...

    Science.gov (United States)

    2010-07-01

    ... streambank and shoreline protection of public works and nonprofit public services (Section 14). 263.25... and shoreline protection of public works and nonprofit public services (Section 14). (a) Legislative... year, for the construction, repair, restoration, and modification of emergency streambank and...

  12. The integration of mental and behavioral health into disaster preparedness, response, and recovery.

    Science.gov (United States)

    Pfefferbaum, Betty; Flynn, Brian W; Schonfeld, David; Brown, Lisa M; Jacobs, Gerard A; Dodgen, Daniel; Donato, Darrin; Kaul, Rachel E; Stone, Brook; Norwood, Ann E; Reissman, Dori B; Herrmann, Jack; Hobfoll, Stevan E; Jones, Russell T; Ruzek, Josef I; Ursano, Robert J; Taylor, Robert J; Lindley, David

    2012-03-01

    The close interplay between mental health and physical health makes it critical to integrate mental and behavioral health considerations into all aspects of public health and medical disaster management. Therefore, the National Biodefense Science Board (NBSB) convened the Disaster Mental Health Subcommittee to assess the progress of the US Department of Health and Human Services (HHS) in integrating mental and behavioral health into disaster and emergency preparedness and response activities. One vital opportunity to improve integration is the development of clear and directive national policy to firmly establish the role of mental and behavioral health as part of a unified public health and medical response to disasters. Integration of mental and behavioral health into disaster preparedness, response, and recovery requires it to be incorporated in assessments and services, addressed in education and training, and founded on and advanced through research. Integration must be supported in underlying policies and administration with clear lines of responsibility for formulating and implementing policy and practice.

  13. Integrating protection into disaster risk preparedness in the Dominican Republic

    Directory of Open Access Journals (Sweden)

    Andrea Verdeja

    2016-10-01

    Full Text Available Addressing protection as a key element of community-based disaster risk reduction and preparedness efforts is essential to safeguarding human rights in disaster and emergency settings.

  14. Hantaviruses: an emerging public health threat in India? A review

    Indian Academy of Sciences (India)

    S Chandy; P Abraham; G Sridharan

    2008-11-01

    The emerging viral diseases haemorrhagic fever with renal syndrome (HFRS) and hantavirus cardiopulmonary syndrome (HCPS) are a cause of global concern as they are increasingly reported from newer regions of the world. The hantavirus species causing HFRS include Hantaan virus, Seoul virus, Puumala virus, and Dobrava-Belgrade virus while Sin Nombre virus was responsible for the 1993 outbreak of HCPS in the Four Corners Region of the US. Humans are accidental hosts and get infected by aerosols generated from contaminated urine, feces and saliva of infected rodents. Rodents are the natural hosts of these viruses and develop persistent infection. Human to human infections are rare and the evolution of the virus depends largely on that of the rodent host. The first hantavirus isolate to be cultured, Thottapalayam virus, is the only indigenous isolate from India, isolated from an insectivore in 1964 in Vellore, South India. Research on hantaviruses in India has been slow but steady since 2005. Serological investigation of patients with pyrexic illness revealed presence of anti-hantavirus IgM antibodies in 14.7% of them. The seropositivity of hantavirus infections in the general population is about 4% and people who live and work in close proximity with rodents have a greater risk of acquiring hantavirus infections. Molecular and serological evidence of hantavirus infections in rodents and man has also been documented in this country. The present review on hantaviruses is to increase awareness of these emerging pathogens and the threats they pose to the public health system.

  15. Public private partnerships for emergency obstetric care: Lessons from Maharashtra

    Directory of Open Access Journals (Sweden)

    Sarika Chaturvedi

    2011-01-01

    Full Text Available Background: The National Rural Health Mission of India advocates public private partnerships (PPPs to meet its "service guarantee" of Emergency obstetric care (EmOC provision. The Janani Suraksha Yojana (JSY has a provision of Rs. 1500 for contracting in obstetric specialists. Objectives: The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. Materials and Methods: A cross-sectional study using the rapid assessment approach was conducted in Ahmednagar district of Maharashtra spanning 1-year duration ending in June 2009. Primary data were obtained through interviews with women, providers, and administrators at various levels. Data were analyzed thematically. Results: The PPP scheme for EmOC is restricted to deliveries by Caesarean section. The administrators prefer subsidization of costs for services in private facilities to contracting in. There are no PPPs executed in the study district. This study identifies barriers to women in accessing the benefit and the difficulties faced by administrators in implementing the scheme. Conclusion: The PPPs for EmOC under the JSY have minimally influenced the out-of-pocket payments for EmOC. Infrastructural inadequacies and passive support of the implementers are major barriers to the implementation of contracting-in model of PPPs. Capacities in the public health system are inadequate to design and manage PPPs.

  16. Public private partnerships for emergency obstetric care: lessons from maharashtra.

    Science.gov (United States)

    Chaturvedi, Sarika; Randive, Bharat

    2011-01-01

    The National Rural Health Mission of India advocates public private partnerships (PPPs) to meet its "service guarantee" of Emergency obstetric care (EmOC) provision. The Janani Suraksha Yojana (JSY) has a provision of Rs. 1500 for contracting in obstetric specialists. The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. A cross-sectional study using the rapid assessment approach was conducted in Ahmednagar district of Maharashtra spanning 1-year duration ending in June 2009. Primary data were obtained through interviews with women, providers, and administrators at various levels. Data were analyzed thematically. The PPP scheme for EmOC is restricted to deliveries by Caesarean section.The administrators prefer subsidization of costs for services in private facilities to contracting in. There are no PPPs executed in the study district. This study identifies barriers to women in accessing the benefit and the difficulties faced by administrators in implementing the scheme. The PPPs for EmOC under the JSY have minimally influenced the out-of-pocket payments for EmOC. Infrastructural inadequacies and passive support of the implementers are major barriers to the implementation of contracting-in model of PPPs. Capacities in the public health system are inadequate to design and manage PPPs.

  17. Social justice in pandemic preparedness.

    Science.gov (United States)

    DeBruin, Debra; Liaschenko, Joan; Marshall, Mary Faith

    2012-04-01

    Pandemic influenza planning in the United States violates the demands of social justice in 2 fundamental respects: it embraces the neutrality of procedural justice at the expense of more substantive concern with health disparities, thus perpetuating a predictable and preventable social injustice, and it fails to move beyond lament to practical planning for alleviating barriers to accessing care. A pragmatic social justice approach, addressing both health disparities and access barriers, should inform pandemic preparedness. Achieving social justice goals in pandemic response is challenging, but strategies are available to overcome the obstacles. The public engagement process of one state's pandemic ethics project influenced the development of these strategies.

  18. Pacific Northwest Laboratory annual report for 1981 to the DOE Office of the Assistant Secretary for Environmental Protection, Safety and Emergency Preparedness. Part 5. Environmental and occupational protection, assessment, and engineering

    Energy Technology Data Exchange (ETDEWEB)

    Glass, W.A.

    1982-02-01

    This report describes research in environment, health, and safety conducted during fiscal year 1981. The five parts of the report are oriented to particular segments of the program. Parts 1 to 4 report on research performed for the DOE Office of Health and Environmental Research in the Office of Energy Research. Part 5 reports progress on all research performed for the Office of the Assistant Secretary for Environmental Protection, Safety and Emergency Preparedness. The parts are: Part 1: Biomedical Sciences under Program Manager, H. Drucker; Part 2: Ecological Sciences, under Program Manager, B.E. Vaughan; Part 3: Atmospheric Sciences under Program Manager, C.E. Elderkin; Part 4: Physical Sciences under Program Manager, J.M. Nielsen; and Part 5: Environmental and Occupational Protection, Assessment, and Engineering under Program Managers, D.L. Hessel, S. Marks, and W.A. Glass.

  19. Pacific Northwest Laboratory annual report for 1982 to the DOE Office of the Assistant Secretary for Environmental Protection, Safety and Emergency Preparedness. Part 5. Environmental and occupational protection, assessment, and engineering

    Energy Technology Data Exchange (ETDEWEB)

    Bair, W.J.

    1983-02-01

    Part 5 of the 1982 Annual Report to the Department of Energy's Office of Environmental Protection, Safety and Emergency Preparedness presents Pacific Northwest Laboratory's progress on work performed for the Office of Environmental Programs, Office of Operational Safety, and the Office of Nuclear Safety. The report is in three sections, introduced by blue divider pages, corresponding to the program elements: Technology Impacts, Environmental and Safety Engineering, Operational and Environmental Safety. In each section, articles describe progress made during FY 1982 on individual projects, as identified by the Field Task Proposal/Agreement. Authors of these articles represent a broad spectrum of capabilities derived from various segments of the Laboratory, reflecting the interdisciplinary nature of the work.

  20. Mass arsenic poisoning and the public health response in Maine.

    Science.gov (United States)

    Mills, Dora A; Tomassoni, Anthony J; Tallon, Lindsay A; Kade, Kristy A; Savoia, Elena S

    2013-06-01

    Created in the wake of the September 11, 2001 terrorist attacks, Maine's Office of Public Health Emergency Preparedness within the Maine Center for Disease Control and Prevention undertook a major reorganization of epidemiology and laboratory services and began developing relationships with key partners and stakeholders, and a knowledgeable and skilled public health emergency preparedness workforce. In 2003, these newly implemented initiatives were tested extensively during a mass arsenic poisoning at the Gustav Adolph Lutheran Church in the rural northern community of New Sweden, Maine. This episode serves as a prominent marker of how increased preparedness capabilities, as demonstrated by the rapid identification and administration of antidotes and effective collaborations between key partners, can contribute to the management of broader public health emergencies in rural areas.

  1. Continuous Vigilance - Evaluating Preparedness for a Biological Event

    Directory of Open Access Journals (Sweden)

    Bruria eAdini

    2014-04-01

    Full Text Available Objective: Effective response to biological events necessitates ongoing evaluation of preparedness. This study was a bilateral German-Israeli collaboration aimed at developing an evaluation tool for assessing preparedness of medical facilities for biological events.Methods: Measurable parameters were identified through a literature review for inclusion in the evaluation tool and disseminated to 228 content experts in 2 modified Delphi cycles. Focus groups were conducted to identify psychosocial needs of the medical teams. Table top and functional exercises were implemented to review applicability of the tool. Results: 117 experts from Germany and Israel participated in the modified Delphi. Out of 188 parameters that were identified, 183 achieved a consensus of >75% of the content experts. Following comments recommended in the Delphi cycles, and feedback from focus groups and hospital exercises, the final tool consisted of 172 parameters. Median level of importance of each parameter was calculated based on ranking recommended in the Delphi process. Computerized web-based software was developed to calculate scores of preparedness for biological events.Conclusions: Ongoing evaluation means, such as the tool developed in the study, can facilitate the need for a valid and reliable mechanism that may be widely adopted and implemented as quality assurance measures. The tool is based on measurable parameters and indicators that can effectively present strengths and weaknesses in managing a response to a public health threat, and accordingly, steps can be implemented to improve readiness. Adoption of such a tool is an important component of assuring public health and effective emergency management.Contact person regarding the evaluation tool: adinib@bgu.ac.ilLink to the computerized tool: http://www.be-prep.com/us

  2. Energy security, public policy, and the role of the DOE Office of Energy Emergencies

    Energy Technology Data Exchange (ETDEWEB)

    Bjornstad, D.J.; Curlee, T.R. (Oak Ridge National Lab., TN (United States)); Bohi, D.R. (Resources for the Future, Inc., Washington, DC (United States))

    1991-11-01

    This paper addresses the concept of energy security, the costs and benefits of energy security, and policies which could potentially alter these costs and benefits. These issues are considered from the perspective of the DOE's Office of Energy Emergencies, with the goal of determining if alternative or additional roles should be open to this Office. The approach taken is limited to the economic costs and benefits of energy security, reflecting our view that the bulk of important energy security issues can at least be approached from this perspective. An energy emergency results from a sudden change in the quantity, market price, and/or social value of energy, in combination with a domestic and/or world wide energy system that cannot rapidly adjust to that change. We do not believe that mitigating the impacts of such events is always necessary, nor that it is uniquely a governmental responsibility. In fact, the first recourse in emergency preparedness should always be to the private sector. Government should deal with three different aspects of emergency energy activities. First, it should condition the decision making environment by seeing that adequate information about energy conditions is available and that its own policy position is clear. Next, it should evaluate the preparedness measures undertaken by the private sector. Finally, if it finds private sector preparation to be inadequate, government has a variety of direct and indirect means with which to intervene. One direct measure currently used is the buildup and drawdown of the strategic petroleum reserve (SPR). Others include contingency plans to override market allocations during wartime, as might be developed under the graduated mobilization response (GMR). Indirect means include a variety of tax and transfer schemes that alter existing private sector incentives to prepare. Well conceived monetary and fiscal policies complete the tools. 1 fig., 1 tab.

  3. Tsunami Preparedness in California (videos)

    Science.gov (United States)

    Filmed and edited by: Loeffler, Kurt; Gesell, Justine

    2010-01-01

    Tsunamis are a constant threat to the coasts of our world. Although tsunamis are infrequent along the West coast of the United States, it is possible and necessary to prepare for potential tsunami hazards to minimize loss of life and property. Community awareness programs are important, as they strive to create an informed society by providing education and training. These videos about tsunami preparedness in California distinguish between a local tsunami and a distant event and focus on the specific needs of each region. They offer guidelines for correct tsunami response and community preparedness from local emergency managers, first-responders, and leading experts on tsunami hazards and warnings, who have been working on ways of making the tsunami affected regions safer for the people and communities on a long-term basis. These videos were produced by the U.S. Geological Survey (USGS) in cooperation with the California Emergency Management Agency (CalEMA) and Pacific Gas and Electric Company (PG&E).

  4. Community awareness and perceptions of health sector preparedness and response to Cyclone Nargis.

    Science.gov (United States)

    Myint, N W; Kaewkungwal, J; Singhasivanon, P; Chaisiri, K; Ponpet, P; Siriwan, P; Mallik, A K; Thet, K W

    2011-07-01

    Community awareness, preparedness and response to public health emergencies are essential for a successful response to public health emergencies. This study was carried out to determine community awareness and perceptions regarding health sector preparedness and response to Cyclone Nargis in Myanmar. Six focus group discussions were carried out in 3 villages severely affected by Cyclone Nargis. Thematic content analysis was carried out to determine community perceptions. Focus group participants, consisting of community members, community leaders and government personnel, were aware of the cyclone, but were unaware of its intensity and where it would make landfall. There was inadequate knowledge on how to prepare for a cyclone. There was some training on cyclone preparation but coverage was not wide enough. Participants received service and relief from health sector; they had a positive attitude toward health services provided to them. However, 5 out of 6 focus groups stated most villagers were not interested in health education. Only a few participants had some knowledge on how to prepare for a cyclone. Based on these results, there are evident weaknesses on how to prepare for cyclones. Community preparedness is essential to prevent disasters with cyclones, such as with Cyclone Nargis.

  5. 77 FR 74024 - Notice of Proposed Information Collection for Public Comment; Emergency Solutions Grant Data...

    Science.gov (United States)

    2012-12-12

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment; Emergency Solutions...: Emergency Solutions Grants Program Record Keeping Requirements. Description of the need for the information... Solutions Grants (ESG) program recipients will be expected to implement and retain. This submission...

  6. 对日本福岛核事故的应急响应及对中心应急准备工作的改进建议%The Emergency Response to Fukushima Nuclear Accident and Proposals of Improvement for the Emergency Preparedness of NSC

    Institute of Scientific and Technical Information of China (English)

    杨玲; 岳会国; 林权益; 李冰; 郜建伟

    2011-01-01

    The paper described the emergency response activities to Fukushima nuclear severe accidents by Nuclear and Radiation Safety Center(NSC).According to this emergency response and the available situation of the emergency planning;emergency preparedness in NSC,some improvement suggestions are proposed.%本文简述了环境保护部核与辐射安全中心在日本福岛第一核电厂发生严重事故期间的应急响应活动,并根据此次的响应情况结合核与辐射安全中心的现状,提出了核与辐射安全中心在应急计划;应急准备工作方面需要改进的一些建议。

  7. Can public health registry data improve Emergency Medical Dispatch?

    DEFF Research Database (Denmark)

    Andersen, M S; Christensen, E F; Jepsen, S B

    2016-01-01

    BACKGROUND: Emergency Medical Dispatchers make decisions based on limited information. We aimed to investigate if adding demographic and hospitalization history information to the dispatch process improved precision. METHODS: This 30-day follow-up study evaluated time-critical emergencies...

  8. Perspectives of public health laboratories in emerging infectious diseases

    OpenAIRE

    Chua, Kaw Bing; Gubler, Duane J.

    2013-01-01

    The world has experienced an increased incidence and transboundary spread of emerging infectious diseases over the last four decades. We divided emerging infectious diseases into four categories, with subcategories in categories 1 and 4. The categorization was based on the nature and characteristics of pathogens or infectious agents causing the emerging infections, which are directly related to the mechanisms and patterns of infectious disease emergence. The factors or combinations of factors...

  9. Public Medical Preparedness at the “Swiss Wrestling and Alpine Games 2013”: Descriptive Analysis of 1,533 Patients Treated at the Largest 3-Day Sporting Event in Switzerland

    Science.gov (United States)

    Hostettler-Blunier, Simone; Müller, Nora; Haltmeier, Tobias; Hosner, Andreas; Bähler, Heinz; Neff, Frank; Baumberger, Daniel; Exadaktylos, Aristomenis

    2017-01-01

    Introduction. Medical preparedness at mass gatherings is challenging, as little is known about the optimal planning. Most studies and case reports are based on mass casualty incidents, so the results cannot be extrapolated to mass gatherings. Aim of this study was to evaluate the preclinical medical structure and the frequency of specific injuries and medical emergencies during the event. Methods. Retrospective analysis of a prospectively collected database. Three on-site medical assistance points were set up, completed by mobile teams, and coordinated by an on-site operational management team. Medical staff requirements were calculated using Maurer's formula. Results. A total of 1,533 patients were treated during the three-day event. Overall, the medical usage rate (MUR; patients per 10,000 visitors) was 51.1. A total of 58 patients (3.8%) required a hospital transfer. In 1,063 cases (69.3%) a diagnosis was documented. Of these, 503 patients (47.3%) suffered from hymenoptera stings; the two most common non-trauma-related diagnoses were alcohol/drug intoxication (4.1%) and gastrointestinal diseases (4.0%). Conclusion. Overall, the on-site medical care worked well. However, a high frequency of hymenoptera stings occurred, resulting in a shortage of antihistamine medication. Moreover, more than half of the patients were managed at the second largest medical assistance point. Prospective and critical evaluation of medical care at mass gatherings is crucial in order to optimize on-site medical preparedness at future events. PMID:28265471

  10. Emerging arboviruses and public health challenges in Brazil.

    Science.gov (United States)

    Lima-Camara, Tamara Nunes

    2016-06-27

    Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country's public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans. Without effective vaccine and specific treatment, the maintainance and integration of a continuos entomological and epidemiological surveillance are important so we can set methods to control and prevent these arboviruses in the Country. RESUMO A modificação do ambiente por ações antrópicas, o crescimento urbano desordenado, o processo de globalização do intercâmbio internacional e as mudanças climáticas são alguns fatores que vêm facilitando a emergência e disseminação de doenças infecciosas humanas transmitidas por vetores. Este comentário aborda a recente entrada de três arbovírus no Brasil, Chikungunya (CHIKV), West Nile (WNV) e Zika (ZIKV), com enfoque nos desafios para a Saúde Pública do País. Transmitidos por mosquitos vetores amplamente distribuídos no território nacional e associados ao homem, a população brasileira encontra-se exposta à infecção por esses três arbovírus. Na ausência de vacina eficaz e tratamento específico, são importantes a manutenção e integração de uma vigilância entomológica e epidemiológica contínua, a fim de direcionarmos métodos de controle e prevenção contra essas arboviroses no País.

  11. The determination of efficiency of a special obstacle course for training of cadets and rescuers of Public Service of Ukraine on emergency situations

    Directory of Open Access Journals (Sweden)

    Olexandr Baybak

    2016-02-01

    Full Text Available Purpose: to determine directions of the improvement of the educational and training process of cadets and retraining of rescuers of Public Service of Ukraine on emergency situations (PSES for carrying out the search-rescue works in highlands. Material & Methods: the contingent – cadets (25, rescuers (25 and officers (25 of Public Services of Ukraine on emergency situations took part in the research. The following methods are used for the solution of objectives: the theoretical analysis and generalization of scientific and methodical literature, pedagogical methods of research (poll and questioning. Results: the main requirements to a special obstacle course were defined on the basis of studying and analysis of biographical particulars with the purpose of the improvement of rescuers of PSES for carrying out the search-rescue works (SRW during the emergency situations (ES of a natural character. Conclusions: the need of modeling of weather conditions on a special obstacle course is defined for the purpose of the improvement of the level of preparedness of staff of the search-rescue groups in highlands.

  12. Fit testing respirators for public health medical emergencies.

    Science.gov (United States)

    Brosseau, Lisa M

    2010-11-01

    Concerns about limiting pandemic infectious disease transmission when vaccines are not yet available prompted the Food and Drug Administration (FDA) to develop guidance for marketing respirators for use in public health medical emergencies. This project describes the results of filtering facepiece fit tests using 35 untrained, inexperienced subjects meeting the face size criteria of the National Institute for Occupational Safety and Health bivariate panel, in preparation for an FDA 510(k) application. Quantitative fit factors were measured for each subject on two replicates of each of two N95 filtering facepiece respirators (A and B) using the TSI Portacount Plus with N95 Companion. Subjects received no training or assistance with donning and had no prior experience with wearing respirators. The panel consisted of 20 females and 15 males; 80% were between 18 and 34 years of age. Almost all subjects properly placed the respirator on the face and formed the nose clip. Straps were improperly placed 25% of the time. Users reviewed the donning instructions 73% of the time and performed a seal check 80% of the time. Leaks were observed during 80% of the fit tests, most frequently at the chin during the head up and down exercise. For Respirator A, all but one subject had a 95% fit factor greater than 2 (the minimum required by FDA); one subject had a 95% fit factor of 1.5. All subjects had a 95% fit factor greater than 2.5 for Respirator B. Geometric mean fit factors ranged from 19-28 for these two respirators, and a majority of subjects were able to achieve a fit factor of 10 most of the time. However, fewer than 25% of subjects received the fit factor of 100 expected in workplace settings.

  13. The Emergence of Public Spheres in Colonial Cameroon

    African Journals Online (AJOL)

    seriane.camara

    2011-03-09

    Mar 9, 2011 ... pounded his public sphere theory, we still find his basic premise useful in capturing ... one-party state in Cameroon was very sensitive to public opinion, and critical ..... became, fighting or assault was not culturally tolerated.

  14. The Perfect Storm: The Religious Apocalyptic Imagination and Personal Disaster Preparedness

    Science.gov (United States)

    2011-12-01

    representative” survey published in the Disaster Medicine and Public Health Preparedness journal (Murphy et al., 2009, p. S1) echoes these findings...use of natural hazards information. Prometheus 13(1), pp. 61–71. Grenz, S. J. (1992). The millennial maze: Sorting out evangelical options. Downers...preparedness and compliance. Disaster Medicine and Public Health Preparedness. Retrieved July 23, 2011 at http://www.dmphp.org/cgi/content/abstract

  15. Disaster Preparedness Among University Students in Guangzhou, China: Assessment of Status and Demand for Disaster Education.

    Science.gov (United States)

    Tan, Yibing; Liao, Xiaolan; Su, Haihao; Li, Chun; Xiang, Jiagen; Dong, Zhaoyang

    2017-06-01

    This study had 2 aims. First, we evaluated the current levels of disaster preparedness among university students in southern China. Second, we assessed students' demands for future disaster education. In addition, we examined the influence of demographic factors on current disaster preparedness status and demand. A cross-sectional design was used. The data were collected from 1893 students in 10 universities in the Guangzhou Higher Education Mega (GHEM) center. A self-administered questionnaire developed for this study was administered to assess the current status and demand for disaster education. The results are based on 1764 valid questionnaires. Among the participants, 77.8% reported having had disaster education experiences before, 85.5% indicated their desire for a systematic disaster course, and 75.4% expressed their willingness to take such a course upon its availability. The total mean score for demand for disaster course content (5-point Likert scale) was 4.17±0.84, with items relating to rescue skills given the highest scores. These results suggested that students had high desires for disaster preparedness knowledge, especially knowledge concerning rescue skills. We observed significant differences in disaster education experiences between male and female students and across programs, school years, and home locations. Furthermore, we observed significant differences in demand for disaster course content between male and female students and across universities, student programs, years of school, and students' majors. A systematic disaster course focused on rescue skills is needed by all types of universities. To improve the disaster education system in universities, disaster drills should be performed on a semester basis as a refresher and to enhance disaster preparedness. The government and universities should support building a simulated disaster rescue center and recruit faculty from the emergency department, especially those who have had disaster

  16. Full-text publication of abstracts in emergency medicine in Denmark

    DEFF Research Database (Denmark)

    Ravn, Anne Katrine; Petersen, Dan Brun; Folkestad, Lars;

    2014-01-01

    presented at the Danish Emergency Medicine Conferences in 2009, 2010 and 2011. METHODS: Abstracts presented at the conferences were identified and authors contacted to obtain publication information. A further search was conducted using relevant databases. RESULTS: Publication rates for the 2009 and 2010....../or research courses provided by the Danish Society of Emergency Medicine....

  17. Emerging Metagovernance as an Institutional Framework for Public Private Partnership Network in Denmark

    DEFF Research Database (Denmark)

    Buser, Martine; Koch, Christian

    2006-01-01

    Implementing private public partnerships in Denmark has been a long and reluctant process. PPP developed among municipalities from the late nineties, but was halted because of a scandal in 2002. In 2004 the government launched an action plan, and PPP are emerging again. Drawing on new public...... employment relations are surfacing. PPPs are thus emergent political arenas....

  18. 75 FR 51825 - Quality and Compliance in Merging and Emerging Cultures; Public Conference

    Science.gov (United States)

    2010-08-23

    ... No. FDA-2010-N-0001] Quality and Compliance in Merging and Emerging Cultures; Public Conference... Drug Administration (FDA) is announcing a public conference entitled ``The New Paradigm: Quality and Compliance in Merging and Emerging Cultures.'' The conference, cosponsored with the Parenteral Drug...

  19. Determinants of emergency response willingness in the local public health workforce by jurisdictional and scenario patterns: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Barnett Daniel J

    2012-03-01

    Full Text Available Abstract Background The all-hazards willingness to respond (WTR of local public health personnel is critical to emergency preparedness. This study applied a threat-and efficacy-centered framework to characterize these workers' scenario and jurisdictional response willingness patterns toward a range of naturally-occurring and terrorism-related emergency scenarios. Methods Eight geographically diverse local health department (LHD clusters (four urban and four rural across the U.S. were recruited and administered an online survey about response willingness and related attitudes/beliefs toward four different public health emergency scenarios between April 2009 and June 2010 (66% response rate. Responses were dichotomized and analyzed using generalized linear multilevel mixed model analyses that also account for within-cluster and within-LHD correlations. Results Comparisons of rural to urban LHD workers showed statistically significant odds ratios (ORs for WTR context across scenarios ranging from 1.5 to 2.4. When employees over 40 years old were compared to their younger counterparts, the ORs of WTR ranged from 1.27 to 1.58, and when females were compared to males, the ORs of WTR ranged from 0.57 to 0.61. Across the eight clusters, the percentage of workers indicating they would be unwilling to respond regardless of severity ranged from 14-28% for a weather event; 9-27% for pandemic influenza; 30-56% for a radiological 'dirty' bomb event; and 22-48% for an inhalational anthrax bioterrorism event. Efficacy was consistently identified as an important independent predictor of WTR. Conclusions Response willingness deficits in the local public health workforce pose a threat to all-hazards response capacity and health security. Local public health agencies and their stakeholders may incorporate key findings, including identified scenario-based willingness gaps and the importance of efficacy, as targets of preparedness curriculum development efforts and

  20. Medication Overdoses at a Public Emergency Department in Santiago, Chile

    Directory of Open Access Journals (Sweden)

    Pablo Aguilera, MD

    2016-01-01

    Full Text Available Introduction: While a nationwide poison control registry exists in Chile, reporting to the center is sporadic and happens at the discretion of the treating physician or by patients’ self-report. Moreover, individual hospitals do not monitor accidental or intentional poisoning in a systematic manner. The goal of this study was to identify all cases of intentional medication overdose (MO that occurred over two years at a large public hospital in Santiago, Chile, and examine its epidemiologic profile. Methods: This study is a retrospective, explicit chart review conducted at Hospital Sótero del Rio from July 2008 until June 2010. We included all cases of identified intentional MO. Alcohol and recreational drugs were included only when they were ingested with other medications. Results: We identified 1,557 cases of intentional MO and analyzed a total of 1,197 cases, corresponding to 0.51% of all emergency department (ED presentations between July 2008 and June 2010. The median patient age was 25 years. The majority was female (67.6%. Two peaks were identified, corresponding to the spring of each year sampled. The rate of hospital admission was 22.2%. Benzodiazepines, selective serotonin reuptake inhibitors, and tricyclic antidepressants (TCA were the causative agents most commonly found, comprising 1,044 (87.2% of all analyzed cases. Acetaminophen was involved in 81 (6.8% cases. More than one active substance was involved in 35% of cases. In 7.3% there was ethanol co-ingestion and in 1.0% co-ingestion of some other recreational drug (primarily cocaine. Of 1,557 cases, six (0.39% patients died. TCA were involved in two of these deaths. Conclusion: Similar to other developed and developing nations, intentional MO accounts for a significant number of ED presentations in Chile. Chile is unique in the region, however, in that its spectrum of intentional overdoses includes an excess burden of tricyclic antidepressant and benzodiazepine overdoses, a

  1. 78 FR 60875 - Assistant Secretary for Preparedness and Response; Notification of a Sole Source Cooperative...

    Science.gov (United States)

    2013-10-02

    .... Measuring Individual Disaster Recovery: A Socioecological Framework. Disaster Medicine and Public Health..., Community Engagement, and Recovery in 21st Century Crises. Disaster Medicine and Public Health Preparedness... Serious Emotional Disturbance in Children After Hurricane Katrina. Disaster Medicine and Public...

  2. Disaster management among pediatric surgeons: preparedness, training and involvement.

    Science.gov (United States)

    Chokshi, Nikunj K; Behar, Solomon; Nager, Alan L; Dorey, Fred; Upperman, Jeffrey S

    2008-01-01

    Contemporary events in the United States (eg, September 2001, school shootings), Europe (eg, Madrid train bombings), and the Middle East have raised awareness of mass casualty events and the need for a capable disaster response. Recent natural disasters have highlighted the poor preparation and infrastructure in place to respond to mass casualty events. In response, public health policy makers and emergency planners developed plans and prepared emergency response systems. Emergency response providers include first responders, a subset of emergency professionals, including firemen, law enforcement, paramedics, who respond to the incident scene and first receivers, a set of healthcare workers who receive the disaster victims at hospital facilities. The role of pediatric surgeons in mass casualty emergency response plans remains undefined. The authors hypothesize that pediatric surgeons' training and experience will predict their willingness and ability to be activated first receivers. The objective of our study was to determine the baseline experience, preparedness, willingness, and availability of pediatric surgeons to participate as activated first receivers. After institutional review board approval, the authors conducted an anonymous online survey of members of the American Pediatric Surgical Association in 2007. The authors explored four domains in this survey: (1) demographics, (2) disaster experience and perceived preparedness, (3) attitudes regarding responsibility and willingness to participate in a disaster response, and (4) availability to participate in a disaster response. The authors performed univariate and bivariate analyses to determine significance. Finally, the authors conducted a logistic regression to determine whether experience or preparedness factors affected the respondent's availability or willingness to respond to a disaster as a first receiver The authors sent 725 invitations and received 265 (36.6 percent) completed surveys. Overall, the

  3. Computer-facilitated assessment of disaster preparedness for remote hospitals in a long-distance, virtual tabletop drill model.

    Science.gov (United States)

    Gillett, Brian; Silverberg, Mark; Roblin, Patricia; Adelaine, John; Valesky, Walter; Arquilla, Bonnie

    2011-06-01

    Emergency preparedness experts generally are based at academic or governmental institutions. A mechanism for experts to remotely facilitate a distant hospital's disaster readiness is lacking. The objective of this study was to develop and examine the feasibility of an Internet-based software tool to assess disaster preparedness for remote hospitals using a long-distance, virtual, tabletop drill. An Internet-based system that remotely acquires information and analyzes disaster preparedness for hospitals at a distance in a virtual, tabletop drill model was piloted. Nine hospitals in Cape Town, South Africa designated as receiving institutions for the 2010 FIFA World Cup Games and its organizers, utilized the system over a 10-week period. At one-week intervals, the system e-mailed each hospital's leadership a description of a stadium disaster and instructed them to login to the system and answer questions relating to their hospital's state of readiness. A total of 169 questions were posed relating to operational and surge capacities, communication, equipment, major incident planning, public relations, staff safety, hospital supplies, and security in each hospital. The system was used to analyze answers and generate a real-time grid that reflected readiness as a percent for each hospital in each of the above categories. It also created individualized recommendations of how to improve preparedness for each hospital. To assess feasibility of such a system, the end users' compliance and response times were examined. Overall, compliance was excellent with an aggregate response rate of 98%. The mean response interval, defined as the time elapsed between sending a stimuli and receiving a response, was eight days (95% CI = 8-9 days). A web-based data acquisition system using a virtual, tabletop drill to remotely facilitate assessment of disaster preparedness is efficient and feasible. Weekly reinforcement for disaster preparedness resulted in strong compliance.

  4. The effects of the April 2011 tornado outbreak on personal preparedness in Jefferson County, Alabama.

    Science.gov (United States)

    McCormick, Lisa C; Pevear, Jesse; Rucks, Andrew C; Ginter, Peter M

    2014-01-01

    The purpose of this study was to examine the effects of a tornado disaster on the personal preparedness of local residents to determine (1) to what extent the tornado outbreak experience had altered preparedness awareness, willingness to act, and levels of personal preparedness of residents as measured by possession of a preparedness kit; and (2) what effect this experience had on the variables associated with having a complete disaster preparedness kit. Two random digit-dialed surveys were completed following the Behavioral Risk Factor Surveillance System protocols. The pre-tornado survey was conducted between October and December 2010 and the post-tornado survey was conducted between January and March 2012. After the April 2011 tornado outbreak, 86.08% of the respondents (n = 1364) reported that they had thought more about personal or family preparedness and 59.65% (n = 907) reported that they had taken actions to increase their level of preparedness. Overall, general awareness of preparedness media campaigns increased significantly (almost 24%; P < .0001), as did the percentage of those having a complete disaster preparedness kit (a 66% increase, not quite doubled from 2010 to 2012; P < .0001). Findings of the study indicate that the disaster had a significant impact on the local residents' (1) awareness of preparedness campaigns, (2) awareness of the need to be prepared, (3) willingness to become better prepared, and (4) possession of a disaster and emergency preparedness kit and its associated items.

  5. EMERGENCY RESPONSE FOR PUBLIC WATER SUPPLIES AFTER HURRICANE KATRINA

    Science.gov (United States)

    Hurricane Katrina resulted in damage and destruction to local water supplies in Mississippi and Louisiana affecting millions of people. Immediately following the devastation, a multidisciplinary team of 30 EPA emergency response, research, and water program personnel joined force...

  6. Overview of preparedness and response for Middle East respiratory syndrome coronavirus (MERS-CoV in Oman

    Directory of Open Access Journals (Sweden)

    I.S. Al-Abaidani

    2014-12-01

    Full Text Available Several countries in the Middle East and around 22 countries worldwide have reported cases of human infection with the Middle East respiratory syndrome coronavirus (MERS-CoV. The exceptionally high fatality rate resulting from MERS-CoV infection in conjunction with the paucity of knowledge about this emerging virus has led to major public and international concern. Within the framework of the national acute respiratory illness surveillance, the Ministry of Health in the Sultanate of Oman has announced two confirmed cases of MERS-CoV to date. The aim of this report is to describe the epidemiological aspects of these two cases and to highlight the importance of public health preparedness and response. The absence of secondary cases among contacts of the reported cases can be seen as evidence of the effectiveness of infection prevention and control precautions as an important pillar of the national preparedness and response plan applied in the health care institutions in Oman.

  7. Norwegian Radiation Protection Authority. Roles, responsibilities, crisis management and challenges in Norwegian nuclear and radiological preparedness.; Statens straalevern. Roller, ansvar, krisehaandtering og utfordringer i norsk atomberedskap

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-15

    The Crisis Committee for Nuclear and Radiological Preparedness initiated a project to assess the current national preparedness regarding nuclear and radiological emergencies. The purpose of the project was to make recommendations on how to further develop the Norwegian nuclear and radiological preparedness. The Crisis Committee outlines in this report the most important areas in the further development of Norway's nuclear and radiological emergency preparedness. (Author)

  8. Emerging theoretical understanding of pluricentric coordination in public governance

    DEFF Research Database (Denmark)

    Reff Pedersen, Anne; Sehested, Karina; Sørensen, Eva

    2011-01-01

    institutionally or functionally demarcated units that follows a specific pregiven rational logic of consequentiality. This view is apparent in public administration theory, organization theory, and planning theory. In recent years, this unitary, rationalist understanding of coordination has been challenged...... processes in which public authorities seek to govern their subjects. In the new theories, one of the main questions is how to get a better hold of this new understanding of coordination in processes of public governance. The article aims to do so by bringing together insights from three theoretical strands......: public administration theory, organizational theory, and planning theory to show how each of them are currently contributing to the development of what we define as a theory of pluricentric coordination in public governance....

  9. Remote Sensing Extraction and Quantitative Analysis of Residential Area for Earthquake Emergency Preparedness%面向地震应急准备的居民地遥感提取及量化分析

    Institute of Scientific and Technical Information of China (English)

    李金香; 李亚芳; 李帅; 王伟; 陈勇

    2016-01-01

    Residential area is important hazard-bearing body of earthquake disasters. Accurate grasp of the spa-tial distribution of residential area is an important basis for understanding the earthquake disaster and carrying out the earthquake emergency preparedness. Residential area are changing faster and faster in recent years, the development of remote sensing technology provides advanced means for acquisition spatial information of resi-dential area. The spatial distribution of the real residential area extracted by remote sensing can provide a new data for earthquake emergency preparedness. At the same time, when large destructive earthquake happens, we can rapid determine buried areas and rescue mode according to residential area of quantitative classification re-sult, which has a certain guiding significance on the rescue and evacuation plans. In this article, we use gray level co-occurrence matrix and mathematical morphology methods to extract the spatial distribution of residen-tial area from the 2 m resolution GF-1 satellite remote sensing data, and use visual interpretation, image analy-sis, buffer analysis to carry out residential area quantitative classification, which can provide data support for the earthquake emergency preparedness. Due to the different earthquake intensity, population distribution and the different types of building structures, the number of buried person in different regions is also different. The residential areas are divided into multi-storey residential areas and bungalow residential areas using visual in-terpretation, the number of houses is interpretated according to the image characteristic as residential areas at-tribute data, then the residential areas of buried person distribution are graded through analysis. At the same time, in traffic as the research object, different grade of roads has different road accessibility. We do buffer analysis with different effects ranges for state roads, provincial roads, county roads, township

  10. Salient beliefs about earthquake hazards and household preparedness.

    Science.gov (United States)

    Becker, Julia S; Paton, Douglas; Johnston, David M; Ronan, Kevin R

    2013-09-01

    Prior research has found little or no direct link between beliefs about earthquake risk and household preparedness. Furthermore, only limited work has been conducted on how people's beliefs influence the nature and number of preparedness measures adopted. To address this gap, 48 qualitative interviews were undertaken with residents in three urban locations in New Zealand subject to seismic risk. The study aimed to identify the diverse hazard and preparedness-related beliefs people hold and to articulate how these are influenced by public education to encourage preparedness. The study also explored how beliefs and competencies at personal, social, and environmental levels interact to influence people's risk management choices. Three main categories of beliefs were found: hazard beliefs; preparedness beliefs; and personal beliefs. Several salient beliefs found previously to influence the preparedness process were confirmed by this study, including beliefs related to earthquakes being an inevitable and imminent threat, self-efficacy, outcome expectancy, personal responsibility, responsibility for others, and beliefs related to denial, fatalism, normalization bias, and optimistic bias. New salient beliefs were also identified (e.g., preparedness being a "way of life"), as well as insight into how some of these beliefs interact within the wider informational and societal context.

  11. Evidence-based communications strategies: NWPERLC response to training on effectively reaching limited English-speaking (LEP) populations in emergencies.

    Science.gov (United States)

    DʼAmbrosio, Luann; Huang, Claire E; Sheng Kwan-Gett, Tao

    2014-01-01

    Identifying and overcoming barriers to effective emergency preparedness and response is one of the objectives for the Centers for Disease Control and Prevention's network of 14 Preparedness and Emergency Response Learning Centers (PERLCs) and 9 Preparedness and Response Research Centers (PERRCs). This report describes how a PERLC and a PERRC colocated at the Northwest Center for Public Health Practice responded to Los Angeles County Department of Public Health's (DPH's) request to improve emergency communications with limited English-proficient (LEP) populations. Activities included an assessment of training needs of the DPH preparedness workforce, a training series on social media and community engagement, and a toolkit of evidence-based findings to improve LEP populations' emergency communications and community resilience. Most respondents to the training needs assessment considered themselves essential personnel during an emergency and stated that they have received proper training. Respondents would like to receive further emergency preparedness training, including additional clarity on their role during an emergency. The majority of participants rated the training series as excellent/very good and agreed that they will be able to apply the course content to their work. The percentage of participants who reported confidence in their knowledge and skills related to each course learning objective increased from the precourse survey to the postcourse survey. This article discusses how the colocation of PERRC and PERLC offers efficiencies and expertise to accomplish multicomponent evidence-based requests. The ability to translate research findings quickly into evidence-based training and best practice resources is a strategic benefit to public health practice agencies working on emergency preparedness. LA County DPH was able to use knowledge and lessons learned gained from this work to design and prioritize education and training offerings to improve the capacity

  12. Medical and Disaster Preparedness of US Marathons.

    Science.gov (United States)

    Glick, Joshua; Rixe, Jeffrey; Spurkeland, Nancy; Brady, Jodi; Silvis, Matthew; Olympia, Robert P

    2015-08-01

    Despite the events that occurred at the 2013 Boston Marathon (Boston, Massachusetts USA), there are currently no evidence-based guidelines or published data regarding medical and disaster preparedness of marathon races in the United States. Purpose To determine the current state of medical disaster preparedness of marathons in the US and to identify potential areas for improvement. A cross-sectional, questionnaire-based study was conducted from January through May of 2014. The questionnaire was distributed to race directors of US road and trail marathons, as identified by a comprehensive internet database. One hundred twenty-three questionnaires were available for analysis (19% usable response rate). Marathon races from all major regions of the US were represented. Runner medical information was not listed on race bibs in 53% of races. Only 45% of races held group training and planning sessions prior to race day. Automated external defibrillators (AEDs) were immediately available on 50% of courses, and medications such as albuterol (30%), oxygen (33%), and IV fluids (34%) were available less frequently. Regarding medical emergencies, 55% of races did not have protocols for the assessment of dehydration, asthma, chest pain, syncope, or exercise-induced cramping. With regard to disaster preparedness, 50% of races did not have protocols for the management of disasters, and 21% did not provide security personnel at start/finish lines, aid stations, road crossings, and drop bag locations. Areas for improvement in the preparedness of US marathons were identified, such as including printed medical information on race bibs, increasing pre-race training and planning sessions for volunteers, ensuring the immediate availability of certain emergency equipment and medications, and developing written protocols for specific emergencies and disasters.

  13. Identification and analysis of obstacles in bioterrorism preparedness and response

    Science.gov (United States)

    Sincavage, Suzanne Michele

    The focus of this study was to identify and analyze the obstacles to bioterrorism preparedness and response facing emergency management agencies and public authorities. In order to establish the limits of this discussion, the obstacles will examine a combined conceptual framework of public health, environmental security and social response. The interdisciplinary characteristics of this framework are ideal for addressing the issue of bioterrorism because of its simultaneous impact, which encompasses the complex interrelationships that pertain to public health and national security and social response. Based on a review of literature, the obstacles presented range from the absence of an effective surveillance system for biological terrorism related diseases to the inadequate training of first responders in bioterrorism preparedness and the difficult challenges of a mass casualty situation and the intense pressures associated with the crisis response. Furthermore, the impending reality of bioterrorism will further illustrate a close examination of the characteristics and management of three major biowarfare agents---anthrax, plague and smallpox. Finally, to provide a realistic understanding of the impact of bioterrorism, three case studies of actual events and two hypothetical scenarios will be discussed. Specifically, the discussion will provide the following three unconventional terrorist attacks: the recent anthrax attacks of 2001, the Aum Shinrikyo's attack of the Tokyo subway in 1995, and the Rajneeshees' use of salmonella poisoning in 1994. The inclusion of the hypothetical scenarios of two massive outbreaks of smallpox and anthrax will be presented to illuminate the seriousness and magnitude of the threat of bioterrorism and the probable consequences of failing to overcome the obstacles presented in this study. The importance of this research cannot be overemphasized, the threat is undeniably serious, and the potential for biological agents to cause devastating

  14. Emerging markets for satellite data communications in the public service

    Science.gov (United States)

    Potter, J. G.

    1978-01-01

    The paper discusses some of the current and potential markets for satellite data communications as projected by the Public Service Satellite Consortium (PSSC). Organizations in the public service sector are divided into three categories, depending on their expected benefits and organizational changes due to increased satellite telecommunications use: A - modest institutional adjustments are necessary and significant productivity gains are likely; B - institutional requirements picture is promising, but more information is needed to assess benefits and risk; and C - major institutional adjustments are needed, risks are high but possible benefits are high. These criteria are applied to the U.S. health care system, continuing education, equipment maintenance, libraries, environmental monitoring, and other potential markets. The potential revenues are seen to be significant, but what is needed is a cooperative effort by common carriers and major public service institutions to aggregate the market.

  15. Assessing public flood risk perception for understanding the level of risk preparedness - Evidence from a community-based survey (the Bend Subcarpathians, Romania)

    Science.gov (United States)

    Balteanu, Dan; Micu, Dana; Dumitrascu, Monica; Chendes, Viorel; Dragota, Carmen; Kucsicsa, Gheorghita; Grigorescu, Ines; Persu, Mihaela; Costache, Andra

    2016-04-01

    Floods (slow-onset and rapid) are among the costliest hydro-meteorological hazards in Romania, with strong societal and economic impacts, especially in small rural settlements, with a limited adaptive capacity to their adverse effects induced by the regional socio-economic context (e.g. aging population, low economic power). The study-area is located in the Bend Subcarpathians (Romania), a region with high tectonic mobility (the Seismic Vrancea Region), active slope processes (e.g. shallow and deep-seated landslides, mud flow, gully erosion) and increasing frequency of flash floods associated to heavy rainfalls. The study was conducted in the framework of the project "Vulnerability of the environment and human settlements to floods in the context of Global Environmental Change - VULMIN" (PN-II-PT-PCCA-2011-3.1-1587), funded by the Ministry of National Education over the 2012-2016 period (http://www.igar-vulmin.ro). Prior research derived valuable insights into the local population vulnerability to extreme hydro-meteorological events, revealing an increased individual experience to past hydrological events, a high level of worry associated to flood recurrence, a low rate of the perceived trustworthiness in national institutions and authorities, as well as evident differences between the perception of community members and local authorities in terms of risk preparedness. In the present study, an attempt has been made for developing an advanced understanding of the current level of flood risk preparedness within some communities strongly affected by the floods of 1970-1975, 2005 and 2010. The recent events had a significant impact on local communities and infrastructure in terms of the financial losses, causing a visible stress and even psychological trauma on some residents of the most affected households. The selected communities are located in areas affected by recurrent hydro-meteorological hazards (floods and flash floods), with return periods below 10 years. A

  16. Negotiating Gender and Diversity in an Emerging European Public Sphere

    DEFF Research Database (Denmark)

    Agustin, Lise Rolandsen

    2013-01-01

    The European Parliament (EP) as an institution can be understood as having the potential for becoming ‘a strong public’ which is undergoing a process of building a wider general public: ‘The EP can be conceived of as an incipient transnational public sphere’ (Liebert 2007: 268). This makes the EP...... (Ferree et al. 2002) by looking both at the gender composition of the EP and the framing of debates about women´s representation within the EP and its Committee on Women’s Rights and Gender Equality (FEMM) during the period 2000-2011....

  17. Examining the Importance of Incorporating Emergency Preparedness and Disaster Training Core Competencies into Allied Health Curricula as Perceived by College Instructors

    Science.gov (United States)

    Curtis, Tammy

    2013-01-01

    Preparation for responding to emergency events that does not warrant outside help beyond the local community resources or responding to disaster events that is beyond the capabilities of the local community both require first responders and health care professionals to have interdisciplinary skills needed to function as a team for saving lives. To…

  18. Examining the Importance of Incorporating Emergency Preparedness and Disaster Training Core Competencies into Allied Health Curricula as Perceived by College Instructors

    Science.gov (United States)

    Curtis, Tammy

    2013-01-01

    Preparation for responding to emergency events that does not warrant outside help beyond the local community resources or responding to disaster events that is beyond the capabilities of the local community both require first responders and health care professionals to have interdisciplinary skills needed to function as a team for saving lives. To…

  19. Entry-Level Athletic Trainers' Self-Confidence in Clinical Skill Preparedness for Treating Athletic and Emergent Settings Populations

    Science.gov (United States)

    Morin, Gary E.; Misasi, Sharon; Davis, Charles; Hannah, Corey; Rothbard, Matthew

    2014-01-01

    Context: Clinical education is an important component of athletic training education. Concern exists regarding whether clinical experience adequately prepares students to perform professional skills after graduation, particularly with patients in emerging settings. Objective: To determine the confidence levels of athletic training graduates in…

  20. Entry-Level Athletic Trainers' Self-Confidence in Clinical Skill Preparedness for Treating Athletic and Emergent Settings Populations

    Science.gov (United States)

    Morin, Gary E.; Misasi, Sharon; Davis, Charles; Hannah, Corey; Rothbard, Matthew

    2014-01-01

    Context: Clinical education is an important component of athletic training education. Concern exists regarding whether clinical experience adequately prepares students to perform professional skills after graduation, particularly with patients in emerging settings. Objective: To determine the confidence levels of athletic training graduates in…

  1. Why public health might address the emerging role of vaccinomics?

    Directory of Open Access Journals (Sweden)

    Stefania Boccia

    2010-12-01

    Full Text Available The greatest public health benefit of the advances brought about by the understanding of the human genome, completely sequenced in 2000, will likely occur as genomic medicine expands its focus from rare genetic disorders towards the inclusion of more common diseases also, such as coronary heart disease, diabetes mellitus, cancer and infectious disease. Advances in Genomics hold the promise of improving the delivery of health care, particularly that of preventive medicine, and of tailoring drug treatment.

  2. Emerging Aeromonas Species Infections and Their Significance in Public Health

    OpenAIRE

    Igbinosa, Isoken H.; Ehimario U. Igumbor; Farhad Aghdasi; Mvuyo Tom; Anthony I. Okoh

    2012-01-01

    Aeromonas species are ubiquitous bacteria in terrestrial and aquatic milieus. They are becoming renowned as enteric pathogens of serious public health concern as they acquire a number of virulence determinants that are linked with human diseases, such as gastroenteritis, soft-tissue, muscle infections, septicemia, and skin diseases. Proper sanitary procedures are essential in the prevention of the spread of Aeromonas infections. Oral fluid electrolyte substitution is employed in the preventio...

  3. Protecting health from climate change: Preparedness of medical interns

    Directory of Open Access Journals (Sweden)

    Majra Jai

    2009-01-01

    Full Text Available Context : Climate change is a significant and emerging threat to public health and to meet the challenge, health systems require qualified staff. Aims : To study the preparedness of medical interns to meet the challenge of protecting health from climate change. Settings and Design: Medical colleges in a coastal town. Cross-sectional study. Materials and Methods: A proportionate number of medical interns from five medical colleges were included in the study. Level of awareness was used as a criterion to judge the preparedness. A self-administered, pretested, open-ended questionnaire was used. Responses were evaluated and graded. Statistical Analysis Used: Proportions, percentage, Chi-test. Results : About 90% of the medical interns were aware of the climate change and human activities that were playing a major role. Ninety-four percent were aware of the direct health impacts due to higher temperature and depletion in ozone concentration, and about 78% of the respondents were aware about the change in frequency / distribution of vector-borne diseases, water borne / related diseases, malnutrition, and health impact of population displacement. Knowledge regarding health protection was limited to mitigation of climate change and training / education. Options like adaptation, establishing / strengthening climate and disease surveillance systems, and health action in emergency were known to only nine (7%, eight (6%, and 17 (13%, respectively. Collegewise difference was statistically insignificant. Extra / co-curricular activities were the major source of knowledge. Conclusions : Majority of medical interns were aware of the causes and health impacts of climate change, but their knowledge regarding health protection measures was limited.

  4. Measuring healthcare preparedness: an all-hazards approach

    Directory of Open Access Journals (Sweden)

    Marcozzi David E

    2012-10-01

    Full Text Available Abstract In a paper appearing in this issue, Adini, et al. describe a struggle familiar to many emergency planners—the challenge of planning for all scenarios. The authors contend that all-hazards, or capabilities-based planning, in which a set of core capabilities applicable to numerous types of events is developed, is a more efficient way to achieve general health care system emergency preparedness than scenario-based planning. Essentially, the core of what is necessary to plan for and respond to one kind of disaster (e.g. a biologic event is also necessary for planning and responding to other types of disasters, allowing for improvements in planning and maximizing efficiencies. While Adini, et al. have advanced the science of health care emergency preparedness through their consideration of 490 measures to assess preparedness, a shorter set of validated preparedness measures would support the dual goals of accountability and improved outcomes and could provide the basis for determining which actions in the name of preparedness really matter.

  5. MAppERS experience: natural processes and preparedness in the societal context

    Science.gov (United States)

    Frigerio, Simone; Schenato, Luca; Bossi, Giulia; Mantovani, Matteo; Marcato, Gianluca; Pasuto, Alessandro

    2016-04-01

    Within natural processes responsibilities from central authorities to local levels as first actors of civil protection is a changing pattern. Prevention and preparedness in natural hazards are long-term goals based on capacities of professional volunteers, and improving the awareness of the citizens as local inhabitants. Local people have impacts on their lives but training and involvement towards specific techniques change their role within risk communication and emergency preparedness. A collaborative user environment is useful for emergency response and support in the wake of disasters, feeding updated information on the ground directly to on-site responders. MAppERS (Mobile Application for Emergency Response and Support) is a funded project (2013-2015 Humanitarian Aid and Civil Protection, ECHO A5) based on human role as "crowd-sourced mappers" through smart phone application able to share GPS-localised and detailed parameters. The feedback from testing and the training courses aim to raising public awareness and participation in a networked disaster response. The project implies design and test of smart phone linked with a real-time dashboard platform for rescue services citizens and volunteers of civil protection. Two pilot sites, including trainings on modules functioning control usability and quality of the product. The synchronized platform offers the activity of cloud data collection with a central data dashboard. Information is collected in a context of floods processes, with crowdsourcing action from local population, for proper awareness with own personal flood plan and long-term preparedness. A second context tested pre-emergency actions on field with rescue team, collecting state-of-art and condition of hazards.

  6. Zika virus disease: a public health emergency of international concern.

    Science.gov (United States)

    Lupton, Kelly

    The emergence of Zika virus disease (ZIKV) in the Americas, mainly Brazil, has required the World Health Organization to take action to halt the spread of the virus by implementing preventive measures. This has resulted in increased surveillance of the virus and its potential complications. In the UK, cases of ZIKV have been reported in returning travellers. With the importance of this disease increasing, it is vital that nurses and other health professionals take the time to learn about ZIKV in order to pass on this knowledge to patients, enabling them to make informed choices about travel to affected areas. This article will discuss the ZIKV, its complications and what to advise travellers, including pregnant women, to prevent transmission and spread.

  7. Emerging Foodborne Diseases:an Evolving Public Health Challange

    Institute of Scientific and Technical Information of China (English)

    Dr.RobertyJ.Baldwin

    2001-01-01

    The epidemiology of foodborne diseases is changing,New pathogens hae emerged and some have spread worldwide.Many including salmonella,Escherichia coil O157:H7,Campylobacter,and Yersinina enterocilitica have reservoirs in healthy food animals,from which they sperad to an increasing variety of foods.These pathogens cause millions of cases of spordic illness and chronic complications,as well as large and challenging outbreaks over many states and nations,Improved surveillance that combines rapid subtyping methods,cluster identification,and collaborative epidemiologic inverstigation can identify and halt large dispersed outbreaks.Outbreak investigations and case-control studies of sporadic cases can identify sources of infection and guide the development of specific prevention strategies,Better understanding of how pathogens persist in animal reservoirs is also critical to successful long-term prevention.

  8. Outbreaks of emerging infectious diseases: Risk perception and behaviour of the general public

    NARCIS (Netherlands)

    M. Bults (Marloes)

    2014-01-01

    markdownabstract__Abstract__ This thesis focuses on risk perception and behaviour of the public during the outbreaks of emerging infectious diseases. It consists of studies on Influenza A (H1N1), Q fever and Lyme disease. These studies were conducted among both the general public and specific

  9. Outbreaks of emerging infectious diseases: Risk perception and behaviour of the general public

    NARCIS (Netherlands)

    M. Bults (Marloes)

    2014-01-01

    markdownabstract__Abstract__ This thesis focuses on risk perception and behaviour of the public during the outbreaks of emerging infectious diseases. It consists of studies on Influenza A (H1N1), Q fever and Lyme disease. These studies were conducted among both the general public and specific risk

  10. 42 CFR 485.727 - Condition of participation: Disaster preparedness.

    Science.gov (United States)

    2010-10-01

    ... Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.727 Condition of... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Disaster preparedness. 485.727 Section 485.727 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH...

  11. After-Action Reports: Capturing Lessons Learned and Identifying Areas for Improvement. Lessons Learned from School Crises and Emergencies. Volume 2, Issue 1, 2007

    Science.gov (United States)

    US Department of Education, 2007

    2007-01-01

    "Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This issue of "Lessons Learned" addresses after-action reports, which are an integral part of the emergency preparedness planning continuum and support effective crisis response. After-action reports have a threefold purpose. They…

  12. Classifying Korean Adolescents' Career Preparedness

    Science.gov (United States)

    Lee, In Heok; Rojewski, Jay W.; Hill, Roger B.

    2013-01-01

    Latent class analysis was used to examine the career preparation of 5,227 11th-grade Korean adolescents taken from the Korean Education Longitudinal Study of 2005 (KELS:2005). Three career preparedness groups were identified, to reflecting Skorikov's ("J Vocat Behav" 70:8-24, 2007) conceptualization of career preparedness: prepared,…

  13. [Foodborne botulism - a re-emerging public health challenge].

    Science.gov (United States)

    Mezencev, R; Klement, C

    2017-01-01

    Human foodborne botulism is an intoxication caused by ingestion of botulinum neurotoxins (BoNT) of serotypes A, B, E, and rarely also serotype F, produced in contaminated food by anaerobic bacteria Clostridium botulinum group I, group II, or by toxigenic strains of C. butyricum and C. baratii. BoNT-producing Clostridia are ubiquitously distributed in the environment and, under suitable conditions, they can enter the food chain, proliferate and produce BoNT in a variety of foods. In the past, the risk of foodborne botulism was primarily associated with homemade canned foods; however, the epidemiological importance of commercial and restaurant food is increasing nowadays. In this article, we review the public health aspects of foodborne botulism, including its clinical, epidemiological and laboratory diagnosis and discuss potential risks associated with minimally heated, vacuum or modified atmosphere-packed, ready-to-eat foods of extended durability.

  14. RISK EVALUATION ON RAILWAY PUBLIC EMERGENCIES DURING 2008 BEIJING OLYMPIC GAMES

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Risk evaluation is fundamental to eliminate and prenent any kind of public emergencies ,while that for railway public emergencies is the foundation to guarantee railway sicurity.With the researches on the flow and methods of risk evaluation and the evaltation on railway public evtergencies during 2008 Beijing Olympic Games,the article puts forward measures and suggestions for risk control,providing reference for decision making by government departments,the Organizing Committee of Beijing Olympic Games,and the Security Coorduating Tean of Beijing Olympics as well as jproviding basis for solutions by the Security Control Center of Beijing Olympics and the relevant dipartments of railway sector.

  15. Analysis of Heat Illness using Michigan Emergency Department Syndromic Surveillance

    OpenAIRE

    Mamou, Fatema*; Henderson, Tiffany

    2013-01-01

    Objective The purpose of this work was to conduct an enhanced analysis of heat illness during a heat wave using Michigan?s Emergency Department Syndromic Surveillance System (MSSS) that could be provided to Public Health and Preparedness Stakeholders for situational awareness. Introduction The MSSS, described elsewhere (1), has been in use since 2003 and records Emergency Department (ED) chief complaint data along with the patient?s age, gender and zip code in real time. There were 85/139 hos...

  16. [Excessive Internet use and Internet addiction: emerging public health issues.].

    Science.gov (United States)

    Coniglio, Maria Anna; Muni, Viviana; Giammanco, Giuseppe; Pignato, Sarina

    2007-01-01

    A survey was performed among students of various faculties at the University of Catania (Italy) to examine the health effects of excessive Internet use and behaviour patterns of Internet dependency. Three hundred students were recruited through a non probabilistic quota sampling method and were asked to complete a questionnaire aimed at identifying attitudes and behaviours regarding Internet use, and the psychological and physical consequences of excessive use of the Internet. The most relevant findings that emerged from student responses regard: emotional dependency on the Internet (5% of students believe that Internet facilitates social relationships, 4% experiences euphoric feelings or excitement while on-line, 1% consider the Internet as a way of escaping from real life), the excessive amount of time spent on-line (8%) and the inability to end an on-line session(8%), lying to family members to conceal the nature of involvement with the Internet (3%), giving up sports (2%) or meals (1%), the negative impact on school grades (3%), lack of sleep (4%), and physical health problems such as backache (2%), arm or wrist pain (2%), vision disturbances (6%).

  17. Development of spectrometric probes for emergency preparedness. Status and way forward; Entwicklung von spektrometrierenden Sonden fuer den Notfallschutz. Stand und Perspektiven

    Energy Technology Data Exchange (ETDEWEB)

    Zaehringer, M.; Bleher, M. [Bundesamt fuer Strahlenschutz (BfS), Salzgitter (Germany); Dambacher, M. [X-Ray Imaging Europe, Freiburg (Germany); and others

    2014-01-20

    Spectrometric probes with medium energy resolution (NaI, LaBr{sub 3}, CZT) have the potential to enhance existing gamma dose rate monitoring networks as a early warning system by increasing the sensitivity and specificity. In an emergency situation nuclide specific information with sufficient spatial resolution can be made available to decision makers. An ongoing research project between BfS and the Freiburg Material Research Centre (FMF) aims at the development of semiconductor detectors based on Cadmium-Zink-Telluride which can be used for low cost ruggedized spectrometric systems suitable for deployment in an environmental network. The new probe contains also a newly developed versatile multi channel analyser. The system has a modular design and is based - where ever possible - on open source components. It is complemented by specific analysis software using established data exchange formats. This facilitates international cooperation and exploits synergies through distributed development of components.

  18. Strengthening flood warning systems: the benefits of encouraging social preparedness

    Science.gov (United States)

    Girons Lopez, Marc; Di Baldassarre, Giuliano; Seibert, Jan

    2017-04-01

    Flood warning and response have normally been focused on the technical aspects and disregarded the connections and feedbacks between the hydrological and social dimensions. An increasing body of research, however, points at the importance of considering socio-hydrological aspects to improve flood damage mitigation. One of the key factors is the preparedness of the public and first responders during flood situations, which is influenced by many behavioural traits such as perceived benefits, risk awareness, or denial. In this study, we investigate the impact of social preparedness on the efficiency of flood early warning systems by using the recency of flood experience as a proxy for social preparedness. To this end, we developed a stylised model and a synthetic data-set to perform a hypothetical analysis. The main findings point to the importance of social preparedness for flood loss mitigation, especially when the technical forecasting and warning capabilities are limited. More specifically, efforts to promote and preserve social preparedness may help to reduce disaster-induced losses by almost one half. The findings from this study provide insights into the importance of considering social preparedness in decision-making for disaster risk reduction.

  19. Building emergency public information structures for response: Lessons learned from New York City.

    Science.gov (United States)

    Silvestri, Nancy

    2017-12-01

    For an effective response, emergency public information operations should be structured to facilitate the provision of timely, accurate, accessible information to the public. A frequent challenge in building a public information structure is identifying the potential staff to allow the operation to get big enough, fast enough. A plan for managing public information operations should define roles to fulfil basic functions (responding to media enquiries, writing materials, disseminating information, media and social media monitoring, community engagement and identifying and addressing rumours). This paper will offer tips for developing a plan and concept of operations for quickly assembling and maintaining public information operations. It will also describe the public information principles implemented during recent incidents in New York City, including the 2015 visit of Pope Francis to New York City. Having a coordinated, flexible model; a trained network of public information officers who are ready to staff public information roles as needed; and a structure that embeds social media into overall public information operations, will leave public information officers and their organisations more prepared to deal with the challenges and opportunities of communicating with the public during emergencies of varying types and sizes.

  20. Responding to Public Health Emergencies on Tribal Lands: Jurisdictional Challenges and Practical Solutions.

    Science.gov (United States)

    Barnard, Justin B

    2015-01-01

    Response to public health emergencies on tribal lands poses a unique challenge for state and tribal public health officials. The complexity and intensely situation-specific nature of federal Indian jurisprudence leaves considerable question as to which government entity, state or tribal, has jurisdiction on tribal lands to undertake basic emergency measures such as closure of public spaces, quarantine, compulsory medical examination, and investigation. That jurisdictional uncertainty, coupled with cultural differences and an often troubled history of tribal-state relations, threatens to significantly impede response to infectious disease outbreaks or other public health emergencies on tribal lands. Given that tribal communities may be disproportionately impacted by public health emergencies, it is critical that tribal, state, and local governments engage with each other in coordinated planning for public health threats. This Article is offered as a catalyst for such planning efforts. The Article identifies some of the most pressing jurisdictional issues that may confront governments responding to a public health emergency on tribal lands, with the aim of highlighting the nature of the problem and the need for action. The Article goes on to examine the most promising means of addressing jurisdictional uncertainty: intergovernmental agreements. Already utilized in many areas of shared interest between tribe and state, intergovernmental agreements offer neighboring state, local, and tribal governments a vehicle for delineating roles and authorities in an emergency, and may lay the groundwork for sharing resources. The Article surveys various representative tribal public health intergovernmental agreements, and concludes with suggestions for tribes and state or local governments looking to craft their own agreements.

  1. Crisis Preparedness in Schools: Evaluating Staff Perspectives and Providing Recommendations for Best Practice

    Science.gov (United States)

    Olinger Steeves, Rachel M.; Metallo, Sarah A.; Byrd, Shelby M.; Erickson, Megan R.; Gresham, Frank M.

    2017-01-01

    The current study investigated the content of school crisis plans and perceptions of crisis preparedness among school staff in six public elementary schools. Surveys were administered to 72 teachers, administrators, and other school staff members measuring their perceptions of crisis preparedness and performance of activities related to crisis…

  2. State and local levels of preparedness for terrorist incidents : the current and sobering U.S. picture

    Energy Technology Data Exchange (ETDEWEB)

    Paulson, G. [New Jersey Univ. of Medicine and Dentistry, New Brunswick, NJ (United States). School of Public Health; Scott, C.M.; Scott-Dimenna, D. [Rutgers Univ., New Brunswick, NJ (United States)

    2005-07-01

    An increasing number of professional organizations and foundations have surveyed components of the United States readiness programs concerning preparedness for terrorist attacks. This paper reviews the results of research conducted in 2002 and compares them with subsequent studies, demonstrating a gap between desired and current states of readiness. Weaknesses at the local, federal and state levels were discussed. Results from local needs and preparedness surveys were examined, including details and summaries of surveys sent to representatives within all states and territories. Significant gaps still remained in protecting the public from biological and chemical attacks. Cut-backs and a lack of resources were identified as contributing to a lack of local preparedness. In addition, emergency responders were not receiving appropriate training. An independent task force reported that less than 10 per cent of fire departments in the United States had the resources, training and equipment needed to respond to a building collapse. It was noted that less than one-quarter of the United States are able to respond 24 hours a day to reports from hospitals of possible victims of biological or chemical attacks. Bioterrorism preparedness still lacks strategic direction, well-defined priorities and appropriate levels of resources to match needs. In addition, although facilities have been identified as risk management program sites, local responders remain unprepared for threats and many local fire and police departments have not been informed of specific plant hazards or information regarding exact chemical hazards. It was concluded that as the United States approaches its fourth anniversary of the 9/11 attacks, there is is much yet to be done to improve the level of preparedness in cities and towns across the country. 31 refs., 2 tabs.

  3. EMERGING ANTIMICROBIAL RESISTANCE IN HOSPITAL A THREAT TO PUBLIC HEALTH

    Directory of Open Access Journals (Sweden)

    Vichal Rastogi

    2013-01-01

    Full Text Available Background: Antimicrobial resistance(AMR threatens the health of many throughout the world, since both old and new infectious diseases remain a formidable public health threat. When pathogenic microorganisms can multiply beyond some critical mass in the face of invading antimicrobials, treatment outcome is compromised. This phenomenon is referred as antimicrobial resistance (AMR. Objective: This retrospective study was conducted to assess the overall antimicrobial resistance in bacterial isolates from tertiary care hospitals as majority of patients here receive empirical antibiotics therapy. Method: This retrospective study was carried out in teaching hospital, Greater Noida to determine prevalence of multidrug resistance in patients in relation to empirical antibiotic therapy in hospital. Various samples (pus,urine,blood were collected for bacterial culture and antibiotic sensitivity. Results: Total 500 bacterial strains isolated from ICU, surgery, obstetrics & gynaecology and orthopaedics and their sensitivity pattern was compared in this study. The highest number of resistant bacterias were of pseudomonas sp. i.e. 21(33.87% followed by 16(25.80% of staphylococcus aureus, 12(19.35% of Escherichia coli, Klebseilla sp & Proteus vulgaris were 05(8.06% each & Citrobacter sp. 03(4.83%. Total 62(12.4% bacterial isolates were found to be resistant to multiple drugs. The 31 (50% of these resistant bacteria were prevalent in ICU, 12(19.35% in Surgery, 11(17.74% in Gynaecology, 08(12.90% in Orthopaedics.. All the bacterial strains were resistant to common antibiotics like Penicillin, Amoxicillin, Doxycycline & Cotrimoxazole and some were even resistant to Imipenem. Conclusion: Therefore we have outlined the nature of the antimicrobial resistance problem as an important health issue for national and international community. It is advised to avoid use of empirical antibiotics therapy.

  4. Cancer among circumpolar populations: an emerging public health concern

    Directory of Open Access Journals (Sweden)

    T. Kue Young

    2016-01-01

    Full Text Available Objectives: To determine and compare the incidence of cancer among the 8 Arctic States and their northern regions, with special focus on 3 cross-national indigenous groups – Inuit, Athabaskan Indians and Sami. Methods: Data were extracted from national and regional statistical agencies and cancer registries, with direct age-standardization of rates to the world standard population. For comparison, the “world average” rates as reported in the GLOBOCAN database were used. Findings: Age-standardized incidence rates by cancer sites were computed for the 8 Arctic States and 20 of their northern regions, averaged over the decade 2000–2009. Cancer of the lung and colon/rectum in both sexes are the commonest in most populations. We combined the Inuit from Alaska, Northwest Territories, Nunavut and Greenland into a “Circumpolar Inuit” group and tracked cancer trends over four 5-year periods from 1989 to 2008. There has been marked increase in lung, colorectal and female breast cancers, while cervical cancer has declined. Compared to the GLOBOCAN world average, Inuit are at extreme high risk for lung and colorectal cancer, and also certain rare cancers such as nasopharyngeal cancer. Athabaskans (from Alaska and Northwest Territories share some similarities with the Inuit but they are at higher risk for prostate and breast cancer relative to the world average. Among the Sami, published data from 3 cohorts in Norway, Sweden and Finland show generally lower risk of cancer than non-Sami. Conclusions: Cancer among certain indigenous people in the Arctic is an increasing public health concern, especially lung and colorectal cancer.

  5. Public health emergency: social representations among managers of a university hospital.

    Science.gov (United States)

    Souza, Dirciara Barañano; Dall'Agnol, Clarice Maria

    2013-01-01

    to comprehend the social representations of public health emergencies among managers who experienced the Influenza A (H1N1) Pandemic of 2009. a qualitative case study, with its theoretical and methodological framework based on the Theory of Social Representations. The data was obtained through the techniques of free association and semi-structured interviews, applied individually to managers who worked in different positions of the hierarchical management structure of the institution during the pandemic emergency, a total of 30 participants. thematic content analysis resulted in the following categories: vulnerability, health protection, neglect - gray areas of the public sphere, and integrality. The social representations of public health emergencies attest to continuities that transit the overvalorization of negative discourses linked to the health/education public space, naturalization of the substantial character of the epidemic, and normative managerial action. However, the defense of ongoing education as a necessity associated with emergency management revealed possibilities for change in the technical-scientific perception of the management. to understand healthcare/nursing workers as political beings, assuming responsibilities in the areas of the macro and micro policies of the State, the university hospitals and the work teams, is a pathway that is emerging for the management of emergencies.

  6. Use of Social Media During Public Emergencies by People with Disabilities

    Directory of Open Access Journals (Sweden)

    John T. Morris

    2014-08-01

    Full Text Available Introduction: People with disabilities are generally more vulnerable during disasters and public emergencies than the general population. Physical, sensory and cognitive impairments may result in greater difficulty in receiving and understanding emergency alert information, and greater difficulty in taking appropriate action. The use of social media in the United States has grown considerably in recent years. This has generated increasing interest on the part of national, state and local jurisdictions in leveraging these channels to communicate public health and safety information. How and to what extent people with disabilities use social and other communications media during public emergencies can help public safety organizations understand the communication needs of the citizens in their jurisdictions, and plan their social media and other communications strategies accordingly. Methods: This article presents data from a survey on the use of social media and other communications media during public emergencies by people with disabilities conducted from November 1, 2012 through March 30, 2013. Results: The data presented here show four key results. First, levels of use of social media in general are high for people with disabilities, as well as for the general population. Second, use of social media during emergencies is still low for both groups. Third, levels of use of social media are not associated with income levels, but are significantly and strongly associated with age: younger people use social media at higher rates than older people in both groups (p,0.001. Fourth, differences in the use of social media during emergencies across disability types are slight, with the exception of deaf and hard-of-hearing respondents, the former more likely to have used social media to receive (p¼0.002, verify (p¼0.092 and share (p¼0.007 emergency information . Conclusion: These last two results suggest that effective emergency communications

  7. Preparing Minority Populations for Emergencies: Connecting to Build a More Resilient Community

    Science.gov (United States)

    2012-12-01

    Collaborative Emergency Management: Better Community Organising , Better Public Preparedness and Response,” Disasters 32, no. 2 (2008): 239–262. 43 Jennison... authority relying on informal structures of knowledge and reverent power of stakeholders within the 184...environment like many others that creates a “middle man” to connect to the stakeholder/citizen to the government authority . These programs emphasize sharing

  8. Effective communication of public health guidance to emergency department clinicians in the setting of emerging incidents: a qualitative study and framework.

    Science.gov (United States)

    Khan, Yasmin; Sanford, Sarah; Sider, Doug; Moore, Kieran; Garber, Gary; de Villa, Eileen; Schwartz, Brian

    2017-04-28

    Evidence to inform communication between emergency department clinicians and public health agencies is limited. In the context of diverse, emerging public health incidents, communication is urgent, as emergency department clinicians must implement recommendations to protect themselves and the public. The objectives of this study were to: explore current practices, barriers and facilitators at the local level for communicating public health guidance to emergency department clinicians in emerging public health incidents; and develop a framework that promotes effective communication of public health guidance to clinicians during emerging incidents. A qualitative study was conducted using semi-structured interviews with 26 key informants from emergency departments and public health agencies in Ontario, Canada. Data were analyzed inductively and the analytic approach was guided by concepts of complexity theory. Emergent themes corresponded to challenges and strategies for effective communication of public health guidance. Important challenges related to the coordination of communication across institutions and jurisdictions, and differences in work environments across sectors. Strategies for effective communication were identified as the development of partnerships and collaboration, attention to specific methods of communication used, and the importance of roles and relationship-building prior to an emerging public health incident. Following descriptive analysis, a framework was developed that consists of the following elements: 1) Anticipate; 2) Invest in building relationships and networks; 3) Establish liaison roles and redundancy; 4) Active communication; 5) Consider and respond to the target audience; 6) Leverage networks for coordination; and 7) Acknowledge and address uncertainty. The qualities inherent in local relationships cut across framework elements. This research indicates that relationships are central to effective communication between public health

  9. Emergency evacuation orders: considerations and lessons from Hurricane Sandy.

    Science.gov (United States)

    O'Neil, Patrick D

    2014-01-01

    This article analyzes the problems surrounding the execution of emergency evacuation orders by evaluating Hurricane Sandy and the emergency actions taken by the State of New Jersey and the City of Atlantic City New Jersey. The analysis provides an overview of the legal authority granting emergency powers to governors and mayors to issue evacuation proclamations in addition to an evaluation of the New Jersey's emergency evacuation mandate and subsequent compliance. The article concludes with provision of planning and preparedness recommendations for public managers facing similar hazards, including a recommendation for provision of emergency shelter contingencies within the threat zone in anticipation of citizen noncompliance evacuation orders.

  10. Raising risk preparedness through flood risk communication

    Science.gov (United States)

    Maidl, E.; Buchecker, M.

    2014-01-01

    During the last decade, most European countries have produced risk maps of natural hazards, but little is known about how to communicate these maps most effectively to the public. In October 2011, Zurich's local authorities informed owners of buildings located in the urban flood hazard area about potential flood damage, the probability of flood events and protection measures. The campaign was based on the assumptions that informing citizens increases their risk awareness and that citizens who are aware of risks are more likely to undertake appropriate actions to protect themselves and their property. This study is intended as a contribution to a better understanding the factors influencing flood risk preparedness, with a special focus on the effects of such a one-way risk communication strategy. We conducted a standardized mail survey of 1500 property owners in the hazard areas in Zurich. The questionnaire comprised items measuring respondents' risk awareness, risk preparedness, flood experience, information seeking behaviour, knowledge about flood risk, evaluation of the information material, risk acceptance, kind of property owned, attachment to the property, trust in local authorities, and socio-demographic variables. Multivariate data analysis revealed that the average level of risk awareness and preparedness was low, but our results confirmed that the campaign had a statistically significant effect on the level of preparedness. The main factors influencing the respondents' intention to prepare for a flood were the extent to which they evaluated the information material positively and their risk awareness. Those who had never taken any interest in floods previously were less likely to read the material. For future campaigns, we therefore recommend repeated communication of relevant information tailored to the needs of the target population.

  11. Raising risk preparedness by flood risk communication

    Science.gov (United States)

    Maidl, E.; Buchecker, M.

    2015-07-01

    During the last decade, most European countries have produced hazard maps of natural hazards, but little is known about how to communicate these maps most efficiently to the public. In October 2011, Zurich's local authorities informed owners of buildings located in the urban flood hazard zone about potential flood damage, the probability of flood events and protection measures. The campaign was based on the assumptions that informing citizens increases their risk awareness and that citizens who are aware of risks are more likely to undertake actions to protect themselves and their property. This study is intended as a contribution to better understand the factors that influence flood risk preparedness, with a special focus on the effects of such a one-way risk communication strategy. We conducted a standardized mail survey of 1500 property owners in the hazard zones in Zurich (response rate main survey: 34 %). The questionnaire included items to measure respondents' risk awareness, risk preparedness, flood experience, information-seeking behaviour, knowledge about flood risk, evaluation of the information material, risk acceptance, attachment to the property and trust in local authorities. Data about the type of property and socio-demographic variables were also collected. Multivariate data analysis revealed that the average level of risk awareness and preparedness was low, but the results confirmed that the campaign had a statistically significant effect on the level of preparedness. The main influencing factors on the intention to prepare for a flood were the extent to which respondents evaluated the information material positively as well as their risk awareness. Respondents who had never taken any previous interest in floods were less likely to read the material. For future campaigns, we therefore recommend repeated communication that is tailored to the information needs of the target population.

  12. Emergency preparedness in the case of Makran tsunami: a case study on tsunami risk visualization for the western parts of Gujarat, India

    Directory of Open Access Journals (Sweden)

    V. M. Patel

    2016-03-01

    modelling results. The paper also presents classification of tsunami risk zones based on elevation vulnerability. We expect that the results presented here will be supportive to the tsunami emergency response system and useful in planning the protection measures due to tsunami.

  13. Identification of a detailed function list for public health emergency management using three qualitative methods

    Institute of Scientific and Technical Information of China (English)

    HU Guo-qing; RAO Ke-qin; SUN Zhen-qiu

    2007-01-01

    Background At present, many administrators lack a theoretical guide to build management systemsto cope with public health emergencies. This study developed a detailed function list for public health emergency management to help building the management systems scientifically.Methods The five steps in this study including literature review, semistructured interviews with experts, focus group,Delphi study and focus group were conducted to develop the detailed list of functions.Results An initial list of 25 functions with 188 items was formed through literature review. The list was reduced to 10 functions with 57 items by semistructured interviews with experts and focus group. Next, all these 57 items reached the consensus through one-round Delphi study. Some revisions of the consensus were done by the same focus group.Conclusion The final 10 functions with 57 items could be used as a guide for most countries during their building of a public health emergency management system.

  14. 公众应急知识宣传与教育需求问卷调查研究%Questionnaire survey research on the needs of the public emergency education and knowledge

    Institute of Scientific and Technical Information of China (English)

    姜秀慧; 邢娟娟

    2012-01-01

    The public is an important responsibility subject of the emergency, the quality and capabilities of public emergency preparedness level related to the effectiveness and timeliness of emergency. Emergency knowledge of publicity and education is an important means to cultivate and improve the ability of public emergency preparedness. Targeted publicity and education of the public emergency knowledge,in this paper, using the questionnaire, in a wide range of the country is households and network, investigation specific types of public emergency knowledge needs, and recommendations to strengthen the propaganda and education of the public. According to the status quo, targeted proposed to make full use of the mainstream media to expand the emergency propaganda, and the coverage of established targeted emergency normalization, social education system, the emergency knowledge and culture education into government and emergency management organizations at all levels, and provide a reference for the future development of contingency knowledge policy.%公众是突发事件应急的一个重要的责任主体,公众应急准备素质与能力的水平高低关系到突发事件应急的有效性和及时性.应急知识的宣传与教育是培养和提高公众应急准备能力的重要手段.为了有针对性地对公众进行应急知识的宣传与教育,利用问卷调查的方式,通过在全国大范围的入户和网络调查,具体了解了公众对应急知识宣传与教育的态度与认识,公众对应急知识需求的具体类型,以及对加强我国公众应急知识宣传与教育的建议等.根据问卷调查了解到的公众需求现状和不足,有针对性的提出要充分利用主流媒体扩大应急知识宣传方式和覆盖范围,建立有针对性的常态化、社会化应急教育体系,将应急知识和文化的教育列入到政府和各级组织应急管理工作中,可为今后制定应急知识政策提供参考.

  15. [Consciousness and abilities on health emergency and the roles of emergency response among public at the communities].

    Science.gov (United States)

    Li, Yang; Dong, Xao-mei; Wang, Sheng-yong; Tian, Jun-zhang; Ye, Ze-bing; Yang, Jian; Li, Guan-ming; Peng, Lin; Zhang, Si-heng

    2013-10-01

    To evaluate the consciousness of health emergency and the abilities on self- and mutual medical aids among the public at the community level, as well as the community responses on health-related emergencies and other factors. Random equidistant sampling method was used to extract 617 households before choosing a family member sampled by Kish Grid method. All the members were investigated face to face on a questionnaire-"Health emergency and related ability regarding self and mutual medical aids of the residents". Data were entered into computer database by using software Epi Data 3.1 and were analyzed by SPSS 21.0. Among the 617 households under survey, 47.84% of the public had general awareness on health-related emergencies. Regarding the following items as:prevention and isolation strategies of infectious disease, on safely procedures of earthquake and fires, on prevention of food poisoning, on prevention and first aid of emerging infectious diseases etc., the rates of awareness were 65.04%, 62.92%, 43.62% and 18.79% respectively. Proportions of households which had the first aid supplies were:first aid medicine box as 56.08%; fire extinguisher as 43.60%; spare water and food as 39.40%; having facilities as ropes, whistles and smoke masks for escape were all less than 15%. Rates of awareness on the following items as: correct use of gas switch as 81.52%, knowing the location of the circuit with gear and the fire hydrant as 74.39% and 35.98% , respectively. The correct disposal rates of the residents on the following items were:electric shock and falls (89.63%), patients of infectious diseases (83.31%), gas poisoning (82.98%), suspected symptoms on infectious diseases(82.66%), explosion and burns (66.78%), scald (62.72%)and sprain (57.05%). Scores on the related abilities were as follows: emergency(7.65, out of 10 points), escape(3.55, out of 5 points), self- and mutual medical aids (10.71, out of 16 points). Proportions of having learned and applied of first aid

  16. Translating Volcano Hazards Research in the Cascades Into Community Preparedness

    Science.gov (United States)

    Ewert, J. W.; Driedger, C. L.

    2015-12-01

    Research by the science community into volcanic histories and physical processes at Cascade volcanoes in the states of Washington, Oregon, and California has been ongoing for over a century. Eruptions in the 20th century at Lassen Peak and Mount St. Helen demonstrated the active nature of Cascade volcanoes; the 1980 eruption of Mount St. Helens was a defining moment in modern volcanology. The first modern volcano hazards assessments were produced by the USGS for some Cascade volcanoes in the 1960s. A rich scientific literature exists, much of which addresses hazards at these active volcanoes. That said community awareness, planning, and preparation for eruptions generally do not occur as a result of a hazard analyses published in scientific papers, but by direct communication with scientists. Relative to other natural hazards, volcanic eruptions (or large earthquakes, or tsunami) are outside common experience, and the public and many public officials are often surprised to learn of the impacts volcanic eruptions could have on their communities. In the 1980s, the USGS recognized that effective hazard communication and preparedness is a multi-faceted, long-term undertaking and began working with federal, state, and local stakeholders to build awareness and foster community action about volcano hazards. Activities included forming volcano-specific workgroups to develop coordination plans for volcano emergencies; a concerted public outreach campaign; curriculum development and teacher training; technical training for emergency managers and first responders; and development of hazard information that is accessible to non-specialists. Outcomes include broader ownership of volcano hazards as evidenced by bi-national exchanges of emergency managers, community planners, and first responders; development by stakeholders of websites focused on volcano hazards mitigation; and execution of table-top and functional exercises, including evacuation drills by local communities.

  17. Hybrid Management in Preparedness: Utilizing Cooperation and Crowdsourcing to Create Joint Performance in the Logistic Society

    Directory of Open Access Journals (Sweden)

    Vesa-Jukka Vornanen

    2016-06-01

    Full Text Available The key challenges in the public sector are to find new ways to operate horizontally between different levels of administration and being prepared sudden changes. The purpose of this paper is merging society in the development of customer-oriented hybrid organization. Methodology is the literature review. Preparedness is a process, which connects logistic society, its public, private and the third sector organizations, and their operations with households and individuals. This paper presents a conceptual model of hybrid management and applies it to the preparedness. The management resulted in preparedness analysis and classification system (PACS, which conduct transformational leadership, hybrid organization, and crowdsourcing to secure the overall value chain. The PACS shed light to local hybridity and crowdsourcing usage in preparedness. Crowdsourcing can be employed to provide resources before the incident, which will speed recovery. Introduced hybrid management is a significant contribution to the logistic society and its preparedness.

  18. INTER–ORGANIZATIONAL COLLABORATIVE CAPACITY OF PUBLIC SECTOR INSTITUTIONS’CONTROL ENTITIES IN EMERGENCY SITUATIONS

    Directory of Open Access Journals (Sweden)

    Nikola T. STOYANOV

    2015-10-01

    Full Text Available Environmental challenges and natural disasters demand new tools to support the performance of public institutions in emergency situations. This paper contributes to one of the fundamental objectives – inter–organizational collaboration, namely to the objective to share experience from the implementation of methods and tools and latest research results in support of management in the new security environment. In addition, it focuses on the cognitive and human aspects of collaboration. The goal of the paper is to investigate the impact of different factors and tools for understanding, explaining, and measuring collaborative capacity of public sector institutions’ control organism in emergency situations. The paper will present intermediate results from the research on “Inter–organizational collaborative capacity of public sector institutions’ control entities in emergency situations”. Based on a theoretical model, a draft instrument was developed (i.e., a questionnaire for data collection that can be used to 1 investigate the impact of different factors, 2 localize inefficiencies in public sector institutions’ control organs, and 3 determine measures to achieve better organizational effectiveness of public sector institutions’ control entities in emergency situations.

  19. Study Designs and Evaluation Models for Emergency Department Public Health Research

    OpenAIRE

    Broderick, Kerry B.; Ranney, Megan L.; Vaca, Federico E.; D’Onofrio, Gail; Rothman, Richard E.; Rhodes, Karin V; Becker, Bruce; Haukoos, Jason S.

    2009-01-01

    Public health research requires sound design and thoughtful consideration of potential biases that may influence the validity of results. It also requires careful implementation of protocols and procedures that are likely to translate from the research environment to actual clinical practice. This article is the product of a breakout session from the 2009 Academic Emergency Medicine consensus conference entitled “Public Health in the ED: Screening, Surveillance, and Intervention” and serves t...

  20. Economically sustainable public security and emergency network exploiting a broadband communications satellite

    OpenAIRE

    Lawal, Lasisi Salami

    2014-01-01

    The research contributes to work in Rapid Deployment of a National Public Security and Emergency Communications Network using Communication Satellite Broadband. Although studies in Public Security Communication networks have examined the use of communications satellite as an integral part of the Communication Infrastructure, there has not been an in-depth design analysis of an optimized regional broadband-based communication satellite in relation to the envisaged service coverage area, with l...

  1. Museum Monsters and Victorious Viruses: Improving Public Understanding of Emerging Biomedical Research.

    Science.gov (United States)

    Diamond, Judy; Jee, Benjamin; Matuk, Camilla; McQuillan, Julia; Spiegel, Amy N; Uttal, David

    2015-07-01

    Although microbes directly impact everyone's health, most people have limited knowledge about them. In this article, we describe a museum and media public education campaign aimed at helping diverse audiences better understand emerging knowledge about microbes and infectious disease. Funded primarily by the Science Education Partnership (SEPA) program of the National Institutes of Health, this campaign involved crosscutting programs designed to extend impacts throughout a broad public audience.

  2. Preparedness and response to bioterrorism.

    Science.gov (United States)

    Spencer, R C; Lightfoot, N F

    2001-08-01

    As we enter the 21st century the threats of biological warfare and bioterrorism (so called asymmetric threats) appear to be more real than ever before. Historical evidence suggests that biological weapons have been used, with varying degrees of success, for many centuries. Despite the international agreements to ban such weapons, namely the 1925 Geneva Protocol and the 1975 Biological and Toxin Weapons Convention, there is no effective international mechanism for challenging either the development of biological weapons or their use. Advances in technology and the rise of fundamentalist terror groups combine to present a significant threat to western democracies. A timely and definitive response to this threat will require co-operation between governments on a scale never seen before. There is a need for proper planning, good communication between various health, home office, defence and intelligence agencies and sufficient financial support for a realistic state of preparedness. The Department of Health has produced guidelines for responding to real or suspected incidents and the Public Health Laboratory Service (PHLS) has produced detailed protocols to inform the actions required by microbiologists and consultants in communicable disease control. These protocols will be published on the Department of Health and PHLS web sites.

  3. Preparedness organisations at Nordic nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Droeivoldsmo, A.; Porsmyr, J.; Nystad, E. (Institute for Energy Technology (IFE), Halden (Norway))

    2011-08-15

    The report presents an overview of Emergency Preparedness Organisations (EPO) in Sweden, Finland and Norway and presentations of insights from a study of the staff positions' work instructions in the command centre in an emergency situation. The results indicate potential for improvement in several areas. A number of the improvements are related to introduction of new technology and they should be seen in connection with ensuring safe and reliable communication lines and power supply. Analysis of the data identified four main categories where further studies could contribute to improvement: 1) Communication and exchange of information. 2) Tools and technology. 3) Staffing and organisation. 4) Procedures. The usefulness of the Man Technology and Organisation method in analysing the emergency management decision-making process within the authorities was considered as an interesting issue for continuation of the project. The interface between utility and authorities was pointed out as an important area for continuation. (Author)

  4. Use of the community assessment for public health emergency response to conduct community health assessments for public health accreditation.

    Science.gov (United States)

    Conley, Ashley M; Vagi, Sara; Horney, Jennifer A

    2014-01-01

    A community health assessment (CHA) is a collaborative process of collecting and analyzing data to learn about the health status of a community. Community health assessments are also a requirement of public health accreditation for state and local health departments and of the Affordable Care Act for nonprofit hospitals. One element of a CHA is primary data collection. This article describes the use of the Community Assessment for Public Health Emergency Response (CASPER) method for primary data collection to meet public health accreditation requirements in 2 case study communities--Nashua, New Hampshire, and Davidson County, North Carolina; CASPER is a flexible and efficient method for the collection of population-based primary data in an urban or rural setting.

  5. A coke preparedness monitoring device

    Energy Technology Data Exchange (ETDEWEB)

    Sazanov, V.F.; Bannikov, L.S.; Chepurnykh, S.F.; Dobromobov, Yu.I.; Pankrat' ev, O.N.; Pinchuk, S.I.; Shifrin, S.I.

    1982-01-01

    A coke preparedness monitoring device for a door extractor contains sounding electrodes, a stabilized voltage source and a meter to record the electrical resistance of the coke. In order to provide monitoring capacity of the preparedness of the coke in the flow and to increase measuring accuracy the device contains sounding electrodes in the coke-treating door extractor; these are connected together with the recorder via an additional stabilized power supply to a stabilized voltage source.

  6. Emerging metagovernance as an institutional framework for public private partnership networks in Denmark

    DEFF Research Database (Denmark)

    Koch, Christian; Buser, Martine

    2006-01-01

    management perspectives, public services are viewed as a network of mixed players with a regulatory framework, a metagovernance. Examples of Danish PPP initiatives are given. The present metagovernance consists of a comparator, guidelines, feasibility studies and a central competence unit. New issues like......Implementing private public partnerships in Denmark has been a long and reluctant process. PPP developed among municipalities from the late nineties, but was halted because of a scandal in 2002. In 2004 the government launched an action plan, and PPP are emerging again. Drawing on new public...

  7. Emerging Metagovernance as an Institutional Framework for Public Private Partnership Network in Denmark

    DEFF Research Database (Denmark)

    Buser, Martine; Koch, Christian

    2006-01-01

    management perspectives, public services are viewed as a network of mixed players with a regulatory framework, a metagovernance. Examples of Danish PPP initiatives are given. The present metagovernance consists of a comparator, guidelines, feasibility studies and a central competence unit. New issues like......Implementing private public partnerships in Denmark has been a long and reluctant process. PPP developed among municipalities from the late nineties, but was halted because of a scandal in 2002. In 2004 the government launched an action plan, and PPP are emerging again. Drawing on new public...

  8. Syndromic surveillance:A necessary public health tool

    Institute of Scientific and Technical Information of China (English)

    Fatimah Lateef

    2012-01-01

    Of late much has been said about emerging infectious diseases and the threat of bioterrorism. The focus has been on continuous public health surveillance for early detection of outbreaks and potential threats. Preparedness is the way forward and relevant institutions and organizations need to make the necessary investments early. Familiarity, good coordination, active participation and a change of mindset amongst personnel is crucial to make the system work. We also share a general approach to using electronic Emergency Department data for syndromic surveillance.

  9. Public health awareness of emerging zoonotic viruses of bats: A European perspective

    NARCIS (Netherlands)

    Poel, van der W.H.M.; Lina, P.H.C.; Kramps, J.A.

    2006-01-01

    Bats classified in the order Chiroptera are the most abundant and widely distributed non-human mammalian species in the world. Several bat species are reservoir hosts of zoonotic viruses and therefore can be a public health hazard. Lyssaviruses of different genotypes have emerged from bats in Americ

  10. 75 FR 13281 - Fipronil; Receipt of Application for Emergency Exemption, Solicitation of Public Comment

    Science.gov (United States)

    2010-03-19

    ... AGENCY Fipronil; Receipt of Application for Emergency Exemption, Solicitation of Public Comment AGENCY... from the Oregon Department of Agriculture to use the pesticide fipronil (CAS No. 120068-37-3) to treat... disproportionately high and adverse human health impacts or environmental effects from exposure to the...

  11. 76 FR 19093 - Fipronil; Receipt of Application for Emergency Exemption, Solicitation of Public Comment

    Science.gov (United States)

    2011-04-06

    ... AGENCY Fipronil; Receipt of Application for Emergency Exemption, Solicitation of Public Comment AGENCY... from the Oregon Department of Agriculture to use the pesticide fipronil (CAS Reg. No. 120068-37-3) to... disproportionately high and adverse human health impacts or environmental effects from exposure to the...

  12. 77 FR 25716 - Fipronil; Receipt of Applications for Emergency Exemptions, Solicitation of Public Comment

    Science.gov (United States)

    2012-05-01

    ... AGENCY Fipronil; Receipt of Applications for Emergency Exemptions, Solicitation of Public Comment AGENCY... from the Oregon Department of Agriculture to use the pesticide fipronil (CAS No. 120068-37-3) to treat... disproportionately high and adverse human health impacts or environmental effects from exposure to the...

  13. 78 FR 24738 - Ethylene Oxide; Receipt of Application for Emergency Exemption, Solicitation of Public Comment

    Science.gov (United States)

    2013-04-26

    ... AGENCY Ethylene Oxide; Receipt of Application for Emergency Exemption, Solicitation of Public Comment... Service (APHIS) to use the pesticide ethylene oxide (CAS No. 75-21-8) to sterilize the interior surfaces... APHIS has requested the EPA Administrator to issue a quarantine exemption for the use of ethylene oxide...

  14. Public health awareness of emerging zoonotic viruses of bats: A European perspective

    NARCIS (Netherlands)

    Poel, van der W.H.M.; Lina, P.H.C.; Kramps, J.A.

    2006-01-01

    Bats classified in the order Chiroptera are the most abundant and widely distributed non-human mammalian species in the world. Several bat species are reservoir hosts of zoonotic viruses and therefore can be a public health hazard. Lyssaviruses of different genotypes have emerged from bats in

  15. Public health awareness of emerging zoonotic viruses of bats: A European perspective

    NARCIS (Netherlands)

    Poel, van der W.H.M.; Lina, P.H.C.; Kramps, J.A.

    2006-01-01

    Bats classified in the order Chiroptera are the most abundant and widely distributed non-human mammalian species in the world. Several bat species are reservoir hosts of zoonotic viruses and therefore can be a public health hazard. Lyssaviruses of different genotypes have emerged from bats in Americ

  16. [Knowledge of emergency contraception among adolescents in public and private Brazilian high schools].

    Science.gov (United States)

    Chofakian, Christiane Borges do Nascimento; Borges, Ana Luiza Vilela; Fujimori, Elizabeth; Hoga, Luiza Akiko Komura

    2014-07-01

    This study aimed to analyze the level of knowledge concerning emergency contraception among adolescents in public and private high schools. This was a cross-sectional study with 705 students 15 to 19 years of age enrolled in public and private high schools in a municipality in São Paulo State, Brazil. The authors used stratified probabilistic sampling by type of school and systematic sampling by class. Sexual initiation and use of emergency contraception were reported by 24.9% of private school students and 32% of public school students. The mean score on knowledge was 3.87 (SD = 2.12) in public schools and 5.14 (SD = 2.00) in private schools. Multiple linear regression analysis showed that higher scores on knowledge concerning emergency contraception were associated with: enrollment in private schools, female gender, older adolescents, sexual initiation, previous use of emergency contraception, and knowing someone who had used the method. The study concludes that few adolescents are properly informed about the method and that many harbor persistent misconceptions.

  17. 75 FR 65340 - Agency Emergency Information Collection Clearance Request for Public Comment

    Science.gov (United States)

    2010-10-22

    ... proposed information collection for the proper performance of the agency's functions; (2) the accuracy of... within 30 days. Proposed Project: Healthy Living Innovation Awards--OMB No. 0990- NEW--Emergency... the Office of Management and Budget (OMB) to receive applications from public and private...

  18. Disaster Preparedness for University/Community Transit Systems

    Science.gov (United States)

    Robinson, Geary Lynn

    2011-01-01

    Public transportation, with its open access, creates an opportunity for masses of people to be hurt while using transit services during human-made or natural disasters. This dissertation reviews the body of academic and professional literature and recent disaster events to characterize the current state of preparedness for disasters affecting…

  19. Appraisal of Faculty Preparedness by Using Selected Variables.

    Science.gov (United States)

    Rehman, Sajjad ur

    1994-01-01

    Discussion of changes in the criteria by which faculty preparedness is evaluated focuses on a study of six graduate programs of library education in Pakistan that evaluated faculty based on academic qualifications, professional experience, and research and publication credentials. Shortcomings are discussed, and remedial measures are suggested,…

  20. Nurses as Leaders in Disaster Preparedness and Response--A Call to Action.

    Science.gov (United States)

    Veenema, Tener Goodwin; Griffin, Anne; Gable, Alicia R; MacIntyre, Linda; Simons, Radm Nadine; Couig, Mary Pat; Walsh, John J; Lavin, Roberta Proffitt; Dobalian, Aram; Larson, Elaine

    2016-03-01

    To develop a vision for the future of disaster nursing, identify barriers and facilitators to achieving the vision, and develop recommendations for nursing practice, education, policy, and research. A series of semistructured conference calls were conducted with 14 national subject matter experts to generate relevant concepts regarding national nursing workforce preparedness. An invitational daylong workshop hosted by the Veterans Emergency Management Evaluation Center, U.S. Department of Veterans Affairs, was held in December 2014 to expand and refine these concepts. Workshop participants included 70 nurses, emergency managers, and a broad range of public health professionals. Conference call notes and audiotapes of the workshop were transcribed and thematic analysis conducted to outline a vision for the future of nursing in disaster preparedness and response, and to articulate an agenda for nursing practice, education, policy, and research to achieve that vision. The group developed a vision for the future of disaster nursing, and identified current barriers and opportunities to advance professional disaster nursing. A broad array of recommendations for nursing practice, education, policy, and research, as well as implementation challenges, are summarized in this article. This project represents an important step toward enhancing nurses' roles as leaders, educators, responders, policymakers, and researchers in disaster preparedness and response. Nurses and the health and human service organizations that employ them are encouraged to engage in an expansive national dialogue regarding how to best incorporate the vision and recommendations into their individual lives and the organizations for which they work. Nurses comprise the largest healthcare workforce, and opportunities exist to strengthen disaster readiness, enhance national surge capacity, and build community resiliency to disasters. © 2016 Sigma Theta Tau International.

  1. Emergency Preparedness: A Handbook for Families.

    Science.gov (United States)

    1982-06-01

    BEAL, George M. Social Action in Civil Defense. Washington, D.C.: Office of Civil Defense, 1964. BERLO , David K. The Home Fallout Protection Survey...1973. b 𔃽 II 351 BIBLIOGRAPHY ADAMS, David S. Policies, Programs and Problems of the Local Red Cross Disaster Relief in the 1960s. Columbus, OH: The...SMITH, David , ed., Richard D. Reddy and Burt R. Baldwin. Voluntary Action Research: 1973. Lexington: D.C. Heath and Co., 1973. SMITH, David Horton, ed

  2. Marine Search, Rescue and Emergency Preparedness Study.

    Science.gov (United States)

    1975-09-01

    System - David L. Neasham, District Ranger Lahonton State Recreation Area: same as above, AbiqLu Dam. COE - Lymor E. Reynolds , Res. Supt. Cochita Lake... Jessie York, 501 Broad, Sheffield, Al. Day phone: 383-0524 COORDINATOR: Fred Mauldin, Cherokee Rescue Squad, Cherokee, Al. 359-4991 HOSPITAL! Colbert Co...Village 1, Sheffield, Ala. 35660 383-4464 1 SHERIFF: Colbert County Sheriff or Lauderdale County Sheriff CORONOR: Jessie York, Sheffield, Ala. 35660

  3. Public-Private Collaboration in the Emergence of a National Electronic Identification Policy

    DEFF Research Database (Denmark)

    Medaglia, Rony; Hedman, Jonas; Eaton, Ben

    2017-01-01

    Governments envisioning large-scale national egovernment policies increasingly draw on collaboration with private actors, yet the relationship between dynamics and outcomes of public-private partnership (PPP) is still unclear. The involvement of the banking sector in the emergence of a national...... electronic identification (e-ID) in Denmark is a case in point. Drawing on an analysis of primary and secondary data, we adopt the theoretical lens of collective action to investigate how transformations over time in the convergence of interests, the interdependence of resources, and the alignment...... of governance models between government and the banking sector shaped the emergence of the Danish national e-ID. We propose a process model to conceptualize paths towards the emergence of public-private collaboration for digital information infrastructure – a common good....

  4. Public health challenges and emerging diseases: the case of São Paulo

    Directory of Open Access Journals (Sweden)

    Silva Luiz Jacintho da

    2001-01-01

    Full Text Available The author discusses the challenges posed by emerging infectious diseases in 100 years of public health in the state of São Paulo, Brazil. With an advanced and organized public health system, São Paulo responded to the emergence of infectious diseases by creating research institutions and control programs. The late 19th century witnessed the first modern research institution in microbiology, in response to the bubonic plague. A changing economy led to constant changes in ecosystems. The late 20th century presents a wide array of both emerging and rapidly changing infectious diseases. The present situation calls for creative solutions. Ecosystem analysis and more agile epidemiological surveillance are seen as the best alternatives.

  5. Tropical storm and hurricane recovery and preparedness strategies.

    Science.gov (United States)

    Goodwin, Bradford S; Donaho, John C

    2010-01-01

    The goal of this article is to present lessons learned from the devastating effects of two specific natural disasters in Texas: Tropical Storm Allison, which flooded Houston in June 2001, and Hurricane Ike, which caused severe damage in Galveston in September 2008. When a disaster is predictable, good predisaster planning can help to save animals lives. However, as disasters are usually not predictable and tend not to follow a script, that plan needs to be easily adaptable and flexible. It should address all aspects of the program and include an evacuation strategy for the animals, data backup, and identification of emergency equipment such as generators and communication systems. Media communication must also be considered as the general public may become emotional about animal-related issues; adverse attention and public scrutiny can be expected if animals die. The psychological impact of the disaster on the lives of those it directly affects may require attention and accommodation in the postdisaster recovery period. Following an overview of each disaster we describe plans for recovery, impacts on research, business continuity programs, and planning and preparation strategies developed against future natural disasters. Long-term planning includes building design as an important factor in protecting both the animals and the research equipment. Lessons learned include successful responses, evaluation for improvements, and preparedness plans and procedures to guard against future disaster-related destruction or loss of facilities, research programs, and animal lives.

  6. Emergency Nursing, Ebola, and Public Policy: The Contributions of Nursing to the Public Policy Conversation.

    Science.gov (United States)

    Wolf, Lisa; Ulrich, Connie M; Grady, Christine

    2016-09-01

    Excellent patient care within the emergency department requires interdisciplinary training, teamwork, and communication to manage the chaos of the environment. Specifically, invasive procedures required to manage airway, breathing, and circulation via intubation, chest compressions, and establishing intravenous access can provide a direct benefit to save lives but also have the potential to harm both patients and health care clinicians alike; emergency health care clinicians can be exposed to significant amounts of blood and body fluids as well as other threats of physical and psychological harm. The ethical components of care in this environment are often under-recognized due to the need for rapid patient assessment and immediate action. Moreover, challenges to practice that can include lack of qualified personnel, equipment, and other resources to provide safe care to a large volume of patients can lead to moral distress in ED staff. Because the ED is a high-uncertainty, high-acuity environment, continuing interprofessional communication, collaboration, and planning is critical. Opportunities for multidisciplinary policy dialogue and the development of professional guidelines can make the ED a safer environment for both patients and providers.

  7. A Transdisciplinary Approach to Public Health Law: The Emerging Practice of Legal Epidemiology.

    Science.gov (United States)

    Burris, Scott; Ashe, Marice; Levin, Donna; Penn, Matthew; Larkin, Michelle

    2016-01-01

    Public health law has roots in both law and science. For more than a century, lawyers have helped develop and implement health laws; over the past 50 years, scientific evaluation of the health effects of laws and legal practices has achieved high levels of rigor and influence. We describe an emerging model of public health law that unites these two traditions. This transdisciplinary model adds scientific practices to the lawyerly functions of normative and doctrinal research, counseling, and representation. These practices include policy surveillance and empirical public health law research on the efficacy of legal interventions and the impact of laws and legal practices on health and health system operation. A transdisciplinary model of public health law, melding its legal and scientific facets, can help break down enduring cultural, disciplinary, and resource barriers that have prevented the full recognition and optimal role of law in public health.

  8. From bioterrorism exercise to real-life public health crisis: lessons for emergency hotline operations.

    Science.gov (United States)

    Uscher-Pines, Lori; Bookbinder, Sylvia H; Miro, Suzanne; Burke, Thomas

    2007-01-01

    Although public health agencies routinely operate hotlines to communicate key messages to the public, they are rarely evaluated to improve hotline management. Since its creation in 2003, the New Jersey Department of Health & Senior Services' Emergency Communications Center has confronted two large-scale incidents that have tested its capabilities in this area. The influenza vaccine shortage of 2004 and the April 2005 TOPOFF 3 full-scale bioterrorism exercise provided both real-life and simulated crisis situations from which to derive general insights into the strengths and weaknesses of hotline administration. This article identifies problems in the areas of staff and message management by analyzing call volume data and the qualitative observations of group feedback sessions and semistructured interviews with hotline staff. It also makes recommendations based on lessons learned to improve future hotline operations in public health emergencies.

  9. Public Health Emergency Operations Center - A critical component of mass gatherings management infrastructure.

    Science.gov (United States)

    Elachola, Habidah; Al-Tawfiq, Jaffar A; Turkestani, Abdulhafiz; Memish, Ziad A

    2016-08-31

    Mass gatherings (MG) are characterized by the influx of large numbers of people with the need to have infrastructural changes to support these gatherings. Thus, Public Health Emergency Operations Center (PHEOC) is critical management infrastructure for both the delivery of public health functions and for mounting adequate response during emergencies. The recognition of the importance of PHEOC at the leadership and political level is foundational for the success of any public health intervention during MG. The ability of the PHEOC to effectively function depends on appropriate design and infrastructure, staffing and command structure, and plans and procedures developed prior to the event. Multi-ministerial or jurisdictional coordination will be required and PHEOC should be positioned with such authorities. This paper outlines the essential concepts, elements, design, and operational aspects of PHEOC during MG.

  10. Public policies from economic and social crisis in the framework of emerging States and territories

    Directory of Open Access Journals (Sweden)

    Jahír Alexánder Gutiérrez Ossa

    2016-09-01

    Full Text Available The present article approaches two aspects of public policy. On the one hand, we have social emergence, the institutional and economic crisis in some Latin American countries, as well as its complex and systematic structure. On the other, it looks at the formulation and implementation of public policies, considered within the framework of the international crises of the states of emergency. Through a multi-criteria analysis, arguments related to the management capacity, and the results or work in different sectors are established. Then, using a process of design, the problem will be explained through a review of the economic, legal, political, and social arenas. Finally, the virtues of the public policies in transcendental or difficult situations that require their appearance or full presence will be evaluated.

  11. Safety features in nuclear power plants to eliminate the need of emergency planning in public domain

    Indian Academy of Sciences (India)

    P K Vijayan; M T Kamble; A K Nayak; K K Vaze; R K Sinha

    2013-10-01

    Following the Fukushima accident, the safety features of Nuclear Power Plants (NPP) are being re-examined worldwide including India to demonstrate capabilities to cope with severe accidents. In order to restore public confidence and support for nuclear power, it is felt necessary to design future NPPs with near zero impact outside the plant boundary and thus enabling elimination of emergency planning in public domain. Authors have identified a set of safety features which are needed to be incorporated in advanced reactors to achieve this goal. These features enabling prevention, termination, mitigation and containment of radioactivity for beyond design basis accidents arising from extreme natural events are essential for achieving the goal of elimination of emergency planning in public domain. Inherent safety characteristics, passive and engineered safety features to achieve these functions are discussed in this paper. Present trends and future developments in this direction are also described briefly.

  12. Impact of social preparedness on flood early warning systems

    Science.gov (United States)

    Girons Lopez, M.; Di Baldassarre, G.; Seibert, J.

    2017-01-01

    Flood early warning systems play a major role in the disaster risk reduction paradigm as cost-effective methods to mitigate flood disaster damage. The connections and feedbacks between the hydrological and social spheres of early warning systems are increasingly being considered as key aspects for successful flood mitigation. The behavior of the public and first responders during flood situations, determined by their preparedness, is heavily influenced by many behavioral traits such as perceived benefits, risk awareness, or even denial. In this study, we use the recency of flood experiences as a proxy for social preparedness to assess its impact on the efficiency of flood early warning systems through a simple stylized model and implemented this model using a simple mathematical description. The main findings, which are based on synthetic data, point to the importance of social preparedness for flood loss mitigation, especially in circumstances where the technical forecasting and warning capabilities are limited. Furthermore, we found that efforts to promote and preserve social preparedness may help to reduce disaster-induced losses by almost one half. The findings provide important insights into the role of social preparedness that may help guide decision-making in the field of flood early warning systems.

  13. Major trends in public health law and practice: a network national report.

    Science.gov (United States)

    Hodge, James G; Barraza, Leila; Bernstein, Jennifer; Chu, Courtney; Collmer, Veda; Davis, Corey; Griest, Megan M; Hammer, Monica S; Krueger, Jill; Lowrey, Kerri McGowan; Orenstein, Daniel G

    2013-01-01

    Since its inception in September 2010, the Network for Public Health Law has responded to hundreds of public health legal technical assistance claims from around the country. Based on a review of these data, a series of major trends in public health practice and the law are analyzed, including issues concerning: the Affordable Care Act, tobacco control, emergency legal preparedness, health information privacy, food policy, vaccination, drug overdose prevention, sports injury law, public health accreditation, and maternal breastfeeding. These and other emerging themes in public health law demonstrate the essential role of law and practice in advancing the public's health. © 2013 American Society of Law, Medicine & Ethics, Inc.

  14. Terrorism preparedness in state health departments--United States, 2001-2003.

    Science.gov (United States)

    2003-10-31

    The anthrax attacks in fall 2001 highlighted the role of infectious disease (ID) epidemiologists in terrorism preparedness and response. Beginning in 2002, state health departments (SHDs) received approximately 1 billion dollars in new federal funding to prepare for and respond to terrorism, infectious disease outbreaks, and other public health threats and emergencies. This funding is being used in part to improve epidemiologic and surveillance capabilities. To determine how states have used a portion of their new funding to increase ID epidemiology capacity, the Iowa Department of Public Health's Center for Acute Disease Epidemiology and the Iowa State University Department of Microbiology conducted two surveys of U.S. state epidemiologists during September 2000-August 2001 and October 2002-June 2003. This report summarizes the results of these surveys, which determined that although the number of SHD epidemiology workers assigned to ID and terrorism preparedness increased by 132%, concerns remained regarding the ability of SHDs to hire qualified personnel. These findings underscore the need to develop additional and more diverse training venues for current and future ID epidemiologists.

  15. Syndromic surveillance: A necessary public health tool

    OpenAIRE

    2012-01-01

    Of late much has been said about emerging infectious diseases and the threat of bioterrorism. The focus has been on continuous public health surveillance for early detection of outbreaks and potential threats. Preparedness is the way forward and relevant institutions and organizations need to make the necessary investments early. Familiarity, good coordination, active participation and a change of mindset amongst personnel is crucial to make the system work. We also share a general approach t...

  16. 78 FR 60283 - Guidance for Temporary Reassignment of State and Local Personnel During a Public Health Emergency

    Science.gov (United States)

    2013-10-01

    ... HUMAN SERVICES Guidance for Temporary Reassignment of State and Local Personnel During a Public Health... (PAHPRA), Public Law 113-5, amends section 319 of the Public Health Service (PHS) Act to provide the... personnel during a declared Federal public health emergency upon request by a state or tribal...

  17. Communication of emergency public warnings: A social science perspective and state-of-the-art assessment

    Energy Technology Data Exchange (ETDEWEB)

    Mileti, D.S. (Colorado State Univ., Fort Collins, CO (USA)); Sorensen, J.H. (Oak Ridge National Lab., TN (USA))

    1990-08-01

    More than 200 studies of warning systems and warning response were reviewed for this social science perspective and state-of-the-art assessment of communication of emergency public warnings. The major findings are as follows. First, variations in the nature and content of warnings have a large impact on whether or not the public heeds the warning. Relevant factors include the warning source; warning channel; the consistency, credibility, accuracy, and understandability of the message; and the warning frequency. Second, characteristics of the population receiving the warning affect warning response. These include social characteristics such as gender, ethnicity and age, social setting characteristics such as stage of life or family context, psychological characteristics such as fatalism or risk perception, and knowledge characteristics such as experience or training. Third, many current myths about public response to emergency warning are at odds with knowledge derived from field investigations. Some of these myths include the keep it simple'' notion, the cry wolf'' syndrome, public panic and hysteria, and those concerning public willingness to respond to warnings. Finally, different methods of warning the public are not equally effective at providing an alert and notification in different physical and social settings. Most systems can provide a warning given three or more hours of available warning time. Special systems such as tone-alert radios are needed to provide rapid warning. 235 refs., 8 figs., 2 tabs.

  18. Getting Serious About Games -- Using Video Game-Based Learning to Enhance Nuclear Terrorism Preparedness

    Science.gov (United States)

    2012-03-01

    89 14. SUBJECT TERMS Improvised Nuclear Device, Public Preparedness, Weapons of Mass Destruction , Nuclear Fallout, Game-based Learning, Serious...Improvised Nuclear Device KT Kiloton NGO Non-governmental Organization PSA Public Service Announcement WTC World Trade Center xiv THIS... WTC ) on September 11, 2001, the preparedness level of private citizens can weigh heavily on the outcome of an incident, especially a no-notice event

  19. The Evolution of Public Health Emergency Management as a Field of Practice.

    Science.gov (United States)

    Rose, Dale A; Murthy, Shivani; Brooks, Jennifer; Bryant, Jeffrey

    2017-09-01

    The health impacts of recent global infectious disease outbreaks and other disasters have demonstrated the importance of strengthening public health systems to better protect communities from naturally occurring and human-caused threats. Public health emergency management (PHEM) is an emergent field of practice that draws on specific sets of knowledge, techniques, and organizing principles necessary for the effective management of complex health events. We highlight how the nascent field of PHEM has evolved in recent years. We explore this development by first examining multiple sites of intersection between the fields of public health and emergency management. We then analyze 2 of the principal pillars on which PHEM was built: organizational and programmatic (i.e., industry) standards and the incident management system. This is followed by a sketch of the key domains, or functional areas, of PHEM and their application to the emergency management cycle. We conclude with some observations about PHEM in a global context and discuss how the field might continue to evolve.

  20. A world wide public health problem: the principal re-emerging infectious diseases.

    Science.gov (United States)

    De Luca D'Alessandro, E; Giraldi, G

    2011-01-01

    The extraordinary progress in the knowledge of infectious disease, the discovery of antibiotics and effective vaccines are among the great achievement of the nineteenth and twentieth centuries. These achievement have led to a dramatic reduction in the levels of mortality from these diseases. According to the World Health Organization, the term "re-emerging infectious diseases" refers to infectious diseases, which although well known, have not been of recent public health importance. However, climate change, migration, changes in health services, antibiotic resistance, population increase, international travel, the increase in the number of immune-depressed patients ,etc have lead to the re-emergence of these diseases. The climate changes are exposing sectors of the population to inadequate fresh air, water, food and resources for survival which, in consequence, provoke increases in both internal and international migration. In this particular period in which we find ourselves, characterized by globalization, the international community has become aware that the re-emergence of these diseases poses an important risk for public health underlines the necessity to adopt appropriate strategies for their prevention and control. The re-emerging diseases of the twenty-first century are a serious problem for public health and even though there has been enormous progress in medical science and in the battle against infectious diseases, they are still a long way from being really brought under control. A well organized monitoring system would enable the epidemiological characteristics of the infectious diseases to be analyzed and the success or otherwise of preventive interventions to be precisely evaluated. For this reason, the World Health Organization and the European Union have discussed the formation of a collaborative network for the monitoring and control of re-emerging diseases and has initiated special programmes. The battle between humanity and infectious disease