Developing National Standards for Public Health Emergency Preparedness With a Limited Evidence Base

2010 ◽  
Vol 4 (4) ◽  
pp. 285-290 ◽  
Author(s):  
Christopher Nelson ◽  
Ed Chan ◽  
Anita Chandra ◽  
Paul Sorensen ◽  
Henry H. Willis ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Panel Discussion ◽  
Performance Standards ◽  
Evidence Base ◽  
National Standards ◽  
Public Health Preparedness ◽  
National Performance ◽  
Local Flexibility ◽  
Public Health Emergency Preparedness

ABSTRACTObjective: The paucity of evidence and wide variation among communities creates challenges for developing congressionally mandated national performance standards for public health preparedness. Using countermeasure dispensing as an example, we present an approach for developing standards that balances national uniformity and local flexibility, consistent with the quality of evidence available.Methods: We used multiple methods, including a survey of community practices, mathematical modeling, and expert panel discussion.Results: The article presents recommended dispensing standards, along with a general framework that can be used to analyze tradeoffs involved in developing other preparedness standards.Conclusions: Standards can be developed using existing evidence, but would be helped immensely by a stronger evidence base.(Disaster Med Public Health Preparedness. 2010;4:285-290)

Community ready! Assessing and meeting the needs of parents in Arlington County, VA

2007 ◽  
Vol 5 (6) ◽  
pp. 53
Author(s):  
Marina S. Moses, DrPH, MS ◽  
Donna S. Caruso, RN, MSN ◽  
Timothy G. Otten, MPH ◽  
Sam Simmens, PhD ◽  
Tee L. Guidotti, MD, MPH
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Information Dissemination ◽  
Spanish Speakers ◽  
English Speakers ◽  
Specific Information ◽  
Community Based ◽  
Public Health Preparedness ◽  
The Public ◽  
Public Health Emergency Preparedness

In March 2006, three elementary schools, composed of at least 50 percent Latino populations, were selected in Arlington, VA, to participate in a multitiered survey to evaluate parents’ emergency preparedness needs. This article describes how to identify vulnerable populations and tailor specific information and services to their public health needs. An oral survey was administered to parents in their preferred language, English or Spanish, regarding their questions, concerns, preferences, and needs pertaining to public health emergency preparedness. Major themes that emerged included the need for language and culturally sensitive preparedness information; the merit of using established community venues for parents to gather; and the importance of using group specific preferred modes of information dissemination. Significant differences were observed between English speakers and Spanish speakers’ perceived vulnerability, level of preparedness, and preferences for acquiring information. An important similarity that presented itself was that all parents surveyed regard the public school system as safe, trustworthy, and best suited for providing public health preparedness information to the community. Based on this study, an innovative model is being developed called Community Ready! which will be an all-hazards approach to public health preparedness outreach that will be reproducible in other municipalities and school districts.

Building Performance-Based Accountability With Limited Empirical Evidence: Performance Measurement for Public Health Preparedness

2013 ◽  
Vol 7 (4) ◽  
pp. 373-379 ◽  
Author(s):  
Shoshana R. Shelton ◽  
Christopher D. Nelson ◽  
Anita W. McLees ◽  
Karen Mumford ◽  
Craig Thomas
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Measurement Data ◽  
Measure Development ◽  
Evidence Base ◽  
Public Health Emergency ◽  
Building Performance ◽  
Weak Evidence ◽  
Control And Prevention ◽  
Public Health Emergency Preparedness

AbstractEfforts to respond to performance-based accountability mandates for public health emergency preparedness have been hindered by a weak evidence base linking preparedness activities with response outcomes. We describe an approach to measure development that was successfully implemented in the Centers for Disease Control and Prevention Public Health Emergency Preparedness Cooperative Agreement. The approach leverages insights from process mapping and experts to guide measure selection, and provides mechanisms for reducing performance-irrelevant variation in measurement data. Also, issues are identified that need to be addressed to advance the science of measurement in public health emergency preparedness.

Public Health Emergency Preparedness System Evaluation Criteria and Performance Metrics: A Review of Contributions of the CDC-Funded Preparedness and Emergency Response Research Centers

2018 ◽  
Vol 13 (03) ◽  
pp. 626-638 ◽  
Author(s):  
Shoukat H. Qari ◽  
Hussain R. Yusuf ◽  
Samuel L. Groseclose ◽  
Mary R. Leinhos ◽  
Eric G. Carbone
Keyword(s):  
Public Health ◽  
Emergency Response ◽  
Emergency Preparedness ◽  
Evaluation Criteria ◽  
Public Health Emergency ◽  
System Evaluation ◽  
Research Centers ◽  
Public Health Preparedness ◽  
Efficiency And Effectiveness ◽  
Public Health Emergency Preparedness

ABSTRACTObjectivesThe US Centers for Disease Control and Prevention (CDC)-funded Preparedness and Emergency Response Research Centers (PERRCs) conducted research from 2008 to 2015 aimed to improve the complex public health emergency preparedness and response (PHEPR) system. This paper summarizes PERRC studies that addressed the development and assessment of criteria for evaluating PHEPR and metrics for measuring their efficiency and effectiveness.MethodsWe reviewed 171 PERRC publications indexed in PubMed between 2009 and 2016. These publications derived from 34 PERRC research projects. We identified publications that addressed the development or assessment of criteria and metrics pertaining to PHEPR systems and describe the evaluation methods used and tools developed, the system domains evaluated, and the metrics developed or assessed.ResultsWe identified 29 publications from 12 of the 34 PERRC projects that addressed PHEPR system evaluation criteria and metrics. We grouped each study into 1 of 3 system domains, based on the metrics developed or assessed: (1) organizational characteristics (n = 9), (2) emergency response performance (n = 12), and (3) workforce capacity or capability (n = 8). These studies addressed PHEPR system activities including responses to the 2009 H1N1 pandemic and the 2011 tsunami, as well as emergency exercise performance, situational awareness, and workforce willingness to respond. Both PHEPR system process and outcome metrics were developed or assessed by PERRC studies.ConclusionsPERRC researchers developed and evaluated a range of PHEPR system evaluation criteria and metrics that should be considered by system partners interested in assessing the efficiency and effectiveness of their activities. Nonetheless, the monitoring and measurement problem in PHEPR is far from solved. Lack of standard measures that are readily obtained or computed at local levels remains a challenge for the public health preparedness field. (Disaster Med Public Health Preparedness. 2019;13:626-638)

scholarly journals US Public Health Preparedness for Zika and Other Threats Remains Vulnerable

2016 ◽  
Vol 10 (2) ◽  
pp. 298-299 ◽  
Author(s):  
Jeffrey S. Duchin
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Public Health Preparedness ◽  
The Us ◽  
Response Capacity ◽  
National Public Health ◽  
Emergency Preparedness And Response ◽  
Public Health Emergency Preparedness ◽  
Core Areas ◽  
Solid Foundation

AbstractThe 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. (Disaster Med Public Health Preparedness. 2016;10:298–299)

scholarly journals Precautionary Behavior Practices and Psychological Characteristics of COVID-19 Patients and Quarantined Persons

2021 ◽  
Vol 18 (11) ◽  
pp. 6070
Author(s):  
Yubin Lee ◽  
Byung-Woo Kim ◽  
Shin-Woo Kim ◽  
Hyunjin Son ◽  
Boyoung Park ◽  
...  
Keyword(s):  
Public Health ◽  
South Korea ◽  
Emergency Preparedness ◽  
Online Survey ◽  
Early Stage ◽  
Psychological Characteristics ◽  
Social Solidarity ◽  
Psychological States ◽  
Precautionary Behavior ◽  
Public Health Emergency Preparedness

Background: since the coronavirus disease (COVID-19) was first reported in 2019, South Korea has enforced isolation of patients with confirmed cases of COVID-19, as well as quarantine for close contacts of individuals diagnosed with COVID-19 and persons traveling from abroad, in order to contain its spread. Precautionary behavior practices and psychological characteristics of confirmed and quarantined persons were investigated for planning pandemic recovery and preparedness. Methods: this study was conducted with 1716 confirmed patients and quarantined persons in Daegu and Busan, regions where a high number of cases were confirmed during the early stage of the COVID-19 outbreak in South Korea. We collected online survey data from 23 April to 20 May 2020, in Daegu, and 28 April to 27 May 2020, in Busan, in cooperation with Daegu and Busan Infectious Disease Control Centers and public health centers in the regions. COVID-19 symptoms, pre-cautionary behavior practices, psychological states, and the need for improvement in isolation/quarantine environments were examined using an online survey. Results: compared to patients infected with coronavirus, quarantined persons engaged in more hygiene-related behaviors (e.g., hand washing, cough etiquette, and proper mask-wearing) and social distancing. COVID-19 patients had a strong fear of stigma, while quarantined persons had a strong fear of contracting COVID-19. Study participants responded that it was necessary to provide financial support and adequate information during isolation/quarantine. Conclusions: the study highlights the importance of precautionary behavior to prevent COVID-19 infection and the need to provide support (both psychological and financial) to patients and quarantined persons, to reinforce effective communication, social solidarity, and public health emergency preparedness (PHEP) in a pandemic situation.

scholarly journals 18.H. Workshop: Bringing evidence during public health emergencies: addressing the challenge through HTA

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Emergency Preparedness ◽  
Public Health Emergency ◽  
Decision Makers ◽  
Evidence Based ◽  
Public Health Emergencies ◽  
Response Planning ◽  
Emergency Preparedness And Response ◽  
Public Health Emergency Preparedness

Abstract Evidence-based decision-making is central to public health. Implementing evidence-informed actions is most challenging during a public health emergency as in an epidemic, when time is limited, scientific uncertainties and political pressures tend to be high, and irrefutable evidence may be lacking. The process of including evidence in public health decision-making and for evidence-informed policy, in preparation, and during public health emergencies, is not systematic and is complicated by many barriers as the absences of shared tools and approaches for evidence-based preparedness and response planning. Many of today's public health crises are also cross-border, and countries need to collaborate in a systematic and standardized way in order to enhance interoperability and to implement coordinated evidence-based response plans. To strengthen the impact of scientific evidence on decision-making for public health emergency preparedness and response, it is necessary to better define mechanisms through which interdisciplinary evidence feeds into decision-making processes during public health emergencies and the context in which these mechanisms operate. As a multidisciplinary, standardized and evidence-based decision-making tool, Health Technology Assessment (HTA) represents and approach that can inform public health emergency preparedness and response planning processes; it can also provide meaningful insights on existing preparedness structures, working as bridge between scientists and decision-makers, easing knowledge transition and translation to ensure that evidence is effectively integrated into decision-making contexts. HTA can address the link between scientific evidence and decision-making in public health emergencies, and overcome the key challenges faced by public health experts when advising decision makers, including strengthening and accelerating knowledge transfer through rapid HTA, improving networking between actors and disciplines. It may allow a 360° perspective, providing a comprehensive view to decision-making in preparation and during public health emergencies. The objective of the workshop is to explore and present how HTA can be used as a shared and systematic evidence-based tool for Public Health Emergency Preparedness and Response, in order to enable stakeholders and decision makers taking actions based on the best available evidence through a process which is systematic and transparent. Key messages There are many barriers and no shared mechanisms to bring evidence in decision-making during public health emergencies. HTA can represent the tool to bring evidence-informed actions in public health emergency preparedness and response.

scholarly journals From Anthrax to Zika: Fifteen Years of Public Health Emergency Preparedness

2017 ◽  
Vol 107 (S2) ◽  
pp. S117-S117 ◽  
Author(s):  
Rachel Nonkin Avchen ◽  
Tanya Telfair LeBlanc ◽  
Christine Kosmos
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Public Health Emergency ◽  
Public Health Emergency Preparedness
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