scholarly journals Tools for Assessment of Country Preparedness for Public Health Emergencies: A Critical Review

2020 ◽  
pp. 1-11 ◽  
Author(s):  
Mariana Haeberer ◽  
Svetla Tsolova ◽  
Paul Riley ◽  
Rosa Cano-Portero ◽  
Ute Rexroth ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Applied Research ◽  
Communicable Disease ◽  
Evidence Base ◽  
System Response ◽  
Self Assessment ◽  
Public Health Emergencies ◽  
Reporting Requirements ◽  
User Friendly

ABSTRACT Recent international communicable disease crises have highlighted the need for countries to assure their preparedness to respond effectively to public health emergencies. The objective of this study was to critically review existing tools to support a country’s assessment of its health emergency preparedness. We developed a framework to analyze the expected effectiveness and utility of these tools. Through mixed search strategies, we identified 12 tools with relevance to public health emergencies. There was considerable consensus concerning the critical preparedness system elements to be assessed, although their relative emphasis and means of assessment and measurement varied considerably. Several tools identified appeared to have reporting requirements as their primary aim, rather than primary utility for system self-assessment of the countries and states using the tool. Few tools attempted to give an account of their underlying evidence base. Only some tools were available in a user-friendly electronic modality or included quantitative measures to support the monitoring of system preparedness over time. We conclude there is still a need for improvement in tools available for assessment of country preparedness for public health emergencies, and for applied research to increase identification of system measures that are valid indicators of system response capability.

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.

Health Protection

2016 ◽  
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Communicable Disease ◽  
Real Life ◽  
Daily Practice ◽  
Practical Experience ◽  
Health Protection ◽  
Public Health Response ◽  
Environmental Public Health ◽  
Health Response

This book is an accessible and practical core text on the three domains of health protection: Communicable Disease Control, Emergency Preparedness Resilience and Response (EPRR), and protection of the public from environmental hazards (Environmental Public Health). The editors have attempted to develop an “all hazards approach” to dealing with health protection situations. Most health protection books confine themselves to one of the three domains, whereas this book presents a practical and all hazards approach, with some account of the overarching principles of health protection on which day-to-day practice rests. The target audience is health protection practitioners, students, doctors, nurses and other non-medical professionals who may encounter health protection issues in their daily practice. From a clear introduction to the essential principles of health protection work, the book guides readers through how to manage real health protection incidents using a combination of case studies and quick reference action checklists. Each case study provides a common health protection scenario which develops in stages, in the same way as a real-life case or incident. As the story unfolds, the reader will learn about the nature and significance of the specific threat to population health, the practical steps and issues involved in an effective public health response and the health protection principles underpinning that response. Other chapters outline the general principles of health protection, providing a deeper understanding of key tools and mechanisms, as well as insights into new and emerging health protection issues. A series of individual checklists dealing with a broad range of commonly-faced diseases, hazards and incidents complete the book. These give concise and practically-focused information that can be used even by non-specialists in time-pressured situations. In particular, the variety of chapters covered throughout the book, on Communicable Diseases, Emergency Preparedness Resilience and Response, and Environmental Public Health, offer a unique perspective borne out of practical experience, not easily accessible elsewhere.

scholarly journals Collaborating with Sovereign Tribal Nations to Legally Prepare for Public Health Emergencies

2019 ◽  
Vol 47 (S2) ◽  
pp. 55-58
Author(s):  
Tina Batra Hershey
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Disease Outbreaks ◽  
Public Health Preparedness ◽  
Infectious Disease Outbreaks ◽  
Public Health Emergencies ◽  
Us Government ◽  
Tribal Governments ◽  
Tribal Nations ◽  
Coordination And Collaboration

Public health emergencies, including infectious disease outbreaks and natural disasters, are issues faced by every community. To address these threats, it is critical for all jurisdictions to understand how law can be used to enhance public health preparedness, as well as improve coordination and collaboration across jurisdictions. As sovereign entities, Tribal governments have the authority to create their own laws and take the necessary steps to prepare for, respond to, and recover from disasters and emergencies. Legal preparedness is a key component of public health preparedness. This article first explains legal preparedness and Tribal sovereignty and then describes the relationship between Tribal Nations, the US government, and states. Specific Tribal concerns with respect to emergency preparedness and the importance of coordination and collaboration across jurisdictions for emergency preparedness are discussed. Examples of collaborative efforts between Tribal and other governments to enhance legal preparedness are described.

In Preparation or Response: Examining Health Care Coalitions Amid a Changing Economic and Political Landscape

2015 ◽  
Vol 9 (6) ◽  
pp. 698-703 ◽  
Author(s):  
Mark E. Dornauer
Keyword(s):  
Public Health ◽  
Health Care ◽  
Emergency Preparedness ◽  
Community Health Centers ◽  
Large Scale ◽  
Adverse Health Effects ◽  
Public Health Emergencies ◽  
Political Landscape ◽  
Department Of Health ◽  
Operations Capabilities

ABSTRACTThe Office of the Assistant Secretary for Preparedness and Response within the US Department of Health and Human Services leads the nation in preparing for, responding to, and recovering from the adverse health effects of public health emergencies, in part through formal collaborations between hospitals, health systems, community health centers, public health departments, and community organizations via health care coalitions (HCCs). HCCs endeavor to meet the medical surge demands inherent to disasters and to improve health outcomes before, during, and after public health emergencies. Nevertheless, significant changes in health economics and policy can impact the operations, capabilities, and scope of HCCs. Specifically, hospital consolidation and the Affordable Care Act (ACA) are altering the national health care landscape, as well as the emergency preparedness sector, and are challenging HCCs to adapt to large-scale, industry-wide transformations. This article examines HCCs in the context of the developments of hospital consolidation and the ACA in order to facilitate future discourse regarding the strategy and policy of HCCs amid a changing economic and political landscape. (Disaster Med Public Health Preparedness. 2015;9:698–703)

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)

scholarly journals The importance of a One Health approach to public health and food security in Australia – a perspective from the Chief Medical Officer

2012 ◽  
Vol 33 (4) ◽  
pp. 143 ◽  
Author(s):  
Christopher Baggoley
Keyword(s):  
Public Health ◽  
Communicable Disease ◽  
Medical Officer ◽  
Chief Medical Officer ◽  
Health Protection ◽  
Advisory Council ◽  
Environmental Threats ◽  
Australian Health ◽  
Public Health Emergencies ◽  
Health Related

I have had the privilege of being Australia?s Chief Medical Officer for the past 18 months, which has given me a unique perspective on a range of health-related matters. My role is to provide advice to the Minister and the Department of Health and Ageing (DoHA) including input to the development and administration of major health reforms for all Australians and ensuring the development of evidence-based public health policy. I am responsible for the DoHA?s Office of Health Protection and I chair the Australian Health Protection Principal Committee which advises and makes recommendation to the Australian Health Ministers? Advisory Council on national approaches to public health emergencies, communicable disease threats and environmental threats to public health.

scholarly journals Evaluation and improvement of the emergency capacity of medical staff for COVID-19: A cross-sectional study in China

2021 ◽  
Author(s):  
Shu-Xiao Hu ◽  
Chang-Fu Chen ◽  
Qing Liu ◽  
Gao-Fei Zhang ◽  
Hua-Lin Cheng ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Self Efficacy ◽  
Medical Staff ◽  
Local Governments ◽  
Educational Background ◽  
The Self ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Health Emergencies

Abstract Background: Coronavirus disease 2019 (COVID-19) has spread to 216 countries and territories around the world. Most studies on response to public health emergencies, focus on health systems, local governments or medical organizations, but fewer studies focus on individuals. However, medical staff are the core strength for responding to public health emergencies. The aims of this study are to investigate the status of medical staff’s emergency capacity during the pandemic and to provide intellectual support to further enhance medical staff's ability to ensure the smooth operation of medical rescue. Methods: This study conducted a cross-sectional survey of four hospitals designated to treat patients with COVID-19 in China. Based on the emergency capacity system of medical staff for infectious diseases, an improved Emergency Preparedness Information Questionnaire was used to evaluate the emergency capacity of medical staff. Linear regression and one-way analysis of variance were used to test the differences in the emergency capacity of medical staff. Spearman correlation analysis was used to study the correlation between the self-efficacy and emergency capacity of medical staff. Results: The overall emergency capacity of the surveyed medical staff was at a medium level. There was a correlation between emergency capacity and age, working years, position, educational background and the area where medical staff worked. Emergency capacity was not related to the hospital grade. Emergency capacity was significantly related to whether medical staff had participated in frontline pandemic prevention work. There was also a positive correlation between emergency capacity and the self-efficacy of medical staff. Conclusions: The results highlight the importance of the training mechanism for emergency personnel. The emergency input for public health emergencies should be increased to improve the emergency capacity of medical staff. In addition, it is necessary to pay attention to the mental health of medical staff.

Essentials for Health Protection

2019 ◽  
Author(s):  
Emily Ying Yang Chan
Keyword(s):  
Public Health ◽  
Environmental Health ◽  
Emergency Preparedness ◽  
Risk Mitigation ◽  
Communicable Disease ◽  
Health Protection ◽  
Current Status ◽  
Public Health Approach ◽  
Protection Measures ◽  
Case Examples

Essentials for Health Protection: Four Key Components is an introductory to intermediate level textbook and reference book for undergraduate and postgraduate students, as well as healthcare professionals, non-health actors, and policymakers who are interested in obtaining an overview of an integrated and comprehensive public health approach to health protection. Health protection is one of the three major core theoretical domains of public health, which aims to prevent and manage communicable disease outbreaks and environmental health risks and related diseases. Effective health protection measures may enhance individual, community, and institutional resilience in coping with extreme events. In addition to introducing the four areas covering both health and environmental protection, namely, climate change adaptation and mitigation, emergency preparedness, communicable disease control, and environmental health, this book will also explore a number of new health protection frontiers, such as key discussions in Health Emergency and Disaster Risk Management (H-EDRM), planetary health, and sustainability. The whole health protection spectrum from risk mitigation, prevention interventions, and emergency response are discussed in a comprehensive, contextual, multidisciplinary, and cross-national way. Various text boxes and case examples are included throughout the book to illustrate what the current status of health protection is globally and impart the latest controversies and dynamics that might change the landscape and reality of health protection practices and development.

Health protection

2019 ◽  
Vol 12 (12) ◽  
pp. 725-730
Author(s):  
Emily Stanton ◽  
Anita Bell
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Disease Control ◽  
Environmental Health ◽  
Emergency Preparedness ◽  
Communicable Disease ◽  
Health Protection ◽  
Communicable Disease Control

Health protection is a key function of Public Health England, encompassing emergency preparedness, resilience and response, environmental health, and communicable disease control. The aim of this article is to discuss the role of health protection, its structure in England, and how GPs are integral to the reporting, surveillance and actions to protect public health. Case studies are included. Finally, the article will highlight knowledge that GPs will find useful when considering notifiable infectious diseases and the role of GP and health protection in the NHS Long Term Plan.

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