Utilization of Military Support in the Response to Hurricane Marilyn: Implications for Future Military-Civilian Cooperation

1999 ◽  
Vol 14 (2) ◽  
pp. 49-54 ◽  
Author(s):  
Michael Weddle ◽  
Hugo Prado-Monje
Keyword(s):  
Department Of Defense ◽  
Disaster Response ◽  
Health Sector ◽  
Health Resources ◽  
The United States ◽  
Virgin Islands ◽  
Hurricane Andrew ◽  
Disaster Assistance ◽  
Military Support ◽  
Civilian Managers

AbstractIntroduction:The past decade has been a period of evolution for the Federal disaster response system within the United States. Two domestic hurricanes were pivotal events that influenced the methods used for organizing Federal disaster assistance. The lessons of Hurricane Hugo (1989) and Hurricane Andrew (1992) were incorporated into the successful response to Hurricane Marilyn in the U.S. Virgin Islands in 1995. Following each of these storms, the Department of Defense was a major component of the response by the health sector. Despite progress in many areas, lack of clear communication between military and civilian managers and confusion among those requesting Department of Defense health resources may remain as obstacles to rapid response.Methods:This discussion is based on an unpublished case report utilizing interviews with military and civilian managers involved in the Hurricane Marilyn response.Results:The findings suggest that out-of-channel pathways normally utilized in the warning and emergency phase of the response remained operational after more formal civilian-military communication pathways and local assessment capability had been established.Conclusion:It is concluded that delays may be avoided if the system in place was to make all active pathways for the request and validation of military resources visible to the designated Federal managers located within the area of operations.

scholarly journals 2018 Zika Health Brigade: Delivering Critical Health Screening in the U.S. Virgin Islands

2020 ◽  
Vol 5 (4) ◽  
pp. 168
Author(s):  
Shana Godfred-Cato ◽  
S. Nicole Fehrenbach ◽  
Megan R. Reynolds ◽  
Romeo R. Galang ◽  
Dan Schoelles ◽  
...  
Keyword(s):  
Technical Assistance ◽  
Health Resources ◽  
The United States ◽  
Virgin Islands ◽  
Maternal Child Health ◽  
Medical Needs ◽  
Department Of Health ◽  
Significant Damage ◽  
Control And Prevention ◽  
Screening Services

In 2017, Hurricanes Irma and Maria caused significant damage to the United States Virgin Islands (USVI), heightening the challenges many residents faced in accessing adequate healthcare and receiving recommended Zika virus screening services. To address this challenge, the USVI Department of Health (DOH) requested technical assistance from the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), and the American Academy of Pediatrics (AAP) to organize a health brigade to bring needed medical care to an underserved population. It also established the development of important partnerships between federal and private partners as well as between clinical providers and public health entities such as the Epidemiology & Disease Reporting, Maternal Child Health (MCH), and Infant and Toddlers Programs within the DOH, and local clinicians. This health brigade model could be replicated to ensure recommended evaluations are delivered to populations that may have unmet medical needs due to the complexity of the conditions and/or rural location.

scholarly journals DISKURSUS MANAJEMEN BENCANA ERA COVID-19

2021 ◽  
Vol 13 (1) ◽  
pp. 68-85
Author(s):  
Burhanudin Mukhamad Faturahman
Keyword(s):  
Disaster Management ◽  
Disaster Response ◽  
Health Sector ◽  
Health Resources ◽  
Policy Coordination ◽  
Strategic Resources ◽  
Handling Characteristics ◽  
Two Stages ◽  
Disaster Event

Disaster management is a series of disaster cycles including pre-disaster, emergency, and post-disaster response stages with different handling characteristics at each stage. Based on these stages, the covid-19 disaster event has special characteristics where the non-natural disaster has a disaster emergency status as well as a recovery stage. The occurrence of two stages of a disaster at once in one disaster event causes obscurity and poor policy coordination in the emergency response period. The lack of the role of BNPB and BPBD during the disaster emergency caused policies to become conflicted between the health sector and the economic sector. Therefore, it is necessary to revise the disaster management law by strengthening the role of bnpb coordination as the main actor in mobilizing strategic resources both technical and non-technical. The revision of the disaster management law may refer to local government laws to harmonize disaster emergency policies at the central and regional levels. In addition, collaboration with academics is important to provide health resources for handling covid-19 in the country in the production, distribution, and consumption process.

scholarly journals Structural Racism and Immigrant Health in the United States

2021 ◽  
Vol 48 (3) ◽  
pp. 332-341
Author(s):  
Supriya Misra ◽  
Simona C. Kwon ◽  
Ana F. Abraído-Lanza ◽  
Perla Chebli ◽  
Chau Trinh-Shevrin ◽  
...  
Keyword(s):  
United States ◽  
Critical Race Theory ◽  
Immigration Policy ◽  
Immigrant Health ◽  
Health Sector ◽  
Health Resources ◽  
The United States ◽  
Political Rights ◽  
Structural Racism ◽  
Economic Exploitation

Immigration has been historically and contemporarily racialized in the United States. Although each immigrant group has unique histories, current patterns, and specific experiences, racialized immigrant groups such as Latino, Asian, and Arab immigrants all experience health inequities that are not solely due to nativity or years of residence but also influenced by conditional citizenship and subjective sense of belonging or othering. Critical race theory and intersectionality provide a critical lens to consider how structural racism might uniquely impact the health of racialized immigrants, and to understand and intervene on the interlocking systems that shape these shared experiences and health consequences. We build on and synthesize the work of prior scholars to advance how society codifies structural disadvantages for racialized immigrants into governmental and institutional policies and how that affects health via three key pathways that emerged from our review of the literature: (1) formal racialization via immigration policy and citizenship status that curtails access to material and health resources and political and civic participation; (2) informal racialization via disproportionate immigration enforcement and criminalization including ongoing threats of detention and deportation; and (3) intersections with economic exploitation and disinvestment such as labor exploitation and neighborhood disinvestment. We hope this serves as a call to action to change the dominant narratives around immigrant health, provides conceptual and methodological recommendations to advance research, and illuminates the essential role of the public health sector to advocate for changes in other sectors including immigration policy, political rights, law enforcement, labor protections, and neighborhood investment, among others.

Photovoltaics in the United States Department of Defense

1996 ◽  
Author(s):  
J. F. Hoelscher ◽  
R. Ducey ◽  
G. D. Smith ◽  
L. W. Strother ◽  
C. Combs
Keyword(s):  
United States ◽  
Department Of Defense ◽  
The United States ◽  
United States Department ◽  
States Department

scholarly journals Ocular Findings and Visual Function in Children Examined during the Zika Health Brigade in the US Virgin Islands, March 2018

2021 ◽  
Vol 6 (2) ◽  
pp. 66
Author(s):  
S. Grace Prakalapakorn ◽  
Lucas Bonafede ◽  
Linda Lawrence ◽  
Daniel Lattin ◽  
Nicola Kim ◽  
...  
Keyword(s):  
Visual Function ◽  
Retrospective Chart Review ◽  
The United States ◽  
Virgin Islands ◽  
Neurologic Examination ◽  
Zikv Infection ◽  
Us Virgin Islands ◽  
Ocular Findings ◽  
Ocular Structure ◽  
The Us

Among children born with laboratory-confirmed Zika virus (ZIKV) infection, visual impairment (VI) can occur despite normal ocular structure. The objective of this report is to describe ocular findings and visual function among children examined during the Department of Health Zika Health Brigade (ZHB) in the United States Virgin Islands in March 2018. This analysis is based on a retrospective chart review of children eligible to participate in the ZHB (i.e., part of the US Zika Pregnancy and Infant Registry) and who were examined by ophthalmologists. Eighty-eight children attended the ZHB. This report includes 81 children [48 (59.3%) males] whose charts were located [average gestational age = 37.6 weeks (range: 27.6–41.3) and average adjusted age at examination = 9.1 months (range: 0.9–21.9)]. Of those examined, 5/81 (6.2%) had microcephaly at birth, 2/81 (2.5%) had a structural eye abnormality, and 19/72 (26.4%) had VI. Among children with normal ocular structure and neurologic examination, 13/51 (25.5%) had VI. Despite a low incidence of abnormal ocular structure and microcephaly, about a quarter of children examined had VI. Our findings emphasize that ophthalmological examinations should be performed in all children with suspicion for antenatal ZIKV infection, even children with normal ocular structure and neurologic examination.

A Qualitative Case Study of Exemplary Principal Leadership in the United States Virgin Islands: An Application of Kouzes and Posner’s Five Practices of Exemplary Leadership

2021 ◽  
pp. 194277512199005
Author(s):  
Suetania Emmanuel ◽  
Clinton A. Valley
Keyword(s):  
United States ◽  
Principal Leadership ◽  
Qualitative Case Study ◽  
United States Virgin Islands ◽  
The United States ◽  
Virgin Islands ◽  
Staff Members ◽  
Exemplary Leadership ◽  
Five Practices

Effective leadership is foundational to the success of all organizations. This qualitative case study aimed to explore exemplary principal leadership in the United States Virgin Islands (USVI). The study was based on Kouzes and Posner’s model of exemplary leadership. Interviews were held with school principals, teachers, and nonteaching staff members in three schools in USVI. The principal leaders in the USVI were found to exhibit the five practices of exemplary leadership as postulated by Kouzes and Posner. The study recommends that the Education department in USVI should develop guidelines and professional development opportunities to enhance exemplary leadership practices among principals.

scholarly journals IMPACT OF GERIATRIC INTERPROFESSIONAL TRAINING ON ADVANCE CARE PLANNING IN GERIATRIC PRIMARY CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S151-S152
Author(s):  
Maureen E Barrientos ◽  
Anna Chodos ◽  
Alicia Neumann ◽  
Yvonne Troya ◽  
Pei Chen
Keyword(s):  
Primary Care ◽  
Social Work ◽  
Advance Care Planning ◽  
Health Resources ◽  
The United States ◽  
Care Practice ◽  
Care Planning ◽  
Office Visits ◽  
Advance Care ◽  
Telephone Calls

Abstract Currently, an important measure of Advance Care Planning (ACP), Advance Health Care Directives (AHCD) documentation rate, is at 33% for older adults in the United States. To address this disparity, geriatric faculty in an academic geriatric primary care practice aimed to train geriatrics fellows and other interprofessional (IP) learners to engage patients in ACP. As part of a Geriatric Workforce Enhancement Program funded by the Health Resources and Services Administration, geriatrics faculty and the Medical Legal Partnership for Seniors based at University of California Hastings College of Law provided ACP training to fellows and IP learners, including social work interns. In practice, the fellows and social work interns collaborated to incorporate ACP into patient visits and follow-up telephone calls. To monitor ACP progress, research staff reviewed patients’ electronic health records and performed descriptive analysis of the data. In 21 months, 4 geriatrics fellows built a panel of 59 patients who on average had 3 office visits and 7 telephone calls per person. Prior to clinic enrollment, 12 (20.3%) patients had preexisting AHCD, and 47 lacked AHCD documentation. After ACP intervention, 42 of 47 patients without AHCD documentation engaged in ACP discussion. Of those who engaged in ACP discussion, 24 completed AHCD, raising AHCD completion rate to 61%, or 36 patients in the panel of 59. ACP is a complex process that benefits from skilled communication among interprofessional providers and patients. Findings underscore the potential advantages of IP training and engaging patients in ACP discussion in an academic primary care setting.

scholarly journals Radio Spectrum Management and RFI in the United States

1991 ◽  
Vol 112 ◽  
pp. 174-175
Author(s):  
R. Marcus Price
Keyword(s):  
United States ◽  
Department Of Defense ◽  
Government Regulation ◽  
The United States ◽  
Radio Spectrum ◽  
Spectrum Management ◽  
Federal Communications Commission ◽  
Private Companies ◽  
The Government ◽  
Government Body

ABSTRACTIn the United States, civil common carrier telecommunications are provided by private companies, not by any agency of the government. Regulation of these services and spectrum management oversight is provided by the Federal Communications Commission (FCC), an agency of the government. Government telecommunications are operated by individual agencies, e.g. the Department of Defense, under the overall regulation of the Office of Spectrum Management of the National Telecommunications and Information Administration (NTIA), a government body separate from the FCC. In bands shared by the civil and government sectors, liaison and coordination is effected between the FCC and the NTIA.

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