scholarly journals (A169) Strategic National Stockpile: American Preparedness to a Domestic Biological Attack

2011 ◽  
Vol 26 (S1) ◽  
pp. s59-s59
Author(s):  
A.E. Piombino
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Large Scale ◽  
Technical Assistance ◽  
Lessons Learned ◽  
Department Of Health ◽  
The Us ◽  
Control And Prevention ◽  
Public Health Emergency Preparedness ◽  
Strategic National Stockpile

This session offers an overview of the Strategic National Stockpile (SNS) and the Cities Readiness Initiative (CRI), including CHEM PACK. Managed by the US Department of Health and Human Services Centers for Disease Control and Prevention (CDC), “push-packs” of this critical federal cache of pharmaceuticals and medical materiel are at sites located throughout the country. The CDC's CRI is a federally funded program designed to compliment the SNS and enhance preparedness in the nation's largest cities and Metropolitan Statistical Areas (MSA) where more than 50% of the US population resides. Through CRI, state and large metropolitan public health departments continue refining plans to respond to a large-scale bioterrorism attack by dispensing antibiotics to the entire population of an identified MSA with 48 hours. The SNS Technical Assistance Review (TAR) will be reviewed, as well as best practices and lessons learned from successful public health emergency preparedness and response programs throughout the US.

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)

The Challenge of Measuring Emergency Preparedness: Integrating Component Metrics to Build System-Level Measures for Strategic National Stockpile Operations

2013 ◽  
Vol 7 (1) ◽  
pp. 96-104 ◽  
Author(s):  
Brian A. Jackson ◽  
Kay Sullivan Faith
Keyword(s):  
Public Health ◽  
Failure Mode ◽  
Emergency Preparedness ◽  
Technical Assistance ◽  
Assessment Tools ◽  
System Level ◽  
Response System ◽  
Substantial Investment ◽  
Build System ◽  
Strategic National Stockpile

AbstractObjectiveAlthough 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.MethodsWe 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.ResultsSystems 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.ConclusionsReliability 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.(Disaster Med Public Health Preparedness. 2013;7:96-104)

Mass Arsenic Poisoning and the Public Health Response in Maine

2013 ◽  
Vol 7 (3) ◽  
pp. 319-326 ◽  
Author(s):  
Dora A. Mills ◽  
Anthony J. Tomassoni ◽  
Lindsay A. Tallon ◽  
Kristy A. Kade ◽  
Elena S. Savoia
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Rural Areas ◽  
Rapid Identification ◽  
Public Health Emergency ◽  
Public Health Response ◽  
Arsenic Poisoning ◽  
Laboratory Services ◽  
Control And Prevention ◽  
Public Health Emergency Preparedness

AbstractCreated 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. (Disaster Med Public Health Preparedness. 2013;7:319-326)

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.

scholarly journals Public Health Emergency Preparedness Exercises: Lessons Learned

2010 ◽  
Vol 125 (5_suppl) ◽  
pp. 100-106 ◽  
Author(s):  
Paul D. Biddinger ◽  
Elena Savoia ◽  
Sarah B. Massin-Short ◽  
Jessica Preston ◽  
Michael A. Stoto
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Public Health Emergency ◽  
Lessons Learned ◽  
Public Health Emergency Preparedness

Global Health Diplomacy and Management Mechanisms of US-China Public Health Collaborations in China: Lessons for Emerging Markets

2012 ◽  
Vol 18 (4) ◽  
Author(s):  
Matthew David Brown
Keyword(s):  
Public Health ◽  
Global Health ◽  
Emerging Market ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Diplomacy ◽  
Department Of Health ◽  
The Us ◽  
The World ◽  
Control And Prevention

China is the largest emerging market in the world. It is also on the front lines of health diplomacy, where the tools of diplomatic statecraft are being employed by public health professions of both the US and China to help improve the practice of public health. This article examines the US Department of Health and Human Services’ (HHS) and the US Centers for Control and Prevention (US CDC) in China, describes critical features of the Chinese health system, presents two examples of US-China collaborations, and describes common management mechanisms and strategies supporting both. This examination will help inform other global health collaborations between the US and China as well as lessons for supporting global health collaborations in other middle income countries.

Improving Competencies for Public Health Emergency Legal Preparedness

2008 ◽  
Vol 36 (S1) ◽  
pp. 52-56 ◽  
Author(s):  
Kristine M. Gebbie ◽  
James G. Hodge ◽  
Benjamin Mason Meier ◽  
Drue H. Barrett ◽  
Priscilla Keith ◽  
...  
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Emergency Preparedness ◽  
Legal Framework ◽  
Public Health Emergency ◽  
Legal Response ◽  
Public Health Professionals ◽  
Core Elements ◽  
Control And Prevention ◽  
Public Health Emergency Preparedness

This paper is one of the four interrelated action agenda papers resulting from the National Summit on Public Health Legal Preparedness (Summit) convened in June 2007 by the Centers for Disease Control and Prevention, and multi-disciplinary partners. Each of the action agenda papers deals with one of the four core elements of legal preparedness: laws and legal authorities; competency in using those laws; and coordination of law-based public health actions; and information.This action agenda offers options for consideration by those responsible for or interested in ensuring that public health professionals, their legal counsels, and relevant partners understand the legal framework in which they operate and are competent in applying legal authorities to public health emergency preparedness.Competencies are critical to an individual's ability to make effective legal response to all-hazards public emergencies.

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)

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