Analyzing the Impact of Severe Tropical Cyclone Yasi on Public Health Infrastructure and the Management of Noncommunicable Diseases

2014 ◽  
Vol 30 (1) ◽  
pp. 28-37 ◽  
Author(s):  
Benjamin J. Ryan ◽  
Richard C. Franklin ◽  
Frederick M. Burkle ◽  
Kerrianne Watt ◽  
Peter Aitken ◽  
...  
Keyword(s):  
Public Health ◽  
Tropical Cyclone ◽  
Tropical Cyclones ◽  
Disaster Management ◽  
Management Systems ◽  
Noncommunicable Diseases ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
The Impact ◽  
Post Disaster

AbstractIntroductionTraditionally, post disaster response activities have focused on immediate trauma and communicable diseases. In developed countries such as Australia, the post disaster risk for communicable disease is low. However, a “disease transition” is now recognized at the population level where noncommunicable diseases (NCDs) are increasingly documented as a post disaster issue. This potentially places an extra burden on health care resources and may have implications for disaster-management systems. With increasing likelihood of major disasters for all sectors of global society, there is a need to ensure that health systems, including public health infrastructure (PHI), can respond properly.ProblemThere is limited peer-reviewed literature on the impact of disasters on NCDs. Research is required to better determine both the impact of NCDs post disaster and their impact on PHI and disaster-management systems.MethodsA literature review was used to collect and analyze data on the impact of the index case event, Australia's Severe Tropical Cyclone Yasi (STC Yasi), on PHI and the management of NCDs. The findings were compared with data from other world cyclone events. The databases searched were MEDLINE, CINAHL, Google Scholar, and Google. The date range for the STC Yasi search was January 26, 2011 through May 2, 2013. No time limits were applied to the search from other cyclone events. The variables compared were tropical cyclones and their impacts on PHI and NCDs. The outcome of interest was to identify if there were trends across similar world events and to determine if this could be extrapolated for future crises.ResultsThis research showed a tropical cyclone (including a hurricane and typhoon) can impact PHI, for instance, equipment (oxygen, syringes, and medications), services (treatment and care), and clean water availability/access that would impact both the treatment and management of NCDs. The comparison between STC Yasi and worldwide tropical cyclones found the challenges faced were linked closely. These relate to communication, equipment and services, evacuation, medication, planning, and water supplies.ConclusionThis research demonstrated that a negative trend pattern existed between the impact of STC Yasi and other similar world cyclone events on PHI and the management of NCDs. This research provides an insight for disaster planners to address concerns of people with NCDs. While further research is needed, this study provides an understanding of areas for improvement, specifically enhancing protective PHI and the development of strategies for maintaining treatment and alternative care options, such as maintaining safe water for dialysis patients.RyanBJ, FranklinRC, BurkleFMJr, WattK, AitkenP, SmithEC, LeggatP. Analyzing the impact of Severe Tropical Cyclone Yasi on public health infrastructure and the management of noncommunicable diseases. Prehosp Disaster Med. 2015;30(1):1-10.

Defining, Describing, and Categorizing Public Health Infrastructure Priorities for Tropical Cyclone, Flood, Storm, Tornado, and Tsunami-Related Disasters

2016 ◽  
Vol 10 (4) ◽  
pp. 598-610 ◽  
Author(s):  
Benjamin J. Ryan ◽  
Richard C. Franklin ◽  
Frederick M. Burkle ◽  
Kerrianne Watt ◽  
Peter Aitken ◽  
...  
Keyword(s):  
Public Health ◽  
Tropical Cyclone ◽  
Evidence Base ◽  
Physical Structure ◽  
Research Literature ◽  
Electronic Publication ◽  
Data Description ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
Post Disaster

AbstractObjectivesThe study aim was to undertake a qualitative research literature review to analyze available databases to define, describe, and categorize public health infrastructure (PHI) priorities for tropical cyclone, flood, storm, tornado, and tsunami-related disasters.MethodsFive electronic publication databases were searched to define, describe, or categorize PHI and discuss tropical cyclone, flood, storm, tornado, and tsunami-related disasters and their impact on PHI. The data were analyzed through aggregation of individual articles to create an overall data description. The data were grouped into PHI themes, which were then prioritized on the basis of degree of interdependency.ResultsSixty-seven relevant articles were identified. PHI was categorized into 13 themes with a total of 158 descriptors. The highest priority PHI identified was workforce. This was followed by water, sanitation, equipment, communication, physical structure, power, governance, prevention, supplies, service, transport, and surveillance.ConclusionsThis review identified workforce as the most important of the 13 thematic areas related to PHI and disasters. If its functionality fails, workforce has the greatest impact on the performance of health services. If addressed post-disaster, the remaining forms of PHI will then be progressively addressed. These findings are a step toward providing an evidence base to inform PHI priorities in the disaster setting. (Disaster Med Public Health Preparedness. 2016;10:598–610)

Impact of Public Health Emergencies on Modern Disaster Taxonomy, Planning, and Response

2008 ◽  
Vol 2 (3) ◽  
pp. 192-199 ◽  
Author(s):  
Frederick M. Burkle ◽  
P. Gregg Greenough
Keyword(s):  
Public Health ◽  
Health Resources ◽  
World Health ◽  
Resource Monitoring ◽  
Security Issues ◽  
Public Health Emergencies ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
Health Organization ◽  
The Impact

ABSTRACTCurrent disaster taxonomy describes diversity, distinguishing characteristics, and common relations in disaster event classifications. The impact of compromised public health infrastructure and systems on health consequences defines and greatly influences the manner in which disasters are observed, planned for, and managed, especially those that are geographically widespread, population dense, and prolonged. What may first result in direct injuries and death may rapidly change to excess indirect illness and subsequent death as essential public health resources are destroyed, deteriorate, or are systematically denied to vulnerable populations. Public health and public health infrastructure and systems in developed and developing countries must be seen as strategic and security issues that deserve international public health resource monitoring attention from disaster managers, urban planners, the global humanitarian community, World Health Organization authorities, and participating parties to war and conflict. We posit here that disaster frameworks be reformed to emphasize and clarify the relation of public health emergencies and modern disasters. (Disaster Med Public Health Preparedness. 2008;2:192–199)

scholarly journals Actionable lessons for the US COVID vaccine program

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Gary L. Freed
Keyword(s):  
Public Health ◽  
Local Health ◽  
National Strategy ◽  
Individual State ◽  
Health Departments ◽  
Local Health Departments ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
The Us ◽  
Vaccine Distribution

AbstractWhen attempting to provide lessons for other countries from the successful Israeli COVID-19 vaccine experience, it is important to distinguish between the modifiable and non-modifiable components identified in the article by Rosen, et al. Two specific modifiable components included in the Israeli program from which the US can learn are (a) a national (not individual state-based) strategy for vaccine distribution and administration and (b) a functioning public health infrastructure. As a federal government, the US maintains an often complex web of state and national authorities and responsibilities. The federal government assumed responsibility for the ordering, payment and procurement of COVID vaccine from manufacturers. In designing the subsequent steps in their COVID-19 vaccine distribution and administration plan, the Trump administration decided to rely on the states themselves to determine how best to implement guidance provided by the Centers for Disease Control and Prevention (CDC). This strategy resulted in 50 different plans and 50 different systems for the dissemination of vaccine doses, all at the level of each individual state. State health departments were neither financed, experienced nor uniformly possessed the expertise to develop and implement such plans. A national strategy for the distribution, and the workforce for the provision, of vaccine beyond the state level, similar to that which occurred in Israel, would have provided for greater efficiency and coordination across the country. The US public health infrastructure was ill-prepared and ill-staffed to take on the responsibility to deliver > 450 million doses of vaccine in an expeditious fashion, even if supply of vaccine was available. The failure to adequately invest in public health has been ubiquitous across the nation at all levels of government. Since the 2008 recession, state and local health departments have lost > 38,000 jobs and spending for state public health departments has dropped by 16% per capita and spending for local health departments has fallen by 18%. Hopefully, COVID-19 will be a wakeup call to the US with regard to the need for both a national strategy to address public health emergencies and the well-maintained infrastructure to make it happen.

scholarly journals The impact of COVID-19 on the care of people living with noncommunicable diseases in low- and middle-income countries: an online survey of physicians and pharmacists in nine countries

2021 ◽  
Vol 22 ◽  
Author(s):  
Chris Bullen ◽  
Jessica McCormack ◽  
Amanda Calder ◽  
Varsha Parag ◽  
Kannan Subramaniam ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Online Survey ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Measures ◽  
The Impact ◽  
Low And Middle Income

Abstract Background: The global COVID-19 pandemic has disrupted healthcare worldwide. In low- and middle-income countries (LMICs), where people may have limited access to affordable quality care, the COVID-19 pandemic has the potential to have a particularly adverse impact on the health and healthcare of individuals with noncommunicable diseases (NCDs). A World Health Organization survey found that disruption of delivery of healthcare for NCDs was more significant in LMICs than in high-income countries. However, the study did not elicit insights into the day-to-day impacts of COVID-19 on healthcare by front-line healthcare workers (FLHCWs). Aim: To gain insights directly from FLHCWs working in countries with a high NCD burden, and thereby identify opportunities to improve the provision of healthcare during the current pandemic and in future healthcare emergencies. Methods: We recruited selected frontline healthcare workers (general practitioners, pharmacists, and other medical specialists) from nine countries to complete an online survey (n = 1347). Survey questions focused on the impact of COVID-19 pandemic on clinical practice and NCDs; barriers to clinical care during the pandemic; and innovative responses to the many challenges presented by the pandemic. Findings: The majority of FLHCWs responding to our survey reported that their care of patients had been impacted both adversely and positively by the public health measures imposed. Most FLHCs (95%) reported a deterioration in the mental health of their patients. Conclusions: Continuity of care for NCDs as part of pandemic preparedness is needed so that chronic conditions are not exacerbated by public health measures and the direct impacts of the pandemic.

Immigrant Communities and COVID-19: Strengthening the Public Health Response

2021 ◽  
Vol 111 (S3) ◽  
pp. S224-S231
Author(s):  
Lan N. Đoàn ◽  
Stella K. Chong ◽  
Supriya Misra ◽  
Simona C. Kwon ◽  
Stella S. Yi
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Low Income ◽  
Immigrant Communities ◽  
Care Providers ◽  
Public Health Response ◽  
The Public ◽  
Public Health Infrastructure ◽  
Health Infrastructure

The COVID-19 pandemic has exposed the many broken fragments of US health care and social service systems, reinforcing extant health and socioeconomic inequities faced by structurally marginalized immigrant communities. Throughout the pandemic, even during the most critical period of rising cases in different epicenters, immigrants continued to work in high-risk-exposure environments while simultaneously having less access to health care and economic relief and facing discrimination. We describe systemic factors that have adversely affected low-income immigrants, including limiting their work opportunities to essential jobs, living in substandard housing conditions that do not allow for social distancing or space to safely isolate from others in the household, and policies that discourage access to public resources that are available to them or that make resources completely inaccessible. We demonstrate that the current public health infrastructure has not improved health care access or linkages to necessary services, treatments, or culturally competent health care providers, and we provide suggestions for how the Public Health 3.0 framework could advance this. We recommend the following strategies to improve the Public Health 3.0 public health infrastructure and mitigate widening disparities: (1) address the social determinants of health, (2) broaden engagement with stakeholders across multiple sectors, and (3) develop appropriate tools and technologies. (Am J Public Health. 2021;111(S3):S224–S231. https://doi.org/10.2105/AJPH.2021.306433 )

scholarly journals The Impact of Convective Momentum Transport on Tropical Cyclone Track Forecasts Using the Emanuel Cumulus Parameterization

2007 ◽  
Vol 135 (4) ◽  
pp. 1195-1207 ◽  
Author(s):  
Timothy F. Hogan ◽  
Randal L. Pauley
Keyword(s):  
Tropical Cyclone ◽  
Data Assimilation ◽  
Tropical Cyclones ◽  
Momentum Transport ◽  
Cumulus Parameterization ◽  
Transport Parameter ◽  
Medium Range Forecast ◽  
Medium Range ◽  
Convective Momentum Transport ◽  
The Impact

Abstract The influence of convective momentum transport (CMT) on tropical cyclone (TC) track forecasts is examined in the Navy Operational Global Atmospheric Prediction System (NOGAPS) with the Emanuel cumulus parameterization. Data assimilation and medium-range forecast experiments show that for 35 tropical cyclones during August and September 2004 the inclusion of CMT in the cumulus parameterization significantly improves the TC track forecasts. The tests show that the track forecasts are very sensitive to the magnitude of the Emanuel parameterization’s convective momentum transport parameter, which controls the CMT tendency returned by the parameterization. While the overall effect of this formulation of CMT in NOGAPS data assimilation/medium-range forecasts results in the surface pressure of tropical cyclones being less intense (and more consistent with the analysis), the parameterization is not equivalent to a simple diffusion of winds in the presence of convection. This is demonstrated by two data assimilation/medium-range forecast tests in which a vertical diffusion algorithm replaces the CMT. Two additional data assimilation/medium-range forecast experiments were conducted to test whether the skill increase primarily comes from the CMT in the immediate vicinity of the tropical cyclones. The results show that the inclusion of the CMT calculation in the vicinity of the TC makes the largest contribution to the increase in forecast skill, but the general contribution of CMT away from the TC also plays an important role.

scholarly journals GLOBAL SPREAD OF INFECTIOUS DISEASES

2004 ◽  
Vol 12 (03) ◽  
pp. 289-300 ◽  
Author(s):  
S. HSU ◽  
A. ZEE
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Human Mobility ◽  
Air Travel ◽  
Peak Number ◽  
Public Health Infrastructure ◽  
Health Infrastructure ◽  
Global Spread ◽  
Epidemiological Parameters ◽  
Simple Models

We develop simple models for the global spread of infectious diseases, emphasizing human mobility via air travel and the variation of public health infrastructure from region to region. We derive formulas relating the total and peak number of infections in two countries to the rate of travel between them and their respective epidemiological parameters.

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