The CDC Field Epidemiology Manual

2019 ◽  
Keyword(s):  
Disease Outbreaks ◽  
Incident Management ◽  
The Public ◽  
Field Epidemiology ◽  
Field Investigations ◽  
Toxic Agents ◽  
Core Elements ◽  
Multiple State ◽  
Prompt Action ◽  
Collection And Management

The CDC Field Epidemiology Manual is the definitive resource for the most up-to-date guidance for epidemiologists and other experts conducting field investigations to address acute public health concerns that require prompt action. This latest edition (an update of the 3rd edition of the popular book Field Epidemiology, edited by Dr. Michael Gregg) offers practical advice to guide investigators through the core elements of field investigations, beginning with initiating operations and ending with developing interventions and communicating findings to the public. The manual also provides special considerations to address challenges that often arise during field investigations, such as addressing legal issues, working with multiple state and federal agencies, navigating a multinational outbreak investigation, and working within an incident management structure. The manual includes updated information on using new tools for field investigations, such as the latest technologies for data collection and management and incorporating data from geographic information systems (GIS). Finally, the manual includes tips for investigations in a wide variety of settings, including healthcare and community congregate settings, and different types of outbreaks, including acute enteric disease outbreaks, those suspected to be related to intentional use of biologic and toxic agents, and outbreaks of suicide, violence, and other forms of injury. The manual is written primarily for epidemiologists who will be conducting field investigations in local, state, federal, or international settings. However, others who contribute to field investigations (e.g., laboratory scientists, lawyers, experts in public policy and communications) will also find the book to be an excellent source of information. The manual is written in an easily readable format, including boxes and bulleted points, to provide greater utility for investigators in the field.

scholarly journals Differences and Commonalities of National Field Epidemiology Training Programmes in Europe

2009 ◽  
Vol 14 (43) ◽  
Author(s):  
G Krause ◽  
P Aavitsland ◽  
K Alpers ◽  
A Barrasa ◽  
V Bremer ◽  
...  
Keyword(s):  
Work Force ◽  
Considerable Proportion ◽  
Disease Epidemiology ◽  
The Public ◽  
Infectious Disease Epidemiology ◽  
Field Epidemiology ◽  
Communications Skills ◽  
Class Room ◽  
Training Programmes

From 1994 to 2009, national field epidemiology training programmes (FETP) have been installed in Spain, Germany, Italy, France and Norway. During their two year duration, different components of the FETP are devised as follows: 63-79 weeks are spent on projects in hosting institutes, 2-26 weeks in outside projects, 9-30 weeks in courses and modules, and 1-2 weeks in scientific conferences. A considerable proportion of the Spanish FETP has is provided conventional ‘class room training’. The content of the modules is very similar for all programmes. Except from the Italian programme, all focus on infectious disease epidemiology. The German and Norwegian programmes are so called EPIET-associated programmesas their participants are integrated in the modules and the supervision offered by EPIET, but salaries, facilitators, and training sites are provided by the national programme. These EPIET-associated programmes require strong communications skills in English. Alumni of all five FETP are generally working within the public health work force in their respective countries or at international level, many of them in leading functions. Although three new FETP have been installed since the last published ‘Euroroundup’ in Eurosurveillance on European FETP in 2001, the progress with respect to the establishment of national FETP or EPIET-associated programmes has been slow. Member States should be aware of how much support EPIET can offer for the establishment of national FETP or EPIET-associated programmes. However, they also need to be ready to provide the necessary resources, the administrative environment and long-term dedication to make field epidemiology training work.

scholarly journals The More the Better? A Comparison of the Information Sources Used by the Public during Two Infectious Disease Outbreaks

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0140028 ◽  
Author(s):  
Cynthia G. Jardine ◽  
Franziska U. Boerner ◽  
Amanda D. Boyd ◽  
S. Michelle Driedger
Keyword(s):  
Infectious Disease ◽  
Information Sources ◽  
Disease Outbreaks ◽  
The Public ◽  
Infectious Disease Outbreaks

scholarly journals Anonymity and Democracy: Absence as Presence in the Public Sphere

2018 ◽  
Vol 112 (3) ◽  
pp. 459-472 ◽  
Author(s):  
HANS ASENBAUM
Keyword(s):  
Public Sphere ◽  
Democratic Theory ◽  
Central Feature ◽  
Identity Performance ◽  
Liberal Democracies ◽  
Identity Creation ◽  
The Public ◽  
Core Elements ◽  
The Public Sphere ◽  
Explanatory Concept

Although anonymity is a central feature of liberal democracies—not only in the secret ballot, but also in campaign funding, publishing political texts, masked protests, and graffiti—it has so far not been conceptually grounded in democratic theory. Rather, it is treated as a self-explanatory concept related to privacy. To overcome this omission, this article develops a complex understanding of anonymity in the context of democratic theory. Drawing upon the diverse literature on anonymity in political participation, it explains anonymity as a highly context-dependent identity performance expressing private sentiments in the public sphere. The contradictory character of its core elements—identity negation and identity creation—results in three sets of contradictory freedoms. Anonymity affords (a) inclusion and exclusion, (b) subversion and submission, and (c) honesty and deception. This contradictory character of anonymity's affordances illustrates the ambiguous role of anonymity in democracy.

The Necropolitics of Documents and the Slow Death of Prisoners in Turkey

2019 ◽  
pp. 97-117
Author(s):  
Başak Can
Keyword(s):  
Public Sphere ◽  
Health Condition ◽  
State Violence ◽  
The State ◽  
Political Crisis ◽  
The Public ◽  
Penal Institutions ◽  
Multiple State ◽  
The Government ◽  
The Public Sphere

The government used medico-legal documentation of prisoners’ health condition to solve the biopolitical crisis in penal institutions immediately after the end of death fast (2000-2007) and released hundreds of hunger strikers, who suffered from incurable conditions. That the state turned a political crisis into a medical one using the illness clause had unprecedented consequences for how claims are made in the political sphere. Human rights activists, Kurdish and leftist politicians are now using the plight of ill prisoners to make political arguments in the public sphere. The health conditions of political prisoners, specifically the use of the illness clause has thus emerged as one of the most contentious fields in the encounters between the state and its opponents. This chapter examines how temporality works as an instrument of necropolitics through the slow production and circulation of the medico-legal bureaucratic documents that are produced through encounters with multiple state officials. I argue, first, that medico-legal processes surrounding the detainees are mediated through the discretionary sovereign acts of multiple state officials, including but not limited to physicians, and second, that legal medicine as a technology of state violence is central to understanding the intertwined histories of sovereignty and biopolitics in Turkey.

scholarly journals Environmental Health Workforce – Essential for Interdisciplinary Solutions to the COVID-19 Pandemic

2020 ◽  
pp. 1-3 ◽  
Author(s):  
Benjamin J. Ryan ◽  
Raymond Swienton ◽  
Curt Harris ◽  
James J. James
Keyword(s):  
Public Health ◽  
Environmental Health ◽  
Health Workforce ◽  
Disease Outbreaks ◽  
The United States ◽  
Public Health Workforce ◽  
Primary Role ◽  
The Public ◽  
Mass Gatherings ◽  
Response And Recovery

ABSTRACT Interdisciplinary public health solutions are vital for an effective coronavirus disease 2019 (COVID-19) response and recovery. However, there is often a lack of awareness and understanding of the environmental health workforce connections and capabilities. In the United States, this is a foundational function of health departments and is the second largest public health workforce. The primary role is to protect the public from exposures to environmental hazards, disasters, and disease outbreaks. More specifically, this includes addressing risks relating to sanitation, drinking water, food safety, vector control, and mass gatherings. This profession is also recognized in the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019. Despite this, the profession is often not considered an essential service. Rapid integration into COVID-19 activities can easily occur as most are government employees and experienced working in complex and stressful situations. This role, for example, could include working with leaders, businesses, workplaces, and churches to safely reopen, and inspections to inform, educate, and empower employers, employees, and the public on safe actions. There is now the legislative support, evidence and a window of opportunity to truly enable interdisciplinary public health solutions by mobilizing the environmental health workforce to support COVID-19 response, recovery, and resilience activities.

scholarly journals Mental health services for infectious disease outbreaks including COVID-19: a rapid systematic review

2020 ◽  
Vol 50 (15) ◽  
pp. 2498-2513
Author(s):  
Jing-Li Yue ◽  
Wei Yan ◽  
Yan-Kun Sun ◽  
Kai Yuan ◽  
Si-Zhen Su ◽  
...  
Keyword(s):  
Mental Health ◽  
Infectious Disease ◽  
Disease Outbreaks ◽  
Mental Illnesses ◽  
Stepped Care ◽  
Research Database ◽  
The Public ◽  
Infectious Disease Outbreaks ◽  
Culturally Adapted ◽  
The Impact

AbstractThe upsurge in the number of people affected by the COVID-19 is likely to lead to increased rates of emotional trauma and mental illnesses. This article systematically reviewed the available data on the benefits of interventions to reduce adverse mental health sequelae of infectious disease outbreaks, and to offer guidance for mental health service responses to infectious disease pandemic. PubMed, Web of Science, Embase, PsycINFO, WHO Global Research Database on infectious disease, and the preprint server medRxiv were searched. Of 4278 reports identified, 32 were included in this review. Most articles of psychological interventions were implemented to address the impact of COVID-19 pandemic, followed by Ebola, SARS, and MERS for multiple vulnerable populations. Increasing mental health literacy of the public is vital to prevent the mental health crisis under the COVID-19 pandemic. Group-based cognitive behavioral therapy, psychological first aid, community-based psychosocial arts program, and other culturally adapted interventions were reported as being effective against the mental health impacts of COVID-19, Ebola, and SARS. Culturally-adapted, cost-effective, and accessible strategies integrated into the public health emergency response and established medical systems at the local and national levels are likely to be an effective option to enhance mental health response capacity for the current and for future infectious disease outbreaks. Tele-mental healthcare services were key central components of stepped care for both infectious disease outbreak management and routine support; however, the usefulness and limitations of remote health delivery should also be recognized.

Biological Incidents

2017 ◽  
Author(s):  
Ian Greaves ◽  
Paul Hunt
Keyword(s):  
Disease Outbreaks ◽  
Health Impact ◽  
Biological Agent ◽  
Post Exposure Prophylaxis ◽  
Incident Management ◽  
Standard Precautions ◽  
Initial Management ◽  
Exposure Prophylaxis ◽  
Hospital Response

Chapter 9 covers information on recognition of a biological incident, natural disease outbreaks, accidental release of pathogenic organisms, bioterrorism incidents, features of an intentional biological agent release, recognition of an intentional biological agent release, bioterrorism surveillance, and biological agent biodromes, initial management of a suspected biological agent release incident, general incident management principles, universal (standard) precautions, personal protective equipment, decontamination at scene, biological agent transmissibility and public health impact, mathematical models of infection spread, pre- and post-exposure prophylaxis, the hospital response to a biological incident, primary care, cardinal signs and tips for key biological agents, the role of hospital clinicians, and the unidentified biological agent and ‘white powder’ incidents.

scholarly journals Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Science and the CBRNE Science Medical Operations Science Support Expert (CMOSSE)

2019 ◽  
Vol 13 (5-6) ◽  
pp. 995-1010
Author(s):  
C. Norman Coleman ◽  
Judith L. Bader ◽  
John F. Koerner ◽  
Chad Hrdina ◽  
Kenneth D. Cliffer ◽  
...  
Keyword(s):  
Subject Matter ◽  
Systems Approach ◽  
Lessons Learned ◽  
Incident Management ◽  
Senior Managers ◽  
Preparedness Planning ◽  
Medical Response ◽  
Core Elements ◽  
Subject Matter Expertise ◽  
Response And Recovery

ABSTRACTA national need is to prepare for and respond to accidental or intentional disasters categorized as chemical, biological, radiological, nuclear, or explosive (CBRNE). These incidents require specific subject-matter expertise, yet have commonalities. We identify 7 core elements comprising CBRNE science that require integration for effective preparedness planning and public health and medical response and recovery. These core elements are (1) basic and clinical sciences, (2) modeling and systems management, (3) planning, (4) response and incident management, (5) recovery and resilience, (6) lessons learned, and (7) continuous improvement. A key feature is the ability of relevant subject matter experts to integrate information into response operations. We propose the CBRNE medical operations science support expert as a professional who (1) understands that CBRNE incidents require an integrated systems approach, (2) understands the key functions and contributions of CBRNE science practitioners, (3) helps direct strategic and tactical CBRNE planning and responses through first-hand experience, and (4) provides advice to senior decision-makers managing response activities. Recognition of both CBRNE science as a distinct competency and the establishment of the CBRNE medical operations science support expert informs the public of the enormous progress made, broadcasts opportunities for new talent, and enhances the sophistication and analytic expertise of senior managers planning for and responding to CBRNE incidents.

The Services Directive: the legislative process clears the first hurdle

2006 ◽  
Vol 12 (2) ◽  
pp. 231-249 ◽  
Author(s):  
Wolfgang Kowalsky
Keyword(s):  
Large Degree ◽  
Internal Market ◽  
Legislative Process ◽  
The Public ◽  
European Institutions ◽  
Community Approach ◽  
Core Elements ◽  
Ecological Dumping ◽  
Considerable Controversy ◽  
Intensive Work

In January 2004 the European Commission put forward a proposal for a Directive on services in the internal market that triggered considerable controversy both within the European institutions and amongst the public at large. It was praised by its proponents as a breakthrough for the internal market and sharply criticised by opponents as being a neoliberal abandonment of the Community approach that would merely encourage social and ecological dumping. This paper looks beyond the polemics, myths and ideological battles associated with the issue and attempts to examine the core elements of the proposal in order to identify its objectives and the problems associated with it. It also traces the intensive work carried out by the European Parliament, which discussed the proposal over a period of two years before coming to a decision on it. The ETUC critically monitored the Parliament and the Council during this process, articulating its demands very clearly — and with a large degree of success — through a combination of intensive lobbying and demonstrations.

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