Postexposure Immunization and Prophylaxis of Bloodborne Pathogens Following a Traumatic Explosive Event: Preliminary Recommendations

2007 ◽  
Vol 1 (2) ◽  
pp. 106-109 ◽  
Author(s):  
Italo Subbarao ◽  
Ruth Steinbrecher ◽  
Litjen Tan ◽  
Kobi Peleg ◽  
Jessica Zeiger ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Disease Control ◽  
Mucous Membrane ◽  
The United States ◽  
Public Health Preparedness ◽  
Bloodborne Pathogens ◽  
Control And Prevention ◽  
Membrane Exposure ◽  
Explosive Event

ABSTRACTBackground: No definitive guidelines have been established in the United States for postexposure immunization and prophylaxis (PEP) to hepatitis B and C viruses (HBV, HCV) and human immunodeficiency virus (HIV) in the event of a traumatic explosive event.Methods: The American Medical Association’s Center for Public Health Preparedness and Disaster Response assembled a US-Israeli panel of experts, including representatives from disaster medicine, trauma surgery, occupational health, and infectious disease to determine guidelines for adult and pediatric victims following a traumatic explosive event. The panel reviewed the existing Israeli and United Kingdom protocols, previously published Centers for Disease Control and Prevention guidance on occupational and nonoccupational exposures to HBV, HCV, and HIV, before reaching consensus on preliminary guidelines for the United States.Results: These guidelines recommend an age-appropriate dose and schedule for HBV PEP for individuals presenting from the scene with nonintact skin or mucous membrane exposure, and they also consider HCV and HIV testing in individuals presenting with possible nonintact skin or mucous membrane exposure. The guidelines do not recommend PEP for individuals presenting from the scene with possible superficial skin exposure.Conclusions: These recommendations offer PEP guidance for bloodborne pathogens and are limited in scope. These recommendations do not address general wound PEP such as tetanus or the need for antibiotics. It is hoped that these guidelines will fill an urgent gap in preparedness until definitive, comprehensive guidelines from the Centers for Disease Control and Prevention are published. (Disaster Med Public Health Preparedness. 2007;1:106–109)

scholarly journals A Decade of Public Health Genomics in the United States: Centers for Disease Control and Prevention 1997–2007

2009 ◽  
Vol 12 (1) ◽  
pp. 20-29 ◽  
Author(s):  
M.J. Khoury ◽  
S. Bowen ◽  
L.A. Bradley ◽  
R. Coates ◽  
N.F. Dowling ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Disease Control ◽  
The United States ◽  
Public Health Genomics ◽  
Control And Prevention ◽  
Centers For Disease Control

Mass Casualty Triage: An Evaluation of the Science and Refinement of a National Guideline

2011 ◽  
Vol 5 (2) ◽  
pp. 129-137 ◽  
Author(s):  
E. Brooke Lerner ◽  
David C. Cone ◽  
Eric S. Weinstein ◽  
Richard B. Schwartz ◽  
Phillip L. Coule ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
The United States ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
National Guideline ◽  
Public Health Preparedness ◽  
The Core ◽  
Individual Assessment ◽  
Triage Category

ABSTRACTMass casualty triage is the process of prioritizing multiple victims when resources are not sufficient to treat everyone immediately. No national guideline for mass casualty triage exists in the United States. The lack of a national guideline has resulted in variability in triage processes, tags, and nomenclature. This variability has the potential to inject confusion and miscommunication into the disaster incident, particularly when multiple jurisdictions are involved. The Model Uniform Core Criteria for Mass Casualty Triage were developed to be a national guideline for mass casualty triage to ensure interoperability and standardization when responding to a mass casualty incident. The Core Criteria consist of 4 categories: general considerations, global sorting, lifesaving interventions, and individual assessment of triage category. The criteria within each of these categories were developed by a workgroup of experts representing national stakeholder organizations who used the best available science and, when necessary, consensus opinion. This article describes how the Model Uniform Core Criteria for Mass Casualty Triage were developed.(Disaster Med Public Health Preparedness. 2011;5:129-137)

Hitch a Sugar to a Protein

2019 ◽  
pp. 197-222
Author(s):  
Janet R. Gilsdorf
Keyword(s):  
United States ◽  
Bacterial Meningitis ◽  
American Indian ◽  
Disease Control ◽  
The United States ◽  
Indian Children ◽  
Control And Prevention ◽  
Centers For Disease Control ◽  
American Children ◽  
Native Alaskan

The success of the conjugate Hib vaccines has been spectacular. Prior to their introduction, an estimated 10,000 cases of Hib meningitis occurred annually in the United States, which was approximately 1 in 300 children. It was even higher among native Alaskan and American Indian children. Since the widespread use of the vaccine, the disease has nearly disappeared in the United States, with only 40 cases in children under age 5 years reported by the Centers for Disease Control and Prevention in 2014. Thus, bacterial meningitis, once a scourge that killed and damaged too many American children is, for the most part, now a bad memory.

scholarly journals Age-Standardized Mortality of Persons on Probation, in Jail, or in State Prison and the General Population, 2001-2012

2019 ◽  
Vol 134 (6) ◽  
pp. 660-666 ◽  
Author(s):  
Christopher Wildeman ◽  
Alyssa W. Goldman ◽  
Emily A. Wang
Keyword(s):  
Public Health ◽  
United States ◽  
Age Distribution ◽  
Correctional Facility ◽  
Well Being ◽  
The United States ◽  
Mortality Rates ◽  
State Prison ◽  
Control And Prevention ◽  
Standardized Mortality Ratios

Objectives: The number of adults in the United States being held on probation—persons convicted of crimes and serving their sentence in the community rather than in a correctional facility—approached 4 million at the end of 2016 and continues to grow, yet little is known about the health and well-being of this population. We compared the standardized mortality ratios of persons on probation in the United States with persons in jail, persons in state prison, and the general US population. Methods: We used administrative data from 2001-2012 from the Bureau of Justice Statistics and the Centers for Disease Control and Prevention WONDER database and indirect standardization techniques to compare the mortality rates of persons on probation in 15 states with the mortality rates of persons in jail, persons in state prison, and the general US population. We applied the age-specific mortality rates of 3 populations (general US population, persons in jail, and persons in state prison) to the age distribution of persons on probation to estimate standardized mortality ratios. Results: Persons on probation died at a rate 3.42 times higher than persons in jail, 2.81 times higher than persons in state prison, and 2.10 times higher than the general US population, after standardizing the age distribution of persons on probation relative to the other 3 groups. Conclusions: Public health interventions should target persons on probation, who have received less attention from the public health community than persons serving sentences in jails and prisons.

Keeping the flu at bay: Methods for detecting and containing infectious disease

2009 ◽  
Vol 7 (4) ◽  
pp. 9
Author(s):  
Atresha Karra, JD ◽  
Emily Cornette, JD
Keyword(s):  
Infectious Disease ◽  
United States ◽  
Disease Control ◽  
The United States ◽  
Communicable Diseases ◽  
World Health ◽  
Reporting Requirements ◽  
The World ◽  
Control And Prevention ◽  
Health Organization

This article focuses on the existing methods for tracking and restricting the spread of communicable diseases, both within United States borders and across nations. It will first describe the roles played by the United States’ Centers for Disease Control and Prevention and the World Health Organization and will then explore how communicable diseases across the world are identified and monitored. This will be followed by a discussion of US and world reporting requirements and methods. Finally, the article will discuss the tactics used by the United States to control the spread of disease.

Individuals With Disabilities Who Have Diabetes: Do We Have Targeted Interventions?

2016 ◽  
Vol 54 (2) ◽  
pp. 106-111 ◽  
Author(s):  
DeLawnia Comer-HaGans ◽  
Shamly Austin ◽  
Zo Ramamonjiarivelo
Keyword(s):  
United States ◽  
Chronic Disease ◽  
Disease Control ◽  
Cause Of Death ◽  
People With Disabilities ◽  
The United States ◽  
Individuals With Disabilities ◽  
Targeted Interventions ◽  
Control And Prevention ◽  
Centers For Disease Control

Abstract According to 2010 data from the Centers for Disease Control and Prevention (CDC), diabetes is the seventh leading cause of death in the United States. It is assumed that various diabetes interventions are available to help individuals manage this chronic disease, but that is not the case. The literature is scant regarding interventions focused on people with disabilities who have diabetes. The purpose of this article is to review interventions specifically focused on people with disabilities who have diabetes and to discuss the effect of these interventions on this population.

Communicating Public Health Preparedness Information to Pregnant and Postpartum Women: An Assessment of Centers for Disease Control and Prevention Web Pages

2015 ◽  
Vol 9 (2) ◽  
pp. 134-137
Author(s):  
Brianna McDonough ◽  
Elizabeth Felter ◽  
Amia Downes ◽  
Jeanette Trauth
Keyword(s):  
Public Health ◽  
Disease Control ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Postpartum Women ◽  
Web Pages ◽  
Low Literacy ◽  
Public Health Preparedness ◽  
Control And Prevention ◽  
Centers For Disease Control

AbstractPregnant and postpartum women have special needs during public health emergencies but often have inadequate levels of disaster preparedness. Thus, improving maternal emergency preparedness is a public health priority. More research is needed to identify the strengths and weaknesses of various approaches to how preparedness information is communicated to these women. A sample of web pages from the Centers for Disease Control and Prevention intended to address the preparedness needs of pregnant and postpartum populations was examined for suitability for this audience. Five of the 7 web pages examined were considered adequate. One web page was considered not suitable and one the raters split between not suitable and adequate. None of the resources examined were considered superior. If these resources are considered some of the best available to pregnant and postpartum women, more work is needed to improve the suitability of educational resources, especially for audiences with low literacy and low incomes. (Disaster Med Public Health Preparedness. 2015;9:134-137)

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