Public Health System Response to Extreme Weather Events

2016 ◽  
Vol 22 (1) ◽  
pp. E1-E10 ◽  
Author(s):  
Mark D. Hunter ◽  
Jennifer C. Hunter ◽  
Jane E. Yang ◽  
Adam W. Crawley ◽  
Tomás J. Aragón
2015 ◽  
Vol 10 (3) ◽  
pp. 308-313 ◽  
Author(s):  
Asante Shipp Hilts ◽  
Stephanie Mack ◽  
Millicent Eidson ◽  
Trang Nguyen ◽  
Guthrie S. Birkhead

AbstractObjectiveAnalyzing Hurricane Sandy emergency reports to assess the New York State (NYS) public health system response will help inform and improve future disaster preparedness and response.MethodsQualitative analysis of NYS Department of Health (NYSDOH) and Nassau and Suffolk County local health department (LHD) emergency reports was conducted. Three after-action reports and 48 situation reports were reviewed, grouped by key words and sorted into 16 Public Health Preparedness Capabilities. Within each capability, key words were labeled as strengths, challenges, or recommendations.ResultsThe NYSDOH capability most cited as a strength was successful emergency operations coordination, eg, interagency conference calls (27.4% of 1681 strengths). The most cited challenge was environmental health protection, eg, mold and oil spills (28% of 706 challenges). The LHD capability most cited both as a strength (46.7% of 30 strengths) and as a challenge (32.5% of 123 challenges) was emergency operations coordination. Strengths were exemplified by sharing local resources and challenges by insufficient memorandums of understanding for coordination.ConclusionsPost-disaster emergency reports should be systematically reviewed to highlight both successes and areas for improvement. Future studies should prioritize collecting feedback from a wider spectrum of public health and service provider staff for planning of preparedness and response activities. (Disaster Med Public Health Preparedness. 2015;10:308–313)


2013 ◽  
Vol 19 (5) ◽  
pp. 428-435 ◽  
Author(s):  
Michael A. Stoto ◽  
Christopher Nelson ◽  
Melissa A. Higdon ◽  
John Kraemer ◽  
Lisle Hites ◽  
...  

Disasters ◽  
2014 ◽  
Vol 38 (4) ◽  
pp. 753-773 ◽  
Author(s):  
Leesa Lin ◽  
Isaac Ashkenazi ◽  
Barry C. Dorn ◽  
Elena Savoia

2020 ◽  
Vol 36 (4) ◽  
pp. 867-898
Author(s):  
Edward Kissam

Providing the public with relevant and reliable statistical information about the impact of COVID-19 on vulnerable populations is a crucial weapon in effective public health system response. This article examines the reporting challenges confronted by local public health agencies based on a case study of farmworker communities of the San Joaquin Valley, Eastern Coachella Valley, and Salinas Valley. The analysis includes a quantitative estimate of the impact COVID-19 has on farmworker households and highlights how socioeconomic factors and housing conditions give rise to health disparities. The importance of local data collection and reporting as the foundation for a national epidemiological tracking system is emphasized. Current shortcomings stemming from flawed national guidance and local political pressures are noted. The discussion includes detailed recommendation for improved reporting including: more systematic tabulations of available data, an expanded set of indicators to monitor public health system response, promising approaches to improve representativeness of test-derived data on COVID-19 by making it easier to access testing and support services, coupled with messaging to broaden farmworkers’ and other socio-politically marginalized populations’ willingness to seek testing. Understanding the challenges faced and lessons learned in the San Joaquin Valley region have practical implications for a wide range of countries.


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