scholarly journals From SARS to 2009 H1N1 Influenza: The Evolution of a Public Health Incident Management System at CDC

2012 ◽  
Vol 127 (3) ◽  
pp. 267-274 ◽  
Author(s):  
Stephen S. Papagiotas ◽  
Mark Frank ◽  
Sherrie Bruce ◽  
Joseph M. Posid
Keyword(s):  
Public Health ◽  
Management System ◽  
H1n1 Influenza ◽  
Incident Management ◽  
2009 H1n1

School Closure Decisions Made by Local Health Department Officials During the 2009 H1N1 Influenza Outbreak

2015 ◽  
Vol 9 (4) ◽  
pp. 464-471 ◽  
Author(s):  
Harvey Kayman ◽  
Sarah Salter ◽  
Maanvi Mittal ◽  
Winifred Scott ◽  
Nicholas Santos ◽  
...  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
H1n1 Influenza ◽  
School Closure ◽  
Local Public Health ◽  
Public Health Decision ◽  
Health Decision ◽  
Decision Making Processes ◽  
Public Health Officials ◽  
2009 H1n1

AbstractObjectivesThe goal of this study was to gain insights into the decision-making processes used by California public health officials during real-time crises. The decision-making processes used by California public health officials during the 2009 H1N1 influenza pandemic were examined by a survey research team from the University of California Berkeley.MethodsThe survey was administered to local public health officials in California. Guidelines published by the Centers for Disease Control and Prevention had recommended school closure, and local public health officials had to decide whether to follow these recommendations. Chi-squared tests were used to make comparisons in the descriptive statistics.ResultsThe response rate from local public health departments was 79%. A total of 73% of respondents were involved in the decision-making process. Respondents stated whether they used or did not use 15 ethical, logistical, and political preselected criteria. They expressed interest in receiving checklists and additional training in decision-making.ConclusionsPublic health decision-makers do not appear to have a standard process for crisis decision-making and would benefit from having an organized decision-making model. The survey showed that ethical, logistical, and political criteria were considered but were not prioritized in any meaningful way. A new decision-making tool kit for public health decision-makers plus implementation training is warranted. (Disaster Med Public Health Preparedness. 2015;9:464–471)

Public health incident management: Logistical and operational aspects of the 2009 initial outbreak of H1N1 influenza in Mexico

2015 ◽  
Vol 10 (4) ◽  
pp. 347-353
Author(s):  
Miguel A. Cruz, PhD ◽  
Nicole M. Hawk, MPA ◽  
Christopher Poulet, MS ◽  
Jose Rovira, MS ◽  
Edward N. Rouse, MPA
Keyword(s):  
Public Health ◽  
H1n1 Influenza ◽  
Incident Management ◽  
Operational Aspects

scholarly journals Modelling seasonality and viral mutation to predict the course of an influenza pandemic

2010 ◽  
Vol 138 (10) ◽  
pp. 1472-1481 ◽  
Author(s):  
P. SHI ◽  
P. KESKINOCAK ◽  
J. L. SWANN ◽  
B. Y. LEE
Keyword(s):  
Public Health ◽  
Influenza Pandemic ◽  
H1n1 Influenza ◽  
Seasonal Effects ◽  
Public Health Decision ◽  
Viral Mutation ◽  
Daily Rate ◽  
Health Decision ◽  
Public Health Officials ◽  
2009 H1n1

SUMMARYAs the 2009 H1N1 influenza pandemic (H1N1) has shown, public health decision-makers may have to predict the subsequent course and severity of a pandemic. We developed an agent-based simulation model and used data from the state of Georgia to explore the influence of viral mutation and seasonal effects on the course of an influenza pandemic. We showed that when a pandemic begins in April certain conditions can lead to a second wave in autumn (e.g. the degree of seasonality exceeding 0·30, or the daily rate of immunity loss exceeding 1% per day). Moreover, certain combinations of seasonality and mutation variables reproduced three-wave epidemic curves. Our results may offer insights to public health officials on how to predict the subsequent course of an epidemic or pandemic based on early and emerging viral and epidemic characteristics and what data may be important to gather.

Public health incident management: Logistical and operational aspects of the 2009 initial outbreak of H1N1 influenza in Mexico

2016 ◽  
Vol 13 (1) ◽  
pp. 71 ◽  
Author(s):  
Miguel A. Cruz, PhD ◽  
Nicole M. Hawk, MPA ◽  
Christopher Poulet, MS ◽  
Jose Rovira, MS ◽  
Edward N. Rouse, MPA
Keyword(s):  
Public Health ◽  
H1n1 Influenza ◽  
Incident Management ◽  
Outbreak Response ◽  
Incident Command ◽  
Health Leadership ◽  
Response Team ◽  
Public Health Leadership ◽  
Operational Aspects

Hosting an international outbreak response team can pose a challenge to jurisdictions not familiar with incident management frameworks. Basic principles of team forming, organizing, and executing mission critical activities require simple and flexible communication that can be easily understood by the host country's public health leadership and international support agencies. Familiarity with incident command system principles before a public health emergency could save time and effort during the initial phases of the response and aid in operationalizing and sustaining complex field activities throughout the response. The 2009 initial outbreak of H1N1 in Mexico highlighted the importance of adequately organizing and managing limited resources and expertise using incident management principles. This case study describes logistical and operational aspects of the response and highlights challenges faced during this response that may be relevant to the organization of public health responses and incidents requiring international assistance and cooperation.

The Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events: Regional Workshop Series on the 2009 H1N1 Influenza Vaccination Campaign

2011 ◽  
Vol 5 (1) ◽  
pp. 81-86 ◽  
Author(s):  
Clare Stroud ◽  
Bruce M. Altevogt ◽  
Jay C. Butler ◽  
Jeffrey S. Duchin
Keyword(s):  
Public Health ◽  
Influenza Pandemic ◽  
Supply And Demand ◽  
Vaccination Campaign ◽  
H1n1 Influenza ◽  
Institute Of Medicine ◽  
Catastrophic Events ◽  
Public Health Preparedness ◽  
H1n1 Vaccine ◽  
2009 H1n1

ABSTRACTIn response to the 2009 H1N1 influenza pandemic, public health authorities launched an ambitious vaccination program to protect tens of millions of Americans from the virus. In April and May 2010, the Institute of Medicine Forum on Medical and Public Health Preparedness for Catastrophic Events hosted a series of 3 regional workshops to examine the 2009 H1N1 vaccination campaign. The workshops brought together stakeholders involved in distributing and dispensing H1N1 vaccine to discuss successes and challenges and to identify strategies to improve future vaccination programs and other medical countermeasure dispensing campaigns. On the basis of the presentations and the discussions that followed, several themes and opportunities for future efforts were identified in the following areas: vaccine supply and demand; state and local implementation of Centers for Disease Control and Prevention/Advisory Committee on Immunization Practices recommendations, including prioritization for vaccination; vaccine formulations and priority groups; opportunities for developing partnerships; opportunities to increase seasonal vaccination rates among pregnant women and health care workers and to increase acceptance of live attenuated nasal spray vaccine; standardization and improvement of immunization information management systems; opportunities to simplify, systematize, and automate processes and practices; and research needs and opportunities.(Disaster Med Public Health Preparedness. 2011;5:81-86)

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