scholarly journals “The Most Disastrous and Fatal Epidemic”

2021 ◽  
pp. 003335492110003
Author(s):  
E. Thomas Ewing
Keyword(s):  
Public Health ◽  
Respiratory Diseases ◽  
Historical Perspective ◽  
Influenza Pandemic ◽  
The United States ◽  
Disease Outbreak ◽  
Mortality Statistics ◽  
Public Health Officials ◽  
State Board

During the Russian influenza pandemic, which reached the United States in late 1889, US public health officials attempted to document the number of deaths associated with this disease outbreak. A historical perspective illuminates the complex categories used to classify deaths from influenza-associated diseases; substantial changes in weekly, monthly, and yearly death totals; and thoughtful efforts by health officials to measure the epidemic as it happened. The 1114 influenza deaths reported by the Connecticut State Board of Health in the 3 years after the January 1890 outbreak must be supplemented by the notable increases in the number of deaths from respiratory diseases, which elevates the likely toll to more than 7000 deaths during the epidemic. Whereas historians of public health have primarily examined efforts to control communicable diseases, this case study of mortality statistics reported by town officials and analyzed by the Connecticut State Board of Health demonstrates how officers of the local boards of health also responded to unexpected outbreaks of a familiar disease such as influenza. Understanding how organizations measured influenza-associated mortality illustrates an important stage in the development of American public health and also makes an important contribution to studying pandemics in history.

Unresolved Issues in Controlling the Tuberculosis Epidemic Among the Foreign-Born in the United States

1996 ◽  
Vol 22 (4) ◽  
pp. 503-536
Author(s):  
Guido S. Weber
Keyword(s):  
Public Health ◽  
The United States ◽  
Laboratory Research ◽  
Treatment Programs ◽  
State Governments ◽  
Foreign Born ◽  
Health Crisis ◽  
Department Of Health ◽  
Public Health Officials ◽  
Year 2000

Tuberculosis (TB), “the world’s most neglected health crisis,” has returned after decades of decline, but has only gradually caught the attention of governments as a formidable threat to public health. By 1984, when TB cases hit an all-time low, federal and state governments stopped supporting the medical infrastructure that once served to contain the disease. State officials around the nation began dismantling laboratory research programs and closing TB clinics and sanitoria. Since 1985, however, TB rates have steadily increased to 26,673 reported cases in 1992, and some have estimated that by the year 2000, there could be a twenty percent increase. By 1993, Congress, realizing that TB could pose a major public health threat, allocated over $100 million to the Department of Health and Human Services for TB prevention and treatment programs. Those funds, however, were sorely needed years before and amounted to only a fraction of what public health officials believe necessary to control TB today.

scholarly journals Injury-related falls from bicycles, skateboards, roller skates, and non-motorized scooters in the United States: 2005 - 2014

2017 ◽  
Vol 4 (1) ◽  
pp. 16
Author(s):  
William Milczarski ◽  
Peter Tuckel ◽  
Richard Maisel
Keyword(s):  
Public Health ◽  
New York ◽  
Negative Binomial ◽  
Local Level ◽  
Specific Treatment ◽  
Negative Binomial Regression ◽  
The United States ◽  
Treatment Modalities ◽  
Public Health Officials ◽  
National Databases

Purpose: To provide an updated and comparative analysis of injury-related falls from bicycles, skateboards, roller skates and non-motorized scooters.Methods: The study uses two national databases – the Nationwide Emergency Department Sample and the Nationwide Inpatient Sample  – and subnational databases for New York, California, and Maryland.  Univariate and multivariate analyses (negative binomial regression) are performed to identify effects of age, gender, racial-ethnic background, and region on the incidence of injury-related falls from each of the four devices.Results: The rate of injuries due to falls from bicycles far surpasses the rates due to falls from the other devices.  When a measure of “exposure” is taken into consideration, however, the rate of injuries from skateboards outstrips the rates from bicycles or roller skates.  The profile of patients who are injured from falls from each of the four devices is distinctive.  Asian-Americans are greatly underrepresented among those who suffer a fall-related injury from any of the four devices.  The incidence of injuries attributable to falls varies considerably by geographic region.Conclusions: Public health officials need to be mindful that while certain activities such as scootering might be gaining in popularity, the number of injuries sustained from bicycles still dwarfs the number attributable to falls from skateboards, roller skates, and scooters combined.  Thus special attention needs to be paid to both prevent falls from bicycles and specific treatment modalities.  It is important for public health officials to gather injury data at the local level to allocate prevention and treatment resources more efficiently.

Keeping the Focus on Public Health: The Struggles of a Tobacco Prevention Task Force

2003 ◽  
Vol 30 (6) ◽  
pp. 771-788 ◽  
Author(s):  
Jacquie A. Shillis ◽  
Beverly A. Hall ◽  
Gail G. Sneden ◽  
Nell H. Gottlieb
Keyword(s):  
Public Health ◽  
Task Force ◽  
Tobacco Prevention ◽  
Policy Success ◽  
Public Health Officials ◽  
The Common ◽  
And Control ◽  
Future Program ◽  
Product Sets

This case study examines a nonlegislative task force as it struggled to reach internal consensus despite external-political constraints. The study highlights the convergence of politics and science, revealing complex issues likely to be confronted by advocates and public health officials. Three themes capture participants’experiences: context, sizing up the opportunities and constraints; task force process, tacit strategy to operate outside the political context and play the science card; and aftermath, a glass half full. The task force took advantage of ambiguous parameters, crafting a comprehensive statewide plan to reduce tobacco use and breaking out of the common public health paradigm of allowing budget considerations to drive program design. These internal victories could not sustain a policy success in the legislature. However, the group’s product sets science-based standards for future program development, and the task force’s process provides valuable insights into other states developing tobacco prevention and control policies.

Altered Standards of Care During an Influenza Pandemic: Identifying Ethical, Legal, and Practical Principles to Guide Decision Making

2009 ◽  
Vol 3 (S2) ◽  
pp. S132-S140 ◽  
Author(s):  
Donna Levin ◽  
Rebecca Orfaly Cadigan ◽  
Paul D. Biddinger ◽  
Suzanne Condon ◽  
Howard K. Koh ◽  
...  
Keyword(s):  
Public Health ◽  
Planning Process ◽  
Influenza Pandemic ◽  
State Level ◽  
Mass Casualty ◽  
Standards Of Care ◽  
Public Health Preparedness ◽  
Community Stakeholders ◽  
Mass Casualty Events ◽  
Public Health Officials

ABSTRACTAlthough widespread support favors prospective planning for altered standards of care during mass casualty events, the literature includes few, if any, accounts of groups that have formally addressed the overarching policy considerations at the state level. We describe the planning process undertaken by public health officials in the Commonwealth of Massachusetts, along with community and academic partners, to explore the issues surrounding altered standards of care in the event of pandemic influenza. Throughout 2006, the Massachusetts Department of Public Health and the Harvard School of Public Health Center for Public Health Preparedness jointly convened a working group comprising ethicists, lawyers, clinicians, and local and state public health officials to consider issues such as allocation of antiviral medications, prioritization of critical care, and state seizure of private assets. Community stakeholders were also engaged in the process through facilitated discussion of case scenarios focused on these and other issues. The objective of this initiative was to establish a framework and some fundamental principles that would subsequently guide the process of establishing specific altered standards of care protocols. The group collectively identified 4 goals and 7 principles to guide the equitable allocation of limited resources and establishment of altered standards of care protocols. Reviewing and analyzing this process to date may serve as a resource for other states. (Disaster Med Public Health Preparedness. 2009;3(Suppl 2):S132–S140)

scholarly journals COVID-19 In United States: Statistical Analysis and Inferences From the Empirical Data

2021 ◽  
Author(s):  
Nivedita Rethnakar
Keyword(s):  
United States ◽  
Statistical Analysis ◽  
Statistical Inference ◽  
Empirical Data ◽  
Respiratory Diseases ◽  
Temporal Dynamics ◽  
The United States ◽  
Mortality Statistics ◽  
Race Ethnicity ◽  
The Impact

Abstract This paper investigates the mortality statistics of the COVID-19 pandemic from the United States perspective. Using empirical data analysis and statistical inference tools, we bring out several exciting and important aspects of the pandemic, otherwise hidden. Specific patterns seen in demo- graphics such as race/ethnicity and age are discussed both qualitatively and quantitatively. We also study the role played by factors such as population density. Connections between COVID-19 and other respiratory diseases are also covered in detail. The temporal dynamics of the COVID-19 outbreak and the impact of vaccines in controlling the pandemic are also looked at with suf- ficient rigor. It is hoped that statistical inference such as the ones gathered in this paper would be helpful for better scientific understanding, policy prepa- ration and thus adequately preparing, should a similar situation arise in the future.

The Geography of Peace Movements

2004 ◽  
Author(s):  
Guntram H. Herb
Keyword(s):  
Historical Perspective ◽  
The United States ◽  
Peace Movement ◽  
Theoretical Concepts ◽  
Peace Movements ◽  
Philosophical Foundations ◽  
The Social ◽  
Just Society ◽  
Movement Mobilization

Geographers have not been prominent in studying peace movements. This is not surprising, given the strong foundations of the discipline in warfare and imperialism. To date, the only general geographic survey of peace movements appears to be Brunn’s 1985 study, a catalog of peace organizations and their activities that covered mainly the United States. Other studies by geographers are few and focus on individual antiwar campaigns or disarmament strategies. However, more recently, geographers have made significant contributions to the analysis of the broader theoretical context of peace movements. These works offer spatial conceptualizations of social movement mobilization. A general appraisal of the geographic dimensions of peace movements is still missing. This chapter represents a tentative step in this direction. The examination is conducted in four steps. The first section deals with general characteristics of peace movements. It discusses problems of definition and presents the intellectual and philosophical foundations of peace activities. The second section approaches the geography of peace movements from a historical perspective. It examines the development of organized peace groups from their origins in the nineteenth century to the present. Different scales of the changing geopolitical and societal contexts will frame the discussion. Such a geohistory will allow us to identify and interpret changing intensities of activism. The third section addresses the geography of contemporary peace movements from a conceptual viewpoint. Armed with theoretical concepts from the recent literature on social movements, it examines the places and spaces of mobilization. The 1980s peace movement against nuclear armaments will serve as a case study to illustrate the insights that can be gained from a geographic approach. Finally, I will present the major implications that stem from the geohistorical and conceptual discussions in the conclusion. Peace is more than the absence of war. Though it is traditionally defined as the opposite of war, peace scholars and activists now embrace a notion of peace that includes the conditions necessary to bring about a nonviolent and just society at all levels of human activity. Contemporary peace movements not only seek to abolish the overt violence of war, but also struggle to transform the social structures responsible for death and human suffering.

Recent measles outbreaks in the United States: A look at the causes and responses

2019 ◽  
Vol 14 (10) ◽  
pp. 491-496
Author(s):  
Tracy Perron ◽  
Heather Larovere ◽  
Victoria Guerra ◽  
Kathleen Kilfeather ◽  
Nicole Pare ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Health Care Providers ◽  
Personal Autonomy ◽  
Disease Outbreaks ◽  
The United States ◽  
Care Providers ◽  
Course Of Action ◽  
Public Health Officials ◽  
Measles Outbreaks

As measles cases continue to rise in the United States and elsewhere, public health officials, health care providers and elected officials alike are facing critical questions of how to protect the health of the public from current and future vaccine preventable disease outbreaks while still preserving the religious and personal autonomy of the populations they serve. As measles cases are being examined and carefully managed, public health officials are also tasked with revisiting vaccination policies and agendas to determine the best evidence-based interventions to control this epidemic. To determine the best course of action for the public's interest, research and current literature must be examined to protect and promote the health and wellbeing of those currently affected by the measles outbreak and those yet to be exposed.

Narratives of death: Systemic determinants of the coverage of a Public Health Emergency of International Concern

2019 ◽  
Vol 15 (2) ◽  
pp. 215-232 ◽  
Author(s):  
Adaobi Vivian Duru
Keyword(s):  
Public Health ◽  
News Coverage ◽  
Disease Outbreak ◽  
Public Health Emergency ◽  
International News ◽  
The Public ◽  
Media System ◽  
Health Expert ◽  
Media Systems

This study used the 2014 Ebola outbreak as a case study to compare news coverage of a Public Health Emergency of International Concern (PHEIC) between the Polarized Pluralist media system and the Liberal media system. This investigation revealed that partisan frames, emphasis on local and international efforts and use of health expert sources all differed across the two media systems. These differences suggest that social, political and economic attributes of media systems affect how news is shaped. When an event of international significance occurs, such as a disease outbreak, the characteristics that make up a media system will influence how issues are covered and presented to the public. Giving the current globalized nature of news, the findings in this study has implications for international news flow.

scholarly journals Influenza Circulation in United States Army Training Camps Before and During the 1918 Influenza Pandemic: Clues to Early Detection of Pandemic Viral Emergence

2015 ◽  
Vol 2 (2) ◽  
Author(s):  
Daniel S. Chertow ◽  
Rongman Cai ◽  
Junfeng Sun ◽  
John Grantham ◽  
Jeffery K. Taubenberger ◽  
...  
Keyword(s):  
United States ◽  
World War I ◽  
United States Army ◽  
Respiratory Diseases ◽  
National Guard ◽  
Influenza Pandemic ◽  
Case Fatality ◽  
The United States ◽  
Low Incidence ◽  
1918 Influenza

Abstract Background.  Surveillance for respiratory diseases in domestic National Army and National Guard training camps began after the United States’ entry into World War I, 17 months before the “Spanish influenza” pandemic appeared. Methods.  Morbidity, mortality, and case-fatality data from 605 625 admissions and 18 258 deaths recorded for 7 diagnostic categories of respiratory diseases, including influenza and pneumonia, were examined over prepandemic and pandemic periods. Results.  High pandemic influenza mortality was primarily due to increased incidence of, but not increased severity of, secondary bacterial pneumonias. Conclusions.  Two prepandemic incidence peaks of probable influenza, in December 1917–January 1918 and in March–April 1918, differed markedly from the September–October 1918 pandemic onset peak in their clinical-epidemiologic features, and they may have been caused by seasonal or endemic viruses. Nevertheless, rising proportions of very low incidence postinfluenza bronchopneumonia (diagnosed at the time as influenza and bronchopneumonia) in early 1918 could have reflected circulation of the pandemic virus 5 months before it emerged in pandemic form. In this study, we discuss the possibility of detecting pandemic viruses before they emerge, by surveillance of special populations.

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