scholarly journals CDC Deployments to State, Tribal, Local, and Territorial Health Departments for COVID-19 Emergency Public Health Response — United States, January 21–July 25, 2020

2020 ◽  
Vol 69 (39) ◽  
pp. 1398-1403
Author(s):  
Emilio Dirlikov ◽  
Ethan Fechter-Leggett ◽  
Stacy L. Thorne ◽  
Caitlin M. Worrell ◽  
Jennifer C. Smith-Grant ◽  
...  
2019 ◽  
Vol 116 (8) ◽  
pp. 3146-3154 ◽  
Author(s):  
Nicholas G. Reich ◽  
Logan C. Brooks ◽  
Spencer J. Fox ◽  
Sasikiran Kandula ◽  
Craig J. McGowan ◽  
...  

Influenza infects an estimated 9–35 million individuals each year in the United States and is a contributing cause for between 12,000 and 56,000 deaths annually. Seasonal outbreaks of influenza are common in temperate regions of the world, with highest incidence typically occurring in colder and drier months of the year. Real-time forecasts of influenza transmission can inform public health response to outbreaks. We present the results of a multiinstitution collaborative effort to standardize the collection and evaluation of forecasting models for influenza in the United States for the 2010/2011 through 2016/2017 influenza seasons. For these seven seasons, we assembled weekly real-time forecasts of seven targets of public health interest from 22 different models. We compared forecast accuracy of each model relative to a historical baseline seasonal average. Across all regions of the United States, over half of the models showed consistently better performance than the historical baseline when forecasting incidence of influenza-like illness 1 wk, 2 wk, and 3 wk ahead of available data and when forecasting the timing and magnitude of the seasonal peak. In some regions, delays in data reporting were strongly and negatively associated with forecast accuracy. More timely reporting and an improved overall accessibility to novel and traditional data sources are needed to improve forecasting accuracy and its integration with real-time public health decision making.


2015 ◽  
Vol 10 (1) ◽  
pp. 145-151 ◽  
Author(s):  
Kaja M. Abbas ◽  
Nargesalsadat Dorratoltaj ◽  
Margaret L. O’Dell ◽  
Paige Bordwine ◽  
Thomas M. Kerkering ◽  
...  

AbstractWe conducted a systematic review of the 2012–2013 multistate fungal meningitis epidemic in the United States from the perspectives of clinical response, outbreak investigation, and epidemiology. Articles focused on clinical response, outbreak investigation, and epidemiology were included, whereas articles focused on compounding pharmacies, legislation and litigation, diagnostics, microbiology, and pathogenesis were excluded. We reviewed 19 articles by use of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework. The source of the fungal meningitis outbreak was traced to the New England Compounding Center in Massachusetts, where injectable methylprednisolone acetate products were contaminated with the predominant pathogen, Exserohilum rostratum. As of October 23, 2013, the final case count stood at 751 patients and 64 deaths, and no additional cases are anticipated. The multisectoral public health response to the fungal meningitis epidemic from the hospitals, clinics, pharmacies, and the public health system at the local, state, and federal levels led to an efficient epidemiological investigation to trace the outbreak source and rapid implementation of multiple response plans. This systematic review reaffirms the effective execution of a multisectoral public health response and efficient delivery of the core functions of public health assessment, policy development, and service assurances to improve population health.(Disaster Med Public Health Preparedness. 2016;10:145–151)


2004 ◽  
Vol 10 (2) ◽  
pp. 185-194 ◽  
Author(s):  
Stephanie J. Schrag ◽  
John T. Brooks ◽  
Chris Van Beneden ◽  
Umesh D. Parashar ◽  
Patricia M. Griffin ◽  
...  

2019 ◽  
Author(s):  
Nicholas G Reich ◽  
Craig J McGowan ◽  
Teresa K Yamana ◽  
Abhinav Tushar ◽  
Evan L Ray ◽  
...  

AbstractSeasonal influenza results in substantial annual morbidity and mortality in the United States and worldwide. Accurate forecasts of key features of influenza epidemics, such as the timing and severity of the peak incidence in a given season, can inform public health response to outbreaks. As part of ongoing efforts to incorporate data and advanced analytical methods into public health decision-making, the United States Centers for Disease Control and Prevention (CDC) has organized seasonal influenza forecasting challenges since the 2013/2014 season. In the 2017/2018 season, 22 teams participated. A subset of four teams created a research consortium called the FluSight Network in early 2017. During the 2017/2018 season they worked together to produce a collaborative multi-model ensemble that combined 21 separate component models into a single model using a machine learning technique called stacking. This approach creates a weighted average of predictive densities where the weight for each component is based on that component’s forecast accuracy in past seasons. In the 2017/2018 influenza season, one of the largest seasonal outbreaks in the last 15 years, this multi-model ensemble performed better on average than all individual component models and placed second overall in the CDC challenge. It also outperformed the baseline multi-model ensemble created by the CDC that took a simple average of all models submitted to the forecasting challenge. This project shows that collaborative efforts between research teams to develop ensemble forecasting approaches can bring measurable improvements in forecast accuracy and important reductions in the variability of performance from year to year. Efforts such as this, that emphasize real-time testing and evaluation of forecasting models and facilitate the close collaboration between public health officials and modeling researchers, are essential to improving our understanding of how best to use forecasts to improve public health response to seasonal and emerging epidemic threats.


2020 ◽  
Author(s):  
John W Ayers ◽  
Benjamin M Althouse ◽  
Adam Poliak ◽  
Eric C Leas ◽  
Alicia L Nobles ◽  
...  

BACKGROUND The death of George Floyd while in police custody has resurfaced serious questions about police conduct that result in the deaths of unarmed persons. OBJECTIVE Data-driven strategies that identify and prioritize the public’s needs may engender a public health response to improve policing. We assessed how internet searches indicative of interest in police reform changed after Mr Floyd’s death. METHODS We monitored daily Google searches (per 10 million total searches) that included the terms “police” and “reform(s)” (eg, “reform the police,” “best police reforms,” etc) originating from the United States between January 1, 2010, through July 5, 2020. We also monitored searches containing the term “police” with “training,” “union(s),” “militarization,” or “immunity” as markers of interest in the corresponding reform topics. RESULTS The 41 days following Mr Floyd’s death corresponded with the greatest number of police “reform(s)” searches ever recorded, with 1,350,000 total searches nationally. Searches increased significantly in all 50 states and Washington DC. By reform topic, nationally there were 1,220,000 total searches for “police” and “union(s)”; 820,000 for “training”; 360,000 for “immunity”; and 72,000 for “militarization.” In terms of searches for all policy topics by state, 33 states searched the most for “training,” 16 for “union(s),” and 2 for “immunity.” States typically in the southeast had fewer queries related to any police reform topic than other states. States that had a greater percentage of votes for President Donald Trump during the 2016 election searched more often for police “union(s)” while states favoring Secretary Hillary Clinton searched more for police “training.” CONCLUSIONS The United States is at a historical juncture, with record interest in topics related to police reform with variability in search terms across states. Policy makers can respond to searches by considering the policies their constituencies are searching for online, notably police training and unions. Public health leaders can respond by engaging in the subject of policing and advocating for evidence-based policy reforms.


10.2196/22574 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e22574
Author(s):  
John W Ayers ◽  
Benjamin M Althouse ◽  
Adam Poliak ◽  
Eric C Leas ◽  
Alicia L Nobles ◽  
...  

Background The death of George Floyd while in police custody has resurfaced serious questions about police conduct that result in the deaths of unarmed persons. Objective Data-driven strategies that identify and prioritize the public’s needs may engender a public health response to improve policing. We assessed how internet searches indicative of interest in police reform changed after Mr Floyd’s death. Methods We monitored daily Google searches (per 10 million total searches) that included the terms “police” and “reform(s)” (eg, “reform the police,” “best police reforms,” etc) originating from the United States between January 1, 2010, through July 5, 2020. We also monitored searches containing the term “police” with “training,” “union(s),” “militarization,” or “immunity” as markers of interest in the corresponding reform topics. Results The 41 days following Mr Floyd’s death corresponded with the greatest number of police “reform(s)” searches ever recorded, with 1,350,000 total searches nationally. Searches increased significantly in all 50 states and Washington DC. By reform topic, nationally there were 1,220,000 total searches for “police” and “union(s)”; 820,000 for “training”; 360,000 for “immunity”; and 72,000 for “militarization.” In terms of searches for all policy topics by state, 33 states searched the most for “training,” 16 for “union(s),” and 2 for “immunity.” States typically in the southeast had fewer queries related to any police reform topic than other states. States that had a greater percentage of votes for President Donald Trump during the 2016 election searched more often for police “union(s)” while states favoring Secretary Hillary Clinton searched more for police “training.” Conclusions The United States is at a historical juncture, with record interest in topics related to police reform with variability in search terms across states. Policy makers can respond to searches by considering the policies their constituencies are searching for online, notably police training and unions. Public health leaders can respond by engaging in the subject of policing and advocating for evidence-based policy reforms.


2021 ◽  
pp. e1-e7
Author(s):  
Elizabeth Barnert ◽  
Ada Kwan ◽  
Brie Williams

COVID-19 is ravaging US prisons. Prison residents and staff must be prioritized for vaccination, but a rapidly mutating virus and high rates of continued spread require an urgent, coordinated public health response. Based on knowledge accumulated from the pandemic thus far, we have identified 10 pressing public health priorities for responding to COVID-19 in prisons: (1) accelerate population reduction coupled with community reentry support, (2) improve prison ventilation systems, (3) ensure appropriate mask use, (4) limit transfers between facilities, (5) strengthen partnerships between public health departments and prison leadership, (6) introduce or maintain effective occupational health programs, (7) ensure access to advance care planning processes for incarcerated patients and delineation of patient health care rights, (8) strengthen partnerships between prison leadership and incarcerated people, (9) provide emergency mental health support for prison residents and staff, and (10) commit to public accountability and transparency. Dedicated prison leaders cannot accomplish these public health priorities alone. We must mobilize prison leaders, staff, and residents; public health departments; community advocates; and policymakers to work together to address the pandemic’s outsized impact in US prisons. (Am J Public Health. Published online ahead of print April 15, 2021: e1–e7. https://doi.org/10.2105/AJPH.2021.306221 )


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