scholarly journals ROLE OF LAND USE PLANNING IN IMPROVING PUBLIC HEALTH: WAY FORWARD FOR MALAYSIA

2008 ◽  
Vol 6 ◽  
Author(s):  
Ainul Jaria Maidin

It is an undeniable fact that land use planning regulatory framework and concern for improving living and built environment originated from the desire to improve public health, Planning issues remained at the root of some of the most intractable public health problems, including the declining rates of physical activity resulting from automobile-dependent environments or the isolation of poor and minority conmunities in areas plagued by environmental pollutants, violent crime, and high rates of disease. Land use, community design, and transportation systems substantially impact local air quality, water quality and supply, traffic safety, physical activity and exposure to contaminated industries. Mental health and quality of life issues also are profoundly affected by factors ranging fro1n the stress and difficulties of commuting to the presence or absence of natural areas and green spaces. There is a general realization that health specialists or planning departtnents cannot afford to operate in isolation from one another. This article intends to examine the important role that can be assumed by the members of local health department and other public health professionals in protecting local environmental health and improving the health of the communities through land use planning.

2008 ◽  
Vol 6 (1) ◽  
Author(s):  
Ainul Jaria Maidin

It is an undeniable fact that land use planning regulatory framework and concern for improving living and built environment originated from the desire to improve public health, Planning issues remained at the root of some of the most intractable public health problems, including the declining rates of physical activity resulting from automobile-dependent environments or the isolation of poor and minority conmunities in areas plagued by environmental pollutants, violent crime, and high rates of disease. Land use, community design, and transportation systems substantially impact local air quality, water quality and supply, traffic safety, physical activity and exposure to contaminated industries. Mental health and quality of life issues also are profoundly affected by factors ranging fro1n the stress and difficulties of commuting to the presence or absence of natural areas and green spaces. There is a general realization that health specialists or planning departtnents cannot afford to operate in isolation from one another. This article intends to examine the important role that can be assumed by the members of local health department and other public health professionals in protecting local environmental health and improving the health of the communities through land use planning.


1997 ◽  
Vol 12 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Barbara A. McIntosh ◽  
Patricia Hinds ◽  
Lorraine M. Giordano

AbstractIntroduction:Until now, the public health response to the threat of an epidemic has involved coordination of efforts between federal agencies, local health departments, and individual hospitals, with no defined role for prehospital emergency medical services (EMS) providers.Methods:Representatives from the local health department, hospital consortium, and prehospital EMS providers developed an interim plan for dealing with an epidemic alert. The plan allowed for the prehospital use of appropriate isolation procedures, prophylaxis of personnel, and predesignation of receiving hospitals for patients suspected of having infection. Additionally, a dual notification system utilizing an EMS physician and a representative from the Office of Infectious Diseases from the hospital group was implemented to ensure that all potential cases were captured. Initially, the plan was employed only for those cases arising from the Centers for Disease Control and Prevention (CDCJ/Public Health Service (PHS) quarantine unit at the airport, but its use later was expanded to include all potential cases within the 9–1–1 system.Results:In the two test situations in which it was employed, the plan incorporating the prehospital EMS sector worked well and extended the “surveillance net” further into the community. During the Pneumonic Plague alert, EMS responded to the quarantine facilities at the airport five times and transported two patients to isolation facilities. Two additional patients were identified and transported to isolation facilities from calls within the 9–1–1 system. In all four isolated cases, Pneumonic Plague was ruled out. During the Ebola alert, no potential cases were identified.Conclusion:The incorporation of the prehospital sector into an already existing framework for public health emergencies (i.e., epidemics), enhances the reach of the public safety surveillance net and ensure that proper isolation is continued from identification of a possible case to arrival at a definitive treatment facility.


2018 ◽  
Vol 12 (5) ◽  
pp. 635-643 ◽  
Author(s):  
Joie D. Acosta ◽  
Lane Burgette ◽  
Anita Chandra ◽  
David P. Eisenman ◽  
Ingrid Gonzalez ◽  
...  

AbstractObjectiveTo summarize ways that networks of community-based organizations (CBO), in partnership with public health departments, contribute to community recovery from disaster.MethodsThe study was conducted using an online survey administered one and 2 years after Hurricane Sandy to the partnership networks of 369 CBO and the New York Department of Health and Mental Hygiene. The survey assessed the structure and durability of networks, how they were influenced by storm damage, and whether more connected networks were associated with better recovery outcomes.ResultsDuring response and recovery, CBOs provide an array of critical public health services often outside their usual scope. New CBO partnerships were formed to support recovery, particularly in severely impacted areas. CBOs that were more connected to other CBOs and were part of a long-term recovery committee reported greater impacts on the community; however, a partnership with the local health department was not associated with recovery impacts.ConclusionCBO partners are flexible in their scope of services, and CBO partnerships often emerge in areas with the greatest storm damage, and subsequently the greatest community needs. National policies will advance if they account for the dynamic and emergent nature of these partnerships and their contributions, and clarify the role of government partners. (Disaster Med Public Health Preparedness. 2018;12:635–643)


1988 ◽  
Vol 78 (6) ◽  
pp. 717-717
Author(s):  
H S Teitelbaum ◽  
J McLaughlin ◽  
L Barnaby ◽  
A Paskilas ◽  
S Helgerson ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-16 ◽  
Author(s):  
Adele Houghton ◽  
Jessica Austin ◽  
Abby Beerman ◽  
Clayton Horton

Climate change represents a significant and growing threat to population health. Rural areas face unique challenges, such as high rates of vulnerable populations; economic uncertainty due to their reliance on industries that are vulnerable to climate change; less resilient infrastructure; and lower levels of access to community and emergency services than urban areas. This article fills a gap in public health practice by developing climate and health environmental public health indicators for a local public health department in a rural area. We adapted the National Environmental Public Health Tracking Network’s framework for climate and health indicators to a seven-county health department in Western Kentucky. Using a three-step review process, we identified primary climate-related environmental public health hazards for the region (extreme heat, drought, and flooding) and a suite of related exposure, health outcome, population vulnerability, and environmental vulnerability indicators. Indicators that performed more poorly at the county level than at the state and national level were defined as “high vulnerability.” Six to eight high vulnerability indicators were identified for each county. The local health department plans to use the results to enhance three key areas of existing services: epidemiology, public health preparedness, and community health assessment.


2014 ◽  
Vol 8 (6) ◽  
pp. 511-526 ◽  
Author(s):  
O. Lee McCabe ◽  
Natalie L. Semon ◽  
Carol B. Thompson ◽  
Jeffrey M. Lating ◽  
George S. Everly ◽  
...  

AbstractObjectiveWorking within a series of partnerships among an academic health center, local health departments (LHDs), and faith-based organizations (FBOs), we validated companion interventions to address community mental health planning and response challenges in public health emergency preparedness.MethodsWe implemented the project within the framework of an enhanced logic model and employed a multi-cohort, pre-test/post-test design to assess the outcomes of 1-day workshops in psychological first aid (PFA) and guided preparedness planning (GPP). The workshops were delivered to urban and rural communities in eastern and midwestern regions of the United States. Intervention effectiveness was based on changes in relevant knowledge, skills, and attitudes (KSAs) and on several behavioral indexes.ResultsSignificant improvements were observed in self-reported and objectively measured KSAs across all cohorts. Additionally, GPP teams proved capable of producing quality drafts of basic community disaster plans in 1 day, and PFA trainees confirmed upon follow-up that their training proved useful in real-world trauma contexts. We documented examples of policy and practice changes at the levels of local and state health departments.ConclusionsGiven appropriate guidance, LHDs and FBOs can implement an effective and potentially scalable model for promoting disaster mental health preparedness and community resilience, with implications for positive translational impact.(Disaster Med Public Health Preparedness. 2014;8:511-526)


2015 ◽  
Vol 9 (2) ◽  
pp. 98-102 ◽  
Author(s):  
Lainie Rutkow ◽  
Jon S. Vernick ◽  
Carol B. Thompson ◽  
Rachael Piltch-Loeb ◽  
Daniel J. Barnett

AbstractObjectiveThe legal environment may improve response willingness among local health department (LHD) workers. We examined whether 3 hypothetical legal protections influence LHD workers’ self-reported response willingness for 4 emergency scenarios and whether specific demographic factors are associated with LHD workers’ response willingness given these legal protections.MethodsOur 2011–2012 survey included questions on demographics and about attitudes and beliefs regarding LHD workers’ willingness to respond to 4 emergency scenarios given specific legal protections (i.e., ensuring priority health care for workers’ families, granting workers access to mental health services, and guaranteeing access to personal protective equipment). Data were collected from 1238 LHD workers in 3 states.ResultsAcross scenarios, between 60% and 83% of LHD workers agreed that they would be more willing to respond given the presence of 1 of the 3 hypothetical legal protections. Among the 3 legal protections, a guarantee of personal protective equipment elicited the greatest agreement with improved response willingness.ConclusionsSpecific legal protections augment a majority of LHD workers’ response willingness. Policymakers must, however, balance improved response willingness with other considerations, such as the ethical implications of prioritizing responders over the general public. (Disaster Med Public Health Preparedness. 2015;9:98–102)


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