scholarly journals Initial epidemiological findings in the European Union following the declaration of pandemic alert level 5 due to influenza A (H1N1)

2009 ◽  
Vol 14 (18) ◽  
Author(s):  
ECDC Technical Emergency Team
Keyword(s):  
Public Health ◽  
Influenza A ◽  
International Health ◽  
The United States ◽  
The European Union ◽  
Public Health Agencies ◽  
Influenza A H1n1 ◽  
Health Agencies ◽  
Health Event ◽  
Health Regulations

The recent detection of a novel influenza A(H1N1) virus has led to the first WHO declaration of a Public Health Event of International Concern under the International Health Regulations (IHR 2005). Here we review the early epidemiological findings of confirmed cases in Mexico, the United States, Canada and EU/EFTA countries. Strengthened surveillance and continued, transparent communication across public health agencies globally will be necessary in coming months.

scholarly journals No evidence of transmission from an acute case of hepatitis A in a foodhandler: follow-up of almost 1,000 potentially exposed individuals, London, United Kingdom, April 2012

2014 ◽  
Vol 19 (30) ◽  
Author(s):  
V Hall ◽  
A Abrahams ◽  
D Turbitt ◽  
S Cathcart ◽  
H Maguire ◽  
...  
Keyword(s):  
Hepatitis A ◽  
Hepatitis A Virus ◽  
International Health ◽  
The European Union ◽  
Acute Case ◽  
Public Health Agencies ◽  
Health Agencies ◽  
Acute Hepatitis A ◽  
Health Regulations

Identification of acute hepatitis A virus (HAV) infection in a foodhandler in a London hotel led to a large incident response. We identified three potentially exposed groups: hotel staff who had regularly consumed food prepared by the case and shared toilet facilities with the case, patients who shared the same hospital ward as the case and hotel guests who consumed food prepared by the case. We arranged post-exposure HAV vaccination for all 83 potentially exposed hotel staff and all 17 patients. We emailed 887 guests advising them to seek medical care if symptomatic, but did not advise vaccination as it was too late to be effective for most guests. Through the International Health Regulations national focal points and the European Union Early warning and response system (EWRS), we communicated the details of the incident to public health agencies and potential risk of HAV transmission to international guests. Potentially exposed hotel staff and guests were asked to complete an online or telephone-administered questionnaire 50 days following possible exposure, to identify any secondary cases. Survey response was low, with 155 responses from guests and 33 from hotel staff. We identified no secondary cases of HAV infection through follow-up.

scholarly journals Face masks to prevent transmission of influenza virus: a systematic review

2010 ◽  
Vol 138 (4) ◽  
pp. 449-456 ◽  
Author(s):  
B. J. COWLING ◽  
Y. ZHOU ◽  
D. K. M. IP ◽  
G. M. LEUNG ◽  
A. E. AIELLO
Keyword(s):  
Public Health ◽  
Influenza Virus ◽  
Influenza A ◽  
English Language ◽  
Virus Transmission ◽  
International Health ◽  
Influenza Viruses ◽  
Community Settings ◽  
Influenza A H1n1 ◽  
Health Agencies

SUMMARYInfluenza viruses circulate around the world every year. From time to time new strains emerge and cause global pandemics. Many national and international health agencies recommended the use of face masks during the 2009 influenza A (H1N1) pandemic. We reviewed the English-language literature on this subject to inform public health preparedness. There is some evidence to support the wearing of masks or respirators during illness to protect others, and public health emphasis on mask wearing during illness may help to reduce influenza virus transmission. There are fewer data to support the use of masks or respirators to prevent becoming infected. Further studies in controlled settings and studies of natural infections in healthcare and community settings are required to better define the effectiveness of face masks and respirators in preventing influenza virus transmission.

scholarly journals International Perspectives on COVID-19 Communication Ecologies: Public Health Agencies’ Online Communication in Italy, Sweden, and the United States

2021 ◽  
pp. 000276422199283
Author(s):  
Serena Tagliacozzo ◽  
Frederike Albrecht ◽  
N. Emel Ganapati
Keyword(s):  
Public Health ◽  
United States ◽  
Social Groups ◽  
Online Communication ◽  
The United States ◽  
Negative Consequences ◽  
Public Health Agencies ◽  
Communication Ecology ◽  
Health Agencies ◽  
National Public Health

Communicating during a crisis can be challenging for public agencies as their communication ecology becomes increasingly complex while the need for fast and reliable public communication remains high. Using the lens of communication ecology, this study examines the online communication of national public health agencies during the COVID-19 pandemic in Italy, Sweden, and the United States. Based on content analysis of Twitter data ( n = 856) and agency press releases ( n = 95), this article investigates two main questions: (1) How, and to what extent, did national public health agencies coordinate their online communication with other agencies and organizations? (2) How was online communication from the agencies diversified in terms of targeting specific organizations and social groups? Our findings indicate that public health agencies relied heavily on internal scientific expertise and predominately coordinated their communication efforts with national government agencies. Furthermore, our analysis reveals that agencies in each country differed in how they diversify information; however, all agencies provided tailored information to at least some organizations and social groups. Across the three countries, information tailored for several vulnerable groups (e.g., pregnant women, people with disabilities, immigrants, and homeless populations) was largely absent, which may contribute to negative consequences for these groups.

Outdoor Recreationists’ Perceptions of Risk, Agency Trust, and Visitor Capacities During the COVID-19 Pandemic

2021 ◽  
Author(s):  
William Rice ◽  
Timothy Mateer ◽  
Peter Newman ◽  
Ben Lawhon ◽  
Nathan Reigner ◽  
...  
Keyword(s):  
Public Health ◽  
Perceived Risk ◽  
Outdoor Recreation ◽  
Public Lands ◽  
The United States ◽  
Individual Risk ◽  
Public Health Agencies ◽  
Management Actions ◽  
Health Agencies ◽  
Community Risk

For nearly a century in the United States, visitor capacities have served as a means of preserving resources and the visitor experience on public lands. The COVID-19 pandemic resulted in increased interest in implementing visitor capacities that could potentially limit use on public lands, suggesting a need to understand public support for their use in a timely manner. Risk and trust have been used in previous research concerning support for natural resource and outdoor recreation decision-making. Research in this realm includes investigation at the intersection of outdoor recreation and public health, specific to chronic wasting disease. Following this previous research, this study utilizes the constructs of risk and trust to examine support for visitor capacities that could potentially limit use during the COVID-19 pandemic. Specifically, this theory-driven research relies on the cultural theory of risk and social trust theory. Using structural equation modeling and a sample of avid outdoor enthusiasts, we examine how well 1) perceived individual risk, 2) perceived community risk, 3) trust in public health agencies, and 4) trust in public land agencies predict support for visitor capacities that could potentially limit use. An email-distributed online survey was available for 48 hours beginning on April 30, 2020—during the first wave of the COVID-19 pandemic in the United States. Measurement of perceived risk and trust followed previous research relating to outdoor recreation and public health. Results indicate that outdoor enthusiasts are concerned about their individual and community health and reported higher levels of trust in data coming directly from public health agencies as opposed to state or federal land management agencies. Additionally, perceived individual risk and perceived community risk were significant predictors of support for visitor capacities. These findings can be used to improve the effectiveness of messaging intended to connect perceived risk to the management of parks and protected areas, thus providing credibility to management actions implemented during the pandemic. Additional implications from this research include the need for additional research examining support for management actions that could potentially limit use on public lands, the multidimensionality of trust in outdoor recreation, and individual risk in frontcountry outdoor recreation settings.

Case Studies and Caveats

2019 ◽  
pp. 83-101
Author(s):  
Jonathan H. Marks
Keyword(s):  
Public Health ◽  
United States ◽  
Case Studies ◽  
The United States ◽  
Framing Effects ◽  
Noncommunicable Diseases ◽  
Systemic Effects ◽  
Public Health Agencies ◽  
Health Agencies ◽  
Food And Beverage

This chapter outlines several partnership case studies involving the food and beverage sector, especially soda companies. These case studies are drawn from the United States, Britain, and India. The analysis highlights certain problematic features—for example, use of corporate logos, trademarks, and color schemes that are likely to promote consumption of products that are exacerbating obesity and diet-related noncommunicable diseases (NCDs). But, more fundamentally, the analysis ties the case studies to the broader systemic effects discussed in the preceding chapters. These include framing effects, agenda distortion, and impacts on the integrity of and trust in public health agencies.

scholarly journals An analysis of International Health Regulations Emergency Committees and Public Health Emergency of International Concern Designations

2020 ◽  
Vol 5 (6) ◽  
pp. e002502 ◽  
Author(s):  
Lucia Mullen ◽  
Christina Potter ◽  
Lawrence O Gostin ◽  
Anita Cicero ◽  
Jennifer B Nuzzo
Keyword(s):  
Public Health ◽  
Influenza A ◽  
Ebola Virus ◽  
Virus Disease ◽  
International Health ◽  
Public Health Emergency ◽  
Director General ◽  
International Health Regulations ◽  
International Response ◽  
Health Regulations

IntroductionNine events have been assessed for potential declaration of a Public Health Emergency of International Concern (PHEIC). A PHEIC is defined as an extraordinary event that constitutes a public health risk to other states through international spread and requires a coordinated international response. The WHO Director-General convenes Emergency Committees (ECs) to provide their advice on whether an event constitutes a PHEIC. The EC rationales have been criticised for being non-transparent and contradictory to the International Health Regulations (IHR). This first comprehensive analysis of EC rationale provides recommendations to increase clarity of EC decisions which will strengthen the IHR and WHO’s legitimacy in future outbreaks.Methods66 EC statements were reviewed from nine public health outbreaks of influenza A, Middle East respiratory syndrome coronavirus, polio, Ebola virus disease, Zika, yellow fever and coronavirus disease-2019. Statements were analysed to determine which of the three IHR criteria were noted as contributing towards the EC’s justification on whether to declare a PHEIC and what language was used to explain the decision.ResultsInterpretation of the criteria were often vague and applied inconsistently. ECs often failed to describe and justify which criteria had been satisfied.DiscussionGuidelines must be developed for the standardised interpretation of IHR core criteria. The ECs must clearly identify and justify which criteria have contributed to their rationale for or against PHEIC declaration.ConclusionStriving for more consistency and transparency in EC justifications would benefit future deliberations and provide more understanding and support for the process.

scholarly journals Implementing Public Health Regulations in Developing Countries: Lessons from the OECD Countries

2010 ◽  
Vol 38 (3) ◽  
pp. 508-519 ◽  
Author(s):  
Emily A. Mok ◽  
Lawrence O. Gostin ◽  
Monica Das Gupta ◽  
Max Levin
Keyword(s):  
Public Health ◽  
Developing World ◽  
Health Agency ◽  
Non Profit ◽  
Public Health Agencies ◽  
Effective Implementation ◽  
Health Agencies ◽  
Private And Public ◽  
Sanitary Conditions ◽  
Health Regulations

Public health agencies undertake a broad range of health promotion and injury and disease prevention activities in collaboration with an array of actors, such as the community, businesses, and non-profit organizations. These activities are “multisectoral” in nature and centered on public health agencies that oversee and engage with the other actors. Public health agencies can influence the hazardous activities in the private sector in a variety of ways, “ranging from prohibition and regulation to volunteerism, and from cooperation to cooption.” Hence, a public health agency that possesses the necessary administrative resources and authority is vital to the effective implementation of health policies and regulations.In the developing world, however, many state health agencies lack these basic capacities in dealing with critical health threats, including their ability to avert epidemics of communicable diseases arising from poor sanitary conditions. A serious constraint is the shortage of public health funding for health agencies in the developing world for typical agency functions (e.g., surveillance, monitoring, assessment, and intervention). This is often aggravated by the transaction-intensive demands entailed in enforcing regulations among an array of private and public sector actors including individuals, businesses, and local bodies responsible for providing civic services.

A System-Level Intervention to Encourage Collaboration Between Juvenile Justice and Public Health Agencies to Promote HIV/STI Testing

2020 ◽  
Vol 32 (4) ◽  
pp. 337-355 ◽  
Author(s):  
Katherine S. Elkington ◽  
Anne Spaulding ◽  
Sheena Gardner ◽  
Danica Knight ◽  
Steven Belenko ◽  
...  
Keyword(s):  
Public Health ◽  
Juvenile Justice ◽  
Health Agency ◽  
The United States ◽  
Practice Change ◽  
System Level ◽  
Public Health Agencies ◽  
Treatment Services ◽  
Sti Testing ◽  
Health Agencies

Justice-involved youth are at high risk for HIV and STIs, and justice agencies are uniquely poised to offer HIV/STI testing. However, testing in these settings is not routine and represents a missed opportunity. This study describes a system-level implementation intervention designed to increase access to HIV/STI testing through juvenile justice (JJ) and public health agency collaboration across six counties in six states in the United States. Local change teams, active facilitation, and training were utilized to facilitate agency partnerships and development of HIV/STI practice change protocols. Five counties established health and JJ partnerships and four counties successfully implemented their protocols. Sites with HIV/STI education and testing protocols behaviorally screened 98.5% of youth and tested 41.2% of those youth; 0% were HIV+ and 43.2% had an STI. The intervention provides a feasible, scalable solution, through promoting partnerships between JJ and health agencies, to link youth to testing and treatment services.

scholarly journals Assessing Knowledge and Application of Emergency Risk Communication Principles Among Public Health Workers in China

2014 ◽  
Vol 8 (3) ◽  
pp. 199-205 ◽  
Author(s):  
James R. Cope ◽  
Melinda Frost ◽  
Li Richun ◽  
Ruiqian Xie
Keyword(s):  
Public Health ◽  
Risk Communication ◽  
Health Workers ◽  
International Health ◽  
Current Status ◽  
Local Public Health ◽  
Public Health Agencies ◽  
Health Agencies ◽  
Health Practitioners ◽  
Public Health Practitioners

AbstractObjectiveSince 2003, the Chinese National Health and Family Planning Commission (formerly the Ministry of Health) has implemented changes to more effectively communicate risk during public health emergencies. In spite of ongoing improvements, provincial and sub-provincial leaders face barriers, such as established modes of operation, lack of training, shortage of trained risk communicators, and limited understanding and willingness of recipients to mitigate risks.MethodsWe assessed the current status of and barriers to risk communication knowledge and practice among public health practitioners in China. We designed the survey questionnaire to capture information related to the risk communication core capacities required by international health regulations and common risk communication principles.ResultsOur findings showed that risk communication training has successfully developed an awareness of risk communication principles and the ability to implement those principles in practice in China.ConclusionsFuture efforts should focus on areas such as a dedicated risk communication workforce, requirements that public health agencies develop a risk communication plan, and additional training for public health practitioners and their partners. It is critical that the infectious diseases prevention and control law be amended to grant provincial and local public health agencies more autonomy to release information. (Disaster Med Public Health Preparedness. 2014;0:1-7)

A public health outbreak management framework applied to surges in opioid overdoses

2017 ◽  
Vol 13 (5) ◽  
pp. 273 ◽  
Author(s):  
Kieran Moore, MD, CCFP (EM), FCFP, MPH, DTM&H, FRCPC ◽  
Maximilien Boulet, BSc ◽  
Julia Lew, BSc ◽  
Nicholas Papadomanolakis-Pakis, BSocSc, MPA
Keyword(s):  
Public Health ◽  
The United States ◽  
Opioid Overdose ◽  
Prescription Opioids ◽  
Outbreak Management ◽  
Management Framework ◽  
Public Health Agencies ◽  
The Past ◽  
Health Agencies ◽  
Related Mortality

Objective: Over the past decade, Canada and the United States have been facing an epidemic of harms from prescription opioids. More recently, opioid-naïve individuals have been exposed to illicit opioids through adulterated combination products. This has resulted in sudden surges of opioid-related mortality. A proactive public health solution is needed to prevent further death. We propose examining these surges in opioid overdoses as outbreaks and investigating them in a similar way to an outbreak of an infectious disease. An epidemiologic investigation model for opioid overdose outbreaks, that could be modified by other public health agencies,is discussed.

Sign in / Sign up

Export Citation Format

Share Document