scholarly journals Response to Comments on Whiley Legionella Risk Management and Control in Potable Water Systems: Argument for the Abolishment of Routine Testing. Int. J. Environ. Res. Public Health 2017, 14, 12

2017 ◽  
Vol 14 (1) ◽  
pp. 103
Author(s):  
Harriet Whiley
Keyword(s):  
Public Health ◽  
Risk Management ◽  
Potable Water ◽  
Water Systems ◽  
Routine Testing ◽  
And Control

scholarly journals Infection Prevention and Control

2020 ◽  
pp. 99-116
Author(s):  
Anna L. Costa ◽  
Gaetano Pierpaolo Privitera ◽  
Giorgio Tulli ◽  
Giulio Toccafondi
Keyword(s):  
Public Health ◽  
Risk Management ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Clinical Risk Management ◽  
Cross Sectional ◽  
Healthcare Associated ◽  
And Control ◽  
Avoidable Risk

AbstractHealthcare-associated infections (HAI) are adverse events exposing patients to a potentially avoidable risk of morbidity and mortality. Antimicrobial resistance (AMR) is increasingly contributing to the burden of HAIs and emerging as of the most alarming challenges for public health worldwide. Practically, harm mitigation and risk containment demand cross-sectional initiatives incorporate both approaches to infection prevention and control and methodologies from clinical risk management.

A Survey of Methods Used to Detect Nosocomial Legionellosis Among Participants in the National Nosocomial Infections Surveillance System

1999 ◽  
Vol 20 (6) ◽  
pp. 412-416 ◽  
Author(s):  
Anthony E. Fiore ◽  
Jay C. Butler ◽  
T. Grace Emori ◽  
Robert P. Gaynes
Keyword(s):  
Nosocomial Infections ◽  
Potable Water ◽  
Cooling System ◽  
Control Strategies ◽  
Diagnostic Techniques ◽  
Water Systems ◽  
Diagnostic Methods ◽  
Environmental Sampling ◽  
Water Sampling ◽  
And Control

Objective:To help define the scope of nosocomial legionnaire's disease (LD) and to assess use of recommended diagnostic methods and transmission control practices.Methods:We surveyed 253 hospitals participating in the National Nosocomial Infections Surveillance (NNIS) System. The anonymous survey included questions about episodes of nosocomial LD, environmental sampling practices, maintenance of hospital water systems, and diagnostic techniques.Results:Of 192 hospitals that responded, 29% reported at least one episode of nosocomial ID from 1990 through 1996, and 61% of these reported at least two episodes. Of 79 hospitals with transplant programs, 42% reported nosocomial LD, compared with 20% of hospitals without transplant programs. Environmental sampling had been conducted by 55% of hospitals, including 79% of those reporting nosocomial LD.Legionellawere isolated in 34% that sampled potable water and 19% that sampled cooling system reservoirs. Supplemental potable-water decontamination systems were installed in 20% of hospitals. Only 19% routinely performed testing for legionellosis among patients at high risk for nosocomial LD.Conclusions:Nosocomial LD is relatively common among NNIS hospitals, especially those performing organ transplants. Environmental sampling forLegionellais a common practice among NNIS hospitals, andLegionellaoften are isolated from sampled hospital cooling towers and hospital potable-water systems. Hospitals have responded to suspected nosocomial LD infection with a variety of water sampling and control strategies; some have not attempted to sample or decontaminate water systems despite identified transmission.

Risk-Based Framework for the Development of Public Health Guidance for Decentralized Non-Potable Water Systems

2017 ◽  
Vol 2017 (8) ◽  
pp. 3799-3809 ◽  
Author(s):  
Sybil Sharvelle ◽  
Nicholas Ashbolt ◽  
Edward Clerico ◽  
Robert Holquist ◽  
Harold Levernz ◽  
...  
Keyword(s):  
Public Health ◽  
Potable Water ◽  
Water Systems ◽  
Health Guidance

Risk Management in Web Development

2018 ◽  
pp. 188-203
Author(s):  
Anu Priya Sharma ◽  
Sugandha Sharma
Keyword(s):  
Public Health ◽  
Risk Management ◽  
Project Management ◽  
Health And Safety ◽  
Industrial Processes ◽  
Security Engineering ◽  
Management Standards ◽  
Financial Portfolios ◽  
And Control ◽  
Public Health And Safety

This chapter describes how risk management is the identification, assessment, and prioritization of risks followed by coordinated and economical application of resources to minimize, monitor, and control the probability or impact of unfortunate events or to maximize the realization of opportunities. The National Institute of Standards and Technology, actuarial societies, and ISO standards has developed various risk management standards. The standards (methods, definitions and goals) are created in the context of project management, security, engineering, industrial processes, financial portfolios, actuarial assessments, or public health and safety.

scholarly journals Surveillance and Control of Threats in the Public Health System in Brazil: Mapping Managers’ Competencies

2019 ◽  
Vol 34 (s1) ◽  
pp. s37-s37
Author(s):  
Marcio Haubert Da Silva ◽  
Alessandro Albini ◽  
Regina Rigatto Witt
Keyword(s):  
Public Health ◽  
Risk Management ◽  
Health System ◽  
Core Competencies ◽  
Local Level ◽  
Integrated Approach ◽  
Investment Projects ◽  
The Public ◽  
Health Organization ◽  
And Control

Introduction:With the increase in the number and intensity of disasters, integrated risk management has been a subject of discussion in Brazilian health system, in which the local level plays an important role. Competency Mapping of Managers working at a Municipal Health Office from a Metropolitan Area of Curitiba, Southern Brazil was developed.Aim:To describe gaps in core competencies identified for Surveillance and Control of Risks and Threats.Methods:The Public Health Core Competencies contained in the booklet: A Regional Framework for the Americas, of the Pan American Health Organization, originated a semi-structured self-assessment questionnaire. A Likert scale with levels of proficiency (from one to five) was aggregated to the 56 specific core competencies. It was applied to a sample of 78 managers between the months of October 2017 and January 2018. The data obtained were submitted to quantitative analysis. Gaps (Training Priority Degree) were defined according to the grade of importance and expression by means of a arithmetic mean and standard deviation.Results:Gaps were identified for the competencies: Design disaster risk management plans for natural, technological and biological threats so as to mitigate their impact on health (2.82 ± 1.16); Design investment projects for reducing the health risks of disasters (2.8 ±1.07); Provide an immediate response to threats, risks and damage from disasters based on the risk assessment, in order to protect health (2.89 ± 1.13); Plan and execute post-disaster reconstruction, based on the damage identified for the immediate restoration and protection of the population’s health (2.81 ± 1.11).Discussion:The degree of expression for these competencies indicate the need of preparing public health managers for surveillance, by monitoring the exposure of people or population groups to environmental agents, or their effects with an integrated approach to injuries and the etiology of emergencies and disasters.

Strengthening of occupational health promotion by the German Prevention Health Care Act

2019 ◽  
pp. 188-190
Author(s):  
Diana Hart
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Prevention ◽  
Occupational Health ◽  
Life Expectancy ◽  
Prevention And Control ◽  
Occupational Health Promotion ◽  
And Control

All countries are faced with the problem of the prevention and control of non-communicable diseases (NCD): implement prevention strategies eff ectively, keep up the momentum with long term benefi ts at the individual and the population level, at the same time tackling hea lth inequalities. Th e aff ordability of therapy and care including innovative therapies is going to be one of the key public health priorities in the years to come. Germany has taken in the prevention and control of NCDs. Germany’s health system has a long history of guaranteeing access to high-quality treatment through universal health care coverage. Th r ough their membership people are entitled to prevention and care services maintaining and restoring their health as well as long term follow-up. Like in many other countries general life expectancy has been increasing steadily in Germany. Currently, the average life expectancy is 83 and 79 years in women and men, respectively. Th e other side of the coin is that population aging is strongly associated with a growing burden of disease from NCDs. Already over 70 percent of all deaths in Germany are caused by four disease entities: cardiovascular disease, cancer, chronic respiratory disease and diabetes. Th ese diseases all share four common risk factors: smoking, alcohol abuse, lack of physical activity and overweight. At the same time, more and more people become long term survivors of disease due to improved therapy and care. Th e German Government and public health decision makers are aware of the need for action and have responded by initiating and implementing a wide spectrum of activities. One instrument by strengthening primary prevention is the Prevention Health Care Act. Its overarching aim is to prevent NCDs before they can manifest themselves by strengthening primary prevention and health promotion in diff erent sett ings. One of the main emphasis of the Prevention Health Care Act is the occupational health promotion at the workplace.

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