Risk communication with nurses during infectious disease outbreaks: Learning from SARS

2009 ◽  
Vol 7 (5) ◽  
pp. 48 ◽  
Author(s):  
Eileen O’Connor, PhD ◽  
Tracey O’Sullivan, PhD ◽  
Carol Amaratunga, PhD ◽  
Patricia Thille BSc (PT), PhD (Student) ◽  
Karen P. Phillips, PhD ◽  
...  

Objective: To identify gaps in risk communication during public health emergencies as identified by nurses who worked in critical and emergency care hospital units during the Severe Acute Respiratory Syndrome (SARS) outbreak in Canada.Design: This research is part of a larger multimethod study of the psychosocial impacts of the SARS outbreak in Canada for healthcare workers. For this qualitative analysis of risk communication, focus groups were conducted in four Canadian cities using purposive sampling to study perspectives of frontline critical care and emergency department nurses. Covello’s (2003) model of best practices in risk communication is applied to assess specific areas in which risk communication gaps were identified by nurses interviewed in the focus groups.Setting: Five focus groups held in four Canadian cities: Halifax, Ottawa, Toronto, Vancouver.Participant/Data: n _ 100 participated in focus groups in four urban communities.Results: During the SARS outbreak in 2003, high levels of uncertainty, lack of trust, and questions about leadership credibility emerged as important risk communication challenges. Communication problems were compounded by a lack of reliable information, frequent changes in infection control guidelines and risk avoidance messages, as well as contradictory actions of management and senior leaders.Conclusions: Risk communication constitutes an important component of any emergency protocol. This study of nurses working in emergency and critical care hospital settings during the 2003 SARS outbreak indicates key areas in which risk communication could be more efficient to address nurses’ concerns related to managing uncertainty, occupational health and safety, and employee quality of life. Recommendations useful for planning of any pandemics including H1N1 are derived.

Author(s):  
Janice Arceneaux ◽  
James Dickens ◽  
Wanza Bacon

Established in 1889, the United States Public Health Service Commissioned Corps (Corps) is one of the seven uniformed services and is part of the U.S. Department of Health and Human Services. The Corps is committed to protecting, promoting and advancing the health and safety of the nation with a history that dates back over two centuries, beginning as the U.S. Marine Hospital Service. Today, the Corps responds and serves in many areas impacted by natural disasters, disease outbreaks, terrorist attacks and public health emergencies. Corps officers have deployed to provide assistance during national public health emergencies (e.g., hurricanes, bombings, flooding and wild fires); to combat the Ebola epidemic in West Africa; and to provide humanitarian assistance in Latin America and the Caribbean. Corps deployments impact not only service members but also their families. This article offers a brief overview of the Corps and discusses how deployments impact families. Family resiliency and future implications for research and practice will also be examined.


2019 ◽  
Vol 47 (S2) ◽  
pp. 55-58
Author(s):  
Tina Batra Hershey

Public health emergencies, including infectious disease outbreaks and natural disasters, are issues faced by every community. To address these threats, it is critical for all jurisdictions to understand how law can be used to enhance public health preparedness, as well as improve coordination and collaboration across jurisdictions. As sovereign entities, Tribal governments have the authority to create their own laws and take the necessary steps to prepare for, respond to, and recover from disasters and emergencies. Legal preparedness is a key component of public health preparedness. This article first explains legal preparedness and Tribal sovereignty and then describes the relationship between Tribal Nations, the US government, and states. Specific Tribal concerns with respect to emergency preparedness and the importance of coordination and collaboration across jurisdictions for emergency preparedness are discussed. Examples of collaborative efforts between Tribal and other governments to enhance legal preparedness are described.


2021 ◽  
Vol 5 (1) ◽  
pp. 7-14
Author(s):  
Luh Putu Kirana Pratiwi ◽  
Ni Made Kencana Maharani

A market is a place where sellers and buyers meet in buying and selling transactions. People's market is atraditional market. The people's market is one of the most obvious indicators of the economic activities of thepeople in an area. The implementation of safety and health in the work environment is not only intended forvisitors but also employees (market managers), suppliers, and traders. This is because people's markets canbe the main route for the spread of infectious disease outbreaks. People's markets have an important positionto provide safe food. Public markets are influenced by the existence of upstream producers (suppliers of freshingredients), suppliers, vendors, consumers, managers, health-related officers, and community leaders. Thehealthy market is one of the structures in the development of the people's market.


Author(s):  
Pedro A. Villarreal

Abstract The current chapter deals with public health emergencies and their linkages to constitutional law and theory. The ongoing COVID-19 pandemic poses myriad challenges to constitutional regimes around the world. However, it is by no means the first time that public health emergencies have led to questions of constitutionalism. Past instances of disease outbreaks had already highlighted how emergency legal frameworks unfold when facing the challenge of containing their spread. Against this backdrop, the chapter focuses on pre-COVID-19  instances of cross-border epidemics and pandemics, such as A(H1N1) Influenza, Ebola and Zika, and some of their implications for constitutionalism. These examples of infectious disease outbreaks are assessed by resorting to three models-archetypes of constitutional emergencies as a theoretical background. As they show a coupling between the international and national levels, a brief glimpse at applicable international law regimes is put forward. Ultimately, public health emergencies are not taken as a new genus within already existing classifications. Nevertheless, this contribution shows how they do warrant more detailed analysis, given how their technical features put theories related to constitutionalism under extreme conditions to the test. The contribution was initially drafted before the onset of the COVID-19 pandemic in 2020. Thus, it is a mostly retrospective analysis. Nevertheless, insights taken from outbreaks preceding COVID-19 can help build a broader outlook of the puzzle related to how the intertwinement between constitutionalism and public health emergencies can be addressed through a broader perspective not limited to one disease.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Dennis G. Barten ◽  
Vincent W. Klokman ◽  
Sigrid Cleef ◽  
Nathalie A. L. R. Peters ◽  
Edward C. T. H. Tan ◽  
...  

Abstract Introduction Emergency departments (EDs) are reasonably well prepared for external disasters, such as natural disasters, mass casualty incidents, and terrorist attacks. However, crises and disasters that emerge and unfold within hospitals appear to be more common than external events. EDs are often affected. Internal hospital crises and disasters (IHCDs) have the potential to endanger patients, staff, and visitors, and to undermine the integrity of the facility as a steward of public health and safety. Furthermore, ED patient safety and logistics may be seriously hampered. Methods Case series of 3 disasters within EDs. Narrative overview of the current IHCD-related literature retrieved from searches of PubMed databases, hand searches, and authoritative texts. Discussion The causes of IHCDs are multifaceted and an internal disaster is often the result of a cascade of events. They may or may not be associated with a community-wide event. Examples include fires, floods, power outages, structural damage, information and communication technology (ICT) failures, and cyberattacks. EDs are particularly at-risk. While acute-onset disasters have immediate consequences for acute care services, epidemics and pandemics are threats that can have long-term sequelae. Conclusions Hospitals and their EDs are at-risk for crises and their potential escalation to hospital disasters. Emerging risks due to climate-related emergencies, infectious disease outbreaks, terrorism, and cyberattacks pose particular threats. If a hospital is not prepared for IHCDs, it undermines the capacity of administration and staff to safeguard the safety of patients. Therefore, hospitals and their EDs must check and where necessary enhance their preparedness for these contingencies.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Wuqi Qiu ◽  
Cordia Chu ◽  
Ayan Mao ◽  
Jing Wu

Background. Epidemics such as SARS and H7N9 have caused huge negative impacts on population health and the economy in China. Aims. This article discusses the impacts of SARS in 2003 and H7N9 in 2013 in China, in order to provide a better understanding to government and practitioners of why improving management of response to infectious disease outbreaks is so critical for a country’s economy, its society, and its place in the global community. Methods. To provide the results of an analysis of impacts of SARS and H7N9 based on feedback from documents, informants, and focus groups on events during the SARS and H7N9 outbreaks. Results. Both outbreaks of SARS and H7N9 have had an impact on China, causing significant negative impacts on health, the economy, and even national and even international security. Conclusions. Both SARS coronavirus and H7N9 viruses presented a global epidemic threat, but the social and economic impacts of H7N9 were not as serious as in the case of SARS because the response to H7N9 was more effective.


2021 ◽  
pp. medethics-2020-106858
Author(s):  
Shenuka Singh ◽  
Rosemary Jean Cadigan ◽  
Keymanthri Moodley

Biobanking can promote valuable health research that may lead to significant societal benefits. However, collecting, storing and sharing human samples and data for research purposes present numerous ethical challenges. These challenges are exacerbated when the biobanking efforts aim to facilitate research on public health emergencies and include the sharing of samples and data between low/middle-income countries (LMICs) and high-income countries (HICs). In this article, we explore ethical challenges for COVID-19 biobanking, offering examples from two past infectious disease outbreaks in LMICs where biobanking activities contributed to the perpetuation of global inequities. We focus on how the ethical imperative to promote the common good during public health emergencies can conflict with protecting the interests of biobank participants. We discuss how conducting biobank research under a waiver of informed consent during public health emergencies is ethically permissible, provided guidance is in place to prevent biopiracy and exploitation of vulnerable communities. We also highlight the need for biobank collaborations between LMICs and HICs to promote capacity building and benefit sharing. Finally, we offer guidance to promote the ethical oversight of biobanks and biobank research during the COVID-19 pandemic or other future public health emergencies.


2021 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Dwi Susanti Ida Ayu Made ◽  
Luh Putu Kirana Pratiwi

The market is a place where sellers and buyers meet in buying and selling transactions. People's market is a traditional market. The people's market is one of the most obvious indicators of the economic activities of the people in an area. The implementation of safety and health in the work environment is not only intended for visitors but also for employees (market managers), suppliers and traders. This is because people's markets can be the main route for the spread of infectious disease outbreaks. People's markets have an important position to provide safe food. Public markets are influenced by the existence of upstream producers (suppliers of fresh ingredients), suppliers, vendors, consumers, managers, health-related officers and community leaders. The healthy market is one of the structures in the development of the people's market. Keywords: People's Market, Identification, Health and Safety Environmental  


2021 ◽  
Vol 27 (1and2) ◽  
pp. 63-84
Author(s):  
Romitesh Kant ◽  
Rufino Varea

The COVID-19 pandemic has caused significant challenges for the health system across the globe and fueled the surge of numerous rumours, hoaxes, and misinformation regarding outcomes, prevention and cure of the virus.  The COVID-19 pandemic has also had severe political, economic and societal effects and affected media and communication systems in unprecedented ways. While traditional journalism has tried to adapt to the rapidly evolving situation, alternative news media on the internet have given the events an ideological spin. These voices have been criticised for furthering societal confusion and spreading potentially dangerous ‘fake news’ or conspiracy theories via social media and other online channels. The impact of the disease and the lack of information associated with it have allowed medical misinformation to rapidly surface and propagate on various social media platforms. Previous studies have highlighted a similar trend during recent public health emergencies, mainly the Ebola and Zika outbreaks. Such a phenomenon is alarming on both individual and public health levels to the extent that governments are realising the gravity and attempting to limit its effects. This article offers a unique perspective because it provides data-driven qualitative insights into Fijian Facebook posts related to infectious disease outbreaks. This study aims to understand public views and opinions on Fijian social media during the height of the pandemic in 2020 and to outline potential implications for health information.


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