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Disaster Medicine and Public Health Preparedness

Melinda J Morton Hamer, Paul L Reed, Jane D Greulich, Gabor D Kelen, Nicole A Bradstreet, Charles W Beadling
OBJECTIVE: The Ebola outbreak demonstrated the need for improved disaster response throughout West Africa. The West Africa Disaster Preparedness Initiative was a training and assessment effort led by US Africa Command and partners to strengthen capacities among 12 West African partner nations (PNs). METHODS: Series of 3-week training sessions with representatives from each PN were held from 13 July through 20 November 2015 at the Kofi Annan International Peacekeeping Training Centre in Accra, Ghana...
November 24, 2016: Disaster Medicine and Public Health Preparedness
Mary Helen McSweeney-Feld
This article identifies concepts, trends, and policy gaps in the availability and service delivery of assistive technology utilized by older adults in disasters, as well as implications for emergency management planning and shelter administration. Definitions of types of assistive technology, as well as views of older adults using technology as at-risk individuals for emergency management service provision, are provided. An overview of peer-reviewed articles and gray literature is conducted, focusing on publications from 2001 to the present in the United States...
November 21, 2016: Disaster Medicine and Public Health Preparedness
Xin Zhao, Yun-Dou Wang, Xiao-Feng Zhang, Shu-Tian Gao, Li-Jun Guo, Li-Na Sun
For the prevention and control of newly emergent or sudden infectious diseases, we built an on-site, modularized prevention and control system and tested the equipment by using the clustering analysis method. On the basis of this system, we propose a modular equipment allocation method and 4 applications of this method for different types of infectious disease prevention and control. This will help to improve the efficiency and productivity of anti-epidemic emergency forces and will provide strong technical support for implementing more universal and serialized equipment in China...
November 15, 2016: Disaster Medicine and Public Health Preparedness
Mariko Inoue, Kazue Yamaoka
OBJECTIVE: We aimed to investigate the influence of social factors, especially social support, on psychological distress and the prevalence of health problems (HPs) among victims living in their homes 14 to 21 months after the Great East Japan Earthquake and tsunami. METHODS: A subgroup analysis was performed for elderly participants of a cross-sectional household survey in Ishinomaki area, Japan. The prevalence of psychological HPs was assessed by using a psychological distress questionnaire (K6) and by recording the number of subjective HPs...
November 15, 2016: Disaster Medicine and Public Health Preparedness
Tamar Wyte-Lake, Maria Claver, Claudia Der-Martirosian, Darlene Davis, Aram Dobalian
OBJECTIVE: Health agencies working with the homebound play a vital role in bolstering a community's resiliency by improving the preparedness of this vulnerable population. Nevertheless, this role is one for which agencies lack training and resources, which leaves many homebound at heightened risk. This study examined the utility of an evidence-based Disaster Preparedness Toolkit in Veterans Health Administration (VHA) Home-Based Primary Care (HBPC) programs. METHODS: We conducted an online survey of all VHA HBPC program managers (N=77/146; 53% response rate)...
November 14, 2016: Disaster Medicine and Public Health Preparedness
Rebecca Katz, Andrea Vaught
OBJECTIVES: We sought to better understand the tools used by public health officials in the control of tuberculosis (TB). METHODS: We conducted a series of in-depth interviews with public health officials at the local, state, and federal levels to better understand how health departments around the country use isolation measures to control TB. RESULTS: State and local public health officials' use of social distancing tools in infection control varies widely, particularly in response to handling noncompliant patients...
November 14, 2016: Disaster Medicine and Public Health Preparedness
Michelle Annette Meyer
OBJECTIVE: Elderly individuals are considered at elevated risk of disaster impacts owing to increased health concerns, reduced mobility, and fixed economic resources. Social capital can counteract these vulnerabilities by increasing the likelihood of hearing disaster warnings, providing social ties to assist with preparation and evacuation, and providing access to financial or nonfinancial resources. I aimed to analyze the relationship between age and perceptions of disaster-related social capital...
November 14, 2016: Disaster Medicine and Public Health Preparedness
Baoguo Yu, Zhen Yang, Song Bai, Xuexian Shan, Qi Lv, Hui Ding, Shike Hou
In recent years, with the increasingly frequent variety of large-scale disasters that have happened in China, the Chinese People's Armed Police Forces (PAP) has undertaken increasingly frequent and diversified tasks, which has led to greater requirements for the construction of emergency medical rescue equipment. Therefore, as determined by the characteristics of the PAP's tasks and based on the construction of special boxes and frame tent equipment, a new PAP mobile rescue hospital system was successfully developed, and all PAP provincial-level medical rescue teams have been equipped with this system...
November 14, 2016: Disaster Medicine and Public Health Preparedness
Yassar Alamri
No abstract text is available yet for this article.
November 10, 2016: Disaster Medicine and Public Health Preparedness
Howard A Zucker, Dennis Whalen, Kenneth E Raske
Preparing an entire health care system for an outbreak of a deadly infectious disease is an intensive, time-consuming process that requires collaboration and cooperation at all levels. New York achieved this goal when it became apparent that the Ebola outbreak in West Africa had the potential to spread beyond the 3 most heavily impacted countries. We discuss New York's work with health care associations to prepare the multiple tiers of the state's health care system to successfully transport, identify, diagnose, and treat the disease, while also handling clinical, consequence, and communications management of the outbreak...
November 10, 2016: Disaster Medicine and Public Health Preparedness
Martin F Sherman, Robyn R Gershon, Halley E M Riley, Qi Zhi, Lori A Magda, Mark Peyrot
OBJECTIVE: We examined psychological outcomes in a sample of participants who evacuated from the World Trade Center towers on September 11, 2011. This study aimed to identify risk factors for psychological injury that might be amenable to change, thereby reducing adverse impacts associated with emergency high-rise evacuation. METHODS: We used data from a cross-sectional survey conducted 2 years after the attacks to classify 789 evacuees into 3 self-reported psychological outcome categories: long-term psychological disorder diagnosed by a physician, short-term psychological disorder and/or memory problems, and no known psychological disorder...
November 4, 2016: Disaster Medicine and Public Health Preparedness
Jay K Varma, David J Prezant, Ross Wilson, Celia Quinn, Glenn Asaeda, Nicholas V Cagliuso, Jennifer L Rakeman, Marisa Raphael
The world's largest outbreak of Ebola virus disease began in West Africa in 2014. Although few cases were identified in the United States, the possibility of imported cases led US public health systems and health care facilities to focus on preparing the health care system to quickly and safely identify and respond to emerging infectious diseases. In New York City, early, coordinated planning among city and state agencies and the health care delivery system led to a successful response to a single case diagnosed in a returned health care worker...
November 2, 2016: Disaster Medicine and Public Health Preparedness
Allison R Heid, Seran Schug, Francine P Cartwright, Rachel Pruchno
OBJECTIVE: Individuals exposed to natural disasters are at risk for negative physical and psychological outcomes. Older adults may be particularly vulnerable; however, social support can act as a resource to help individuals respond to severe stressors. This study explored the challenges older people faced before, during, and after Hurricane Sandy in October 2012 and the people they turned to for support. METHODS: Semi-structured interviews were conducted with 20 older adults in New Jersey drawn from the ORANJ BOWL (Ongoing Research on Aging in New Jersey - Bettering Opportunities for Wellness in Life) research panel, who experienced high levels of primary home damage during Hurricane Sandy...
October 14, 2016: Disaster Medicine and Public Health Preparedness
Abdallah Mohamed Elsafti, Gerlant van Berlaer, Mohammad Al Safadi, Michel Debacker, Ronald Buyl, Atef Redwan, Ives Hubloue
OBJECTIVE: The Syrian civil war since 2011 has led to one of the most complex humanitarian emergencies in history. The objective of this study was to document the impact of the conflict on the familial, educational, and public health state of Syrian children. METHODS: A cross-sectional observational study was conducted in May 2015. Health care workers visited families with a prospectively designed data sheet in 4 Northern Syrian governorates. RESULTS: The 1001 children included in this study originated from Aleppo (41%), Idleb (36%), Hamah (15%), and Lattakia (8%)...
October 14, 2016: Disaster Medicine and Public Health Preparedness
Mohammadkarim Bahadori, Hamid Reza Khankeh, Rouhollah Zaboli, Ramin Ravangard, Isa Malmir
OBJECTIVE: Coordination is a major challenge in the field of health in disasters, mostly because of the complex nature of health-related activities. METHODS: This was a qualitative study based on the grounded theory approach. A total of 22 experts in the field of health in disasters participated in the study. The data were collected through in-depth interviews and literature review. The collected data were then analyzed by use of MAXQDA 2010 software (VERBI Software GmbH)...
October 11, 2016: Disaster Medicine and Public Health Preparedness
Jong-Hak Park, Hanjin Cho, Joo Yeong Kim, Joo-Hyun Song, Sungwoo Moon, Sang Hoon Cha, Byung-Min Choi, Chang-Su Han, Young-Hoon Ko, Hongjae Lee
The Sewol ferry disaster is one of the most tragic events in Korea's modern history. Among the 476 people on board, which included Danwon High School students (324) and teachers (14), 304 passengers died in the disaster (295 recovered corpses and 9 missing) and 172 survived. Of the rescued survivors, 72 were attending Danwon High School, located in Ansan City, and residing in a residence nearby. Because the students were young, emotionally susceptible adolescents, both the government and the parents requested the students be grouped together at a single hospital capable of appropriate psychiatric care...
September 29, 2016: Disaster Medicine and Public Health Preparedness
Emma Paras, Matthew Butler, Brian F Maguire, Rich Scarfone
In September 2015, Pope Francis visited Philadelphia, Pennsylvania, and led outdoor events over the course of 2 days. As a result, The Children's Hospital of Philadelphia (CHOP) was faced with the challenge of planning for and responding to a mass gathering that was anticipated to be one of the largest in US history. As a result of unprecedented traffic restrictions, it was anticipated that patients, staff, and vendors would have severe challenges accessing the hospital, along with impaired communications from widespread cell phone service disruption...
September 29, 2016: Disaster Medicine and Public Health Preparedness
Yibing Tan, Xiaolan Liao, Haihao Su, Chun Li, Jiagen Xiang, Zhaoyang Dong
OBJECTIVE: This study had 2 aims. First, we evaluated the current levels of disaster preparedness among university students in southern China. Second, we assessed students' demands for future disaster education. In addition, we examined the influence of demographic factors on current disaster preparedness status and demand. METHODS: A cross-sectional design was used. The data were collected from 1893 students in 10 universities in the Guangzhou Higher Education Mega (GHEM) center...
September 26, 2016: Disaster Medicine and Public Health Preparedness
Lei Liu, Huahua Yin, Ding Liu
In November 2014, a total of 164 health care workers were dispatched by the Chinese government as the first medical assistance team to Liberia. The tasks of this team were to establish a China Ebola treatment unit (ETU), to commence the initial admission and treatment of suspected and confirmed Ebola patients, and to provide public health and infection control training for relevant local personnel. Overall, during the 2-month stay of this first medical assistance team in Liberia, 112 Ebola-suspected patients presented to the ETU, 65 patients were admitted, including 5 confirmed cases, and 3 confirmed cases were cured...
September 26, 2016: Disaster Medicine and Public Health Preparedness
Qi Lv, Hui Ding, Zi-Quan Liu, Hong-Wei Gao, Bao-Guo Yu, Zhou-Wei Wu, Hao-Jun Fan, Shi-Ke Hou
OBJECTIVE: Human adenovirus type 55 (HAdV-55) has recently caused multiple outbreaks. This study examined polymorphisms in CD46 to determine their involvement in HAdV-55 infection. METHODS: A total of 214 study subjects infected with HAdV-55 were included in our study. The study subjects were divided into those with silent infections (n=91), minor infections (n=85), and severe infections (n=38). Ten single nucleotide polymorphisms (SNPs) from CD46 were examined...
September 20, 2016: Disaster Medicine and Public Health Preparedness
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