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Disaster Medicine and Public Health Preparedness

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https://www.readbyqxmd.com/read/28330523/public-health-and-disasters-an-emerging-translational-and-implementation-science-not-lessons-learned
#1
Kristi L Koenig, Carl H Schultz, Miryha Gould Runnerstrom, Oladele A Ogunseitan
Disaster Medicine is a relatively new multidisciplinary field of science with clear public health implications as it focuses on improving outcomes for populations rather than for individual patients. As with any other scientific discipline, the goal of public health and disaster research is to create new knowledge and transfer evidence-based data to improve public health. The phrase "lessons learned" has crept into the disaster lexicon but must be permanently erased as it has no place in the scientific method...
March 23, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28330514/zika-virus-related-photo-sharing-on-pinterest-and-instagram
#2
Isaac Chun-Hai Fung, Elizabeth B Blankenship, M Elizabeth Goff, Lindsay A Mullican, Kwun Cheung Chan, Nitin Saroha, Carmen H Duke, Marina E Eremeeva, King-Wa Fu, Zion Tsz Ho Tse
OBJECTIVE: Pinterest (San Francisco, CA) and Instagram (Menlo Park, CA) are 2 popular photo-sharing social media platforms among young individuals. We assessed differences between Instagram and Pinterest in relaying photographic information regarding Zika virus. Specifically, we investigated whether the percentage of Zika-virus-related photos with Spanish or Portuguese texts embedded therein was higher for Instagram than for Pinterest and whether the contents of Zika-virus-related photos shared on Pinterest were different from those shared on Instagram...
March 23, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28330513/identifying-and-prioritizing-information-needs-and-research-priorities-of-public-health-emergency-preparedness-and-response-practitioners
#3
Alexa L Siegfried, Eric G Carbone, Michael B Meit, Mallory J Kennedy, Hussain Yusuf, Emily B Kahn
OBJECTIVE: This study describes findings from an assessment conducted to identify perceived knowledge gaps, information needs, and research priorities among state, territorial, and local public health preparedness directors and coordinators related to public health emergency preparedness and response (PHPR). The goal of the study was to gather information that would be useful for ensuring that future funding for research and evaluation targets areas most critical for advancing public health practice...
March 23, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28327208/practical-report-on-long-term-disaster-mental-health-services-following-the-great-east-japan-earthquake-psychological-and-social-background-of-evacuees-in-sendai-city-in-the-mid-to-long-term-post-disaster-period
#4
Masatsugu Orui, Shuichiro Harada, Mizuho Hayashi
OBJECTIVE: The Great East Japan Earthquake, which occurred on March 11, 2011, caused unprecedented damage. To address evacuees' psychosocial issues, our disaster mental health team provided psychosocial support in the form of careful listening and providing information for reconstruction. METHODS: To summarize evacuees' psychosocial issues, we reviewed records of our daily activities and analyzed factors related to continuation or termination of support. Terminated support was defined as the resolution or improvement of psychological issues relative to the time of initial support...
March 22, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28318467/zika-virus-disease-response-protocol
#5
Beuy Joob, Viroj Wiwanitkit
No abstract text is available yet for this article.
March 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28303774/physiological-evaluation-of-personal-protective-ensembles-recommended-for-use-in-west-africa
#6
Aitor Coca, Tyler Quinn, Jung-Hyun Kim, Tianzhou Wu, Jeff Powell, Raymond Roberge, Ronald Shaffer
OBJECTIVE: Personal protective equipment (PPE) provides health care workers with a barrier to prevent human contact with viruses like Ebola and potential transmission of the disease. However, PPE can also introduce an additional physiological burden from potentially increased heat stress. This study evaluated the human physiological and subjective responses to continuous light exercise within environmental conditions similar to those in West Africa while wearing 3 different, commonly used PPE ensembles (E1, E2, and E3)...
March 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28303773/improving-disaster-response-efforts-through-the-development-of-a-disaster-health-care-response-system
#7
Jonathan A Wilson, L Kendall McKenzie, W Terry McLeod, Damon A Darsey, Jim Craig
We review the development of a disaster health care response system in Mississippi aimed at improving disaster response efforts. Large-scale disasters generate many injured and ill patients, which causes a significant utilization of emergency health care services and often requires external support to meet clinical needs. Disaster health care services require a solid infrastructure of coordination and collaboration to be effective. Following Hurricane Katrina, the state of Mississippi implemented best practices from around the nation to establish a disaster health care response system...
March 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28303772/physiological-evaluation-of-cooling-devices-in-conjunction-with-personal-protective-ensembles-recommended-for-use-in-west-africa
#8
Tyler Quinn, Jung-Hyun Kim, Amanda Strauch, Tianzhou Wu, Jeffery Powell, Raymond Roberge, Ronald Shaffer, Aitor Coca
OBJECTIVE: Cooling devices (CDs) worn under personal protective equipment (PPE) can alleviate some of the heat stress faced by health care workers responding to the Ebola outbreak in West Africa. METHODS: Six healthy, young individuals were tested while wearing 4 different CDs or no cooling (control) under PPE in an environmental chamber (32°C/92% relative humidity) while walking (3 METs, 2.5 mph, 0% grade) on a treadmill for 60 minutes. Exercise was preceded by a 15-minute stabilization period and a 15-minute donning period...
March 17, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28270251/decontamination-work-and-the-long-term-increase-in-hospital-visits-for-hymenoptera-stings-following-the-fukushima-nuclear-disaster
#9
Akihiko Ozaki, Takeru Yokota, Shuhei Nomura, Masaharu Tsubokura, Claire Leppold, Tetsuya Tanimoto, Toru Miura, Kana Yamamoto, Toyoaki Sawano, Manabu Tsukada, Masahiro Kami, Yukio Kanazawa, Hiromichi Ohira
OBJECTIVE: Animals, including arthropods, are one health threat that can be affected by disasters. This institution-based study aimed to assess trends in Hymenoptera stings following the 2011 Fukushima nuclear disaster. METHODS: We reviewed the medical records of patients with hymenopteran stings who visited Minamisoma Municipal General Hospital, located 23 km from Fukushima Daiichi Nuclear Power Plant, from March 2005 to March 2016. Patient and sting characteristics of post-disaster patients were examined, and the annual incidence of hospital visits for hymenopteran stings was compared with the pre-disaster baseline, calculating an incidence rate ratio (IRR) for each year...
March 8, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28264758/merging-outpatient-addiction-and-opioid-maintenance-programs-during-a-disaster-lessons-from-hurricane-sandy
#10
Vishal K Gupta, Helena Hansen, Sonia Mendoza, Xinlin Linda Chen, Ronnie G Swift
OBJECTIVE: After Hurricane Sandy flooded Bellevue Hospital in New York City, its opiate maintenance patients were displaced and Bellevue's outpatient program was temporarily merged with the program at Metropolitan Hospital for continuation of care. The merger forced Metropolitan to accommodate a program twice as large as its own and required special staff coordination and adjustments in clinical care. METHODS: Physicians, clinicians, and administrators from both institutions participated in interviews regarding the merger...
March 7, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28264731/surge-capacity-of-hospitals-in-emergencies-and-disasters-with-a-preparedness-approach-a-systematic-review
#11
Hojjat Sheikhbardsiri, Ahmad Reza Raeisi, Mahmood Nekoei-Moghadam, Fatemeh Rezaei
OBJECTIVE: Surge capacity is one of the most important components of hospital preparedness for responding to emergencies and disasters. The ability to provide health and medical care during a sudden increase in the number of patients or victims of disasters is a main concern of hospitals. We aimed to perform a systematic review of hospital surge capacity in emergencies and disasters with a preparedness approach. METHODS: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
March 7, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28260561/challenges-of-treating-adenovirus-infection-application-of-a-deployable-rapid-assembly-shelter-hospital
#12
Song Bai, Bao-Guo Yu, Yong-Zhong Zhang, Hui Ding, Zhou-Wei Wu, Bin Fan, Hao-Jun Fan, Shi-Ke Hou, Feng Chen
This article outlines the evolution of a rescue team in responding to adenovirus prevention with a deployable field hospital. The local governments mobilized a shelter hospital and a rescue team consisting of 59 members to assist with rescue and response efforts after an epidemic outbreak of adenovirus. We describe and evaluate the challenges of preparing for deployment, field hospital maintenance, treatment mode, and primary treatment methods. The field hospital established at the rescue scene consisted of a medical command vehicle, a computed tomography shelter, an X-ray shelter, a special laboratory shelter, an oxygen and electricity supply vehicle, and epidemic prevention and protection equipment...
March 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28260560/hospital-impact-after-a-chemical-spill-that-compromised-the-potable-water-supply-west-virginia-january-2014
#13
Joy Hsu, Maria C Del Rosario, Erica Thomasson, Danae Bixler, Loretta Haddy, Mary Anne Duncan
In January 2014, a chemical spill of 4-methylcyclohexanemethanol and propylene glycol phenyl ethers contaminated the potable water supply of approximately 300,000 West Virginia residents. To understand the spill's impact on hospital operations, we surveyed representatives from 10 hospitals in the affected area during January 2014. We found that the spill-related loss of potable water affected many aspects of hospital patient care (eg, surgery, endoscopy, hemodialysis, and infection control of Clostridium difficile)...
March 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28260558/medical-response-to-a-vinyl-chloride-release-from-a-train-derailment-new-jersey-2012
#14
Alice M Shumate, Jamille Taylor, Elizabeth McFarland, Christina Tan, Mary Anne Duncan
OBJECTIVE: The objective of this investigation was to examine the health impact of and medical response to a mass casualty chemical incident caused by a vinyl chloride release. METHODS: Key staff at area hospitals were interviewed about communication during the response, the number of patients treated and care required, and lessons learned. Clinical information related to the incident and medical history were abstracted from hospital charts. RESULTS: Hospital interviews identified a desire for more thorough and timely incident-specific information and an under-utilization of regionally available resources...
March 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28260545/lessons-learned-from-an-active-shooter-full-scale-functional-exercise-in-a-newly-constructed-emergency-department
#15
Bryan Wexler, Avram Flamm
OBJECTIVE: The primary objective of this exercise was to conduct a full-scale functional exercise utilizing an active-shooter-based scenario to test and evaluate hospital response and coordination with local law enforcement. METHODS: A multidisciplinary group, including community partners, formulated objectives in accordance with the Homeland Security Exercise and Evaluation Program and defined a scenario. A date to conduct the exercise was chosen on the basis of the expected completion of a large section of the new emergency department but prior to its opening for patient care...
March 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28222816/successful-hospital-evacuation-after-the-kumamoto-earthquakes-japan-2016
#16
Takashi Nagata, Shinkichi Himeno, Akihiro Himeno, Manabu Hasegawa, Alan Kawarai Lefor, Makoto Hashizume, Yoshihiko Maehara, Masami Ishii
Two major earthquakes struck Kumamoto Prefecture in Japan in April 2016. Disaster response was immediately provided, including disaster medical services. Many hospitals were damaged and patients needed immediate evacuation to alternative facilities. The hospital bed capacity of Kumamoto Prefecture was overwhelmed, and transportation of more than 100 patients was needed. Hospital evacuation was carried out smoothly with the coordinated efforts of multiple agencies. The overall operation was deemed a success because patients were transported in a timely manner without any significant adverse events...
February 22, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28219461/evaluating-the-impact-of-pharmacies-on-pandemic-influenza-vaccine-administration
#17
Joy Schwerzmann, Samuel B Graitcer, Barbara Jester, David Krahl, Daniel Jernigan, Carolyn B Bridges, Joseph Miller
OBJECTIVES: The objective of this study was to quantify the potential retail pharmacy vaccine administration capacity and its possible impact on pandemic influenza vaccine uptake. METHODS: We developed a discrete event simulation model by use of ExtendSim software (Imagine That Inc, San Jose, CA) to forecast the potential effect of retail pharmacy vaccine administration on total weekly vaccine administration and the time needed to reach 80% vaccination coverage with a single dose of vaccine per person...
February 21, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28179044/translating-battlefield-practices-to-disaster-health
#18
Kandra Strauss-Riggs, Kevin Yeskey, Aubrey Miller, Stacey Arnesen, Craig Goolsby
We review aspects of the recently released National Academies of Sciences, Engineering, and Medicine report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury most relevant to disaster health, particularly the concepts of focused empiricism and building a learning health system. The article references battlefield success utilizing these concepts and the emerging Disaster Research Response Program. We call upon disaster health researchers to apply the report's recommendations to their work...
February 9, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28162118/public-perception-of-extreme-cold-weather-related-health-risk-in-a-cold-area-of-northeast-china
#19
Jie Ban, Li Lan, Chao Yang, Jian Wang, Chen Chen, Ganlin Huang, Tiantian Li
OBJECTIVE: A need exists for public health strategies regarding extreme weather disasters, which in recent years have become more frequent. This study aimed to understand the public's perception of extreme cold and its related health risks, which may provide detailed information for public health preparedness during an extreme cold weather event. METHODS: To evaluate public perceptions of cold-related health risk and to identify vulnerable groups, we collected responses from 891 participants in a face-to-face survey in Harbin, China...
February 6, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28162117/setting-foundations-for-developing-disaster-response-metrics
#20
Mahshid Abir, Sue Anne Bell, Neha Puppala, Osama Awad, Melinda Moore
There are few reported efforts to define universal disaster response performance measures. Careful examination of responses to past disasters can inform the development of such measures. As a first step toward this goal, we conducted a literature review to identify key factors in responses to 3 recent events with significant loss of human life and economic impact: the 2003 Bam, Iran, earthquake; the 2004 Indian Ocean tsunami; and the 2010 Haiti earthquake. Using the PubMed (National Library of Medicine, Bethesda, MD) database, we identified 710 articles and retained 124 after applying inclusion and exclusion criteria...
February 6, 2017: Disaster Medicine and Public Health Preparedness
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