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Disaster Medicine and Public Health Preparedness

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https://www.readbyqxmd.com/read/30419972/public-health-emergency-preparedness-system-evaluation-criteria-and-performance-metrics-a-review-of-contributions-of-the-cdc-funded-preparedness-and-emergency-response-research-centers
#1
Shoukat H Qari, Hussain R Yusuf, Samuel L Groseclose, Mary R Leinhos, Eric G Carbone
OBJECTIVES: The US Centers for Disease Control and Prevention (CDC)-funded Preparedness and Emergency Response Research Centers (PERRCs) conducted research from 2008 to 2015 aimed to improve the complex public health emergency preparedness and response (PHEPR) system. This paper summarizes PERRC studies that addressed the development and assessment of criteria for evaluating PHEPR and metrics for measuring their efficiency and effectiveness. METHODS: We reviewed 171 PERRC publications indexed in PubMed between 2009 and 2016...
November 13, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30417805/the-knowledge-level-of-dentists-in-turkey-about-their-potential-role-on-the-disaster-victims-identification-dvi-team
#2
Zehtiye Fusun Yasar, Elif Durukan, Erhan Buken
OBJECTIVE: Although dentists are valuable assets in identification teams during disaster events, forensic dentistry is not used effectively in the identification studies conducted in Turkey, and the importance of dental data is ignored. The aim of this study was to determine the level of knowledge of dentists regarding their duties and responsibilities during major disasters. METHODS: This descriptive study was conducted between December 2015 and June 2016. Registered dentists (n=20...
November 12, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30417804/anthrax-exposure-belief-in-exposure-and-postanthrax-symptoms-among-survivors-of-a-bioterrorist-attack-on-capitol-hill
#3
Stephanie Chiao, Howard Kipen, William K Hallman, David E Pollio, Carol S North
BACKGROUND: Following chemical, biological, radiological, and nuclear disasters, medically unexplained symptoms have been observed among unexposed persons. OBJECTIVES: This study examined belief in exposure in relation to postdisaster symptoms in a volunteer sample of 137 congressional workers after the 2001 anthrax attacks on Capitol Hill. METHODS: Postdisaster symptoms, belief in exposure, and actual exposure status were obtained through structured diagnostic interviews and self-reported presence in offices officially designated as exposed through environmental sampling...
November 12, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30417803/medical-spending-for-the-2001-anthrax-letter-attacks
#4
Nicholas A Zacchia, Ketra Schmitt
ABSTRACTIntroductionThis paper assesses the total medical costs associated with the US anthrax letter attacks of 2001. This information can be used to inform policies, which may help mitigate the potential economic impacts of similar bioterrorist attacks. METHODS: Journal publications and news reports were reviewed to establish the number of people who were exposed, were potentially exposed, received prophylactics, and became ill. Where available, cost data from the anthrax letter attacks were used...
November 12, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30404675/operational-and-financial-considerations-of-using-drones-for-medical-support-of-mass-events-in-poland
#5
Marlena Robakowska, Daniel Ślęzak, Anna Tyrańska-Fobke, Joanna Nowak, Piotr Robakowski, Przemysław Żuratyński, Jerzy Ładny, Klaudiusz Nadolny
OBJECTIVE: The implementation of drones in the medical security system requires a proper planning of the cooperation of different services, dividing the area into sectors, assessing potential risks, and other factors. This study refers to the cost analysis of using drones in the medical support of mass events. The aim of this research is to analyze the costs of unmanned aerial vehicle (UAV) implementation in the mass event medical support system. METHODS: The description includes purchase and maintenance costs of UAVs...
November 8, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30398128/environmental-heat-exposure-and-heat-related-symptoms-in-united-states-coast-guard-deepwater-horizon-disaster-responders
#6
Elizabeth A Erickson, Lawrence S Engel, Kate Christenbury, Laura Weems, Erica G Schwartz, Jennifer A Rusiecki
OBJECTIVES: The response to the 2010 Deepwater Horizon oil spill was impacted by heat. We evaluated the association between environmental heat exposure and self-reported heat-related symptoms in US Coast Guard Deepwater Horizon disaster responders. METHODS: Utilizing climate data and postdeployment survey responses from 3648 responders, we assigned heat exposure categories based on both wet bulb globe temperature (WBGT) and heat index (HI) measurements (median, mean, maximum)...
November 6, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30394256/hurricane-maria-s-impact-on-punta-santiago-puerto-rico-community-needs-and-mental-health-assessment-six-months-postimpact
#7
Isabella M Ferré, Stephanie Negrón, James M Shultz, Seth J Schwartz, James P Kossin, Hilda Pantin
OBJECTIVES: This pilot study aimed to assess the community needs and population health status for the low-income town of Punta Santiago, situated on the southeastern coast of Puerto Rico at the point where Hurricane Maria made landfall on September 20, 2017. METHODS: A cross-sectional, interviewer-administered survey was conducted 6 months after the storm with a representative random sample of 74 households. The survey characterized population demographics and resident needs in relation to storm damage and disruption...
November 5, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30387408/medical-countermeasures-for-children-in-radiation-and-nuclear-disasters-current-capabilities-and-key-gaps
#8
Aaron H Gardner, Eric J Dziuban, Stephanie Griese, Nairimer Berríos-Cartagena, Jennifer Buzzell, Karen Cobham-Owens, Georgina Peacock, Ziad Kazzi, Joanna M Prasher
OBJECTIVE: Despite children's unique vulnerability, clinical guidance and resources are lacking around the use of radiation medical countermeasures (MCMs) available commercially and in the Strategic National Stockpile to support immediate dispensing to pediatric populations. To better understand the current capabilities and shortfalls, a literature review and gap analysis were performed. METHODS: A comprehensive review of the medical literature, Food and Drug Administration (FDA)-approved labeling, FDA summary reviews, medical references, and educational resources related to pediatric radiation MCMs was performed from May 2016 to February 2017...
November 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30378517/provider-delivery-of-emergency-preparedness-education-in-home-based-primary-care
#9
Tamar Wyte-Lake, Claudia Der-Martirosian, Maria Claver, Darlene Davis, Aram Dobalian
ABSTRACTIntroductionHome health agencies have been tasked to improve their patients' disaster preparedness. Few studies have evaluated the robustness of tools to support preparedness in home health. Through evaluation of the Home-Based Primary Care (HBPC) Patient Assessment Tool, we conducted a survey to identify strengths and challenges in supporting the preparedness of patients served by home health programs such as the Veterans Health Administration's HBPC program. METHODS: Practitioners from 10 HBPC programs fielded the Patient Assessment Tool with all patients during a 3-week period...
October 31, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30334501/examination-of-hospital-workers-emotional-responses-to-an-infectious-disease-outbreak-lessons-from-the-2015-mers-co-v-outbreak-in-south-korea
#10
Heejung Son, Wang Jun Lee, Hyun Soo Kim, Kkot Sil Lee, Myoungsoon You
ABSTRACTHospital workers are critical for a successful response to an infectious disease outbreak and for preventing disease transmission to the community. Therefore, hospital crisis management should implement efforts to improve hospital workers' preparedness in responding to public health emergencies caused by infectious diseases. Traditionally, preparedness and skill of hospital workers have been emphasized, but awareness of the importance of the emotional mindset of hospital workers in dealing with disease outbreaks has only recently increased; therefore, empirical approaches to examining emotional responses of hospital workers has been limited...
October 18, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30328403/obstetrician-gynecologists-role-conflict-in-a-natural-disaster-professional-versus-family-responsibilities
#11
Mark A Turrentine, Manju Monga, Laurie S Swaim
OBJECTIVE: The purpose of this study was to evaluate role conflict between professional and familial responsibilities among obstetric health care providers during a natural disaster between those required to stay in the hospital versus those who were at home during a catastrophic weather event. METHODS: A survey was used of obstetric attending and resident physicians in the Baylor College of Medicine, Department of Obstetrics and Gynecology following Hurricane Harvey on August 26, 2017...
October 17, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30319091/contingency-medical-countermeasures-for-mass-nerve-agent-exposure-use-of-pharmaceutical-alternatives-to-community-stockpiled-antidotes
#12
Michael D Schwartz, Mark E Sutter, Derek Eisnor, Mark A Kirk
ABSTRACTHaving sufficient medical countermeasures (MCMs) available for the treatment of acetylcholinesterase-inhibiting nerve agent poisoned patients following a mass chemical exposure is a challenge for communities. After stockpiles containing auto-injectors are exhausted, communities need to be aware of alternative pharmaceutical options. The Department of Homeland Security Chemical Defense Program convened a federal interagency working group consisting of first responders, clinicians, and experts from the fields of medical toxicology, pharmacology, and emergency management...
October 15, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30305195/successful-renovation-of-a-closed-school-into-a-long-term-care-facility-in-the-affected-area-after-the-2011-fukushima-disaster
#13
Yoshitaka Nishikawa, Akihiko Ozaki, Masaharu Tsubokura
No abstract text is available yet for this article.
October 11, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30305192/celebrity-role-in-sarpol-e-zahab-earthquake-in-iran-2017
#14
Mohammad Heidari, Seyedeh Samaneh Miresmaeeli, Neda Eskandary
No abstract text is available yet for this article.
October 11, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30296961/monitoring-the-health-of-public-health-responders-development-and-use-of-the-responder-safety-tracking-and-resilience-system-r-star-for-hurricane-matthew
#15
Alezandria K Turner, Laura Edison, Karl Soetebier, Wendy Smith, Cherie Drenzek
ABSTRACTOn October 7, 2016, Hurricane Matthew traveled along the coasts of Florida, Georgia, and South Carolina causing flooding and power outages. The Georgia Department of Public Health (DPH) developed the Web-based Responder Safety, Tracking, and Resilience (R-STaR) system to monitor the health and safety of public health responders and to inform disaster response planning for Hurricane Matthew. Using R-STaR, responders (n = 126) were e-mailed a daily survey while deployed to document injuries or harmful exposures and a post-deployment survey on their post-deployment health and satisfaction with using R-STaR...
October 9, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30295234/varzaghan-earthquake-affected-mothers-and-their-newborns-health-more-severely-in-socioeconomically-vulnerable-area
#16
Mehdi Esfandyari, Elnaz Vaghef-Mehrabany, Mehrangiz Ebrahimi-Mameghani
OBJECTIVE: We aimed to compare the pregnancy status of the pregnant women and birth status of their newborns, socioeconomic status, and access to health services, between high- and low-damage areas in Heris, affected by the Varzaghan Earthquake, 2012. METHODS: The study was conducted on pregnant women at any trimester of pregnancy (with complete medical profiles in local health centers) in August 2012 (time of the earthquake) who lived in Heris and delivered up to March 2013...
October 8, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30295228/the-united-states-virgin-islands-and-hurricanes-of-2017
#17
Richard F Gillum
No abstract text is available yet for this article.
October 8, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30293544/effects-of-virtual-reality-simulation-on-worker-emergency-evacuation-of-neonates
#18
Sharon Farra, Eric Hodgson, Elaine T Miller, Nathan Timm, Whittney Brady, Matt Gneuhs, Jun Ying, Jackie Hausfeld, Emily Cosgrove, Ashley Simon, Michael Bottomley
OBJECTIVE: This study examined differences in learning outcomes among newborn intensive care unit (NICU) workers who underwent virtual reality simulation (VRS) emergency evacuation training versus those who received web-based clinical updates (CU). Learning outcomes included a) knowledge gained, b) confidence with evacuation, and c) performance in a live evacuation exercise. METHODS: A longitudinal, mixed-method, quasi-experimental design was implemented utilizing a sample of NICU workers randomly assigned to VRS training or CUs...
October 8, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30277452/hospitals-preparedness-to-treat-pediatric-patients-during-mass-casualty-incidents
#19
Chiaki Toida, Takashi Muguruma, Keiji Hashimoto
OBJECTIVES: Little is known about the preparedness of hospitals to care for pediatric patients during a major incident in Japan. This study assessed the disaster preparedness of a children's hospital in Japan by using a disaster drill.Materials and MethodsWe performed a triage drill with all hospitalized patients. The triage tags and medical records were reviewed retrospectively. We determined the efficacy of triage education, the validity of the Simple Triage and Rapid Treatment (START) method for children, and the potential need for evacuation through the disaster drill...
October 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/30277184/needs-assessment-for-a-targeted-health-promotion-campaign
#20
Greta Tam
ABSTRACTSince the first human A/H7N9 infection in Hong Kong, there has been an ongoing threat of human-to-human transmission, potentially causing a pandemic. Because there is no vaccine for A/H7N9, the individual preventive measures become all the more important for reducing transmission. However, due to the ongoing threat of numerous avian influenza viruses, the public may suffer from pandemic-media-fatigue. This study was done to assess the need for a targeted A/H7N9 health promotion campaign. Steven and Gillam's framework using epidemiological, comparative, and corporate approaches was used to assess the need for a targeted A/H7N9 health promotion campaign...
October 2, 2018: Disaster Medicine and Public Health Preparedness
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