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https://www.readbyqxmd.com/read/28192056/the-psychosocial-challenges-of-caring-for-patients-with-ebola-virus-disease
#1
Matthew W Smith, Philip W Smith, Christopher J Kratochvil, Shelly Schwedhelm
Caring for highly infectious patients in biocontainment units is a new phenomenon, and little is known about the behavioral health of workers in this setting. This is a qualitative study exploring the unique experiences of workers involved in the care of patients with Ebola virus disease (EVD) at Nebraska Medicine during the 2014 Ebola outbreak. Twenty-one in-depth interviews were conducted focused on topics of personal memories, interpersonal experiences, stress response, and patient management. Five themes were identified: (1) positive experiences were emotional while challenges were technical; (2) a significant percentage of workers encountered interpersonal stressors, with 29% of respondents having feelings of isolation, 33% having alterations in home life, and 25% experiencing at least 1 episode of discrimination; (3) physicians and nurses had stressors primarily related to patient care; (4) mental health was an important supportive service, with 45% of respondents using behavioral health counseling; and (5) working in the biocontainment unit during activation was more stressful than everyday work for 60% of respondents...
January 2017: Health Security
https://www.readbyqxmd.com/read/28192055/a-community-checklist-for-health-sector-resilience-informed-by-hurricane-sandy
#2
Eric S Toner, Meghan McGinty, Monica Schoch-Spana, Dale A Rose, Matthew Watson, Erin Echols, Eric G Carbone
This is a checklist of actions for healthcare, public health, nongovernmental organizations, and private entities to use to strengthen the resilience of their community's health sector to disasters. It is informed by the experience of Hurricane Sandy in New York and New Jersey and analyzed in the context of findings from other recent natural disasters in the United States. The health sector is defined very broadly, including-in addition to hospitals, emergency medical services (EMS), and public health agencies-healthcare providers, outpatient clinics, long-term care facilities, home health providers, behavioral health providers, and correctional health services...
January 2017: Health Security
https://www.readbyqxmd.com/read/28192054/evaluation-of-immunoassays-and-general-biological-indicator-tests-for-field-screening-of-bacillus-anthracis-and-ricin
#3
Rachel A Bartholomew, Richard M Ozanich, Jennifer S Arce, Heather E Engelmann, Alejandro Heredia-Langner, Beth A Hofstad, Janine R Hutchison, Kristin Jarman, Angela M Melville, Kristin D Victry, Cynthia J Bruckner-Lea
There is little published data on the performance of biological indicator tests and immunoassays that could be used by first responders to determine if a suspicious powder contains a potential biothreat agent. We evaluated a range of biological indicator tests, including 3 protein tests, 2 ATP tests, 1 DNA test, and 1 FTIR spectroscopy instrument for their ability to screen suspicious powders for Bacillus anthracis (B. anthracis) spores and ricin. We also evaluated 12 immunoassays (mostly lateral flow immunoassays) for their ability to screen for B...
January 2017: Health Security
https://www.readbyqxmd.com/read/28192053/ensuring-local-capacity-for-public-health-disaster-response-and-recovery-a-national-imperative
#4
Laura Hanen, Meghan McGinty
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28192052/preparedness-at-japan-s-hospitals-designated-for-patients-with-highly-infectious-diseases
#5
Takao Toyokawa, Narumi Hori, Yasuyuki Kato
In 2015, in order to assess the preparedness of Japan's special hospitals that have been designated to admit and treat patients with highly infectious diseases, we conducted a cross-sectional study of all 47 hospitals with this designation, using a self-report questionnaire that addressed 5 issues: (1) hospital characteristics and the occupation of the respondents; (2) the availability and content of the hospital guidelines for managing patients with suspected or confirmed viral hemorrhagic fever; (3) the implementation of preparedness activities in the context of the recent Ebola crisis; (4) characteristics of admission rooms for patients; and (5) human resources and occupational issues...
January 2017: Health Security
https://www.readbyqxmd.com/read/28192051/strengthening-health-systems-through-international-blood-product-sharing-agreements
#6
Sanjana J Ravi
Blood products are critical to the success of both routine healthcare delivery and emergency response efforts. Ensuring the safety and availability of blood products presents nations with considerable collection, screening, and distribution challenges that are often exacerbated by public health crises, particularly mass-casualty events involving traumatic injuries. However, recent outbreaks of Ebola and Zika virus disease have also illustrated the importance of securing blood product supplies during ongoing infectious disease emergencies...
January 2017: Health Security
https://www.readbyqxmd.com/read/28192050/evaluation-of-pcr-systems-for-field-screening-of-bacillus-anthracis
#7
Richard M Ozanich, Heather A Colburn, Kristin D Victry, Rachel A Bartholomew, Jennifer S Arce, Alejandro Heredia-Langner, Kristin Jarman, Helen W Kreuzer, Cynthia J Bruckner-Lea
There is little published data on the performance of hand-portable polymerase chain reaction (PCR) systems that can be used by first responders to determine if a suspicious powder contains a potential biothreat agent. We evaluated 5 commercially available hand-portable PCR instruments for detection of Bacillus anthracis. We used a cost-effective, statistically based test plan to evaluate systems at performance levels ranging from 0.85-0.95 lower confidence bound (LCB) of the probability of detection (POD) at confidence levels of 80% to 95%...
January 2017: Health Security
https://www.readbyqxmd.com/read/28192049/establishing-a-hospital-response-network-among-children-s-hospitals
#8
Michael T Bartenfeld, Stephanie E Griese, Steven E Krug, Joanne Andreadis, Georgina Peacock
A timely and effective response to public health threats requires a broad-reaching infrastructure. Children's hospitals are focused on evaluating and managing some of the most vulnerable patients and thus have unique preparedness and response planning needs. A virtual forum was established specifically for children's hospitals during the 2014-15 Ebola outbreak, and it demonstrated the importance and utility of connecting these specialty hospitals to discuss their shared concerns. Developing a successful children's hospital response network could build the national infrastructure for addressing children's needs in preparedness and response and for enhancing preparedness and response to high-consequence pathogens...
January 2017: Health Security
https://www.readbyqxmd.com/read/28146366/cdc-s-evolving-approach-to-emergency-response
#9
Stephen C Redd, Thomas R Frieden
The Centers for Disease Control and Prevention (CDC) transformed its approach to preparing for and responding to public health emergencies following the anthrax attacks of 2001. The Office of Public Health Preparedness and Response, an organizational home for emergency response at CDC, was established, and 4 programs were created or greatly expanded after the anthrax attacks: (1) an emergency management program, including an Emergency Operations Center; (2) increased support of state and local health department efforts to prepare for emergencies; (3) a greatly enlarged Strategic National Stockpile of medicines, vaccines, and medical equipment; and (4) a regulatory program to assure that work done on the most dangerous pathogens and toxins is done as safely and securely as possible...
January 2017: Health Security
https://www.readbyqxmd.com/read/28092487/strengthening-us-public-health-preparedness-and-response-operations
#10
Matthew Watson, Jennifer B Nuzzo, Matthew P Shearer, Diane Meyer
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092470/strengthening-the-us-medical-countermeasure-enterprise-for-biological-threats
#11
Sanjana Ravi, Amesh A Adalja
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092468/protecting-the-nation-from-health-security-threats
#12
Tom Inglesby, Anita Cicero
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092458/a-biosafety-agenda-to-spur-biotechnology-development-and-prevent-accidents
#13
Gigi Kwik Gronvall
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092456/improving-biosurveillance-systems-to-enable-situational-awareness-during-public-health-emergencies
#14
Jennifer B Nuzzo
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092455/funding-and-organization-of-us-federal-health-security-programs
#15
Crystal R Watson, Matthew Watson
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092454/maintaining-us-leadership-in-emerging-biotechnologies-to-grow-the-economy-of-the-future
#16
Gigi Kwik Gronvall
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092453/international-engagement-is-critical-to-fighting-epidemics
#17
Jennifer B Nuzzo, Matthew P Shearer
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092452/partnering-with-communities-to-foster-trust-save-more-lives-and-prompt-recovery-in-epidemics-and-disasters
#18
Monica Schoch-Spana
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092451/assessing-and-addressing-us-health-security-risks
#19
Crystal R Watson
No abstract text is available yet for this article.
January 2017: Health Security
https://www.readbyqxmd.com/read/28092448/prevention-of-the-development-or-use-of-biological-weapons
#20
Gigi Kwik Gronvall
No abstract text is available yet for this article.
January 2017: Health Security
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