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Disaster Preparedness

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https://www.readbyqxmd.com/read/28914224/rapid-risk-assessment-report-for-schistosomiasis-epidemic-in-jianli-county-caused-by-the-sunk-oriental-star-cruise-ship
#1
Ziling Ni, Xiaodong Tan, Bei Liu, Zhaoyu Ying, Xudong Gao, Fen Yang
BACKGROUND: At 9:28 pm on June 1, 2015, the cruise ship "Oriental Star" sank into Yangtze River in Jianli County, with 422 people killed. When the accident occurred, the Chinese government took immediate action and dispatched more than 9000 rescuers. The risk for outbreak of schistosomiasis was increased because of the shipwreck. Obviously it is critical to carry out risk assessment as soon as possible. METHODS: By means of the Delphi method, the situation was analyzed so that the government could fathom the severity of the accident...
September 15, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28903795/rapid-triage-of-mental-health-risk-in-emergency-medical-workers-findings-from-typhoon-haiyan
#2
Lauren Sylwanowicz, Merritt Schreiber, Craig Anderson, Carlos Primero D Gundran, Emelie Santamaria, Jaifred Christian F Lopez
OBJECTIVE: To determine the ability of a novel responder mental health self-triage system to predict post-traumatic stress disorder (PTSD) in emergency medical responders after a disaster. METHODS: Participants in this study responded to Typhoon Haiyan, which struck the Philippines in November 2013. They completed the Psychological Simple Triage and Rapid Treatment (PsySTART) responder triage tool, the PTSD Checklist (PCL-5) and the Patient Health Questionnaire-8 (PHQ-8) shortly after responding to this disaster...
September 14, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28899442/applications-of-256-slice-spiral-computed-tomography-perfusion-scanning-in-limb-salvage-after-high-voltage-electrical-injury
#3
Pengcheng Ma, Yong Sun, Xintang Zhang, Hui Liu, Canli Liu, Jing Zhao
OBJECTIVE: This study aimed to investigate the applications of intelligent 256-slice computed tomography (iCT) perfusion imaging in high-voltage electrical injuries (HVEIs). METHODS: 256-slice iCT was used to perform perfusion scanning for 48 patients with HVEI to detect the perfusion parameters. RESULTS: The blood flow (BF) and peak enhancement intensity (PEI) values of the plane lower than the amputation level of the diseased side (ALD) were smaller than those of the corresponding healthy side (P<0...
September 13, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28899438/facilitators-and-barriers-to-preparedness-partnerships-a-veterans-affairs-medical-center-perspective
#4
Susan Schmitz, Tamar Wyte-Lake, Aram Dobalian
OBJECTIVE: This study sought to understand facilitators and barriers faced by local US Department of Veterans Affairs Medical Center (VAMC) emergency managers (EMs) when collaborating with non-VA entities. METHODS: Twelve EMs participated in semi-structured interviews lasting 60 to 90 minutes discussing their collaboration with non-VAMC organizations. Sections of the interview transcripts concerning facilitators and barriers to collaboration were coded and analyzed...
September 13, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28899435/optimizing-visits-to-the-site-of-death-for-bereaved-families-after-disasters-and-terrorist-events
#5
Pål Kristensen, Atle Dyregrov, Lars Weisæth, Marianne Straume, Kari Dyregrov, Trond Heir, Renate Grønvold Bugge
In recent years it has been common after disasters and terrorist events to offer bereaved families the opportunity to visit the place where their loved ones died. Many report that such visits are beneficial in processing their loss. Various factors, both cognitive (eg, counteracting disbelief) and existential or emotional (eg, achieving a sense of closeness to the deceased), are associated with the experienced benefit. Nonetheless, exacerbations of trauma and grief reactions (eg, re-enactment fantasies) are common, with some of the bereaved also reporting adverse reactions after the visit...
September 13, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28892451/public-health-preparedness-funding-key-programs-and-trends-from-2001-to-2017
#6
Crystal R Watson, Matthew Watson, Tara Kirk Sell
OBJECTIVES: To evaluate trends in funding over the past 16 years for key federal public health preparedness and response programs at the US Department of Health and Human Services, to improve understanding of federal funding history in this area, and to provide context for future resource allocation decisions for public health preparedness. METHODS: In this 2017 analysis, we examined the funding history of key federal programs critical to public health preparedness by reviewing program budget data collected for our annual examination of federal funding for biodefense and health security programs since fiscal year (FY) 2001...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892448/primary-care-emergency-preparedness-network-new-york-city-2015-comparison-of-member-and-nonmember-sites
#7
Marsha D Williams, Marc C Jean, Bei Chen, Noelle-Angelique M Molinari, Tanya T LeBlanc
OBJECTIVES: To assess whether Primary Care Emergency Preparedness Network member sites reported indicators of preparedness for public health emergencies compared with nonmember sites. The network-a collaboration between government and New York City primary care associations-offers technical assistance to primary care sites to improve disaster preparedness and response. METHODS: In 2015, we administered an online questionnaire to sites regarding facility characteristics and preparedness indicators...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892446/funding-public-health-emergency-preparedness-in-the-united-states
#8
Rebecca Katz, Aurelia Attal-Juncqua, Julie E Fischer
The historical precedents that support state and local leadership in preparedness for and response to disasters are in many ways at odds with the technical demands of preparedness and response for incidents affecting public health. New and revised laws and regulations, executive orders, policies, strategies, and plans developed in response to biological threats since 2001 address the role of the federal government in the response to public health emergencies. However, financial mechanisms for disaster response-especially those that wait for gubernatorial request before federal assistance can be provided-do not align with the need to prevent the spread of infectious agents or efficiently reduce the impact on public health...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892443/promoting-community-preparedness-and-resilience-a-latino-immigrant-community-driven-project-following-hurricane-sandy
#9
Isabel Cuervo, Les Leopold, Sherry Baron
As community residents and recovery workers, Latino immigrants play important roles after disasters, yet are rarely included in preparedness planning. A community-university-labor union partnership created a demonstration project after Hurricane Sandy to strengthen connections to disaster preparedness systems to increase community resilience among Latino immigrant communities in New York and New Jersey. Building ongoing ties that connect workers and community-based organizations with local disaster preparedness systems provided mutual benefits to disaster planners and local immigrant communities, and also had an impact on national disaster-related initiatives...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892439/a-child-s-health-is-the-public-s-health-progress-and-gaps-in-addressing-pediatric-needs-in-public-health-emergencies
#10
Eric J Dziuban, Georgina Peacock, Michael Frogel
Children are the most prevalent vulnerable population in US society and have unique needs during the response to and recovery from public health emergencies. The physiological, behavioral, developmental, social, and mental health differences of children require specific attention in preparedness efforts. Despite often being more severely affected in disasters, children's needs are historically underrepresented in preparedness. Since 2001, much progress has been made in addressing this disparity through better pediatric incorporation in preparedness planning from national to local levels...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28892435/community-assessment-for-public-health-emergency-response-casper-an-innovative-emergency-management-tool-in-the-united-states
#11
Amy Schnall, Nicole Nakata, Todd Talbert, Tesfaye Bayleyegn, DeAndrea Martinez, Amy Wolkin
OBJECTIVES: To demonstrate how inclusion of the Centers for Disease Control and Prevention's Community Assessment for Public Health Emergency Response (CASPER) as a tool in Public Health Preparedness Capabilities: National Standards for State and Local Planning can increase public health capacity for emergency response. METHODS: We reviewed all domestic CASPER activities (i.e., trainings and assessments) between fiscal years 2012 and 2016. Data from these CASPER activities were compared with respect to differences in geographic distribution, type, actions, efficacy, and usefulness of training...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28891209/blood-component-transfusions-in-mass-casualty-events
#12
G Ramsey
BACKGROUND AND OBJECTIVES: Planning transfusion needs in mass casualty events (MCE) is critical for disaster preparedness. Published data on blood component usage were analysed to seek correlative factors and usage rates. MATERIALS AND METHODS: English-language medical publications since 1980 were searched for MCEs with numbers of patient admissions and transfused RBCs. Reports were excluded from natural disasters or with total RBC use <50 units. Statistical analysis employed Mann-Whitney U-tests and Spearman's rank correlations...
September 10, 2017: Vox Sanguinis
https://www.readbyqxmd.com/read/28890523/nation-wide-implementation-of-disaster-medical-coordinators-in-japan
#13
Shinichi Egawa, Tomomi Suda, Tracey Elizabeth Claire Jones-Konneh, Aya Murakami, Hiroyuki Sasaki
In the 2011 Great East Japan Earthquake (GEJE), successful medical and public health coordination by pre-assigned disaster medical coordinators saved many affected people, though the coordination itself had difficulties. This study aims to clarify the implementation and the challenges of disaster medical coordinators in Japan. We performed questionnaire surveillance in 2012 and 2014 to all prefectural government on assignment of disaster medical coordinators, their expected roles and supporting system. Out of all 47 prefectures, assignment or planning of disaster medical coordinators jumped up from four (8...
2017: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/28886610/-disaster-control-and-civil-protection-in-germany
#14
Maximilian Kippnich, Barbara Kowalzik, Rudolf Cermak, Uwe Kippnich, Peter Kranke, Thomas Wurmb
The train crash of Bad Aibling/Germany in February 2016 and the terrorist attacks of the recent years in Europe have demonstrated the urgent need to be prepared for such disastrous events. Disaster preparedness and disaster control are very important governmental duties, as are civil protection and civil defense. In Germany the responsibility for those tasks are divided between the 16 "Länder" and the Federation. While the Federation takes care of the civil protection and disaster assistance, the Länder are responsible for disaster control...
September 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/28886609/-the-hospital-emergency-plan-important-tool-for-disaster-preparedness
#15
Thomas Wurmb, Katja Scholtes, Felix Kolibay, Peer Rechenbach, Ulrich Vogel, Barbara Kowalzik
Hospitals need to be prepared for any kind of disaster. The terrorist attacks and mass shootings that took place in Europe in recent years impressively demonstrated the capability of hospitals to manage such challenging and disastrous events. To be adequately prepared, the hospital emergency plan is a very important tool. In this article we describe the entire process of drafting the emergency plan. We discuss the theoretical background as well as different models of disaster planning and we give important practical hints and tips for those in charge of the hospital disaster planning...
September 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/28877779/adverse-health-complaints-of-adults-exposed-to-benzene-after-a-flaring-disaster-at-the-bp-refinery-facility-in-texas-city-texas
#16
Mark A D'Andrea, G Kesava Reddy
OBJECTIVE: The objective of this study was to assess the adverse health symptoms experienced by adult subjects who were exposed to benzene after a flaring disaster at the BP refinery in Texas City, Texas. METHODS: A total of 2162 adults aged 18 years or older and exposed to benzene were included. Using the patients' medical charts, we collected and analyzed data on health complaints as well as the patients' serum levels of beta-2-microglobulin and urinary excretion of phenol...
September 7, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28876217/-we-are-disaster-response-experts-a-qualitative-study-on-the-mental-health-impact-of-volunteering-in-disaster-settings-among-combat-veterans
#17
Derrick Kranke, Eugenia L Weiss, Kevin C Heslin, Aram Dobalian
Volunteers serving in a disaster context may experience harmful mental health effects that could impede rescue operations. Exploratory research suggests that combat veterans who volunteer in Team Rubicon (TR)-a disaster relief social service organization with the mission of uniting the skills and experiences of military Veterans with first responders to rapidly deploy emergency response teams-have positive mental health responses when providing disaster relief. The objective of this qualitative study was to identify those nuances associated with combat veterans' mental health response in TR...
September 6, 2017: Social Work in Public Health
https://www.readbyqxmd.com/read/28870277/lessons-learned-from-implementing-an-incident-command-system-during-a-local-multiagency-response-to-a-legionnaires-disease-cluster-in-sydney-nsw
#18
Emma Quinn, Travers Johnstone, Zeina Najjar, Toni Cains, Geoff Tan, Essi Huhtinen, Sven Nilsson, Stuart Burgess, Matthew Dunn, Leena Gupta
The incident command system (ICS) provides a common structure to control and coordinate an emergency response, regardless of scale or predicted impact. The lessons learned from the application of an ICS for large infectious disease outbreaks are documented. However, there is scant evidence on the application of an ICS to manage a local multiagency response to a disease cluster with environmental health risks. The Sydney Local Health District Public Health Unit (PHU) in New South Wales, Australia, was notified of 5 cases of Legionnaires' disease during 2 weeks in May 2016...
September 5, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28854997/midwives-professional-competencies-for-preventing-maternal-mortality-in-disasters-a-cross-sectional-study-in-iran
#19
Ziba Taghizadeh, Mahsa Khoshnam Rad, Anoshirvan Kazemnejad
OBJECTIVE: Maternal mortality may increase after a disaster. Because midwives are at the frontline of offering reproductive health care services in disasters, they should be competent. METHODS: This was a cross-sectional, descriptive study carried out in 2015 in Tehran. The sample consisted of 361 midwives selected by use of a cluster random sampling method. Data were collected by using a questionnaire on professional competency for preventing maternal mortality in disasters...
August 31, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28851475/disaster-mental-health-services-review-of-care-for-older-persons-after-disasters
#20
Allison Gibson, Jessica Walsh, Lisa M Brown
As older persons make up an ever greater proportion of the world's population, a range of concerns are being voiced by policy-makers, program managers, and care providers about best or optimal practices for serving this population's needs during all stages of disasters. Given that age-related vulnerabilities are common in late life, this article describes existing systems of care in the United States for the provision of disaster mental health services. Second, it evaluates the evidence for disaster treatment interventions with this subgroup of the population...
August 30, 2017: Disaster Medicine and Public Health Preparedness
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