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Disaster Preparedness

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https://www.readbyqxmd.com/read/29781406/analysis-of-emergency-health-care-workforce-and-service-readiness-for-a-mass-casualty-event-in-the-republic-of-ireland
#1
Tener Goodwin Veenema, Fiona Boland, Declan Patton, Tom O'Connor, Zena Moore, Sarah Schneider-Firestone
OBJECTIVE: Ultimately, a country's capacity for a large-scale major emergency response will be directly related to the competence of its health care provider (HCP) workforce and communication between emergency responders and hospitals. The purpose of this study was to assess HCP preparedness and service readiness for a major emergency involving mass casualties (mass casualty event or MCE) in Ireland. METHODS: A cross-sectional study using a 53-item survey was administered to a purposive sample of emergency responders and HCPs in the Republic of Ireland...
May 21, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29773778/a-collaboration-to-teach-us-mph-students-about-cuba-s-health-care-system
#2
Joan O'Connell, Ana María Gálvez-González, Jean Scandlyn, María R Sala-Adam, Xiomara Martín-Linares
In 2011, the US Department of the Treasury changed its regulations to allow US students to participate in short-term education programs in Cuba. Beginning in 2012, and each year thereafter, Cuba's National School of Public Health and the Colorado School of Public Health have jointly taught a class on the Cuban public health system. The program goals are to provide US students with an opportunity to learn about the Cuban national health system's focus on 1) prevention and primary health care services; 2) financial and geographic access to services and health equity; 3) continuum of care across the home, family doctor-and-nurse offices, polyclinics and hospitals; 4) data collection at all levels to understand health risks, including outbreaks, and to guide resource allocation; 5) assessing patients' health and risks using a comprehensive definition of health; 6) multisectoral collaborations between the Ministry of Public Health and other Cuban agencies and organizations to address population health risks; 7) disaster preparedness, response and recovery; and 8) provision of international health assistance...
April 2018: MEDICC Review
https://www.readbyqxmd.com/read/29771200/disaster-preparedness-networks-in-rural-midwest-communities-organizational-roles-collaborations-and-support-for-older-residents
#3
Sato Ashida, Xi Zhu, Erin L Robinson, Audrey Schroer
This study investigated the roles and interconnections among community organizations belonging to local disaster coalitions in Midwest in supporting older residents. Representatives from 44 organizations participated in one-time survey. Most were non-profit (68%) or federal/state/local government agencies (23%). The analyses of 761 relationships showed stronger collaborations in assessment (average strength=2.88 on a 5-point scale), emergency response (2.72), and planning (2.61); and weaker collaborations in co-sponsoring programs (1...
May 17, 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29757879/hurricane-katrina-a-nurse-practitioner-s-experience
#4
Sophia L Thomas
Storm preparedness and recovery has shown much improvement since Hurricane Katrina hit Louisiana in 2005, during which more than 1,000 people died. The floodwaters did not recede for weeks. The purpose of this article is to provide readers with information on the lived experience of a nurse practitioner during Hurricane Katrina. Health care providers are not immune from the life-changing effects of a disaster. Readers are provided resources to access disaster preparedness information.
March 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29747715/an-in-situ-simulation-based-training-approach-to-active-shooter-response-in-the-emergency-department
#5
Mark S Mannenbach, Carol J Fahje, Kharmene L Sunga, Matthew D Sztajnkrycer
ABSTRACTWith an increased number of active shooter events in the United States, emergency departments are challenged to ensure preparedness for these low frequency but high stakes events. Engagement of all emergency department personnel can be very challenging due to a variety of barriers. This article describes the use of an in situ simulation training model as a component of active shooter education in one emergency department. The educational tool was intentionally developed to be multidisciplinary in planning and involvement, to avoid interference with patient care and to be completed in the true footprint of the work space of the participants...
May 11, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29741721/update-from-the-advisory-committee-on-immunization-practices
#6
Sean T O'Leary, David W Kimberlin, Yvonne A Maldonado
The Advisory Committee on Immunization Practices (ACIP), a group of medical and public health experts, meets 3 times per year to develop recommendations for vaccine use in the United States. The group has 15 voting members, each of whom is appointed to a 4-year term. ACIP members and Centers for Disease Control and Prevention (CDC) staff discuss the epidemiology of vaccine-preventable diseases and vaccine research, effectiveness, safety data, and clinical trial results. The ACIP met on October 25 and 26, 2017, to discuss herpes zoster vaccine, the child/adolescent and adult vaccination schedules, Japanese encephalitis (JE) epidemiology and vaccines, pneumococcal vaccines, anthrax vaccines and disaster preparedness, hepatitis A outbreaks, influenza surveillance and vaccination coverage, vaccine safety, and considerations for a potential third dose of measles-mumps-rubella (MMR) vaccine to combat ongoing mumps outbreaks...
May 7, 2018: Journal of the Pediatric Infectious Diseases Society
https://www.readbyqxmd.com/read/29734967/floods-increase-the-risks-of-hand-foot-mouth-disease-in-qingdao-china-2009-2013-a-quantitative-analysis
#7
Xiaowen Hu, Fachun Jiang, Wei Ni
BACKGROUND: We aimed to quantify the impact of few times floods on hand-foot-mouth disease (HFMD) in Qingdao during 2009-2013. METHODS: The Spearman correlation test was applied to examine the lagged effects of floods on monthly morbidity of HFMD during study period in Qingdao. We further quantified the effects of 5 flood events on the morbidity of HFMD using the time-series Poisson regression controlling for climatic factors, seasonality, and lagged effects among different populations...
May 8, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29733000/health-care-providers-in-war-and-armed-conflict-operational-and-educational-challenges-in-international-humanitarian-law-and-the-geneva-conventions-part-ii-educational-and-training-initiatives
#8
Frederick M Burkle, Adam L Kushner, Christos Giannou, Mary A Paterson, Sherry M Wren, Gilbert Burnham
ABSTRACTNo discipline has been impacted more by war and armed conflict than health care has. Health systems and health care providers are often the first victims, suffering increasingly heinous acts that cripple the essential health delivery and public health infrastructure necessary for the protection of civilian and military victims of the state at war. This commentary argues that current instructional opportunities to prepare health care providers fall short in both content and preparation, especially in those operational skill sets necessary to manage multiple challenges, threats, and violations under international humanitarian law and to perform triage management in a resource-poor medical setting...
May 7, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29721638/prepared-for-mission-a-survey-of-medical-personnel-training-needs-within-the-international-committee-of-the-red-cross
#9
Frederike J C Haverkamp, Harald Veen, Rigo Hoencamp, Måns Muhrbeck, Johan von Schreeb, Andreas Wladis, Edward C T H Tan
BACKGROUND: Humanitarian organizations such as the International Committee of the Red Cross (ICRC) provide worldwide protection and medical assistance for victims of disaster and conflict. It is important to gain insight into the training needs of the medical professionals who are deployed to these resource scarce areas to optimally prepare them. This is the first study of its kind to assess the self-perceived preparedness, deployment experiences, and learning needs concerning medical readiness for deployment of ICRC medical personnel...
May 2, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29719848/a-questionnaire-study-on-the-attitudes-and-previous-experience-of-croatian-family-physicians-toward-their-preparedness-for-disaster-management
#10
Tanja Pekez-Pavliško, Maja Račić, Dinka Jurišić
Objective: To explore family physicians' attitudes, previous experience and self-assessed preparedness to respond or to assist in mass casualty incidents in Croatia. Methods: The cross-sectional survey was carried out during January 2017. Study participants were recruited through a Facebook group that brings together family physicians from Croatia. They were asked to complete the questionnaire, which was distributed via google.docs. Knowledge and attitudes toward disaster preparedness were evaluated by 18 questions...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29717685/a-bibliometric-profile-of-disaster-medicine-research-from-2008-to-2017-a-scientometric-analysis
#11
Liang Zhou, Ping Zhang, Zhigang Zhang, Lidong Fan, Shuo Tang, Kunpeng Hu, Nan Xiao, Shuguang Li
ABSTRACTThis study analyzed and assessed publication trends in articles on "disaster medicine," using scientometric analysis. Data were obtained from the Web of Science Core Collection (WoSCC) of Thomson Reuters on March 27, 2017. A total of 564 publications on disaster medicine were identified. There was a mild increase in the number of articles on disaster medicine from 2008 (n=55) to 2016 (n=83). Disaster Medicine and Public Health Preparedness published the most articles, the majority of articles were published in the United States, and the leading institute was Tohoku University...
May 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29716669/the-health-sector-response-to-the-2015-earthquake-in-nepal
#12
Shiva Subedi, Guna Nidhi Sharma, Sagar Dahal, Megha Raj Banjara, Basu Dev Pandey
ABSTRACTIn April 2015, Nepal experienced an earthquake of a magnitude of 7.6 on the Richter scale that resulted in deaths, morbidities, and infrastructure damage. In the post-earthquake period, 4 different workshops and a national "Lessons Learnt" conference were organized to assess the adequacy of the preparedness and response of the health sector. This article summarizes the main conclusions of these discussions relating to leadership, timely search and rescue, referral operations, medical relief to response activities, awareness campaigns, and support from the national and international levels, and epidemiological surveillance...
May 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29716666/lessons-learnt-from-exercise-celestial-navigation-the-application-of-a-geographic-information-system-to-inform-legionnaires-disease-control-activity
#13
Emma Quinn, Kai Hsiao, George Truman, Nectarios Rose, Richard Broome
Geographic information systems (GIS) have emerged in the past few decades as a technology capable of assisting in the control of infectious disease outbreaks. A Legionnaires' disease cluster investigation in May 2016 in Sydney, New South Wales (NSW), Australia, demonstrated the importance of using GIS to identify at-risk water sources in real-time for field investigation to help control any immediate environmental health risk, as well as the need for more staff trained in the use of this technology. Sydney Local Health District Public Health Unit (PHU) subsequently ran an exercise (based on this investigation) with 11 staff members from 4 PHUs across Sydney to further test staff capability to use GIS across NSW...
May 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29716663/organization-or-community-based-outbreak-responding-to-cases-of-meningitis-under-epidemiologic-uncertainty
#14
Tea Burmaz, Vittorio Selle, Vincenzo Baldo, Elena Savoia
Six cases of serogroup C invasive meningococcal disease were identified in Treviso district, Veneto region, Italy between December 13 and 15, 2007. The afflicted patients were found to have attended the same Latin-dance clubs on the same nights, and chemoprophylaxis was provided to potentially exposed individuals. Despite these efforts, 2 cases caused by the same meningococcal strain subsequently occurred in the same area, without any apparent epidemiological correlation to the initial cases. This may have resulted from a failure to neutralize the meningococcal carrier/s...
May 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29708097/adherence-to-emergency-public-health-measures-for-bioevents-review-of-us-studies
#15
Robyn R Gershon, Qi Zhi, Alexander F Chin, Ezinne M Nwankwo, Lisa M Gargano
The frequency of bioevents is increasing worldwide. In the United States, as elsewhere, control of contagion may require the cooperation of community members with emergency public health measures. The US general public is largely unfamiliar with these measures, and our understanding of factors that influence behaviors in this context is limited. The few previous reviews of research on this topic focused on non-US samples. For this review, we examined published research on the psychosocial influences of adherence in US sample populations...
April 30, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29706140/health-care-providers-in-war-and-armed-conflict-operational-and-educational-challenges-in-international-humanitarian-law-and-the-geneva-conventions-part-i-historical-perspective
#16
Frederick M Burkle, Adam L Kushner, Christos Giannou, Mary A Paterson, Sherry M Wren, Gilbert Burnham
Since 1945, the reason for humanitarian crises and the way in which the world responds to them has dramatically changed every 10 to 15 years or less. Planning, response, and recovery for these tragic events have often been ad hoc, inconsistent, and insufficient, largely because of the complexity of global humanitarian demands and their corresponding response system capabilities. This historical perspective chronicles the transformation of war and armed conflicts from the Cold War to today, emphasizing the impact these events have had on humanitarian professionals and their struggle to adapt to increasing humanitarian, operational, and political challenges...
April 30, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29704903/when-natural-disaster-follows-economic-downturn-the-incremental-impact-of-multiple-stressor-events-on-trajectories-of-depression-and-posttraumatic-stress-disorder
#17
Amar D Mandavia, George A Bonanno
OBJECTIVE: To determine whether there were incremental mental health impacts, specifically on depression trajectories, as a result of the 2008 economic crisis (the Great Recession) and subsequent Hurricane Sandy. METHOD: Using latent growth mixture modeling and the ORANJ BOWL dataset, we examined prospective trajectories of depression among older adults (mean age, 60.67; SD, 6.86) who were exposed to the 2 events. We also collected community economic and criminal justice data to examine their impact upon depression trajectories...
April 29, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29703219/primary-mass-casualty-incident-triage-evidence-for-the-benefit-of-yearly-brief-re-training-from-a-simulation-study
#18
Michael S Dittmar, Philipp Wolf, Marc Bigalke, Bernhard M Graf, Torsten Birkholz
BACKGROUND: Triage is a mainstay of early mass casualty incident (MCI) management. Standardized triage protocols aim at providing valid and reproducible results and, thus, improve triage quality. To date, there is little data supporting the extent and content of training and re-training on using such triage protocols within the Emergency Medical Services (EMS). The study objective was to assess the decline in triage skills indicating a minimum time interval for re-training. In addition, the effect of a one-hour repeating lesson on triage quality was analyzed...
April 27, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29703209/catastrophic-healthcare-expenditure-and-impoverishment-in-tropical-deltas-evidence-from-the-mekong-delta-region
#19
Sayem Ahmed, Sylvia Szabo, Kristine Nilsen
BACKGROUND: Universal health coverage implies that people obtain the health services they need without experiencing financial hardship. While the factors contributing to catastrophic health expenditure (CHE) among households are well understood, few studies have examined this relationship in the context of environmentally vulnerable regions, such as tropical deltas. This study aims to examine the disparities in the prevalence of CHE and impoverishment due to out-of-pocket (OOP) healthcare payments in the Mekong Delta in comparison with rest of Vietnam...
April 27, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29690947/united-nations-charter-chapter-vii-article-43-now-or-never
#20
Frederick M Burkle
For more than 75 years, the United Nations Charter has functioned without the benefit of Chapter VII, Article 43, which commits all United Nations member states "to make available to the Security Council, on its call, armed forces, assistance, facilities, including rights of passage necessary for the purpose of maintaining international peace and security." The consequences imposed by this 1945 decision have had a dramatic negative impact on the United Nation's functional capacity as a global body for peace and security...
April 25, 2018: Disaster Medicine and Public Health Preparedness
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