Crisis Communication: An Inequalities Perspective on the 2010 Boston Water Crisis

2012 ◽  
Vol 6 (4) ◽  
pp. 349-356 ◽  
Author(s):  
Ezequiel M. Galarce ◽  
K. Viswanath
Keyword(s):  
Public Health ◽  
Social Determinants ◽  
Emergency Preparedness ◽  
Crisis Communication ◽  
Online Survey ◽  
Negative Impact ◽  
Tap Water ◽  
Water Crisis ◽  
Public Health Preparedness ◽  
Behavioral Compliance

ABSTRACTObjective: Although the field of crisis risk communication has generated substantial research, the interaction between social determinants, communication processes, and behavioral compliance has been less well studied. With the goal of better understanding these interactions, this report examines how social determinants influenced communications and behavioral compliance during the 2010 Boston, Massachusetts, water crisis.Methods: An online survey was conducted to assess Boston residents' knowledge, beliefs, attitudes, mass and interpersonal communication, and preventive behaviors on emergency preparedness topics dealing with the water crisis. Of a total sample of 726 respondents, approximately one-third (n = 267) reported having been affected by the water crisis. Only data from affected participants were analyzed.Results: Following an order to boil water, 87.5% of respondents refrained from drinking unboiled tap water. These behaviors and other cognitive and attitudinal factors, however, were not uniform across population subgroups. All communication and behavioral compliance variables varied across sociodemographic factors.Conclusions: Crisis communication, in conjunction with other public health preparedness fields, is central to reducing the negative impact of sudden hazards. Emergency scenarios such as the Boston water crisis serve as unique opportunities to understand how effectively crisis messages are conveyed to and received by different segments of the population.(Disaster Med Public Health Preparedness. 2012;6:349-356)

scholarly journals Precautionary Behavior Practices and Psychological Characteristics of COVID-19 Patients and Quarantined Persons

2021 ◽  
Vol 18 (11) ◽  
pp. 6070
Author(s):  
Yubin Lee ◽  
Byung-Woo Kim ◽  
Shin-Woo Kim ◽  
Hyunjin Son ◽  
Boyoung Park ◽  
...  
Keyword(s):  
Public Health ◽  
South Korea ◽  
Emergency Preparedness ◽  
Online Survey ◽  
Early Stage ◽  
Psychological Characteristics ◽  
Social Solidarity ◽  
Psychological States ◽  
Precautionary Behavior ◽  
Public Health Emergency Preparedness

Background: since the coronavirus disease (COVID-19) was first reported in 2019, South Korea has enforced isolation of patients with confirmed cases of COVID-19, as well as quarantine for close contacts of individuals diagnosed with COVID-19 and persons traveling from abroad, in order to contain its spread. Precautionary behavior practices and psychological characteristics of confirmed and quarantined persons were investigated for planning pandemic recovery and preparedness. Methods: this study was conducted with 1716 confirmed patients and quarantined persons in Daegu and Busan, regions where a high number of cases were confirmed during the early stage of the COVID-19 outbreak in South Korea. We collected online survey data from 23 April to 20 May 2020, in Daegu, and 28 April to 27 May 2020, in Busan, in cooperation with Daegu and Busan Infectious Disease Control Centers and public health centers in the regions. COVID-19 symptoms, pre-cautionary behavior practices, psychological states, and the need for improvement in isolation/quarantine environments were examined using an online survey. Results: compared to patients infected with coronavirus, quarantined persons engaged in more hygiene-related behaviors (e.g., hand washing, cough etiquette, and proper mask-wearing) and social distancing. COVID-19 patients had a strong fear of stigma, while quarantined persons had a strong fear of contracting COVID-19. Study participants responded that it was necessary to provide financial support and adequate information during isolation/quarantine. Conclusions: the study highlights the importance of precautionary behavior to prevent COVID-19 infection and the need to provide support (both psychological and financial) to patients and quarantined persons, to reinforce effective communication, social solidarity, and public health emergency preparedness (PHEP) in a pandemic situation.

scholarly journals Collaborating with Sovereign Tribal Nations to Legally Prepare for Public Health Emergencies

2019 ◽  
Vol 47 (S2) ◽  
pp. 55-58
Author(s):  
Tina Batra Hershey
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Disease Outbreaks ◽  
Public Health Preparedness ◽  
Infectious Disease Outbreaks ◽  
Public Health Emergencies ◽  
Us Government ◽  
Tribal Governments ◽  
Tribal Nations ◽  
Coordination And Collaboration

Public health emergencies, including infectious disease outbreaks and natural disasters, are issues faced by every community. To address these threats, it is critical for all jurisdictions to understand how law can be used to enhance public health preparedness, as well as improve coordination and collaboration across jurisdictions. As sovereign entities, Tribal governments have the authority to create their own laws and take the necessary steps to prepare for, respond to, and recover from disasters and emergencies. Legal preparedness is a key component of public health preparedness. This article first explains legal preparedness and Tribal sovereignty and then describes the relationship between Tribal Nations, the US government, and states. Specific Tribal concerns with respect to emergency preparedness and the importance of coordination and collaboration across jurisdictions for emergency preparedness are discussed. Examples of collaborative efforts between Tribal and other governments to enhance legal preparedness are described.

Community ready! Assessing and meeting the needs of parents in Arlington County, VA

2007 ◽  
Vol 5 (6) ◽  
pp. 53
Author(s):  
Marina S. Moses, DrPH, MS ◽  
Donna S. Caruso, RN, MSN ◽  
Timothy G. Otten, MPH ◽  
Sam Simmens, PhD ◽  
Tee L. Guidotti, MD, MPH
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Information Dissemination ◽  
Spanish Speakers ◽  
English Speakers ◽  
Specific Information ◽  
Community Based ◽  
Public Health Preparedness ◽  
The Public ◽  
Public Health Emergency Preparedness

In March 2006, three elementary schools, composed of at least 50 percent Latino populations, were selected in Arlington, VA, to participate in a multitiered survey to evaluate parents’ emergency preparedness needs. This article describes how to identify vulnerable populations and tailor specific information and services to their public health needs. An oral survey was administered to parents in their preferred language, English or Spanish, regarding their questions, concerns, preferences, and needs pertaining to public health emergency preparedness. Major themes that emerged included the need for language and culturally sensitive preparedness information; the merit of using established community venues for parents to gather; and the importance of using group specific preferred modes of information dissemination. Significant differences were observed between English speakers and Spanish speakers’ perceived vulnerability, level of preparedness, and preferences for acquiring information. An important similarity that presented itself was that all parents surveyed regard the public school system as safe, trustworthy, and best suited for providing public health preparedness information to the community. Based on this study, an innovative model is being developed called Community Ready! which will be an all-hazards approach to public health preparedness outreach that will be reproducible in other municipalities and school districts.

Lessons from Public Health Legal Preparedness to Operationalize Health in All Policies

2017 ◽  
Vol 45 (3) ◽  
pp. 392-401
Author(s):  
Maxim Gakh ◽  
Lainie Rutkow
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Vulnerable Populations ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Health In All Policies ◽  
Public Health Preparedness ◽  
The Social

The Health in All Policies (HiAP) approach aims to integrate health into decisions across sectors to address the social determinants of health and enhance health equity. Jurisdictions interested in implementing this approach may seek clarification about how to operationalize it. Public health legal preparedness provides useful lessons for HiAP. While there are important differences between these two areas, there are also critical similarities. These similarities are particularly important because HiAP and public health preparedness are complementary. Law has been essential in advancing public health preparedness by helping to: (1) prioritize planning; (2) allocate responsibility; (3) enhance collaboration and coordination; (4) establish responsive funding; and (5) emphasize the needs of vulnerable populations. Law can be used similarly to advance HiAP.

The Promise and Pitfalls of Community Resilience

2013 ◽  
Vol 7 (6) ◽  
pp. 603-606 ◽  
Author(s):  
Lori Uscher-Pines ◽  
Anita Chandra ◽  
Joie Acosta
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Community Resilience ◽  
Public Health Preparedness ◽  
Important Shift

AbstractAn important shift in terminology has occurred in emergency preparedness, and the concept of community resilience has become ubiquitous. Although enhancing community resilience is broader than preparedness, and emphasizes a distinct set of activities and participants, the terms are often used interchangeably. The implications of this shift have not been fully explored. This commentary describes the potential promise and pitfalls of the concept of community resilience and recommends strategies to overcome its limitations. We believe that resilience has the power to dramatically change this field in immense, positive ways, but some important challenges such as confusion about definitions and lack of accountability must first be overcome. (Disaster Med Public Health Preparedness. 2013;7:603-606)

Communicating Public Health Preparedness Information to Pregnant and Postpartum Women: An Assessment of Centers for Disease Control and Prevention Web Pages

2015 ◽  
Vol 9 (2) ◽  
pp. 134-137
Author(s):  
Brianna McDonough ◽  
Elizabeth Felter ◽  
Amia Downes ◽  
Jeanette Trauth
Keyword(s):  
Public Health ◽  
Disease Control ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Postpartum Women ◽  
Web Pages ◽  
Low Literacy ◽  
Public Health Preparedness ◽  
Control And Prevention ◽  
Centers For Disease Control

AbstractPregnant and postpartum women have special needs during public health emergencies but often have inadequate levels of disaster preparedness. Thus, improving maternal emergency preparedness is a public health priority. More research is needed to identify the strengths and weaknesses of various approaches to how preparedness information is communicated to these women. A sample of web pages from the Centers for Disease Control and Prevention intended to address the preparedness needs of pregnant and postpartum populations was examined for suitability for this audience. Five of the 7 web pages examined were considered adequate. One web page was considered not suitable and one the raters split between not suitable and adequate. None of the resources examined were considered superior. If these resources are considered some of the best available to pregnant and postpartum women, more work is needed to improve the suitability of educational resources, especially for audiences with low literacy and low incomes. (Disaster Med Public Health Preparedness. 2015;9:134-137)

Developing National Standards for Public Health Emergency Preparedness With a Limited Evidence Base

2010 ◽  
Vol 4 (4) ◽  
pp. 285-290 ◽  
Author(s):  
Christopher Nelson ◽  
Ed Chan ◽  
Anita Chandra ◽  
Paul Sorensen ◽  
Henry H. Willis ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Panel Discussion ◽  
Performance Standards ◽  
Evidence Base ◽  
National Standards ◽  
Public Health Preparedness ◽  
National Performance ◽  
Local Flexibility ◽  
Public Health Emergency Preparedness

ABSTRACTObjective: The paucity of evidence and wide variation among communities creates challenges for developing congressionally mandated national performance standards for public health preparedness. Using countermeasure dispensing as an example, we present an approach for developing standards that balances national uniformity and local flexibility, consistent with the quality of evidence available.Methods: We used multiple methods, including a survey of community practices, mathematical modeling, and expert panel discussion.Results: The article presents recommended dispensing standards, along with a general framework that can be used to analyze tradeoffs involved in developing other preparedness standards.Conclusions: Standards can be developed using existing evidence, but would be helped immensely by a stronger evidence base.(Disaster Med Public Health Preparedness. 2010;4:285-290)

scholarly journals The Power of Partnerships: State Public Health Department Multisector Collaborations in Major Chronic Disease Program Areas

2021 ◽  
Author(s):  
Edward Tsai ◽  
Peg Allen ◽  
Louise F Saliba ◽  
Ross C Brownson
Keyword(s):  
Public Health ◽  
Cardiovascular Disease ◽  
Chronic Disease ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Online Survey ◽  
Health Sector ◽  
Determinants Of Health ◽  
Public Health Department ◽  
Work Unit

Abstract Background Multisector collaboration between state health departments (SHDs) and diverse community partners is increasingly recognized as important for promoting positive public health outcomes, addressing social determinants of health, and reducing health inequalities. This study investigates collaborations between SHDs and different types of organizations addressing chronic disease in and outside of the health sector. Methods SHD employees were randomly selected from the National Association of Chronic Disease Directors membership list for participation in an online survey. Participants were asked about their primary chronic disease work unit (cancer, obesity, tobacco, diabetes, cardiovascular disease, and others), as well as their work unit collaborations (exchange of information/cooperation in activities) with organizations in health and non-health sectors. As a measure of the different organizations SHDs collaborated with in health and non-health sectors, a collaboration heterogeneity score for each program area was calculated. One-way ANOVA with Tukey’s post hoc tests were used to assess differences in collaborator heterogeneity between program areas. Results A total of 574 participants were surveyed. Results indicated the cancer program area, along with diabetes and cardiovascular disease, had significantly less collaboration heterogeneity with organizations outside of the health sector compared to the obesity and tobacco program areas. Conclusions Evidence suggests that to address social determinants of health and promote health equity, increased public health collaborations with diverse non-health sector community-based settings is critical.

Emergency Preparedness in Elderly Care in Sweden: A Study of Staff Perspectives

2017 ◽  
Vol 12 (1) ◽  
pp. 86-93
Author(s):  
Carin Björngren Cuadra
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Elderly Care ◽  
The Elderly ◽  
Work Conditions ◽  
Care Staff ◽  
Public Health Preparedness ◽  
Web Based ◽  
Preparedness Plan ◽  
And Training

AbstractObjectiveThe aim was to investigate the interface between elderly care and emergency preparedness from the elderly care staff’s perspective.MethodsA web-based questionnaire was sent to elderly care staff in 4 Swedish municipalities. The questions involved experiences of extraordinary events, education and exercises, and risk and vulnerability analyses, evaluations of main risks and emergency preparedness, and familiarity with preparedness plans. In total, 568 elderly care staff responded.ResultsBetween 15% and 25% of the respondents claimed experiences of extraordinary events, exercises and education, and risk and vulnerability analyses. The same number claimed familiarity with the organization’s preparedness plan, whereas ~85% answered that they need more education and exercises. Emergency preparedness was evaluated as important. The experiences and risks referred to pertained to both official categories used within emergency preparedness and issues such as work conditions, seniors’ fall accidents.ConclusionElderly care staff, though highly motivated, do not seem to be involved in emergency preparedness and are not targeted to a large extent when education and training are organized. A development of the interface between emergency preparedness and elderly care could require a clarification of the scope and context of emergency preparedness and of differing understandings of central concepts. (Disaster Med Public Health Preparedness. 2018;12:86–93)

scholarly journals Crisis Information Seeking and Sharing (CISS): Scale Development for Measuring Publics’ Communicative Behavior in Social-Mediated Public Health Crises

2019 ◽  
Vol 2 (1) ◽  
pp. 13-38 ◽  
Author(s):  
Yin-I Lee ◽  
Yan Jin
Keyword(s):  
Public Health ◽  
Information Seeking ◽  
Crisis Communication ◽  
Online Survey ◽  
The United States ◽  
National Sample ◽  
Data Sets ◽  
Health Crisis ◽  
Communicative Behavior ◽  
Seeking Behavior

This study first refines the conceptual framework of publics’ communicative behavior in social mediated health crises. Then two multiple-item scales for measuring publics’ health crisis information seeking and sharing (CISS) are developed and tested by employing online survey data sets from a random national sample of 279 adults and 280 adults in the United States, respectively. Results indicate seven types of crisis information seeking behavior and 17 types of crisis information sharing behavior crossing over platforms, channels, and information sources. The CISS scales provide a valid and reliable tool for crisis communication researchers and practitioners to measure publics’ information seeking and sharing activities in social-mediated public health crisis communication.

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