scholarly journals Identify, Isolate, Inform: A 3-pronged Approach to Management of Public Health Emergencies

2014 ◽  
Vol 9 (1) ◽  
pp. 86-87 ◽  
Author(s):  
Kristi L. Koenig

AbstractDuring an evolving public health emergency, a simple algorithm for initial patient identification and management is essential for providers on the front lines. This article recommends a 3-pronged system of Identify, Isolate, Inform to describe the actions necessary in the first few minutes of encountering a potential Ebola patient. Application of the “vital sign zero” triage concept of early recognition of potential threats coupled with this novel algorithm will optimize protection of health care workers and the public health while concurrently providing a safe method for individual patient care. (Disaster Med Public Health Preparedness. 2014;0:1-2)

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Zhiqi Xu ◽  
Yukun Cheng ◽  
Shuangliang Yao

Public health emergencies are more related to the safety and health of the public. For the management of the public health emergencies, all parties’ cooperation is the key to preventing and controlling the emergencies. Based on the assumption of bounded rationality, we formulate a tripartite evolutionary game model, involving the local government, the enterprises, and the public, for the public health emergency, e.g., COVID-19. The evolutionary stable strategies under different conditions of the tripartite evolutionary game are explored, and the effect from different factors on the decision-makings of participants for public health emergencies is also analyzed. Numerical analysis results show that formulating reasonable subsidy measures, encouraging the participation of the public, and enforcing the punishment to enterprises for their negative behaviors can prompt three parties to cooperate in fighting against the epidemic. Our work enriches an understanding of the governance for the public health emergency and provides theoretical support for the local government and related participants to make proper decisions in public health emergencies.


2011 ◽  
Vol 5 (4) ◽  
pp. 300-308 ◽  
Author(s):  
Andy Stergachis ◽  
Lisa Garberson ◽  
Onora Lien ◽  
Luann D'Ambrosio ◽  
Laura Sangaré ◽  
...  

ABSTRACTObjectives: We conducted a county-wide survey to assess the ability and willingness of health care workers to report to work during a pandemic influenza and a severe earthquake and to identify barriers and strategies that would help them report to work.Methods: A stratified random sample of 9211 health care workers was selected from the Washington state licensure database and from health care agencies. We assessed correlates between self-reported ability and willingness to report to work and demographic and employer-related variables under two scenarios, influenza pandemic and a severe earthquake.Results: For the influenza pandemic scenario, 95% of respondents reported that they would be able and 89% reported that they would be willing to report to their usual place of work. Seventy-four percent of respondents reported that they would be able and 88% would be willing to report to their usual place of work following a severe earthquake. The most frequently cited strategies that would help respondents report to work during an influenza pandemic were the availability of anti-viral influenza treatment and the ability to work from home. For persons with children at home, the strategy to increase ability to report to work during an earthquake was the availability of child care.Conclusions: The majority of the King County health care workforce is willing and able to respond to an influenza pandemic or a severe earthquake.(Disaster Med Public Health Preparedness. 2011;5:300–308)


Author(s):  
Yousuf A Vawda ◽  
Farhana Variawa

South Africa is renowned for having a progressive Constitution with strong protection of human rights, including protection for persons using the public health system. While significant recent discourse and jurisprudence have focused on the rights of patients, the situation and rights of providers of health care services have not been adequately ventilated. This paper attempts to foreground the position of the human resources personnel located at the centre of the roll-out of the government's ambitious programme of anti-retroviral (ARV) therapy. The HIV/AIDS epidemic represents a major public health crisis in our country and, inasmuch as various critical policies and programmes have been devised in response, the key to a successful outcome lies in the hands of the health care professionals tasked with implementing such strategies. Often pilloried by the public, our health care workers (HCWs) face an almost Herculean task of turning the tide on the epidemic. Unless the rights of HCWs are recognised and their needs adequately addressed, the best laid plans of government will be at risk. This contribution attempts to identify and analyse the critical challenges confronting HCWs at the coalface of the HIV/AIDS treatment programme, in particular the extent to which their own rights are under threat, and offers recommendations to remedy the situation in order to ensure the successful realisation of the ARV rollout.


2021 ◽  
Vol 4 (6) ◽  
Author(s):  
Ayim Aboagye D

The purpose of this article is to provide an overview of available research concerning covid-19 in Ghana. It presents challenges, measures from the health care delivery sector in the public health facilities. The article draws some strength from the fundamental laws of medicine as they aid to prepare the scientists in their combat against the novel Covid-19, its variants such as Delta and Omicron. Though the government has suffered economically from lockdowns and social interventions, its resilience efforts have been acclaimed to be successful and have to be emulated by other countries. The health care workers in Ghana's dissatisfaction with their jobs in these periods have not sidelined government efforts to lead and care for its citizens amid a pandemic.


2010 ◽  
Vol 25 (5) ◽  
pp. 415-418
Author(s):  
Mathias B. Forrester ◽  
John F. Villanacci ◽  
Norma Valle

AbstractIntroduction:Interactive voice response (IVR) technology may facilitate poison centers to handle increased call volumes that may occur during public health emergencies. On 28 April 2009, the Texas Poison Center Network (TPCN) added a H1N1 message in English and Spanish to its IVR system. This study tested whether IVR technology could be used to assist Texas poison centers during the H1N1 outbreak.Methods:The distribution of callers who accessed the H1N1 message during 29 April–31 May 2009 was determined with respect to message language, subsequent caller action, and date of the call.Results:The H1N1 message was accessed by 1,142 callers, of whom, 92.9% listened to the message in English, and 7.1% listened to the message in Spanish. After listening to the message, 33.3% hung up while 66.7% spoke to a poison center agent. The number of callers who accessed the message was highest on 29 April 2009 and then declined.Conclusions:Interactive voice response technology can be used to assist poison centers to provide information and handle calls from the public during a public health emergency.


2014 ◽  
Vol 971-973 ◽  
pp. 2442-2447
Author(s):  
Hua He ◽  
Shan Mei ◽  
Yi Fan Zhu

By analysis the causal relationship of the public health emergency actions and effects, then establish a generalized model for the prevention and control of public health emergencies by Timed Influence Net (TIN), and on this basis of probability reasoning, inference result can assist analysis the pros and cons the emergency scenario. Method was applied to the example of SARS outbreak in Beijing in 2003 to show the rationality and validity of proposed method. According to the results have a study on the optimization of emergency scenario, optimized conditions comparative and analysis with the actual program. The results show that the proposed method can better support emergency scenario evaluation and optimization.


2017 ◽  
Vol 86 (1) ◽  
pp. 29-31
Author(s):  
Cory Lefebvre ◽  
Adam Beswick ◽  
Lauren Crosby ◽  
Eric Mitchell

Following the 2003 SARS (Severe Acute Respiratory Syndrome) outbreak in Toronto, there remains a concern that Canada’s healthcare systems are inadequately equipped to respond to a future public health emergency. Public health emergencies, defined as an emergency need for health care services to respond to a disaster, significant or catastrophic event, are economically costly. Effective prevention and responses to future emergencies would prevent economic costs like those from the 2003 SARS outbreak. An analysis from Hawryluck et al. of the SARS response identified major gaps: incomplete infection control, lack of system-wide communications, and no system-wide coordination leading to isolated, inefficient responses. More than a decade later, improvements have been made but there are areas in the infection control protocol that still require changes. More training is required for Emergency Medical Services (EMS) personnel to effectively handle emergency scenes and to improve multiple agency coordination. Local hospitals need to improve their surge capacity, administrative emergency preparedness infrastructure, and personnel training. The creation of the Public Health Agency of Canada (PHAC) in 2004 responded to concerns about the capacity of Canada’s healthcare system to respond effectively to public health threats. At the provincial level, the Emergency Management Branch (EMB) works effectively similar to and in coordination with PHAC. The needs for improvement should question if Canada will be able to handle the next public health emergency that rolls through its door.


2018 ◽  
Vol 33 (2) ◽  
pp. 197-200
Author(s):  
Celso Bambarén ◽  
Maria del Socorro Alatrista

AbstractPeru has different legal mechanisms of emergency, one of which is the Public Health Emergency that is applicable when: there is high-risk for, or the existence of an outbreak, epidemic, or pandemic; the occurrence of cases of a disease classified as eliminated or eradicated; the occurrence of emerging or re-emerging infectious diseases with high epidemic potential; the occurrence of rapid disseminated epidemics that simultaneously affect more than one department; as well as the existence of an event that affects the continuity of health services.From July 2014 to December 2016, 23 Public Health Emergencies were declared, out of which 57% were in the high-risk or existence of epidemics, 30% were due to some natural or anthropic events that generate a sudden decrease in the operative capacity of health services, and 13% were due to the existence of a rapid spreading epidemic that could affect more than one department in the country. The risk or occurrence of epidemiological outbreaks, mainly of Dengue, was the main cause of emergency declaration. One-hundred and forty million US dollars were allocated to implement the action plans that were part of the declaration, of which 72% was used to keep the operational capacity of health services and 28% to vector and epidemiological control measures.BambarénC, AlatristaMdS. A review of state public health emergency declarations in Peru: 2014-2016. Prehosp Disaster Med. 2018;33(2):197–200.


2021 ◽  
Vol 15 ◽  
pp. 117822182110286
Author(s):  
Kristen Henretty ◽  
Howard Padwa ◽  
Katherine Treiman ◽  
Marylou Gilbert ◽  
Tami L Mark

Background: As the coronavirus pandemic public health emergency begins to ebb in the United States, policymakers and providers need to evaluate how the addiction treatment system functioned during the public health emergency and draw lessons for future emergencies. One important question is whether the pandemic curtailed the use of addiction treatment and the extent to which telehealth was able to mitigate access barriers. Methods: To begin to answer this question, we conducted a survey of specialty addiction treatment providers in California from June 2020 through July 2020. The survey focused specifically on provider organizations that served Medicaid beneficiaries. Results: Of the 133 respondents, 50% reported a decrease in patients since the stay-at-home order in March 2020, with the largest decline among new patients, and 58% said more patients were relapsing. Eighty-one percent of providers said that telemedicine use had increased since the stay-at-home order. Most said that telemedicine had moderately (48%) or completely (30%) addressed access barriers. Conclusion: More efforts are needed to ensure that patients, and in particular new patients, receive addiction treatment during public health emergencies.


2021 ◽  
Vol 2 (4) ◽  
pp. 288-291
Author(s):  
Muhammad Ahmer Raza ◽  
Shireen Aziz ◽  
Shahid Masood Raza ◽  
Sana Shahzad

Pharmacists in health systems involved with immunizations have used their practice settings to become advocates for immunization and increase their responsibilities in the public health monarchy. Administering vaccines to patients and health care workers is enabling some health-system pharmacists to assume a prominent role in public health. Pharmacists have noticed that immunization needs were not being met and, through their advocacy, increased the numbers of patients and employees of health systems who have been vaccinated.


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