The Meese Report on Pornography and Its Respondents: A Review ArticleAttorney General's Commission on Pornography: Final Report, July 1986.Final Report of the Attorney General's Commission on Pornography.Report of the Surgeon General's Workshop on Pornography and Public Health, June 22-24, 1986, Arlington, Virginia.Pornography, a Human Tragedy. Tom MinneryThe Meese Commission Exposed: Proceedings of an NCAC Public Information Briefing on the Attorney General's Commission on Pornography, January 16, 1986, New York City.United States of America versus Sex: How the Meese Commission Lied about Pornography. Philip Nobile , Eric Nadler

1987 ◽  
Vol 57 (4) ◽  
pp. 436-447 ◽  
Author(s):  
Robert H. Burger
Keyword(s):  
Public Health ◽  
New York ◽  
Public Information ◽  
Final Report ◽  
Human Tragedy

Initiating Operations

2019 ◽  
pp. 21-32
Author(s):  
Duc J. Vugia ◽  
Richard A. Goodman ◽  
James L. Hadler ◽  
Danice K. Eaton
Keyword(s):  
Public Health ◽  
Public Information ◽  
Health Agency ◽  
Field Investigation ◽  
Public Health Agency ◽  
Final Report ◽  
Team Members ◽  
Field Team ◽  
Control And Prevention ◽  
Operational Aspects

In response to an outbreak of disease of public health importance, a city, county, or state health department can request field epidemiologic assistance from the next higher level public health agency. In the United States, the highest level public health agency is the Centers for Disease Control and Prevention. To ensure smooth communications, planning, and execution of an epidemiologic field investigation, as well as to maintain good relationships from the initiation of the investigation to the final report, several operational aspects should be addressed. Key elements of operationalizing an epidemiologic field investigation include the following: 1) initial request and communications between inviters and invitees and a formal invitation for assistance from an authorized official; 2) clarification of the investigation’s main objectives and roles and responsibilities of those involved; 3) preparation of the field team for departure; 4) initial in-person meeting of the field team with local health officials and collaborators to review and update the situation, review local resources and primary points of contact, and identify a local public information officer; 5) management of field team activities with lists of necessary tasks for team members and frequent communications within the team, between team leader and senior supervisor, and between team and local officials; 6) in-person debriefing meeting with preliminary findings and recommendations by field team before departure; and 7) drafting of the final report with full findings and recommendations. Field investigations will proceed more smoothly and productively if both inviters and invitees adequately address key operational aspects before, during, and after the investigation.

The New York Adequacy Study: "Determining the Cost of Providing All Children in New York an Adequate Education": Volume 1: Final Report

2004 ◽  
Author(s):  
Jay G. Chambers ◽  
Thomas B. Parrish ◽  
Jesse D. Levin ◽  
James R. Smith ◽  
James W. Guthrie ◽  
...  
Keyword(s):  
New York ◽  
Final Report ◽  
Adequate Education ◽  
The Cost

scholarly journals Leveraging Local Expertise in Stewardship, Hospital Epidemiology and Public Health to Enrich Postgraduate Training in NYC

2020 ◽  
Vol 41 (S1) ◽  
pp. s311-s312
Author(s):  
Kelsie Cowman ◽  
Belinda Ostrowsky ◽  
Susan Seo ◽  
Victor Chen ◽  
Rachel Bartash ◽  
...  
Keyword(s):  
Public Health ◽  
New York ◽  
Case Studies ◽  
Postgraduate Training ◽  
Medical Center ◽  
Effective Means ◽  
Emerging Pathogens ◽  
Hospital Epidemiology ◽  
Full Day ◽  
Epidemiology And Public Health

Background: New York City is a gateway for emerging pathogens and global threats. In 2013, faculty from Montefiore Medical Center and Memorial Sloan Kettering developed a free half-day workshop for postgraduate trainees in antimicrobial stewardship (AS), infection prevention (IP), hospital epidemiology, and public health. This annual workshop, sponsored by the Infectious Diseases Society of New York (IDSNY), incorporates case studies and expert panel discussions on timely topics such as Ebola, Candida auris, Clostridiodes difficile, measles, nosocomial influenza, drug shortages, and AS/IP “big data.” Methods: From 2013 through 2017, the workshop involved 10–15 interactive AS/IP cases with audience response questions and panel discussions. In 2018–2019, based on feedback, the format was revised to emphasize breakout sessions in which participants actively practiced AS/IP tools, (eg, medication utilization evaluations, epidemiologic curves, and performance improvement devices). Examples of 2018–2019 cases are shown in Figure 1. A pre- and postseminar paper survey was conducted yearly to understand baseline training in AS/IP, desire for future AS/IP careers, and self-reported effectiveness of the workshop. Results: Initially, the primary audience was NYC ID fellows. From 2018 onward, we opened enrollment to pharmacy residents. Approximately 45 NYC ID fellows were eligible for the course each year. Results from 2013 to 2016 surveys were reported previously (Fig. 2). There were 32 attendees in 2018, 42 in 2019. The survey response rate was 88% in 2018 and 95% in 2019, with 68 (92%) total participants. Most participants had received previous training in IP (82%) and AS (94%) (Fig. 3). Most participants reported that the program was a good supplement to their ID training (98%) and that case studies were an effective means of learning IP (100%) and AS (98%). Furthermore, 92% stated they would like additional AS/IP training, and many since 2013 have requested a full-day course. Self-reported interest in future involvement in AS/IP increased after the workshop: IP, 68%–83% (P =.04) and AS, 88%–91% (P = .61). Conclusions: Most trainees reported satisfaction with the workshop and case-study learning method; interest in future AS/IP careers increased after the seminar. We intend to explore Funding: to expand to a full-day program for all NYC postgraduate trainees and AS/IP junior faculty. As such, we hope to obtain the endorsement of professional societies such as SHEA. This workshop could address a crucial educational gap in AS/IP postgraduate training and help sustain our future workforce.Funding: NoneDisclosures: None

Expanding the concept of the professional integrity of obstetrics during a public health emergency

2020 ◽  
Vol 48 (5) ◽  
pp. 435-437 ◽  
Author(s):  
Frank A. Chervenak ◽  
Amos Grünebaum ◽  
Eran Bornstein ◽  
Shane Wasden ◽  
Adi Katz ◽  
...  
Keyword(s):  
Public Health ◽  
New York ◽  
Clinical Judgment ◽  
Ethical Judgment ◽  
Population Based ◽  
Public Health Emergency ◽  
Ethical Challenge ◽  
Professional Integrity ◽  
Increased Risk ◽  
Obstetric Services

AbstractThe coronavirus disease 2019 (COVID-19) pandemic has placed great demands on many hospitals to maximize their capacity to care for affected patients. The requirement to reassign space has created challenges for obstetric services. We describe the nature of that challenge for an obstetric service in New York City. This experience raised an ethical challenge: whether it would be consistent with professional integrity to respond to a public health emergency with a plan for obstetric services that would create an increased risk of rare maternal mortality. We answered this question using the conceptual tools of professional ethics in obstetrics, especially the professional virtue of integrity. A public health emergency requires frameshifting from an individual-patient perspective to a population-based perspective. We show that an individual-patient-based, beneficence-based deliberative clinical judgment is not an adequate basis for organizational policy in response to a public health emergency. Instead, physicians, especially those in leadership positions, must frameshift to population-based clinical ethical judgment that focuses on reduction of mortality as much as possible in the entire population of patients served by a healthcare organization.

scholarly journals Controlling a Multicenter Outbreak Involving the New York/Japan Methicillin-ResistantStaphylococcus aureusClone

2007 ◽  
Vol 28 (7) ◽  
pp. 845-852 ◽  
Author(s):  
G. W. Coombs ◽  
H. Van Gessel ◽  
J. C. Pearson ◽  
M.-R. Godsell ◽  
F. G. O'Brien ◽  
...  
Keyword(s):  
Public Health ◽  
New York ◽  
Molecular Typing ◽  
Management Strategies ◽  
Research Unit ◽  
Management Policy ◽  
Teaching Hospitals ◽  
Term Care ◽  
Outbreak Management ◽  
Healthcare Facilities

Objective.To describe the control of an outbreak of infection and colonization with the New York/Japan methicillin-resistantStaphylococcus aureus(MRSA) clone in multiple healthcare facilities, and to demonstrate the importance of making an MRSA management policy involving molecular typing of MRSA into a statewide public health responsibility.Setting.A range of healthcare facilities, including 2 metropolitan teaching hospitals and a regional hospital, as well as several community hospitals and long-term care facilities in a nonmetropolitan healthcare region.Interventions.A comprehensive, statewide MRSA epidemiological investigation and management policy.Results.In May 2005, there were 3 isolates referred to the Western Australian Gram-Positive Bacteria Typing and Research Unit that were identified as the New York/Japan MRSA clone, a pandemic MRSA clone with the ability to spread and replace existing clones in a region. Subsequent investigation identified 28 additional cases of infection and/or colonization dating from 2002 onward, including 1 involving a colonized healthcare worker (HCW) who had previously been hospitalized overseas. Of the 31 isolates detected, 25 were linked epidemiologically and via molecular typing to the isolate recovered from the colonized HCW. Four isolates appeared to have been introduced separately from overseas. Although the isolate from the single remaining case patient was genetically indistinct from the isolates that spread within Western Australia, no specific epidemiological link could be established. The application of standard outbreak management strategies reduced further spread.Conclusions.The elimination of the New/York Japan MRSA clone in a healthcare region demonstrates the importance of incorporating MRSA management policy into statewide public health programs. The mainstays of such programs should include a comprehensive and effective outbreak identification and management policy (including pre-employment screening of HCWs, where applicable) and MRSA clone identification by multilocus sequence typing.

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