scholarly journals Communication, information seeking, and evacuation plans for a disaster using Community Assessment for Public Health Emergency Response in the Gulf Coast counties of Alabama and Mississippi, 2011

2017 ◽  
Vol 11 (3) ◽  
pp. 213 ◽  
Author(s):  
Danielle Buttke, DVM, PhD, MPH ◽  
Sara Vagi, PhD ◽  
Tesfaye Bayleyegn, MD ◽  
Amy Schnall, MPH ◽  
Melissa Morrison, MPH ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Information Seeking ◽  
Disaster Preparedness ◽  
Gulf Coast ◽  
Public Health Services ◽  
Evacuation Plans ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Coastal Residents

Objective: To determine communication, information seeking, and evacuation behaviors of coastal residents in a disaster-prone area.Design: A two-stage, probability sampling design to select 210 households in each assessment area was used. Data were analyzed using a weighted cluster analysis to report projected households for each assessment area.Setting: Public health services areas of coastal Alabama and Mississippi.Participants: Eligible respondents were 18 years of age or older, had lived in the community for at least 30 days, and were residents of the selected household.Main outcome measures: Evacuation propensity, primary communication forms, primary information forms, and special needs.Results: Most coastal residents would evacuate if recommended by public health authorities. Fewer residents had landlines (45.9-58.8 percent) compared to residents using cellular or mobile phone service only (84.3-95.8 percent), and these residents were significantly older compared to non-landline owning residents. Most residents own pets (61.9-70.1 percent).Conclusions: Our assessment suggests that the majority of Alabama and Mississippi coastal residents plan to evacuate during a disaster if recommended by public health authorities. However, public health authorities should strive to evaluate multiple forms of communication to disseminate disaster preparedness and response messages to reach all vulnerable residents, especially in situations where electric services might be compromised. Emergency preparedness personnel should also be prepared for a large pet population in the event of an evacuation.

scholarly journals Epidemiology of physiotherapy utilization among adults and elderly

2005 ◽  
Vol 39 (4) ◽  
pp. 662-668 ◽  
Author(s):  
Fernando Vinholes Siqueira ◽  
Luiz Augusto Facchini ◽  
Pedro Curi Hallal
Keyword(s):  
Public Health ◽  
Health Services ◽  
Population Based ◽  
Cross Sectional Study ◽  
Elderly Subjects ◽  
Public Health Services ◽  
Cross Sectional ◽  
Health Authorities ◽  
Primary Sample ◽  
Public Health Authorities

OBJECTIVE: To analyze the prevalence of physiotherapy utilization and to explore the variables associated to its utilization. METHODS: A population-based cross-sectional study, including 3,100 subjects aged 20 years or more living in the urban area of Pelotas, southern Brazil, was carried out. The sample was selected following a multiple-stage protocol; the census tracts delimited by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Geography and Statistics) were the primary sample units. Following descriptive and crude analyses, Poisson regression models taking the clustering of the sample into account were carried out. Data were collected through face-to-face interviews using a standardized and pre-tested questionnaire. RESULTS: The lifetime utilization of physiotherapy was 30.2%; and physiotherapy utilization in the 12 months prior to the interview was reported by 4.9%. Women, elderly subjects, and those from higher socioeconomic levels were more likely to use physiotherapy. Restricting analysis to subjects who attended physiotherapy, 66% used public health services, 25% used insurance health services and 9% had private sessions. CONCLUSIONS: This is the first population-based study on physiotherapy utilization carried out in Brazil. Utilization of physio therapy was lower than reported in both developed and developing countries. The study findings might help public health authorities to organize healthcare service in terms of this important demand.

scholarly journals Exhibiting Good Health: Public Health Exhibitions in London, 1948–71

2017 ◽  
Vol 62 (1) ◽  
pp. 1-26 ◽  
Author(s):  
Alex Mold
Keyword(s):  
Public Health ◽  
Health Services ◽  
Public Health Practice ◽  
Good Health ◽  
Public Health Services ◽  
The Public ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Post War ◽  
The 1960S

This article examines the changing nature of public health services and their relationship with the public in post-war Britain by an analysis of the exhibitions mounted by Medical Officers of Health (MOsH) in London. Focusing on the period 1948–71, the article explores a time when public health practice, and the problems it faced, were in flux. A decline in infectious disease and an increase in chronic conditions linked to lifestyle required a new role for public health services. Exhibitions were one of several methods that MOsH used to inform the public about dangers to their health, but also to persuade them to change their behaviour. The exhibition, though, offers a unique insight into the relationship between public health authorities and the public, as exhibitions brought MOsH into direct contact with people. It is suggested that in the MOsH exhibitions we can find signs of a new relationship between public health practitioners and the public. Whilst elements of the pre-war, often moralistic ideology of public health services could still be detected, there is also evidence of a more nuanced, responsive dynamic between practitioners and the people. By the end of the 1960s, ‘the public’ was increasingly being thought of as a collection of ‘publics’, including individuals, target groups and vocal respondents.

scholarly journals Users’ Beliefs Toward Physical Distancing in Facebook Pages of Public Health Authorities During COVID-19 Pandemic in Early 2020

2021 ◽  
pp. 109019812110144
Author(s):  
Soon Guan Tan ◽  
Aravind Sesagiri Raamkumar ◽  
Hwee Lin Wee
Keyword(s):  
Public Health ◽  
Health Belief Model ◽  
United States Public Health ◽  
Health Belief ◽  
The United States ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Control And Prevention ◽  
Belief Model ◽  
The Health Belief Model

This study aims to describe Facebook users’ beliefs toward physical distancing measures implemented during the Coronavirus disease (COVID-19) pandemic using the key constructs of the health belief model. A combination of rule-based filtering and manual classification methods was used to classify user comments on COVID-19 Facebook posts of three public health authorities: Centers for Disease Control and Prevention of the United States, Public Health England, and Ministry of Health, Singapore. A total of 104,304 comments were analyzed for posts published between 1 January, 2020, and 31 March, 2020, along with COVID-19 cases and deaths count data from the three countries. Findings indicate that the perceived benefits of physical distancing measures ( n = 3,463; 3.3%) was three times higher than perceived barriers ( n = 1,062; 1.0%). Perceived susceptibility to COVID-19 ( n = 2,934; 2.8%) was higher compared with perceived severity ( n = 2,081; 2.0%). Although susceptibility aspects of physical distancing were discussed more often at the start of the year, mentions on the benefits of intervention emerged stronger toward the end of the analysis period, highlighting the shift in beliefs. The health belief model is useful for understanding Facebook users’ beliefs at a basic level, and it provides a scope for further improvement.

scholarly journals Fueling the Covid-19 pandemic: summer school holidays and incidence rates in German districts

2021 ◽  
Author(s):  
Thomas Plümper ◽  
Eric Neumayer
Keyword(s):  
Public Health ◽  
Fixed Effects ◽  
Summer School ◽  
Incidence Rates ◽  
Contact Tracing ◽  
Robert Koch Institute ◽  
Cross Sectional ◽  
Holiday Period ◽  
Health Authorities ◽  
Public Health Authorities

AbstractBackgroundThe Robert-Koch-Institute reports that during the summer holiday period a foreign country is stated as the most likely place of infection for an average of 27 and a maximum of 49% of new SARS-CoV-2 infections in Germany.MethodsCross-sectional study on observational data. In Germany, summer school holidays are coordinated between states and spread out over 13 weeks. Employing a dynamic model with district fixed effects, we analyze the association between these holidays and weekly incidence rates across 401 German districts.ResultsWe find effects of the holiday period of around 45% of the average district incidence rates in Germany during their respective final week of holidays and the 2 weeks after holidays end. Western states tend to experience stronger effects than Eastern states. We also find statistically significant interaction effects of school holidays with per capita taxable income and the share of foreign residents in a district’s population.ConclusionsOur results suggest that changed behavior during the holiday season accelerated the pandemic and made it considerably more difficult for public health authorities to contain the spread of the virus by means of contact tracing. Germany’s public health authorities did not prepare adequately for this acceleration.

scholarly journals Indoor Environmental Quality in Dwellings and Lifestyle Behaviors during the COVID-19 Pandemic: Russian Perspective

2021 ◽  
Vol 18 (11) ◽  
pp. 5975
Author(s):  
Vladimir Reshetnikov ◽  
Oleg Mitrokhin ◽  
Elena Belova ◽  
Victor Mikhailovsky ◽  
Maria Mikerova ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Students ◽  
Environmental Quality ◽  
Indoor Environmental Quality ◽  
Lifestyle Behaviors ◽  
Contagious Diseases ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Isolation Index ◽  
Novel Coronavirus

The novel coronavirus (COVID-19) outbreak is a public health emergency of international concern, and as a response, public health authorities started enforcing preventive measures like self-isolation and social distancing. The enforcement of isolation has consequences that may affect the lifestyle-related behavior of the general population. Quarantine encompasses a range of strategies that can be used to detain, isolate, or conditionally release individuals or populations infected or exposed to contagious diseases and should be tailored to circumstances. Interestingly, medical students may represent an example of how the COVID-19 pandemic can form new habits and change lifestyle behaviors. We conducted a web-based survey to assess changes in lifestyle-related behavior of self-isolated medical students during the COVID-19 pandemic. Then we analyzed the sanitary-hygienic regulations of the Russian Federation to determine the requirements for healthy buildings. Results showed that during the pandemic, the enforcement of isolation affects medical students’ lifestyle-related behavior and accompanies an increase in non-communicable diseases (NCDs). Indoor environmental quality (IEQ) and healthy buildings are cutting-edge factors in preventing COVID-19 and NCDs. The Russian sanitary-hygienic regulations support improving this factor with suitable requirements for ventilation, sewage, waste management, and disinfection. Herein, assessing isolation is possible through the hygienic self-isolation index.

Preparedness and response in Portuguese emergency plans - Interaction with public health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Leiras ◽  
A Martins
Keyword(s):  
Public Health ◽  
Health Authority ◽  
Civil Protection ◽  
Emergency Plans ◽  
Emergency Situations ◽  
Health Measures ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Protection Authority

Abstract Background Articulation between Civil Protection and Public Health authorities is of paramount importance to control, reduce and prevent threats to the health of the population in situations of crisis or catastrophes. National Civil Protection Authority produces Emergency Plans which describe the role of every stakeholder in emergency situations. Role and importance of Public Health and Public Health Authorities is not always present or well described and known amongst stakeholders. Methods Data was collected from all Districtal Emergency Plans (n = 18). Each document was analysed considering time frame, refences to Public Health and Health Authorities, definition of roles, communication channels, coordination and inclusion of intersectoral communication flow. Quantitative analysis included absolute and relative frequencies and qualitative analysis to all parts related to the terms “Public Health” and “Health Authority”. Each document was reviewed by 2 independent researchers. Results From 18 Districtal Emergency Plans (DEP) analysed, 94,4% (n = 17) had references to Public Health, but none referred the role of Public Health Officers. Only 16,7% referred to Health Authorities, although 94,4% mentioned the law 135/2013, defining the role and attributes of Health Authority. In 72,2%, coordination of Public Health Measures was attributed to the National Medical Emergency Institute. Epidemiological surveillance and Public Health Emergencies were referred in 55,6%, and attributed to the Regional Administration of Health. Conclusions Public Health Authorities and Public Health Medical Officers role in articulation with National Civil Protection Authority in emergency situations lacks severely, with this role being replaced by other entities. This is of great concern regarding management and control of diseases, particularly communicable diseases. Key messages Public Health Authorities lack the necessary involvement in Emergency Plans and emergency situations. Public health measures are coordinated by other entities rather than Public Health Authorities.

scholarly journals Communicating Recommendations in Public Health Emergencies: The Role of Public Health Authorities

2020 ◽  
Vol 18 (1) ◽  
pp. 21-28
Author(s):  
Taylor A. Holroyd ◽  
Oladeji K. Oloko ◽  
Daniel A. Salmon ◽  
Saad B. Omer ◽  
Rupali J. Limaye
Keyword(s):  
Public Health ◽  
Public Health Emergencies ◽  
Health Authorities ◽  
Public Health Authorities

Public Health Preparedness of Post-Katrina and Rita Shelter Health Staff

2009 ◽  
Vol 24 (6) ◽  
pp. 500-505 ◽  
Author(s):  
Daksha Brahmbhatt ◽  
Jennifer L. Chan ◽  
Edbert B. Hsu ◽  
Hani Mowafi ◽  
Thomas D. Kirsch ◽  
...  
Keyword(s):  
Public Health ◽  
Technical Support ◽  
Health Staff ◽  
Health Training ◽  
Health Concerns ◽  
Health Authorities ◽  
Public Health Training ◽  
Clinical Scenarios ◽  
Public Health Authorities ◽  
Hurricanes Katrina And Rita

AbstractIntroduction:During 2005, Hurricanes Katrina and Rita struck the US Gulf Coast, displacing approximately two million people. With >250,000 evacuees in shelters, volunteers from the American Red Cross (ARC) and other nongovernmental and faith-based organizations provided services. The objective of this study was to evaluate the composition, pre-deployment training, and recognition of scenarios with outbreak potential by shelter health staff.Methods:A rapid assessment using a 36-item questionnaire was conducted through in-person interviews with shelter health staff immediately following Hurricanes Katrina and Rita. Data were collected by sampling at shelters located throughout five ARC regions in Texas. The survey focused on: (1) public health capacity; (2) level of public health awareness among staff; (3) public health training prior to deployment; and (4) interest in technical support for public health concerns. In addition, health staff volunteers were asked to manage 11 clinical scenarios with possible public health implications.Results:Forty-three health staff at 24 shelters were interviewed. Nurses comprised the majority of shelter health volunteers and were present in 93% of shelters; however, there were no public health providers present as staff in any shelter. Less than one-third of shelter health staff had public health training, and only 55% had received public health information specific to managing the health needs of evacuees. Only 37% of the shelters had a systematic method for screening the healthcare needs of evacuees upon arrival. Although specific clinical scenarios involving case clusters were referred appropriately, 60% of the time, 75% of all clinical scenarios with epidemic potential did not elicit proper notification of public health authorities by shelter health staff. In contrast, clinical scenarios requiring medical attention were correctly referred >90% of the time. Greater access and support from health and public health experts was endorsed by 93% of respondents.Conclusions:Public health training for sheltering operations must be enhanced and should be a required component of pre-deployment instruction. Development of a standardized shelter intake health screening instrument may facilitate assessment of needs and appropriate resource allocation. Shelter health staff did not recognize or report the majority of cases with epidemic potential to public health authorities. Direct technical support to shelter health staff for public health concerns could bridge existing gaps and assist surveillance efforts.

Development of a Scale to Measure Trust in Public Health Authorities: Prevalence of Trust and Association with Vaccination

2021 ◽  
pp. 1-9
Author(s):  
Taylor A. Holroyd ◽  
Rupali J. Limaye ◽  
Jennifer E. Gerber ◽  
Rajiv N. Rimal ◽  
Rashelle J. Musci ◽  
...  
Keyword(s):  
Public Health ◽  
Health Authorities ◽  
Public Health Authorities
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