Public Health Issues In Disaster Preparedness

Public health officials have the traditional responsibilities of protecting the food supply, safeguarding against communicable disease, and ensuring safe and healthful conditions for the population. Beyond this, public health today is challenged in a way that it has never been before. Starting with the 9/11 terrorist attacks, public health officers have had to spend significant amounts of time addressing the threat of terrorism to human health. Hurricane Katrina was an unprecedented disaster for the United States. During the first weeks, the enormity of the event and the sheer response needs for public health became apparent. The tragic loss of human life overshadowed the ongoing social and economic disruption in a region that was already economically depressed. Hurricane Katrina reemphasized to the public and to policy makers the importance of addressing long-term needs after a disaster. On October 20, 2005, the Institute of Medicine's Roundtable on Environmental Health Sciences, Research, and Medicine held a workshop which convened members of the scientific community to highlight the status of the recovery effort, consider the ongoing challenges in the midst of a disaster, and facilitate scientific dialogue about the impacts of Hurricane Katrina on people's health. Environmental Public Health Impacts of Disasters: Hurricane Katrina is the summary of this workshop. This report will inform the public health, first responder, and scientific communities on how the affected community can be helped in both the midterm and the near future. In addition, the report can provide guidance on how to use the information gathered about environmental health during a disaster to prepare for future events.

The pressure of climate change, environmental degradation, and urbanisation, as well as the widening of socio- economic disparities have rendered the global population increasingly vulnerable to the impact of natural disasters. With a primary focus on medical and public health humanitarian response to disasters, Public Health Humanitarian Responses to Natural Disasters provides a timely critical analysis of public health responses to natural disasters. Using a number of case studies and examples of innovative disaster response measures developed by international agencies and stakeholders, this book illustrates how theoretical understanding of public health issues can be practically applied in the context of humanitarian relief response. Starting with an introduction to public health principles within the context of medical and public health disaster and humanitarian response, the book goes on to explore key trends, threats and challenges in contemporary disaster medical response. This book provides a comprehensive overview of an emergent discipline and offers a unique multidisciplinary perspective across a range of relevant topics including the concepts of disaster preparedness and resilience, and key challenges in human health needs for the twenty-first century. This book will be of interest to students of public health, disaster and emergency medicine and development studies, as well as to development and medical practitioners working within NGOs, development agencies, health authorities and public administration.

When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

As large-scale emergencies continue to pose a threat to U.S. populations at the local, state, and national levels, the public and private sectors are demanding improved public health preparedness, response, and cooperation for such events. Emergency Public Health provides readers with important information and analysis of key public health crises threatening our local, state, and national jurisdictions. As the first text of its kind in the emerging field of emergency public health, it provides a framework for public health professionals, policy makers, first responders, and emergency healthcare providers to plan and implement effective measures to protect the public health of civilian populations during times of emergencies. Written by experts with both emergency healthcare and public health backgrounds, the case-based chapters provide valuable information on the preparedness, response, and mitigation of emergency public health topics. In addition, Emergency Public Health contains timely information of key areas such as public health law and the interactions among government jurisdictions. Each chapter also includes online resources for the reader to pursue additional web-based resources. Important features: - Chapters written by emergency physicians with public health degrees - Case-based chapters - Web resources provided - Covers large-scale issues such as public health law, government jurisdictions, NGO’s, - Chapter devoted to specific needs of children - Chapter on mental health issues in times of public health emergencies - Specific chapters on public health tools such as surveillance and rapid needs assessment - Each chapter follows a consistent structure to maintain clarity and continuity throughout the text: A. Introduction B. Historical perspectives C. Preparedness D. Response E. Case study F. On-line resources Competitive features: - Covers natural emergencies - Covers key topics in terrorism - Covers primary topics for disaster medicine Questions for instructors - What are the key topics in your course? - How do you like to prepare your students for public health emergencies? - What management principles are addressed in your course? - Do you teach special issues such as children and mental health issues during emergencies?

Disasters and Public Health: Planning and Response, Second Edition, examines the critical intersection between emergency management and public health. It provides a succinct overview of the actions that may be taken before, during, and after a major public health emergency or disaster to reduce morbidity and mortality. Five all-new chapters at the beginning of the book describe how policy and law drive program structures and strategies leading to the establishment and maintenance of preparedness capabilities. New topics covered in this edition include disaster behavioral health, which is often the most expensive and longest-term recovery challenge in a public health emergency, and community resilience, a valuable resource upon which most emergency programs and responses depend. The balance of the book provides an in-depth review of preparedness, response, and recovery challenges for 15 public health threats. These chapters also provide lessons learned from responses to each threat, giving users a well-rounded introduction to public health preparedness and response that is rooted in experience and practice. Contains seven new chapters that cover law, vulnerable populations, behavioral health, community resilience, preparedness capabilities, emerging and re-emerging infectious diseases, and foodborne threats Provides clinical updates by new MD co-author Includes innovative preparedness approaches and lessons learned from current and historic public health and medical responses that enhance clarity and provide valuable examples to readers Presents increased international content and case studies for a global perspective on public health

Includes statistics.

Emergency Ethics brings together leading scholars in the fields of public health ethics and bioethics to discuss disaster or emergency ethics and ethical aspects of preparedness and response with specific application to public health policy and practice. The book fills a gap in the existing public health ethics literature by providing a comprehensive ethical conception of emergency preparedness as a distinctive form of civic practice brought about by the interrelationships and coordination of many groups, disciplines, and interests and drawing on numerous bodies of knowledge and expertise. It addresses particular aspects of preparedness and response plans, particular decisions that planners and communities have to make, decisions that require balancing many diverse and sometimes conflicting values and identifying and applying a framework of basic ethical principles for preparedness planning, emergency response, and post-disaster recovery. It also explores the relationship between emergency preparedness to other facets of public health practice. The book begins with a broad and synthetic overview of emergency ethics that addresses the central components and ethically significant issues arising in public health preparedness planning, disaster response, and recovery. Following that overview are five chapters that in a philosophically innovative and detailed way delve deeply into important and problematic issues in emergency planning and response, including the allocation of scarce resources, conducting ethical research in the context of public health emergencies, the obligations of public health professionals, communication and engagement with the public, and special moral obligations surrounding vulnerable populations.

Disaster Public Health and Older People introduces professionals, students and fieldworkers to the science and art of promoting health and well-being among older people in the context of humanitarian emergencies, with a particular focus on low- and middle-income country settings. Older people face specific vulnerabilities in physical, mental and social well-being during disasters. They are likely to experience socio-economic marginalisation, isolation, inaccessible information and a lack of relevant post-emergency support services. Meanwhile, although older people can also significantly contribute to disaster preparedness, response and recovery, their capacities are often under-utilised. Drawing on a range of global case studies, this book provides readers with a theoretical underpinning, while suggesting actions at the individual, community and national levels to reduce the health risks to older people posed by the increasing frequency and intensity of disaster, in particular those resulting from natural hazards. Topics covered range from the health impact of disasters on older people and response to their post-disaster health needs, to disaster preparedness, disease prevention, healthy ageing, global policy developments and the contributions of older people in disaster contexts. This book draws on lessons learnt from previous disasters and targets students and professionals working in disaster medicine, disaster public health, humanitarian studies, gerontology and geriatrics.