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Disaster Medicine and Public Health Preparedness

Abdullah Alruwaili, Shahidul Islam, Kim Usher
ABSTRACTDisasters occur rarely but have significant adverse consequences when they do. Recent statistics suggest that millions of lives and billions of US dollars have been lost in the last decade due to disaster events globally. It is crucial that hospitals are well prepared for disasters to minimize their effects. This integrative review study evaluates the preparedness level of hospitals in the Middle East for disasters using the Preferred Reporting Items for Systematic and Meta-Analyses (PRISMA) guidelines...
February 11, 2019: Disaster Medicine and Public Health Preparedness
Qian Chen, Qihua Zhang, Zheng Hu
OBJECTIVE: Hand, foot, and mouth disease (HFMD) is a common infectious disease caused by a group of viruses. The causative viruses have changed over time, and there is a need for a more effective protective vaccine. In this study, we investigated the profiles of human enteroviruses that caused HFMD outbreaks in Nanjing in 2015, with the goal of guiding the future prevention and treatment of HFMD. METHODS: Specimens were collected from 1097 patients admitted to our hospital and diagnosed with HFMD...
February 1, 2019: Disaster Medicine and Public Health Preparedness
Carolina Scaramutti, Christopher P Salas-Wright, Saskia R Vos, Seth J Schwartz
OBJECTIVES: The aim of this study was to compare the effect of Hurricane Maria on internalizing and posttraumatic stress disorders (PTSD) among Puerto Ricans who moved to Florida after the storm versus those who stayed on the island. METHODS: In March through April 2018 (6 months after Hurricane Maria), an online survey was used to assess the effects of the storm on mental health. A sample of 213 displaced Puerto Ricans living in urban and rural/suburban areas in Florida, as well as urban and rural areas of Puerto Rico, participated in the study...
January 30, 2019: Disaster Medicine and Public Health Preparedness
Emilie Yvonne Prot
No abstract text is available yet for this article.
January 10, 2019: Disaster Medicine and Public Health Preparedness
Carmen A Cueto, John Tekanene, Teraria Bangao, Baranika Toromon, Adam L Kushner, Lydia Lam
Research is lacking around how best to approach trauma care in resource poor settings, particularly in remote areas such as the islands of the South Pacific. Without examples of successful treatment of high-risk cases in these settings, countries are unable to move forward with developing policies and standardized procedures for emergency care.The Republic of Kiribati is a Pacific Island nation composed of 33 islands spanning over 2,000 miles in the central Pacific Ocean. With the only hospital located on Kiritimati Island and inadequate boat transportation, the government recently committed to providing an aircraft for patients to receive appropriate medical care...
January 10, 2019: Disaster Medicine and Public Health Preparedness
Veselin L Mitrović, Dónal P O'Mathúna, Iskra A Nola
Disaster ethics is a developing field of inquiry recognizing the wide variety of ethical issues confronting various professionals involved in planning for and responding to different types of disasters. This article explores how ethical issues related to floods are addressed in academic literature. The review involved analysis of publications on ethics and floods identified in a systematic literature search of electronic databases that included sociological, biomedical, and geophysical sources. The review methods were guided by the PRISMA Statement on systematic reviews, adapted to this topic area, and followed by a qualitative analysis of the included publications...
January 10, 2019: Disaster Medicine and Public Health Preparedness
Troy Quast, Lijuan Feng
OBJECTIVE: While the short-term effects of disasters on health care utilization are well documented, less is known regarding potential longer-term effects. This study investigates the effects of Hurricane Katrina on the health care utilization of older individuals with diabetes. METHODS: We examined Medicare claims and enrollment data for the 2002-2004 and 2006-2008 time periods for older individuals with diabetes. Our quasi-experimental design analyzed utilization across 2 treated and 3 control groups...
January 9, 2019: Disaster Medicine and Public Health Preparedness
Carol S Fullerton, Holly B Herberman Mash, Leming Wang, Joshua C Morganstein, Robert J Ursano
OBJECTIVE: Community characteristics, such as perceived collective efficacy, a measure of community strength, can affect mental health outcomes following disasters. We examined the association of perceived collective efficacy with posttraumatic stress disorder (PTSD) and frequent mental distress (14 or more mentally unhealthy days in the past month) following exposure to the 2004 and 2005 hurricane seasons. METHODS: Participants were 1486 Florida Department of Health workers who completed anonymous questionnaires that were distributed electronically 9 months after the 2005 hurricane season...
January 8, 2019: Disaster Medicine and Public Health Preparedness
Akihiko Kondo, Kei Jitsuiki, Hiromichi Osaka, Ikuto Takeuchi, Kouhei Ishikawa, Kazuhiko Omori, Youichi Yanagawa
ABSTRACTOn December 1, 2017, the Fuji factory of Arakawa Chemical Industries exploded. Dust that formed as a byproduct from the crushing and packing process of the resin for ink exploded at the facility. The Fuji City Fire Department requested the dispatch of 2 physician-staffed helicopters (known as a doctor helicopter [DH] in Japan). The first party of emergency services established a headquarters and first-aid station. However, this area was feared to be at risk of a second explosion. Physicians performed re-triage for all 11 burned patients...
January 3, 2019: Disaster Medicine and Public Health Preparedness
Ana Fresán, Rebeca Robles-García, Claudia Becerra-Palars, Manuel Alejandro Muñoz-Suárez, Omar Rangel-Cupa, Brisa Gissel Monroy-Cortés, Alejandro Molina-Lopez
OBJECTIVE: Earthquakes may lead to a reaction to severe stress and adjustment disorders (RSSAD). On September 7, 19, and 23, 2017, Mexico was struck by many severe earthquakes. The aim of this study was to examine whether there was an increase in the number of consultations and RSSAD in a psychiatric emergency department in Mexico City after these earthquakes. METHODS: We studied retrospectively the diagnosis and triage assessment from a Mexican psychiatric emergency department database from September 1 to November 30, 2017, and analyzed RSSAD and the number of consultations after the earthquakes...
January 3, 2019: Disaster Medicine and Public Health Preparedness
Andrew W Osborn, Lee R Peters
OBJECTIVE: Immunization data are vital to support responses to vaccine-preventable disease outbreaks. The Oregon Immunization Program developed a unique prototype instrument-the Rapid Response Tool (RRT)-that provides population data to local responders within 2 hours of a request. Data outputs include vaccination coverage by age group and zip code; percentages of students with nonmedical exemptions to vaccination requirements, by school; and current, comprehensive lists of local vaccination providers...
January 3, 2019: Disaster Medicine and Public Health Preparedness
Zachariah S Edinger, Kelly A Powers, Kathleen S Jordan, David W Callaway
OBJECTIVE: Disability-related education is essential for disaster responders and critical care transporters to ensure positive patient outcomes. This pilot study evaluated the effect of an online educational intervention on disaster responders and critical care transporters' knowledge of and feelings of self-efficacy about caring for individuals with developmental disabilities. METHODS: A 1-group, pretest-posttest, quasi-experimental design was used. A convenience sample of 33 disaster responders and critical care transporters participated...
January 3, 2019: Disaster Medicine and Public Health Preparedness
Dennis G Barten, Matthijs T W Veltmeijer, Nathalie A L R Peters
ABSTRACTHospital disaster resilience is often conceived as the ability to respond to external disasters. However, internal disasters appear to be more common events in hospitals than external events. This report describes the aftermath of a ceiling collapse in the emergency department of VieCuri Medical Center in Venlo, the Netherlands, on May 18, 2017. By designating the acute medical unit as a temporary emergency department, standard emergency care could be resumed within 8 hours. This unique approach might be transferrable to other hospitals in the developed world...
January 2, 2019: Disaster Medicine and Public Health Preparedness
Hideko Sato, Teeranee Techasrivichien, Atsuko Omori, Masako Ono-Kihara, Masahiro Kihara
OBJECTIVE: The goal of this study was to assess the psychosocial consequences among nurses affected by the Great East Japan Earthquake in order to identify their coping strategies and explore possible countermeasures against complex disasters. METHODS: In 2012, we conducted a qualitative study and screened participants for posttraumatic stress disorder (PTSD). RESULTS: Thirty-eight nurses participated in this study. The result showed a relatively high proportion of probable PTSD (39%)...
December 28, 2018: Disaster Medicine and Public Health Preparedness
Junaid Ahmad, Mokbul Morshed Ahmad, Elena Espigares Rodríguez
OBJECTIVE: The aim of this study was to analyze retrospectively the earthquake-induced injuries caused by the October 2015 Hindu Kush earthquake in Pakistan. This is the first population-based study to assess epidemiologically earthquake-induced injuries in the Hindu Kush region, one of the world's most mountainous and seismically active regions. Unfortunately, only limited studies have investigated the earthquake-induced injuries and deaths in the region epidemiologically. METHODS: The 5 worst affected districts were selected according to the highest number of deaths and injuries recorded...
December 28, 2018: Disaster Medicine and Public Health Preparedness
Chiaki Toida, Ichiro Takeuchi, Takeru Abe, Jun Hattori, Kyoko Hattori, Kohei Takahashi, Munehito Uchiyama, Hideki Honda, Yosihide Nakagawa, Kiyoshi Matsuda, Yasushi Asari, Naoto Morimura
OBJECTIVES: We quantified an absolute imbalance of the medical risks and the support needs for children at each disaster-based hospital in Kanagawa immediately following the occurrence of a large earthquake by using the risk resource ratio (RRR) and need for medical resources (NMR). METHODS: The RRR and NMR of 33 disaster-based hospitals were estimated through dividing the estimated number of pediatric victims by the number of critically patients. We calculated the ratio of the NMR of each hospital...
December 21, 2018: Disaster Medicine and Public Health Preparedness
Michael D Owens, Jason Rice
OBJECTIVE: The purpose of this study was to assess, through participant self-assessment, the effectiveness of a rapid response team curriculum based on the World Health Organization (WHO) Ebola Virus Disease Consolidated Preparedness Checklist, Revision 1. METHODS: A pre-and-post survey for the purpose of process improvement assessment involving 44 individuals was conducted in Angola. The survey was conducted before and after a 6-day training workshop held in Luanda, Angola, in December 2017...
November 27, 2018: Disaster Medicine and Public Health Preparedness
James J James
No abstract text is available yet for this article.
December 2018: Disaster Medicine and Public Health Preparedness
Maria Scigliano, Virginia Roncaglione, Paula A Madrid
ABSTRACTTo contribute to the ongoing discourse about successful programming supporting intermediate behavioral and mental health needs of vulnerable communities affected by disaster, this article presents the Children's Health Fund (CHF) Sandy Recovery and Resiliency Program as a descriptive case study for a multifaceted, community-based approach to building resiliency, coping, and socioemotional skills in an underserved community in New York City that was affected by Superstorm Sandy. The case study involves retrospective review and analysis of qualitative and quantitative data that were collected as part of routine care and program implementation...
November 20, 2018: Disaster Medicine and Public Health Preparedness
Shoukat H Qari, Hussain R Yusuf, Samuel L Groseclose, Mary R Leinhos, Eric G Carbone
OBJECTIVES: The US Centers for Disease Control and Prevention (CDC)-funded Preparedness and Emergency Response Research Centers (PERRCs) conducted research from 2008 to 2015 aimed to improve the complex public health emergency preparedness and response (PHEPR) system. This paper summarizes PERRC studies that addressed the development and assessment of criteria for evaluating PHEPR and metrics for measuring their efficiency and effectiveness. METHODS: We reviewed 171 PERRC publications indexed in PubMed between 2009 and 2016...
November 13, 2018: Disaster Medicine and Public Health Preparedness
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