Declaring a public emergency requires that the right message is delivered by the right person at the right time. In Boston, the number of vaccinations increased and the number of reported influenza cases decreased after local decision makers met those three criteria.
From natural disasters to bioterrorist attacks, public health emergencies can emerge from a broad range of events. Officials must be able to recognize when to declare the emergencies and understand the impacts of such declarations. As Superstorm Sandy demonstrated, sometimes exceptions are needed to provide rapid disaster relief.
National Security Special Events such as the presidential inauguration require dozens of committees working closely together to coordinate efforts to protect the health and security of all visitors and participants. Stationary and mobile medical units were strategically positioned to address any health concern that might arise.
Online educational programs fill an important niche for today's emergency professionals. However, decisions must be weighed when choosing online vs. classroom training because the process of watching online videos, reading a book, and taking tests differs in many ways from learning the practical skills needed to assess and treat patients.
Managing change and risk is an ongoing challenge for emergency medical services managers. One growing concern is whether, before transporting patients to the hospital, paramedics should be providing more care than is now required.
Hospitals and other medical facilities are rapidly evolving into a true national healthcare system that can more effectively meet the 21st-century threats posed by terrorist acts and infectious diseases. Fortunately, systems and technological capabilities needed to cope with such threats, particularly those involving infectious agents, is already available.
As the threat of a biological attack against the United States increases, the nation's public health sector faces many hurdles, including funding cuts and difficulties in integrating the plans and policies of various levels of government - and with the private sector. Since the 9/11 attacks, greater focus has been placed on both biodefense and biosurveillance, but much more is needed.
During and after a known or suspected biological attack, most events initially play out in local hospitals where the first symptoms caused by a toxic agent are recognized. Raising awareness among medical staff and expanding current training programs will help healthcare providers respond to a possible biological event both more quickly and more effectively.
To help ensure that hospital staff and their families receive much needed medications during a biological incident, healthcare facilities in the Nation's Capital are coordinating with the D.C. Department of Health (DCDOH) to establish closed points of distribution. By doing so, staff responsibilities and capabilities can be optimized and lines for general public distribution can be reduced.
A "system" of any type consists of numerous vulnerable as well as valuable components, thus the entire system faces possible failure if a single component is removed or not working as it should. In the field of emergency medical services, all personnel must be fully prepared to prevent service lapses when a key component is removed.