PUBLIC HEALTH ARCHIVES
The Public Health Role During Mass-Fatality Incidents
Raphael M. Barishansky and Audrey Mazurek
June 8, 2011
Many major disasters start without warning, continue for periods ranging from mere seconds to weeks or months, and leave behind a chaotic mass of useless rubble and ruined lives. The work of public health agencies necessarily starts well before the first tremor, continues through the entire response/recovery/resilience process, and ends
FINAL REPORT: CBRN – BioSurveillance Programs
Stephen Reeves
June 8, 2011
Experts are in agreement that an effective biosurveillance program is needed to protect the nation’s health, farm animals, agriculture and agricultural products of all types, and food supply. This report provides valuable information for responders, receivers, planners, and managers – and the American people at large.
Antidotes: The Care and Cure for ‘What Ails You’
Joseph Cahill
June 1, 2011
The twin goals – total security, and immediate accessibility – prescribed for the perfect medical antidote program are not only mutually exclusive but also theoretically impossible to achieve. Almost. But there are some effective compromise measures that can bridge the differences, lower the loss rate, and significantly improve on-scene operational
Changing Trends in Maritime Piracy: A New & Major Threat
MIchael Brewer and Scott Brewer
June 1, 2011
The plots and successes of recent “pirate” movies notwithstanding, the real, totally ruthless, and well armed pirates of the 21st century must be recognized for what they really are: thieves, cutthroats, and murderers – who are now working with terrorist groups. That evil coalition must be confronted fully, fearlessly, and
Medical Surge Management: Public-Private Healthcare Coalitions
Chad Priest and Bobby Courtney
May 25, 2011
Thanks (sort of) to the ravages caused by Hurricane Katrina, and a number of other disasters – including terrorist attacks – there is a growing awareness that U.S. healthcare facilities must focus much greater attention on building, and/or improving, their individual and collective “surge” capabilities. Here is a brief report
Mass Evacuation of Medical and Functional Needs Populations
Bruce Clements
May 25, 2011
It is reasonable to expect that, when the population of a community – or nation – grows, the need for a mass evacuation of some type will grow at the same pace. That need increases exponentially, though: (a) when catastrophic weather events occur with greater frequency; and/or (b) in the
The Expanding Role of Sanitarians in Public Health Emergencies
Rahul Gupta
May 18, 2011
Doctors, nurses, and other highly visible professionals get the greatest credit, deservedly, in most public-health incidents and events. Playing increasingly important roles, though – before, during, and after such incidents – are the nation’s unsung and much less publicized sanitarians whose special expertise in numerous operational scenarios is finally being
Hospitals & Fire Departments: Three-Alarm Fires, MSH & Best-Practice Results
Theodore Tully
May 18, 2011
A major fire in one of the nation’s finest hospitals led quickly to: (a) the massive evacuation of almost 450 patients; and (b) numerous follow-up meetings to find out what had gone wrong and how to handle such incidents more quickly, and more effectively, in the future. The end result
Staffing, Stockpiling & Surging Forward
Joseph Cahill
May 11, 2011
As most people know, it is impossible to be totally prepared, at all times, to cope with any and all disasters of any type and of any magnitude imaginable. But there are many common-sense steps that can be taken to lessen the impact of most if not all of the
Critical Issues Faced by MRC in a Special Needs Shelter
Amy Schmitt, Donald Brannen and Mark McDonnell
May 11, 2011
The chill wind that started on 31 January immobilized a major area of the country and brought ice, snow, sleet, and misery to 100 million Americans. Among the hardest hit were numerous special-needs patients, already incapacitated, waiting for help that came far too late or, in some cases, not at
Public Health Monitoring Systems: Two ‘Good Stories’
Jennifer Smither
May 4, 2011
New Jersey calls on Hippocrates to help top officials cope with a major mass-casualty incident with significant international implications; the initial result was a burning success. In Tarrant County, Texas, NACCHO and school nurses put the emphasis on children in fighting the flu and both detecting and controlling the outbreak
Anatomy of a Bioterrorist Attack
Lou Banks
April 27, 2011
Many homeland-security professionals have warned that a bioterrorist attack not only could be more devastating, and longer-lasting, than a nuclear attack, but is also more probable. Moreover, the biowarfare capabilities of international terrorists have increased significantly in recent years. But so have U.S. detection and response capabilities and equipment. In
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