Abstract:
OBJECTIVES:Racially/ethnically diverse communities suffer a disproportionate burden of adverse outcomes before, during and after a disaster. Using California as a locus of study, we sought to identify challenges and barriers to meeting the preparedness needs of these communities and highlight promising strategies, gaps in programs, and future priorities. METHODS:We conducted a literature review, environmental scan of organizational Web sites providing preparedness materials for diverse communities, and key informant interviews with public health and emergency management professionals. RESULTS:We identified individual-level barriers to preparing diverse communities such as socioeconomic status, trust, culture, and language, as well as institutional-level barriers faced by organizations such as inadequate support for culturally/linguistically appropriate initiatives. Current programs to address these barriers include language assistance services, community engagement strategies, cross-sector collaboration, and community assessments. Enhancing public-private partnerships, increasing flexibility in allocating funds and improving organizational capacity for diversity initiatives were all identified as additional areas of programmatic need. CONCLUSIONS:Our study suggests at least four intervention priorities for California and across the United States: engaging diverse communities in all aspects of emergency planning, implementation, and evaluation; mitigating fear and stigma; building organizational cultural competence; and enhancing coordination of information and resources. In addition, this study provides a methodological model for other states seeking to assess their capacity to integrate diverse communities into preparedness planning and response.
journal_name
Disaster Med Public Health Prepjournal_title
Disaster medicine and public health preparednessauthors
Andrulis DP,Siddiqui NJ,Purtle JPdoi
10.1001/dmp.2011.72subject
Has Abstractpub_date
2011-10-01 00:00:00pages
227-34issue
3eissn
1935-7893issn
1938-744Xpii
5/3/227journal_volume
5pub_type
杂志文章,评审abstract:OBJECTIVE:The Centers for Disease Control and Prevention developed 15 National Public Health Emergency and Preparedness Response Capabilities (NPHPRCs) to serve as national standards for health-related core capabilities. The objective of this study is to determine the level of federal funding allocated for research rel...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2019.66
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:Research on the impact of natural disasters on the mental health of older adults finds both vulnerabilities and resilience. We report on the rates of clinically significant depression among older adults (aged ≥60 years) living in areas affected by Hurricane Sandy in 2012 and the factors associated with mental...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2016.189
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:Health care workers are critical first responders. Understanding which factors motivate their willingness to work (WTW) during infectious disease outbreaks may guide improvements in preparedness. The perspective of health care students, the future workforce, remains largely unexplored. This study compared fac...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2017.18
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:We aimed to identify the differences in personal disaster preparedness and disaster risk perception among child care and preschool teachers in South Korea by using demographic characteristics and disaster-related questions. METHODS:A cross-sectional self-reporting questionnaire was administered from February...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2017.68
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To identify key decisions along the continuum of care (conventional, contingency, and crisis) and the critical triggers and data elements used to inform those decisions concerning public health and health care response during an emergency. METHODS:A classic Delphi method, a consensus-building survey techniqu...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2016.174
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVES:To determine the prevalence of mental disorders in a nationally representative sample of protective services workers (PSWs), compare it to that of adults in other occupations, and determine if an association exists between trauma exposure and 3-year incident psychiatric disorders in PSWs. METHODS:Data from ...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1001/dmp.2012.55
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:Despite emerging evidence of the detrimental effects of natural disasters on maternal and child health, little is known about exposure to tornadoes during the prenatal period and its impact on birth outcomes. We examined the relationship between prenatal exposure to the spring 2011 tornado outbreak in Alabama...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2018.55
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:During an influenza or coronavirus disease 2019 (COVID-19) pandemic that results in acute respiratory distress, the number of available ventilators will not meet demand. In 2007, the New York State Task Force on Life and the Law and Department of Health released draft Guidelines for ethical allocation of ven...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2020.232
更新日期:2020-07-14 00:00:00
abstract::Disasters in countries with limited resources can put the emergency preparedness of the country to the test. The first major task after a disaster is to take care of the wounded. In countries where the epidemiological transition has occurred, chronic disease can place a major strain on public health preparedness after...
journal_title:Disaster medicine and public health preparedness
pub_type: 社论
doi:10.1017/dmp.2017.67
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:Hospitals are expected to function as a safe environment during disasters, but many become unusable because of nonstructural damage. This study compares the nonstructural safety of hospitals to disasters in Tehran and Stockholm. METHODS:Hospital safety in Tehran and Stockholm was assessed between September 2...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2014.21
更新日期:2014-04-07 00:00:00
abstract::ABSTRACTCrises require a timely and well-prepared response by health services, especially those that are directly engaged with the lives of the patients such as blood services. The Iranian Blood Transfusion Organization as a single national authority of blood transfusion has left many crises behind. In this study, we ...
journal_title:Disaster medicine and public health preparedness
pub_type: 历史文章,杂志文章
doi:10.1017/dmp.2018.71
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Agents of opportunity (AO) are potentially harmful biological, chemical, radiological, and pharmaceutical substances commonly used for health care delivery and research. AOs are present in all academic medical centers (AMC), creating vulnerability in the health care sector; AO attributes and dissemination me...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1001/dmp.2010.38
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:Skin contamination is one of the most likely risks after accidental or occupational radiological accidents. Using scintigraphy, we assessed a topical lotion for its decontamination efficacy (DE) after exposure with short-lived medical radioisotopes technetium Tc 99m (99mTc) and thallium 201Tl (201Tl). METHOD...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2014.17
更新日期:2014-03-31 00:00:00
abstract::Mass casualty incidents are a concern in many urban areas. A community's ability to cope with such events depends on the capacities and capabilities of its hospitals for handling a sudden surge in demand of patients with resource-intensive and specialized medical needs. This paper uses a whole-hospital simulation mode...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2018.4
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:A pediatric triage tool is needed during times of resource scarcity to optimize critical care utilization. This study compares the modified sequential organ failure assessment score (M-SOFA), the Pediatric Early Warning System (PEWS) score, the Pediatric Risk of Admission Score II (PRISA-II), and physician ju...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1001/dmp.2012.17
更新日期:2012-06-01 00:00:00
abstract::In a wide range of events, people may be acutely exposured to chemical substances. Particular hospital preparedness plans and vital resources are essential for appropriate health-care measures. The present study aimed to conduct a systematic review to summarize and evaluate the existing evidence on hospital preparedne...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2019.91
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:To investigate knowledge and practice of Brazilian public primary and secondary health care dentists during the coronavirus disease (COVID-19) pandemic. METHODS:An online questionnaire with sociodemographic and COVID-19 knowledge questions was used. RESULTS:A total of 4048 dentists working in the Brazilian ...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2020.342
更新日期:2020-09-10 00:00:00
abstract::A complex disaster, the Great East Japan Earthquake of March 11, 2011, consisted of a large-scale earthquake, tsunami, and nuclear accident, resulting in more than 15 000 fatalities, injuries, and missing persons and damage over a 500-km area. The entire Japanese public was profoundly affected by "3/11." The risk of r...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章,评审
doi:10.1017/dmp.2013.97
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) began to spread across Wuhan, China, by the end of 2019, and patients were unable to be hospitalized because medical resources were limited. METHODS:A questionnaire survey was conducted among 108 participants with mild COVID-19 who have isolated at home under the guidance...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2020.296
更新日期:2020-08-12 00:00:00
abstract:OBJECTIVES:The November 26-29, 2008, terrorist attacks on Mumbai were unique in its international media attention, multiple strategies of attack, and the disproportionate national fear they triggered. Everyone was a target: random members of the general population, iconic targets, and foreigners alike were under attack...
journal_title:Disaster medicine and public health preparedness
pub_type: 历史文章,杂志文章
doi:10.1001/dmp.2011.80
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:Access to primary health care (PHC) is very important for refugees. The aim of this study was to illuminate lived experience of Afghan refugees in Iran regarding PHC delivery. METHODS:This qualitative study was conducted in 2016-2017 by using the content analysis technique. Data were collected through indivi...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2018.169
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:The purpose of this article was to describe how the Hospital Preparedness Program (HPP) and other health care coalitions conceptualize and measure progress or success and to identify strategies to improve coalition success and address known barriers to success. METHODS:We conducted a structured literature re...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章,评审
doi:10.1017/dmp.2015.134
更新日期:2015-12-01 00:00:00
abstract::Terrorist incidents that target hospitals magnify morbidity and mortality. Before a real or perceived terrorist mass casualty incident threatens a hospital and its providers, it is essential to have protocols in place to minimize damage to the infrastructure, morbidity, and mortality. In the years following the Boston...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2018.148
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:Hematopoietic syndrome (HS) is a clinical diagnosis assigned to people who present with ≥ 1 new-onset cytopenias in the setting of acute radiation exposure. The World Health Organization convened a panel of experts to evaluate the evidence and develop recommendations for medical countermeasures for the manage...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章,评审
doi:10.1001/dmp.2011.68
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVES:In late December 2019, a cluster of patients with pneumonia caused by an unknown pathogen was reported from Wuhan, Hubei Province, China. The pathogen has been identified as a novel coronavirus, severe acute respiratory syndrome 2 (SARS-CoV-2) and the disease has been named as coronavirus disease 2019 (COVID...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2020.300
更新日期:2020-08-13 00:00:00
abstract:OBJECTIVES:This study explores the experiences and practices of emergency medical services (EMS) providers, as well as the motivations that underpin perceptions toward standard infection prevention and control (IPC). The current literature suggests that EMS providers have a low compliance level with preventive measures...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2019.108
更新日期:2019-11-04 00:00:00
abstract:OBJECTIVE:Little is known regarding how home care is affected by extreme weather. In February 2018, Fukui City in Japan experienced unprecedented levels of snowfall. We examined snowfall impact on the provision of home care to elucidate whether patients incurred any harm. METHODS:A retrospective observational study us...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2020.310
更新日期:2020-12-02 00:00:00
abstract:OBJECTIVE:The 2015 earthquake in Nepal affected the country in terms of economy, and by causing damage and stress reactions. This study aimed to estimate the prevalence and determine individual child- and family-level predictors of post-traumatic stress disorder (PTSD) symptoms. METHODS:A community-based cross-section...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2017.100
更新日期:2018-08-01 00:00:00
abstract::Earth's climate is changing and national and international decision-makers are recognizing that global health security requires urgent attention and a significant investment to protect the future. In most locations, current data are inadequate to conduct a full assessment of the direct and indirect health impacts of c...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2015.124
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:We examined the relationship of probable posttraumatic stress disorder (PTSD), probable depression, and increased alcohol and/or tobacco use to disaster exposure and work demand in Florida Department of Health workers after the 2004 hurricanes. METHODS:Participants (N = 2249) completed electronic questionnai...
journal_title:Disaster medicine and public health preparedness
pub_type: 杂志文章
doi:10.1017/dmp.2013.6
更新日期:2013-02-01 00:00:00