tetano
Editor, Senior Moderator
J Public Health Manag Pract. 2013 September/October;19(5):428-435.
Lessons About the State and Local Public Health System Response to the 2009 H1N1 Pandemic: A Workshop Summary.
Stoto MA, Nelson C, Higdon MA, Kraemer J, Hites L, Singleton CM.
Source
Department of Health Systems Administration, Georgetown University School of Nursing & Health Studies, Washington, District of Columbia (Dr Stoto and Mr Kraemer); RAND Corporation, Santa Monica, California (Dr Nelson); Harvard School of Public Health, Boston, Massachusetts (Ms Higdon); O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, District of Columbia (Mr Kraemer); University of Alabama at Birmingham School of Public Health, University Boulevard, Birmingham (Dr Hites); and Division of State and Local Readiness, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Singleton).
Abstract
OBJECTIVE::
Identify lessons about the public health emergency preparedness system from after action report/improvement plans (AAR/IPs) authored by state and local health departments following the 2009 H1N1 influenza pandemic.
DESIGN::
Potentially generalizable findings were collected during a workshop attended by representatives from the Centers for Disease Control and Prevention (CDC), state and local public health departments, and other organizations that prepared 2009 H1N1AAR/IPs.
PARTICIPANTS::
Workshop participants included state and local health department personnel who had submitted AAR/IPs to the CDC for review.
MEASURES::
Workshop participants were asked to consider the question: What did you hear from other jurisdictions that resonated with your own experience and could be a generalized finding?
RESULTS::
Workshop discussions revealed potential lessons concerning: (1) situational awareness during the initial response; (2) resource mobilization and legal authority; (3) the complexity of vaccine distribution and administration; (4) balancing emergency response and routine operations; (5) communication and coordination among the many independent actors in the public health system; and (6) incident management in a long-duration incident.
CONCLUSIONS::
The response to the 2009 H1N1 influenza pandemic provides an opportunity to learn about the public health system's emergency response capabilities and to identify ways to improve preparedness for future events. Perhaps the most important lessons from the 2009 H1N1 response reveal the complexity of coordinating actions among the many different actors, institutions, sectors, and disciplines involved in the public health system. While the response to the pandemic engendered creative "on the spot" solutions, continued effort is needed to better understand and manage the identified challenges.
PMID:
23892378
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/23892378
Lessons About the State and Local Public Health System Response to the 2009 H1N1 Pandemic: A Workshop Summary.
Stoto MA, Nelson C, Higdon MA, Kraemer J, Hites L, Singleton CM.
Source
Department of Health Systems Administration, Georgetown University School of Nursing & Health Studies, Washington, District of Columbia (Dr Stoto and Mr Kraemer); RAND Corporation, Santa Monica, California (Dr Nelson); Harvard School of Public Health, Boston, Massachusetts (Ms Higdon); O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, District of Columbia (Mr Kraemer); University of Alabama at Birmingham School of Public Health, University Boulevard, Birmingham (Dr Hites); and Division of State and Local Readiness, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Singleton).
Abstract
OBJECTIVE::
Identify lessons about the public health emergency preparedness system from after action report/improvement plans (AAR/IPs) authored by state and local health departments following the 2009 H1N1 influenza pandemic.
DESIGN::
Potentially generalizable findings were collected during a workshop attended by representatives from the Centers for Disease Control and Prevention (CDC), state and local public health departments, and other organizations that prepared 2009 H1N1AAR/IPs.
PARTICIPANTS::
Workshop participants included state and local health department personnel who had submitted AAR/IPs to the CDC for review.
MEASURES::
Workshop participants were asked to consider the question: What did you hear from other jurisdictions that resonated with your own experience and could be a generalized finding?
RESULTS::
Workshop discussions revealed potential lessons concerning: (1) situational awareness during the initial response; (2) resource mobilization and legal authority; (3) the complexity of vaccine distribution and administration; (4) balancing emergency response and routine operations; (5) communication and coordination among the many independent actors in the public health system; and (6) incident management in a long-duration incident.
CONCLUSIONS::
The response to the 2009 H1N1 influenza pandemic provides an opportunity to learn about the public health system's emergency response capabilities and to identify ways to improve preparedness for future events. Perhaps the most important lessons from the 2009 H1N1 response reveal the complexity of coordinating actions among the many different actors, institutions, sectors, and disciplines involved in the public health system. While the response to the pandemic engendered creative "on the spot" solutions, continued effort is needed to better understand and manage the identified challenges.
PMID:
23892378
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/23892378