Evidence-Based Practice for Public Health Emergency Preparedness and Response
Evidence-Based Practice for Public Health Emergency Preparedness and Response

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-11-28

Total Pages: 501

ISBN-13: 0309670381

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When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

Scientific advice and evidence in emergencies
Scientific advice and evidence in emergencies

Author: Great Britain: Parliament: House of Commons: Science and Technology Committee

Publisher: The Stationery Office

Published: 2011-03-02

Total Pages: 260

ISBN-13: 9780215556561

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In this report, the Science and Technology Committee examines how scientific advice and evidence is used in national emergencies, when the Government and scientific advisory system are put under great pressure to deal with atypical situations. The inquiry focused on four case studies: (i) the 2009-10 H1N1 influenza pandemic (swine flu); (ii) the April 2010 volcanic ash disruption; (iii) space weather; and (iv) cyber attacks. While science is used effectively to aid responses to emergencies, the detachment of the Government Chief Scientific Adviser (GCSA) from the National Risk Assessment (NRA) - the key process of risk evaluation carried out by the Cabinet Office - is a serious concern. The Committee recommends that the NRA should not be signed off until the GCSA is satisfied that all risks requiring scientific input and judgements have been properly considered. A new independent scientific advisory committee should be set up to advise the Cabinet on risk assessment and review the NRA. The Icelandic volcanic eruption in April 2010 is a stark example of the lack of scientific input in risk assessment: the risk of disruption to aviation caused by a natural disaster was dropped from the assessment process in 2009, despite warnings from earth scientists. There are concerns over how risk was communicated to the public during the 2009-10 swine flu pandemic are raised in the report, with sensationalised media reporting about the projected deaths from swine flu. The Scientific Advisory Groups in Emergencies, set up to advise government during emergencies, were found to work in an unnecessarily secretive way.

Pandemic Influenza Preparedness and Response
Pandemic Influenza Preparedness and Response

Author: World Health Organization

Publisher: World Health Organization

Published: 2009

Total Pages: 62

ISBN-13: 9241547685

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This guidance is an update of WHO global influenza preparedness plan: the role of WHO and recommendations for national measures before and during pandemics, published March 2005 (WHO/CDS/CSR/GIP/2005.5).

Guide for All-Hazard Emergency Operations Planning
Guide for All-Hazard Emergency Operations Planning

Author: Kay C. Goss

Publisher: DIANE Publishing

Published: 1998-05

Total Pages: 277

ISBN-13: 078814829X

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Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.

Attacks on Science
Attacks on Science

Author:

Publisher: Greenhaven Publishing LLC

Published: 2021-07-15

Total Pages: 178

ISBN-13: 1534507957

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Recent examples of attacks on science such as climate change denial demonstrate the danger of attacks on science. However, the negative impacts of these attacks must be weighed against other considerations, including the freedom of speech and religious expression, and the assertion that some criticism is healthy for the scientific field. The viewpoints in this volume consider the impacts of attacks on science, whether these attacks can be stopped, and how they can be prevented. Readers will evaluate the role of the internet in propagating and legitimizing these attacks.

Devil's bargain?
Devil's bargain?

Author: Great Britain: Parliament: House of Commons: Science and Technology Committee

Publisher: The Stationery Office

Published: 2012-07-09

Total Pages: 124

ISBN-13: 9780215046703

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The UK Government's position as an advocate for nuclear power makes it difficult for the public to trust it as an impartial source of information. Technically competent public bodies that are independent of Government - such as the Health & Safety Executive and Office for Nuclear Regulation - are in a much better position to engender public trust and influence risk perceptions. The Committee calls on these regulators to make greater efforts to communicate risk to the public and develop their role as trusted sources of information for lay people, in addition to providing risk information for technical audiences. There is also a lack of strategic coordination across Government when it comes to risk communication. A senior individual in Government should lead a Risk Communication Strategy team, drawing together existing expertise within Departments and public bodies - and be visibly responsible for overseeing risk communication. Furthermore, the decision to class the Fukushima incident at the same 'Level Seven' magnitude as Chernobyl - despite there being significantly lower levels of radioactive material released into the atmosphere and no deaths directly attributable to the accident - demonstrates the need to revise the scale used to communicate the magnitude of nuclear accidents. The global body responsible for the International Nuclear and Radiological Event Scale (INES) should review the scale. This report also calls on sources to emphasise to the public that exceeding recommended minimal radiation exposure levels may not pose any risk to people or the environment

Marine Science
Marine Science

Author: Great Britain: Parliament: House of Commons: Science and Technology Committee

Publisher: The Stationery Office

Published: 2013-04-11

Total Pages: 188

ISBN-13: 9780215056788

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Properly managed Marine Conservation Zones will protect marine life the UK's coastal waters and ensure the fishing industry has a sustainable long- term future. The Government is currently letting the project flounder while sensitive environments are further degraded and the industry is subjected to further uncertainty. It has been over three years since the Marine and Coastal Access Act was passed, with cross-party consensus that Marine Conservation Zones were necessary and has widespread public support. Despite this, the designation process has been repeatedly delayed and Marine Conservation Zones have become increasingly controversial. 127 Marine Conservation Zones have been proposed, but Defra has consulted on only 31 of these, without setting out the zone selection process, when these would be implemented or exactly how they would be managed. The Committee welcomes the publication of the Marine Science Strategy and establishment of the Marine Science Coordination Committee. However, it notes concerns about the effectiveness of these measures and highlights the risk that changes to funding mechanisms could undermine support for long-term strategic marine science. It is also recognised that the Natural Environment Research Council is currently operating with inadequate resources, but it should consider the impact that restructuring its research funding has had on its support for strategic marine science. The Committee recommended there should be a duty on commercial operations to share the data they collect. It is concerning that funding for important long-term monitoring programmes remains opportunistic and piecemeal. Developments in technologies such as autonomous underwater vehicles could dramatically alter the way in which marine data is collected

HC 469 - Science in Emergencies: UK Lessons from Ebola
HC 469 - Science in Emergencies: UK Lessons from Ebola

Author: Great Britain: Parliament: House of Commons: Science and Technology Committee

Publisher: The Stationery Office

Published: 2016

Total Pages: 49

ISBN-13: 0215090861

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Ebola is a rare and deadly disease. Since late 2013, West Africa has experienced the largest Ebola outbreak ever recorded. We pay tribute to all those who worked tirelessly to tackle this outbreak, some of whom gave evidence to this inquiry, and many of whom continue working to avert similar crises in the future. We also commend the Government on its leading contribution to the fight against Ebola, and the financial, and personnel, commitments that it made, from constructing and staffing Ebola treatment centres in Sierra Leone to deploying troops, helicopters, aircrew and an aviation support ship to provide much needed logistical support. Examples of UK successes in tackling Ebola, however, must not allow complacency to set in. Despite this impressive deployment of resources to combat Ebola in Sierra Leone, the UK response - like the international response - was undermined by systemic delay. The biggest lesson that must be learnt from this outbreak of Ebola is that even minor delays in responding cost lives. Yet delays were evident at every stage of our response, from escalating Public Health England's disease surveillance data to those with the capacity to act, to convening a Scientific Advisory Group for Emergencies which failed to be established until October 2014, three months after 'Cobra', the Government's emergency response committee, first met. In the absence of established mechanisms, ad hoc approaches emerged to fill the gaps. Inevitably, these were not as effective, or as targeted, as they should have been.