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(disaster OR disasters) AND ("public health" OR "health care" OR "emergency care" OR trauma OR "medical care" OR "health planning" OR "health education" OR "health information" OR "health literacy")

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101. The dismantling of informed consent is a disaster

informed consent, the descent of health care into amorality is inevitable, and the doctor-patient relationship is doomed to ruination, oblivion, and despair. It is also important to acknowledge the fact that a lack of informed consent has become endemic to our health care system. This betrayal of patient trust is inextricably linked to three violations: a rape of the body, a rape of the mind and a rape of the soul. The rape of the mind is anchored in a willful nondisclosure of common long-term side (...) The dismantling of informed consent is a disaster The dismantling of informed consent is a disaster The dismantling of informed consent is a disaster | | September 26, 2018 42 Shares Informed consent is the cornerstone of medical ethics. And every physician must defend this sacred principle from every form of evil that would seek to dismantle, degrade and debase it. If informed consent is the sun, then privacy, confidentiality, dignity, and trust are planets that go around it. For without

2018 KevinMD blog

102. Cascadia Rising: thoughts on a Seattle earthquake disaster exercise. (PubMed)

Cascadia Rising: thoughts on a Seattle earthquake disaster exercise. The Cascadia subduction zone off the US Pacific Northwest coast produces a Force 9 earthquake once every 300 years. Cascadia Rising was a regional disaster drill modeled on such an event. Western Washington State has 5 million people and one Level I trauma center.The blood response of the trauma center and region were modeled under the conditions laid down in the disaster scenario. The scenario assumed structural damage (...) to the 1931 reinforced concrete building housing the trauma hospital transfusion service with loss of electricity, data services, and water. The regional blood center, in a newer building located six blocks away, suffered less disruption. The regional blood inventory is in a blood component manufacturing facility 18 miles south of downtown.At best and at risk to life, the trauma center could issue universally compatible components at a rate of 60 components/hr from a damaged but still accessible

2018 Transfusion

103. Too Many Patients…A Framework to Guide Statewide Allocation of Scarce Mechanical Ventilation During Disasters. (PubMed)

Too Many Patients…A Framework to Guide Statewide Allocation of Scarce Mechanical Ventilation During Disasters. The threat of a catastrophic public health emergency causing life-threatening illness or injury on a massive scale has prompted extensive federal, state, and local preparedness efforts. Modeling studies suggest that an influenza pandemic similar to that of 1918 would require ICU and mechanical ventilation capacity that is significantly greater than what is available. Several groups (...) have published recommendations for allocating life-support measures during a public health emergency. Because there are multiple ethically permissible approaches to allocating scarce life-sustaining resources and because the public will bear the consequences of these decisions, knowledge of public perspectives and moral points of reference on these issues is critical. Here we describe a critical care disaster resource allocation framework developed following a statewide community engagement process

2018 Chest

104. Sustainability of Psychological First Aid Training for the Disaster Response Workforce. (PubMed)

Sustainability of Psychological First Aid Training for the Disaster Response Workforce. 30260696 2018 12 07 1541-0048 108 S5 2018 Nov American journal of public health Am J Public Health Sustainability of Psychological First Aid Training for the Disaster Response Workforce. S381-S382 10.2105/AJPH.2018.304643 Birkhead Guthrie S GS Guthrie S. Birkhead is with the Department of Epidemiology and Biostatistics and the Center for Public Health Preparedness, School of Public Health, University (...) at Albany, Rensselaer, NY. Karla Vermeulen is with the Department of Psychology and the Institute for Disaster Mental Health, State University of New York, New Paltz. Vermeulen Karla K Guthrie S. Birkhead is with the Department of Epidemiology and Biostatistics and the Center for Public Health Preparedness, School of Public Health, University at Albany, Rensselaer, NY. Karla Vermeulen is with the Department of Psychology and the Institute for Disaster Mental Health, State University of New York, New

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2018 American Journal of Public Health

105. Challenges in Implementing International Standards for the Field Hospital Emergency Department in a Disaster Zone: The Israeli Experience. (PubMed)

as inpatient surgical emergency care in addition to inpatient referral care. In November 2016, the WHO certified the Israel Defense Forces Field Hospital as the first FMT Type-3.The objectives of this article are to describe the challenges in implementing these international standards for the field hospital emergency department in a disaster zone.There are general standards for all levels of FMTs, as well as specific requirements for the FMT-3. These include a mechanism of appropriate triage, two operating (...) Challenges in Implementing International Standards for the Field Hospital Emergency Department in a Disaster Zone: The Israeli Experience. Medical response to world disasters has too often been poorly coordinated and nonprofessional. To improve this, several agencies, led by the World Health Organization (WHO), have developed guidelines to provide accreditation for Foreign Medical Teams (FMTs). There are three levels, with the highest known as FMT Type-3 providing outpatient as well

2018 Journal of Emergency Medicine

106. An Operational Exercise for Disaster Assessment and Emergency Preparedness in South of Iran. (PubMed)

that organizations must perform the performance preparedness exercises on different levels and areas twice a year to be properly prepared for responding to emergencies and disasters. This study can be considered a suitable standard guide for health care organizations to execute exercises for the maintenance and promotion of their preparedness for properly responding to emergencies and disasters at L-4. (...) An Operational Exercise for Disaster Assessment and Emergency Preparedness in South of Iran. Exercise is an important step in preparation and implementation of disaster risk programs. The aim of this research was the development and assessment of an operational exercise for disaster preparedness in southeast Iran.A descriptive cross-sectional study was used to evaluate a 2-day exercise for a level 4 (L-4) scale mock disaster conducted in southeastern Iran in 2017. Seven medical sciences

2018 Journal of Public Health Management and Practice

107. Averting a malaria disaster: will insecticide resistance derail malaria control? (PubMed)

of associated development, policy, and implementation pathways to counter this looming public health catastrophe. Copyright © 2016 Elsevier Ltd. All rights reserved. (...) Averting a malaria disaster: will insecticide resistance derail malaria control? World Malaria Day 2015 highlighted the progress made in the development of new methods of prevention (vaccines and insecticides) and treatment (single dose drugs) of the disease. However, increasing drug and insecticide resistance threatens the successes made with existing methods. Insecticide resistance has decreased the efficacy of the most commonly used insecticide class of pyrethroids. This decreased efficacy

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2016 Lancet

108. Public health guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA

Public health guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA SCIENTIFIC ADVICE Public health guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA www.ecdc.europa.euECDC SCIENTIFIC ADVICE Public health guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA ii This report from the European Centre for Disease Prevention and Control (ECDC (...) and strongyloidiasis. Charles Hui and Jessica Dunn led the systematic review and provided an initial draft of the chapter on vaccine-preventable diseases. Eric N. Agbata is a doctoral candidate for PhD in Methodology of Biomedical Research and Public Health (Department of Paediatrics, Obstetrics, Gynaecology and Preventive Medicine), Universidad Autònoma de Barcelona, Barcelona, Spain. His contributions to the section on schistosomiasis and strongyloidiasis guidance will form part of his thesis. ECDC would

2019 European Centre for Disease Prevention and Control - Public Health Guidance

109. Review of recommendations for ethical review during a public health emergency, disaster or crisis

Review of recommendations for ethical review during a public health emergency, disaster or crisis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address

2018 PROSPERO

110. A Promising Tool to Assess Long Term Public Health Effects of Natural Disasters: Combining Routine Health Survey Data and Geographic Information Systems to Assess Stunting after the 2001 Earthquake in Peru (PubMed)

A Promising Tool to Assess Long Term Public Health Effects of Natural Disasters: Combining Routine Health Survey Data and Geographic Information Systems to Assess Stunting after the 2001 Earthquake in Peru Research on long-term health effects of earthquakes is scarce, especially in low- and middle-income countries, which are disproportionately affected by disasters. To date, progress in this area has been hampered by the lack of tools to accurately measure these effects. Here, we explored (...) zones. We combined these two data sources to categorize the surveyed children into different earthquake exposure groups, based on how much their area of residence was affected by the earthquake. We assessed the feasibility of the approach using a real earthquake case--an 8.4 magnitude earthquake that hit southern Peru in 2001.Our results indicate that the combination of health survey data and disaster data may offer a readily accessible and accurate method for determining the long-term public health

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2015 PloS one

111. New toolkit equips death scene investigators for natural disasters, and weather events.

author the toolkit, is trained as a forensic pathologist at Fulton County Medical Examiner’s Office in Atlanta, Georgia. The toolkit’s purpose is to help improve the level of detail included in reports of disaster-related deaths, with the goal of improving CDC’s disaster-related mortality surveillance and supporting evidence-based public health intervention during disaster response. “Disaster-attributed deaths often lack disaster-identifying terminology in the death certificates,” Issa explained (...) New toolkit equips death scene investigators for natural disasters, and weather events. New toolkit equips death scene investigators for natural disasters, and weather events. | | Blogs | CDC Search Form Controls TOPIC ONLY Search The CDC cancel submit Search Form Controls TOPIC ONLY Search The CDC cancel submit Note: Javascript is disabled or is not supported by your browser. For this reason, some items on this page will be unavailable. For more information about this message, please visit

2017 CDC Your Health - Your Environment Blog

112. Health-Related Disaster Communication and Social Media: Mixed-Method Systematic Review. (PubMed)

that agencies need to contextualize the use of social media for particular populations and crises. Social media are tools that still have not become routine practices in many governmental agencies regarding public health in the countries studied. Social media, especially Twitter and Facebook (and equivalents in countries such as China), need to be incorporated into daily operations of governmental agencies and implementing partners to build familiarity with them before health-related crises happen (...) Health-Related Disaster Communication and Social Media: Mixed-Method Systematic Review. This mixed-method evidence synthesis drew on Cochrane methods and principles to systematically review literature published between 2003 and 2016 on the best social media practices to promote health protection and dispel misinformation during disasters. Seventy-nine studies employing quantitative, qualitative, and mixed methods on risk communication during disasters in all UN-languages were reviewed, finding

2017 Health communication

113. Content, Accessibility, and Dissemination of Disaster Information via Social Media During the 2016 Louisiana Floods. (PubMed)

Content, Accessibility, and Dissemination of Disaster Information via Social Media During the 2016 Louisiana Floods. Social media is becoming increasingly integrated into disaster response communication strategies of public health and emergency response agencies.We sought to assess the content, accessibility, and dissemination of social media communications made by government agencies during a disaster response.A cross-sectional analysis of social media posts made by federal, state, and local (...) government, public health and emergency management agencies before, during, and after the 2016 Louisiana floods was conducted to determine their content, accessibility, and dissemination by level of government and time relative to disaster onset.Facebook and/or Twitter posts made by public agencies involved in the response to the 2016 Louisiana Flooding events (FEMA Disaster Declaration [DR-4277]) published between August 4 and September 16, 2016, publicly available online between February 21 and March

2017 Journal of Public Health Management and Practice

114. Are post-apocalyptic disaster films inspiration for doctors?

for a pharmaceutical corporation and help your CEO figure out which drug patent to buy so he can jack up the price a hundred-fold? In Elysium, Matt Damon plays a public health hero. From a car thief (“lumpen”) to an assembly line worker at a robot factory (an ordinary “prole”), he becomes a guerrilla fighter for health as a human right. In this world, we could sorely use a hero of that sort. Back in this world, the elites and the politicians in their pay seek to further shrink the social commons of health care (...) billionaires in the world own as much assets as . We are not too distant from the world depicted in “Elysium” where the elites live far away from the rabble on a massive space station. We are witnessing levels of inequality unseen since the Gilded Age. What shall it be for the up-and-coming doctor? Join the elites in making as much money from the current health care system while the scam lasts? Work for an insurance company and deny your fellow doctors attempts to care for their patients? Work

2017 KevinMD blog

115. 5 ways doctors can cope when natural disaster strikes

of emotional investment. However, in the midst of natural disaster and crisis, this demand increased exponentially. How do we take care of ourselves and our own families while meeting the needs around us? What the public never realizes is that for those who are not frontline responders, EMS, firefighters or police officers, there is a small army of physicians and other health care workers that sustain our hospital systems while the entire world shuts down. This is a tremendous sacrifice and often goes (...) unsung. These physicians sometimes have little lead time to prepare. As we think about the importance of evacuation and disaster planning, how do we — as health care providers — address our own immediate needs, those of our own families, so that we can effectively provide patient care? Here are five things for physicians and hospital staff to consider when time permits preparation for a natural disaster facing your community. 1. You cannot compartmentalize. In a disaster or extended period of service

2017 KevinMD blog

116. Literature Review: Herbal Medicine Treatment after Large-Scale Disasters. (PubMed)

investigating post-traumatic stress disorder (PTSD), three retrospective investigations of trauma or common diseases, and seven case series or case reports of dizziness, pain, and psychosomatic symptoms. In conclusion, herbal medicine has been used to treat trauma, PTSD, and other symptoms after disasters. However, few articles have been published, likely due to the difficulty in designing high quality studies in such situations. Further study will be needed to clarify the usefulness of herbal medicine (...) Literature Review: Herbal Medicine Treatment after Large-Scale Disasters. Large-scale natural disasters, such as earthquakes, tsunamis, volcanic eruptions, and typhoons, occur worldwide. After the Great East Japan earthquake and tsunami, our medical support operation's experiences suggested that traditional medicine might be useful for treating the various symptoms of the survivors. However, little information is available regarding herbal medicine treatment in such situations. Considering

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2017 American Journal of Chinese Medicine

117. Disaster Preparedness: Biological Threats and Treatment Options. (PubMed)

Disaster Preparedness: Biological Threats and Treatment Options. Biological disasters can be natural, accidental, or intentional. Biological threats have made a lasting impact on civilization. This review focuses on agents of clinical significance, bioterrorism, and national security, specifically Category A agents (anthrax, botulism, plague, tularemia, and smallpox), as well as briefly discusses other naturally emerging infections of public health significance, Ebola virus (also a Category (...) A agent) and Zika virus. The role of pharmacists in disaster preparedness and disaster response is multifaceted and important. Their expertise includes clinical knowledge, which can aid in drug information consultation, patient-specific treatment decision making, and development of local treatment plans. To fulfill this role, pharmacists must have a comprehensive understanding of medical countermeasures for these significant biological threats across all health care settings. New and reemerging

2017 Pharmacotherapy

118. Measuring the Impact of Disasters Using Publicly Available Data: Application to Hurricane Sandy (2012). (PubMed)

School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (...) Measuring the Impact of Disasters Using Publicly Available Data: Application to Hurricane Sandy (2012). The unexpected nature of disasters leaves little time or resources for organized health surveillance of the affected population, and even less for those who are unaffected. An ideal epidemiologic study would monitor both groups equally well, but would typically be decided against as infeasible or costly. Exposure and health outcome data at the level of the individual can be difficult

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2017 American Journal of Epidemiology

119. Committee Opinion No. 726 Summary: Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care. (PubMed)

diseases. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery. Recent evidence suggests that floods and human-influenced environmental disasters increase the risks of spontaneous miscarriages, preterm births, and low-birth-weight infants among pregnant women. The potential surge in maternal and neonatal patient volume due to mass-casualty events, transfer of high-acuity patients (...) Committee Opinion No. 726 Summary: Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care. Large-scale catastrophic events and infectious disease outbreaks highlight the need for disaster planning at all community levels. Features unique to the obstetric population (including antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious

2017 Obstetrics and Gynecology

120. Committee Opinion No. 726: Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care. (PubMed)

. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery. Recent evidence suggests that floods and human-influenced environmental disasters increase the risks of spontaneous miscarriages, preterm births, and low-birth-weight infants among pregnant women. The potential surge in maternal and neonatal patient volume due to mass-casualty events, transfer of high-acuity patients, or redirection (...) Committee Opinion No. 726: Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care. Large-scale catastrophic events and infectious disease outbreaks highlight the need for disaster planning at all community levels. Features unique to the obstetric population (including antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious diseases

2017 Obstetrics and Gynecology

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