Health Security最新文献

{"title":"Adaptability of Medical Surge Preparedness Practices to Large-Scale Combat Operations.","authors":"Pranav P Shetty, Clark J Lee, Amy H Kaji, Michelle M Kimball, Daphne Hurlock, Alison Ng, Kaitlin Rainwater-Lovett, Clemia Anderson, Jeffrey D Freeman","doi":"10.1177/23265094261490763","DOIUrl":"https://doi.org/10.1177/23265094261490763","url":null,"abstract":"<p><p>Since its inception, the National Disaster Medical System (NDMS) has been activated in the context of acute-onset and time-limited disasters; however, its original intended purpose was for providing care for casualties from a large-scale combat operation (LSCO). Consequently, determining the utility of specific medical surge practices for an LSCO is necessary to optimally prepare the NDMS for such an event. Lessons learned from prior medical surge events can inform LSCO preparations despite the contextual differences between the 2 scenarios. This case study builds on earlier analyses by the US Department of Defense's NDMS Pilot program to develop a set of evidence-based leading practices for improving medical surge response that can be used by healthcare facilities providing acute care during LSCO-related patient surges.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"23265094261490763"},"PeriodicalIF":1.3,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Securing Medical Countermeasures in Public Health Emergencies.","authors":"Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen","doi":"10.1177/23265094261493020","DOIUrl":"https://doi.org/10.1177/23265094261493020","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"23265094261493020"},"PeriodicalIF":1.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inpatient Outcomes in a SARS-CoV-2 Naïve Population Achieving High Vaccination Coverage Preceding Planned Virus Entry: A Prospective, Natural Experiment, Pandemic Response Cohort Study.","authors":"Eamon P Raith, Hao Z Wong, Joshua V Ross, Samuel Ziesing, Imogen Asser, Michael Maclean, Krishnaswamy Sundararajan, Lauren Fielke, Shailesh Bihari, Caroline Miller, Nicola Spurrier, Mark Plummer","doi":"10.1177/23265094261480546","DOIUrl":"https://doi.org/10.1177/23265094261480546","url":null,"abstract":"<p><p>On November 23, 2021, South Australia lifted border restrictions allowing passive entry of COVID-19 cases into the community. On this date the adult South Australian population was highly vaccinated and COVID-19 naïve (prior infection rate <1:1000). There are no previous outcome data following introduction of SARS-CoV-2 to a susceptible population that was highly vaccinated. The aim of this study was to measure the effect of sole vaccine-derived immunity against SARS-CoV-2, in a virus-naïve population without prior community transmission. This retrospective cohort study of 132,579 adults with COVID-19 was conducted between November 2021 and March 2022. The primary outcome was in-hospital mortality; secondary outcomes were hospital and intensive care unit admission, stratified by vaccination status. Risk-adjusted multivariable logistic regression analysis was performed using a Bayesian framework. Unvaccinated patients had increased odds of death (OR 3.78, 95% credible interval [CrI] 1.20 to 10.58, Bayesian probability of effect [Pr] 0.99), hospital admission (OR 23.9, 95% CrI 19.38 to 29.13, Pr 1.0), and ICU admission (OR 4.68, 95% CrI 1.58 to 12.34, Pr 1.0). Exclusively vaccine-derived immunity against SARS-CoV-2 is unequivocally protective against hospitalization and death. South Australia's pandemic response may be informative in planning for future pandemics, and management of future variants of SARS-CoV-2.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"23265094261480546"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on and Utility of DNA Data and Facial Recognition Technologies to Aid Postdisaster Family Reunifications.","authors":"Diana Madden, Nathan Reed, Zoe Wolfers, Jennifer K Wagner, Marie E Heffernan, Elizabeth Barnert, Sara Huston","doi":"10.1177/23265094261489525","DOIUrl":"https://doi.org/10.1177/23265094261489525","url":null,"abstract":"<p><p>Following a disaster, each passing hour and day of family separation erodes children's health and wellbeing. Hospital networks must prioritize expeditious reunifications while safeguarding children, yet despite advances in biometric technologies and data protection, healthcare systems and disaster response organizations are unprepared to integrate biometric tools into postdisaster family reunification strategies. Biometric data (eg, fingerprints, facial images, dental records, DNA data) are deployed routinely for postmortem disaster victim identifications; however, deployment for family reunifications, such as in hospital settings, is hindered by access challenges, technological limitations, and perceived risks. Although DNA kinship analysis is particularly valuable for reunification, not only for postmortem identifications but also for reconnecting genetic relatives, especially children who cannot self-identify, varying attitudes towards biometrics may limit its use. Understanding discomfort with biometric technologies among families and healthcare providers is critical to their effective deployment for reunifications. We therefore sought to (1) assess perceived utility of and willingness to use biometric data in varied postdisaster contexts and (2) identify postdisaster family separation scenarios where biometric technologies could be beneficial. Using child separation vignettes featuring varied disaster types, scales, and timelines, we surveyed 364 caregivers and 131 healthcare providers in the Chicago area. The results showed general support for the use of DNA and facial recognition technology in postdisaster family reunifications. In parallel, we documented real-life separation scenarios, capturing key factors influencing the utility of biometric tools. Findings suggest that disaster preparedness that considers the potential for family separation must include strategies to effectively use biometric data to assist reunifications, in accordance with the best interests of the child.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"23265094261489525"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Regional Disaster Health Response System: A Successful Model to Improve Healthcare Preparedness.","authors":"Caroline C Persson, Eileen F Searle, Senem D Hinson, Angela Ling, Alexander Isakov, Ziad Kazzi, Jessica Ryder, Charles Little, Romana Hasnain-Wynia, Shelly Schwedhelm, Paul D Biddinger","doi":"10.1177/23265094261488801","DOIUrl":"https://doi.org/10.1177/23265094261488801","url":null,"abstract":"<p><p>The Regional Disaster Health Response System (RDHRS) first began in 2018 as a demonstration project designed to address persistent healthcare emergency preparedness and response challenges in the United States. Four RDHRS programs currently exist, aligning and improving healthcare disaster response plans and clinical capabilities across 24 of the 50 US states. They connect public and private partners across the healthcare continuum, ensuring healthcare systems are better prepared for the next catastrophic disaster impacting health systems and the communities they serve. As a convener and a center of specialty expertise, the RDHRS crosses healthcare system and jurisdictional boundaries to address the most significant regional healthcare preparedness and response needs, helping the nation be better prepared to care for the ill and injured in the next large-scale event or disaster. The program has demonstrated its value and success in response to the COVID-19 pandemic, the 2022 pediatric tripledemic, intravenous supply disruption and shortage issues in 2024, and other regional healthcare emergencies, such as chemical incidents, while also improving plans and readiness for other potential threats such as mass burn events. Because the need for, and benefit of, an RDHRS program has been demonstrated through these recent events, there is a need to expand the network to cover the entire nation, further increasing healthcare readiness and our collective abilities to mitigate health system surge and respond to the next catastrophic emergency.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"23265094261488801"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Crisis and Risk Communication Best Practices on COVID-19 Communication: A Content Analysis of Lessons Learned and Recommendations.","authors":"Cynthia Baur, Katherine F Raymond, Brooke Fisher Liu","doi":"10.1177/23265094261488796","DOIUrl":"https://doi.org/10.1177/23265094261488796","url":null,"abstract":"<p><p>Despite the availability of crisis and risk communication best practices, scholars have analyzed and described the global COVID-19 pandemic communication failures that led to mass confusion about disease dynamics and appropriate protective behaviors. In this study, we sought to understand the alignment of crisis and risk communication best practices with national and international organizational lessons learned from COVID-19 pandemic responses. Our study design was a summative content analysis of a purposeful sample of COVID-19 lessons learned and recommendations reports published by US or international organizations between March 2020 and June 2024. Forty-four organizations published 61 reports, with 331 recommendations (24%) aligned with communication strategies, practices, behaviors, or actions. We identified 612 full or partial statements that aligned with at least 1 of 12 crisis and risk communication best practices. Alignment between the 12 crisis and risk communication best practices and report recommendations varied by best practice. \"Take a process approach\" was the best practice that aligned most frequently with recommendations and \"explain risk in plain language\" and show \"an ethic of care\" were the least frequently aligned with recommendations. Word cloud analyses showed alignment between best practice definitions and report recommendations. Our findings indicate that despite the critical nature of the work to inform the public, there is little international consensus on the use of 12 crisis and risk communication best practices that represent consolidated evidence about what works. Organizations' own reports and our analysis provide the blueprint for future robust crisis and risk communication emergency responses, if the organizations heed their own advice. We recommend that in advance of the next pandemic, organizations at all levels prioritize building awareness of and planning with these 12 best practices so they are prepared to fully listen to and respond to public's information needs.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"23265094261488796"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mirror Life and the Case for Adaptive Risk Governance.","authors":"David R Gillum","doi":"10.1177/23265094261480574","DOIUrl":"https://doi.org/10.1177/23265094261480574","url":null,"abstract":"<p><p>The current conversation regarding the potential for a mirror organism, opposite in chirality to typical life on Earth, presents a unique opportunity for the biosafety and biosecurity policy communities. It allows for meaningful and productive conversation before the technology can create a complete mirror organism. Because of their unusual structure and chemistry, mirror organisms might evade immune systems or survive undetected in the environment, posing atypical concerns that current risk assessment and mitigation systems are not built to manage. Due to a lack of data about how mirror life might interact with living things, this emergent biotechnology presents a case study in how to develop a future policy framework to mitigate novel risks: flexible and adaptable, forward-looking, and ready to act before problems arise. Building on existing proposals for cautious, conditional oversight for mirror life, this commentary advances a proposal for adaptive governance, tiered checkpoints, early warning signals, institutional roles, and international coordination systems that evolve as the science develops. It also argues that with structured risk forecasting, regimented oversight, and shared global norms, it is possible to support responsible scientific innovation while protecting against the risks of mirror life.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"23265094261480574"},"PeriodicalIF":1.3,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital Boarding, Surge Capacity, and Kinetic Triggers.","authors":"Mudasir Malik, Shabir Ahmed Dhar, Subqat Farooq, Abdul Maajid","doi":"10.1177/23265094261480545","DOIUrl":"https://doi.org/10.1177/23265094261480545","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"23265094261480545"},"PeriodicalIF":1.3,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Has COVID-19 Caused a Persistent Transformation in Japan's Inpatient Respiratory Rehabilitation System? A Hybrid Time-Series Analysis of 10 Years of Claims Data.","authors":"Yuki Egashira, Ryo Watanabe","doi":"10.1177/23265094261477195","DOIUrl":"10.1177/23265094261477195","url":null,"abstract":"<p><p>This study examined the long-term impacts on respiratory rehabilitation services before and after the coronavirus pandemic and its transition to Class 5 status, using insurance data from Kanagawa Prefecture, Japan (2014 to 2024). Using seasonal autoregressive integrated moving average predictions and interrupted time series analysis, we analyzed changes in rehabilitation volume and patient numbers across 3 periods: prepandemic, pandemic, and post-Class 5 transition. The result shows service intensity increased from 12.0 to 14.2 units per patient per month, indicating greater complexity of care needed. Most notably, we identified a consistent lag pattern, with rehabilitation demand surging 1 to 2 months after each infection wave peak, providing a predictable sign for healthcare administrators. The fifth wave triggered the most dramatic response with service volume increasing by approximately 80% and patient numbers by 50% above projected values. Patient composition analysis revealed a consistent presence of both COVID-19 and non-COVID-19 patients throughout the study period. Also, the most important findings were significant increases in monthly rehabilitation claims, persisting irreversibly, even after the pandemic officially ended. The sustained increase in respiratory rehabilitation demand likely exacerbated resource allocation challenges for other rehabilitation services, suggesting potential tradeoffs in care delivery. While significant level and trend changes occurred after the pandemic's emergence, no statistically significant decrease followed the Class 5 transition, with elevated levels continuing. This persistent shift suggests the need to strengthen healthcare system resilience through optimal resource allocation, professional training, and alternative delivery models, including telerehabilitation.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"322-332"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fast-Tracking the Implementation of National Action Plan for Health Security (2018-2024) in Uganda: The Acceleration Team Model.","authors":"Herbert Bakiika, Immaculate Nabukenya, Reuben Kiggundu, Godfrey Bongole, Martha Isabella Achan, Geraldine Mukesha, Justine Bukirwa, Godfrey Bwire, Harriet Mayinja, Anne Nakinsige, Lydia Nakiire, Gloria Namiya, Betty Mbolanyi, Robert Mwebe, Rose Ademun, Patrick Atimnedi, Sunday Kithula, Timothy Lubanga, Aggrey Ngobi, Enid Mbabazi, Roland Taremwa, Emmanuel Turyatunga, Issa Makumbi, Atek Kagirita, Henry Mwebesa, Allan Muruta, Dathan M Byonanebye, Francis Kakooza","doi":"10.1177/23265094261464026","DOIUrl":"10.1177/23265094261464026","url":null,"abstract":"<p><p>Uganda's 2017 Joint External Evaluation (JEE) revealed critical gaps in International Health Regulations (IHR) implementation, with limited progress despite ongoing efforts. Coordination mechanisms failed to address multisectoral implementation challenges. To accelerate progress, in 2018, Uganda established a dedicated National Action Plan for Health Security Acceleration (NAPHS) Team (A-Team)-a multidisciplinary unit embedded within government structures to facilitate cross-sector coordination and reduce bureaucratic barriers. We conducted a multimethod evaluation using outcome harvesting, key informant interviews, and cost analysis to assess the team's contributions to health security implementation. Contribution analysis examined attribution challenges by documenting parallel initiatives and stakeholder verified causal pathways. They catalyzed measurable improvements in Uganda's 2023 JEE scores. Multisectoral coordination improved from 2 to 4, points of entry capacities from 1 to 3, IHR financing from 2 to 3, and surveillance early warning from 3 to 4. Achievements included Public Health Act amendments, One Health policy formulation, institutionalization of the 7-1-7 framework, and establishment of coordination mechanisms through the Office of the Prime Minister. They supported various ministries by developing policies and guidelines. They also monitored NAPHS implementation through the creation of the IHR NAPHS tracker and the NAPHS toolkit. The $3.5M investment was an enabling infrastructure, with stakeholders attributing 70% to 85% of coordination improvements to the team facilitation. The A-Team's support, aided by Resolve To Save Lives, helped Uganda secure US$150.5 million in funding, split between domestic and partner contributions, which resulted in an exceptional leverage ratio of 1:43. The embedded A-Team model addressed coordination challenges that commonly impede health security implementation in resource-constrained settings. By functioning as trusted boundary spanners, the team reduced transaction costs of multisectoral collaboration while maintaining government ownership. The model demonstrates promise for replication in similar contexts, requiring adaptation to local governance structures and sustainable financing mechanisms.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"333-344"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}