Health Security最新文献_第7页

Looking Left: Ecologically Based Biosecurity to Prevent Pandemics. 向左看：以生态为基础的生物安全预防大流行病。

IF 3.3 4区医学

Health Security Pub Date : 2024-01-01 Epub Date: 2023-12-11 DOI: 10.1089/hs.2023.0089

Jamie K Reaser, Rohit A Chitale, Gary M Tabor, Peter J Hudson, Raina K Plowright

引用次数: 0

Data and Disasters: Essential Information Needed for All Healthcare Threats. 数据与灾难：应对所有医疗保健威胁所需的基本信息。

IF 3.3 4区医学

Health Security Pub Date : 2024-01-01 Epub Date: 2023-09-20 DOI: 10.1089/hs.2023.0067

John L Hick, Eric S Toner, Dan Hanfling, Paul D Biddinger, James V Lawler

引用次数: 0

Challenges and Opportunities in Pathogen Agnostic Sequencing for Public Health Surveillance: Lessons Learned From the Global Emerging Infections Surveillance Program. 病原体不可知测序用于公共卫生监测的挑战与机遇：全球新发感染监测计划的经验教训》。

IF 3.3 4区医学

Health Security Pub Date : 2024-01-01 Epub Date: 2023-12-06 DOI: 10.1089/hs.2023.0068

Lindsay Morton, Kathleen Creppage, Nazia Rahman, June Early, Laurie Hartman, Ashley Hydrick, Matthew Kasper

引用次数: 0

Select Agent Regulatory Challenges in a Patient Care Setting: Review and Recommendations. 病人护理环境中的选择性制剂监管挑战：回顾与建议。

IF 3.3 4区医学

Health Security Pub Date : 2024-01-01 Epub Date: 2023-12-06 DOI: 10.1089/hs.2023.0073

Megan C Mears, Corrie A Ntiforo, Lauren M Sauer, Aneesh K Mehta, Corri B Levine

{"title":"Select Agent Regulatory Challenges in a Patient Care Setting: Review and Recommendations.","authors":"Megan C Mears, Corrie A Ntiforo, Lauren M Sauer, Aneesh K Mehta, Corri B Levine","doi":"10.1089/hs.2023.0073","DOIUrl":"10.1089/hs.2023.0073","url":null,"abstract":"The Federal Select Agent Program ensures the safe and secure possession, use, and transfer of biological select agents and toxins through the select agent regulations (42 CFR §73, 7 CFR §331, and 9 CFR §121). These regulations are primarily written for interpretation by diagnostic and research laboratories, with limited text pertaining to the care of individuals infected with a select agent. The regulations applicable to patient care settings are ambiguous, resulting in challenges with regulatory compliance. The COVID-19 pandemic called attention to these shortcomings and the need to clarify and modify the select agent regulations. In this article, we discuss 3 select agent regulation phrases regarding patient care that need clarification-specifically, the window of time to transfer, patient care setting, and conclusion of patient care-and provide recommendations for improvement. These recommendations include implementing minimum security standards to safeguard patient specimens against theft, loss, or release prior to the appropriate transfer or destruction of the material and increasing the time allowed for the transfer or destruction of specimens before entities are subject to the select agent regulations. We encourage the Federal Select Agent Program to release a policy statement clarifying the select agent regulations regarding patient care discussed herein and to lengthen the designated time to destroy or transfer agents to a registered entity. Addressing these challenges will aid in compliance with the select agent regulations in patient care settings.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138487400","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}

引用次数: 0

Navigating Uncertainty in Public Health Decisionmaking: The Role of a Value of Information Framework in Threat Agnostic Biosurveillance. 驾驭公共卫生决策中的不确定性：信息价值框架在威胁不可知论生物监测中的作用》（The Role of Value of Information Framework in Threat Agnostic Biosurveillance）。

IF 3.3 4区医学

Health Security Pub Date : 2024-01-01 Epub Date: 2023-12-11 DOI: 10.1089/hs.2023.0070

Jalal Awan, Laura J Faherty, Henry H Willis

引用次数: 0

A New Paradigm for Threat Agnostic Biodetection: Biological Intelligence (BIOINT). 威胁不可知的生物检测新范例：生物情报（BIOINT）。

IF 3.3 4区医学

Health Security Pub Date : 2024-01-01 Epub Date: 2023-12-06 DOI: 10.1089/hs.2023.0072

Thomas Knight, Swati Sureka

引用次数: 0

Preparing the Frontlines: Delivering Special Pathogen Training to Maryland Hospital Staff. 为前线做好准备：为马里兰州医院员工提供特殊病原体培训。

IF 3.3 4区医学

Health Security Pub Date : 2024-01-01 Epub Date: 2024-01-19 DOI: 10.1089/hs.2023.0035

Christopher J Sulmonte, Jade B Flinn, Hasiya Yusuf, Elena Martin, Nicholas J Luciano, Hyungwoo Kim, Pyoeng Gyun Choe, Asar Das, Brian T Garibaldi, Noreen A Hynes

{"title":"Preparing the Frontlines: Delivering Special Pathogen Training to Maryland Hospital Staff.","authors":"Christopher J Sulmonte, Jade B Flinn, Hasiya Yusuf, Elena Martin, Nicholas J Luciano, Hyungwoo Kim, Pyoeng Gyun Choe, Asar Das, Brian T Garibaldi, Noreen A Hynes","doi":"10.1089/hs.2023.0035","DOIUrl":"10.1089/hs.2023.0035","url":null,"abstract":"Healthcare workers (HCWs) at community hospitals, also known as frontline hospitals (FLHs), may encounter patients with possible infectious diseases, including those caused by high-consequence pathogens such as Zaire ebolavirus. We created and piloted a 1-day, in-person, didactic and skills training program to determine the feasibility and acceptability of implementing an educational program to enhance the knowledge and skills needed to respond when a patient with a potential high-consequence pathogen presents to an FLH. The Maryland Department of Health queried all 104 state FLHs to identify their interest in participating in the pilot training program. HCWs from 12 (75%) of the 16 interested FLHs participated in the program before it was interrupted by the COVID-19 pandemic. In addition to pathogen-specific training based on the Identify, Isolate, and Inform framework, we provided skills training in the proper use of personal protective equipment, spill cleanup, and removal of an incapacitated HCW from an isolation area. We conducted a paired pretraining and posttraining knowledge assessment and measured a significant learning gain among 135 participants (2-tailed t test, P<.05). Over 95% of the participants reported that the training was relevant to their daily work and the clinical simulations and reference material were useful and appropriate for their learning level. Findings from this pilot program demonstrated the feasibility and acceptability of a 1-day combined didactic and skills training program focused on high-consequence pathogens. We plan to reengage the original FLHs and add regional FLHs in an updated training effort based on our findings.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139502361","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}

引用次数: 0

Introduction to the Special Feature: Threat Agnostic Approaches to Biodefense and Public Health Are Now a Reality. 特稿简介：不考虑威胁的生物防御和公共卫生方法现已成为现实。

IF 3.3 4区医学

Health Security Pub Date : 2024-01-01 DOI: 10.1089/hs.2024.0010

Amesh A Adalja, Kelsey Lane Warmbrod, Mary J Lancaster

引用次数: 0

Maryland's Integration of Public Health and Primary Care During the COVID-19 Pandemic: Case Study and Lessons Learned. 新冠肺炎大流行期间马里兰州公共卫生和初级保健的整合：案例研究和经验教训。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-10-19 DOI: 10.1089/hs.2022.0130

Rachel Grisham, Emily Gruber, Howard M Haft

{"title":"Maryland's Integration of Public Health and Primary Care During the COVID-19 Pandemic: Case Study and Lessons Learned.","authors":"Rachel Grisham, Emily Gruber, Howard M Haft","doi":"10.1089/hs.2022.0130","DOIUrl":"10.1089/hs.2022.0130","url":null,"abstract":"The Maryland Primary Care Program is a statewide advanced primary care program that works directly with practices to transform healthcare delivery by managing chronic disease, preventing unnecessary hospital utilization, and integrating with the public health system. The Maryland Primary Care Program has demonstrated how linking the public health system to primary care practices, paired with strategic financial and resource investments in primary care, can enable the delivery of high-value care and reduce acute hospital utilization. Such a system is especially prudent when responding to crises. Throughout the COVID-19 pandemic, the Maryland Primary Care Program was able to capitalize on existing infrastructure to quickly engage primary care in a robust pandemic response. Successes of this relationship included early and consistent communication channels, as well as coordinated resource distribution. In particular, this partnership allowed primary care providers, the most trusted source of healthcare in patients' lives, to directly provide patients with health information and vaccines. Now comprising more than 500 practices, this vaccine program uses data-driven reports to facilitate intentional vaccine outreach. The program has enabled a more equitable vaccine distribution system, resulting in over 400,000 vaccines administered in Maryland counties. The effectiveness of Maryland's integrated response indicates that partnerships between public health and primary care will result in an effective response in future times of crisis.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49676923","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}

引用次数: 0

Beyond Biosecurity by Taxonomic Lists: Lessons, Challenges, and Opportunities. 通过分类列表超越生物安全：教训、挑战和机遇。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-10-19 DOI: 10.1089/hs.2022.0109

Piers Millett, Tessa Alexanian, Kathryn R Brink, Sarah R Carter, James Diggans, Megan J Palmer, Ryan Ritterson, Jonas B Sandbrink, Nicole E Wheeler

引用次数: 0