Health Security最新文献_第8页

"Beating Your Head Against the Wall": Burnout on the Rise Among Local Health Department Communication Officials. “把头撞在墙上”:当地卫生部门沟通官员的职业倦怠正在上升。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-11-14 DOI: 10.1089/hs.2023.0002

Muhammad Ittefaq

{"title":"\"Beating Your Head Against the Wall\": Burnout on the Rise Among Local Health Department Communication Officials.","authors":"Muhammad Ittefaq","doi":"10.1089/hs.2023.0002","DOIUrl":"10.1089/hs.2023.0002","url":null,"abstract":"The COVID-19 pandemic posed unprecedented challenges for frontline healthcare professionals globally. Despite the varied challenges encountered by frontline healthcare professionals, the difficulties faced by public health communication officials in particular has remained an underexplored area of research. This study examined the specific challenges experienced by communication officials during the COVID-19 pandemic in the United States. A qualitative research design was used to conduct in-depth interviews with communication officials working in local health departments (LHDs) in 2022. A total of 14 participants were recruited through purposive sampling, coupled with a data saturation strategy, from LHDs situated in Kansas, Missouri, and Oklahoma. Thematic analysis revealed 3 key themes: (1) main challenges faced by LHDs during the COVID-19 pandemic, (2) challenges related to information dissemination on social media, and (3) burnout experienced by communication officials. This study's findings suggest that communication officials should be provided with the necessary resources and training to effectively handle misinformation, toxic behaviors, and bullying on social media while prioritizing their mental health. In addition, federal, state, and local health agencies should provide timely, clear, and accurate information to address the challenges faced by communication officials in their bid to disseminate information effectively.","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":"92153586","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

A Missing Link in Public Health Preparedness and Emergency Response: Engaging Private Sector Employers for Pandemic Workplace Policies. 公共卫生准备和应急响应中缺失的一环：让私营部门雇主参与制定大流行病工作场所政策。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-08-08 DOI: 10.1089/hs.2023.0031

Lisa M Koonin

引用次数: 0

Simultaneous COVID-19 Pandemic and Dengue Epidemic: A Double Challenge to Geriatric Health Security in Bangladesh. 新冠肺炎和登革热同时流行：孟加拉国老年医疗卫生安全面临的双重挑战。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-10-27 DOI: 10.1089/hs.2021.0219

Md Shafiul Alam, Rumana Sultana

{"title":"Simultaneous COVID-19 Pandemic and Dengue Epidemic: A Double Challenge to Geriatric Health Security in Bangladesh.","authors":"Md Shafiul Alam, Rumana Sultana","doi":"10.1089/hs.2021.0219","DOIUrl":"10.1089/hs.2021.0219","url":null,"abstract":"Bangladesh faces distinct challenges as a resource-poor country due to the combined effects of the COVID-19 pandemic and simultaneous dengue outbreaks. Older adults are particularly vulnerable to infection and death from COVID-19. While overall health and life expectancy in the general population have improved substantially in Bangladesh, health services for older adults are still lacking. No specialized geriatric units have been established in hospitals, and no home care programs have been established for older adults. COVID-19 mortality rates were highest among older adults ages 61 to 70 years (35%), and 71 to 80 years (20%) in 2022. Although the country's average COVID-19 mortality rate was low at 1.76%, in older adults, it was much higher (55%), accounting for 14,797 deaths, despite that most cases (55%) were recorded in young adults. During the COVID-19 pandemic, Bangladesh also experienced a dengue epidemic. Around 21,193 dengue patients were admitted to hospitals between January 1 and October 8, 2022. Without a well-established and all-encompassing social care program, the indirect socioeconomic burden of COVID-19 continues to fall on older adults. There is an immediate need for robust healthcare and support services, especially for older adults in Bangladesh, which are particularly susceptible to the dual threats posed by the COVID-19 pandemic and the dengue epidemic. Recommendations are made to protect older adults from the devastating effects of the 2 simultaneous epidemics.","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":"61562094","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

Contagion, Care, and Interdependence in Pandemics. 大流行病中的传染、关怀和相互依存。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 DOI: 10.1089/hs.2023.0173

Monica Schoch-Spana

引用次数: 0

Communications for US Populations With Limited English Proficiency During Infectious Disease Outbreaks: A Scoping Review. 传染病爆发期间英语能力有限的美国人群的交流：范围界定综述。

IF 2.1 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-10-27 DOI: 10.1089/hs.2023.0050

Mary G Findling, Hannah L Caporello, Rebekah I Stein, Carrie G Wade, Keri M Lubell, Lisa Briseño, Gillian K SteelFisher

{"title":"Communications for US Populations With Limited English Proficiency During Infectious Disease Outbreaks: A Scoping Review.","authors":"Mary G Findling, Hannah L Caporello, Rebekah I Stein, Carrie G Wade, Keri M Lubell, Lisa Briseño, Gillian K SteelFisher","doi":"10.1089/hs.2023.0050","DOIUrl":"10.1089/hs.2023.0050","url":null,"abstract":"The COVID-19 pandemic has highlighted the need for research about communicating with populations who have limited English proficiency in the United States during infectious disease outbreaks. These populations have experienced significantly worse health outcomes during emergencies, including the COVID-19 pandemic, and evidence-based risk communications are critical to protecting their health. To support improved development of emergency communications for these communities, we conducted a scoping review that examined the extent of research available, with an intent to identify which communications topics are covered in the literature and where research gaps exist. Following the JBI framework, with reporting guided by the PRISMA extension for scoping reviews, 6 electronic databases were systematically searched in October 2022. The inclusion criteria for articles selected were: data collected between 2009 and 2022, published in English, and focused on communications pertaining to emergency infectious disease outbreaks (eg, H1N1 influenza, Zika virus, COVID-19) for populations with limited English proficiency. Of 2,049 articles identified through the search, 31 met the inclusion criteria and were selected for review. We identified major limitations in the evidence base: a majority of studies were conducted only among Spanish speakers or during the COVID-19 pandemic, and most used qualitative or nonrandom samples. Most studies documented basic language barriers in communications, but there was little exploration of more nuanced barriers, such as cultural relevance or social context. Ahead of future outbreaks, more research is urgently needed to examine the information landscapes of populations with limited English proficiency, to inform the development of more effective communications strategies from public health institutions and others.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61562092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moving From Assessment of Global Health Security to Implementation. 从全球卫生安全评估走向实施。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-10-20 DOI: 10.1089/hs.2022.0137

Sydney Morgan Brown, Richard Garfield

引用次数: 0

Parasitic Resilience: The Next Phase of Public Health Preparedness Must Address Power Imbalances Between Communities. 寄生虫的复原力：公共卫生准备的下一阶段必须解决社区之间的权力失衡问题。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-10-26 DOI: 10.1089/hs.2023.0022

Mitch H Stripling, Jordan Pascoe

{"title":"Parasitic Resilience: The Next Phase of Public Health Preparedness Must Address Power Imbalances Between Communities.","authors":"Mitch H Stripling, Jordan Pascoe","doi":"10.1089/hs.2023.0022","DOIUrl":"10.1089/hs.2023.0022","url":null,"abstract":"Community resilience, a system's ability to maintain its essential functions despite disturbance, is a cornerstone of public health preparedness. However, as currently practiced, community resilience generally focuses on defined neighborhood characteristics to describe factors such as vulnerability or social capital. This ignores the way that residents of some neighborhoods (as \"essential workers\") were required during the COVID-19 pandemic to sacrifice their wellbeing for the sake of others staying at home in more affluent neighborhoods. Using the global care chain theory, we analyze the way that the resilience of affluent neighborhoods depends on siphoning off the labor of other, less affluent neighborhoods, creating what we call the parasitic nature of resilience. We argue that understanding this neighborhood interdependence-and accounting for its parasitic nature-should be prioritized by public health authorities to prevent unintentional harm in future pandemics. Otherwise, any public health emergency response that relies on this labor (as did the COVID-19 pandemic response) depends on exploitative practices that produce the very disparities the response is trying to address. We explore the theoretical grounding and practical effects of this idea to provide the preparedness enterprise with an initial set of theoretical tools to move from a model of community resilience to one of community renewal. The community renewal model is based on an underlying ethics of care, in which systems are redesigned to become more prosocial during a public health response. We believe this model can more successfully address the tragic inequities in labor and health outcomes that we see during public health emergencies.","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":"50161413","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

Information Challenges Associated With Accessing and Sharing of Patient Information in Disasters: A Qualitative Analysis. 灾难中患者信息获取和共享的相关信息挑战：定性分析。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-10-27 DOI: 10.1089/hs.2023.0058

Lauren M Sauer, Beth Resnick, Jonathan L Links, Brian T Garibaldi, Lainie Rutkow

{"title":"Information Challenges Associated With Accessing and Sharing of Patient Information in Disasters: A Qualitative Analysis.","authors":"Lauren M Sauer, Beth Resnick, Jonathan L Links, Brian T Garibaldi, Lainie Rutkow","doi":"10.1089/hs.2023.0058","DOIUrl":"10.1089/hs.2023.0058","url":null,"abstract":"As disasters increase in frequency and severity, so too does the health impact on affected populations. Disasters exacerbate the already challenging health information-sharing landscape. A reduced capacity to access and share patient information may have negative impacts on providers' ability to care for patients individually and to address disaster health outcomes at the population level. Between October 2018 and July 2019, we conducted 21 semistructured interviews with physicians experienced in providing healthcare during disasters to understand the challenges related to patient information sharing in disaster responses. Key informants noted challenges with patient information management-including accessing, sharing, and transferring information-and that it was a barrier to providing effective clinical care in disasters. Three major areas were identified as challenges: (1) lack of systematic mechanisms for patient information sharing during disaster handoffs, (2) lack of access to a patient's past medical history, and (3) population-level impacts of patient information-sharing breakdowns in disasters. Reducing barriers to effective patient information sharing is a critical need during disasters. Requirements generally fall to overburdened clinicians, and novel solutions that ease this responsibility and leverage existing infrastructure should be explored. Work conducted during the COVID-19 pandemic may inform new solutions. Integrated approaches that support information sharing in real time will improve patient care at the individual level and can support operational improvements to current and future disaster responses.","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":"61562093","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

Stanford Vax Crew: A Model for Agile, Community-Centered Vaccination Campaigns. 斯坦福Vax团队:一个敏捷的、以社区为中心的疫苗接种运动模型。

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-11-14 DOI: 10.1089/hs.2023.0027

Mira Cheng, Caroline Murtagh, Bryant Macias, Diana Tellefson Torres, Walt Newman

引用次数: 0

Assessing US Small Animal Veterinary Clinic Adaptations and Their Impacts on Workforce COVID-19 Preparedness and Response. 评估美国小动物兽医诊所的适应性及其对劳动力COVID-19防范和应对的影响

IF 3.3 4区医学

Health Security Pub Date : 2023-11-01 Epub Date: 2023-11-15 DOI: 10.1089/hs.2023.0041

David R Marquez, Jacqueline Agnew, Daniel J Barnett, Meghan F Davis, Kathryn R Dalton

{"title":"Assessing US Small Animal Veterinary Clinic Adaptations and Their Impacts on Workforce COVID-19 Preparedness and Response.","authors":"David R Marquez, Jacqueline Agnew, Daniel J Barnett, Meghan F Davis, Kathryn R Dalton","doi":"10.1089/hs.2023.0041","DOIUrl":"10.1089/hs.2023.0041","url":null,"abstract":"Veterinary personnel are an essential yet often underappreciated workforce, critical for zoonotic disease prevention and response efforts that impact human health. During the early COVID-19 pandemic, the veterinary workforce supported emergency responses by promoting zoonotic disease risk communication, sharing animal health expertise, and boosting laboratory surge capacity against SARS-CoV-2 in animals and people. However, small animal veterinary workers (SAVWs), similar to healthcare workers, faced organizational challenges in providing clinical care to family pets, including those susceptible to SARS-CoV-2. We analyzed a cross-sectional survey of 1,204 SAVWs in the United States to assess veterinary clinic adaptations and their associations with SAVWs' self-perceived readiness, willingness, and ability to respond to the COVID-19 pandemic as a workforce. SAVWs who worked fewer hours than before the pandemic (ready, OR 0.59; willing, OR 0.66; able, OR 0.52) or used personal protective equipment less frequently for protection in the clinic (ready, OR 0.69; willing, OR 0.69; able, OR 0.64) felt less ready, willing, and able to respond to COVID-19. SAVWs working remotely felt less ready (OR 0.46) but not less willing or able to respond to COVID-19. Lastly, SAVWs with dependents felt less ready (OR 0.67) and able (OR 0.49) to respond to COVID-19 than SAVWs without dependents. Our findings highlight the importance of proactively managing work schedules, having access to personal protective equipment, and addressing caregiving concerns to enhance SAVW preparedness and response outcomes. SAVWs are knowledgeable, motivated personnel who should be integrated into local public health emergency preparedness and response plans, supporting a One Health framework that unites multidisciplinary teams to respond to future zoonotic disease threats.","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10777815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136397235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0