Health Security最新文献_第9页

Independent Community Pharmacies and Public Health Preparedness: A Novel Engagement Structure and Recommendations for Ongoing Partnerships. 独立社区药房和公共卫生准备：一种新的参与结构和持续伙伴关系的建议。

IF 2.1 4区医学

Health Security Pub Date : 2025-05-01 DOI: 10.1089/hs.2024.0123

Diana Yassanye, Rebecca Snead, Kurt Proctor

{"title":"Independent Community Pharmacies and Public Health Preparedness: A Novel Engagement Structure and Recommendations for Ongoing Partnerships.","authors":"Diana Yassanye, Rebecca Snead, Kurt Proctor","doi":"10.1089/hs.2024.0123","DOIUrl":"https://doi.org/10.1089/hs.2024.0123","url":null,"abstract":"The demands for vaccination, testing, and community outreach during the COVID-19 pandemic extended beyond public health capabilities. The role of independent pharmacies proved invaluable as they partnered with local, state, and federal public health entities to provide additional capacity. However, the complexities of federal partnering agreements and the limited awareness of independent pharmacy networks could delay engagement and support for underserved communities in future responses. Addressing this challenge requires tailored public-private partnership agreements and resilience frameworks for data sharing based on experience and exercises. This case study describes the experiences of independent pharmacies during the COVID-19 response, opportunities for sustained public health and pharmacy engagement, and recommendations for building a framework for rapid scale-up before the next public health emergency. Under the direction of the National Community Pharmacists Association Innovation Center, aggregators of independent pharmacies have collaborated to form the Independent Community Pharmacy Consortium for Federal Government Engagement. This consortium represents a majority of the 18,900 independent pharmacies in the United States and establishes a single initial point of contact for government agencies to reach independent pharmacies. The development and management of the consortium remains outside of the government, enabling continuity and flexibility. This case study offers a unique perspective of public health engagement and partnership with independent pharmacies based on documented responses, exercises, and discussions.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":"23 3","pages":"198-206"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274721","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

Harnessing Machine Learning for Agnostic Biodetection. 利用机器学习进行不可知论生物检测。

IF 2.1 4区医学

Health Security Pub Date : 2025-05-01 Epub Date: 2025-05-30 DOI: 10.1089/hs.2024.0075

Sarah H Sandholtz, Camilo Valdes, Nisha Mulakken, Marisa W Torres, Aram Avila-Herrera, Jeffrey A Drocco, Jose Manuel Martí, Jonathan E Allen, Uttara Tipnis, Crystal J Jaing, Nicholas A Be

引用次数: 0

Mapping the Cyberthreat Landscape in Healthcare Using GDELT: A Multimethod Approach. 使用GDELT映射医疗保健中的网络威胁环境：一种多方法方法。

IF 2.1 4区医学

Health Security Pub Date : 2025-05-01 Epub Date: 2025-05-16 DOI: 10.1089/hs.2024.0016

Anna Piazza, Srinidhi Vasudevan

{"title":"Mapping the Cyberthreat Landscape in Healthcare Using GDELT: A Multimethod Approach.","authors":"Anna Piazza, Srinidhi Vasudevan","doi":"10.1089/hs.2024.0016","DOIUrl":"10.1089/hs.2024.0016","url":null,"abstract":"Cyberattacks that target critical national infrastructure, such as hospitals, pose a significant threat to the safety and wellbeing of individuals, as evidenced by incidents like the WannaCry worldwide ransomware attack. To better understand vulnerabilities within the healthcare sector and develop preventive measures, it is crucial to examine the evolving nature of cyberthreats and the types of attacks occurring. In this article, we describe a multimethod approach comprising social networks analysis, natural language processing, and machine learning, using data from GDELT (Global Database of Events, Language, and Tone), to identify the prevalence of attacks on hospitals while considering the type of attack and its date. Through this approach, meaningful patterns in the evolution of cyberattacks are revealed by analyzing the relationships between emerging cyberattacks mentioned in news reports. Findings show that the number of attacks from 2017 to 2023 increased substantially, with hospitals being more prone to critical attacks such as cyberterrorism/state actor-sponsored criminal activities, advanced persistent threats, and distributed denial of service. Mapping real-time data from diverse sources using a multimethod approach, such as the framework proposed in this article, can lead to better understanding of the threat landscape. This is a crucial step in determining necessary cyberdefenses and informing the development of policy interventions to ensure the cybersecurity of critical national infrastructure.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"186-197"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077723","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

Not Ready: The Need for a Training Standard in Healthcare Emergency Preparedness. 未准备好：医疗应急准备培训标准的需要。

IF 2.1 4区医学

Health Security Pub Date : 2025-05-01 Epub Date: 2025-05-14 DOI: 10.1089/hs.2024.0086

Patrina White, Florence Di Benedetto, Keith Hansen, Sharon Medcalf, Rachel Lookadoo

{"title":"Not Ready: The Need for a Training Standard in Healthcare Emergency Preparedness.","authors":"Patrina White, Florence Di Benedetto, Keith Hansen, Sharon Medcalf, Rachel Lookadoo","doi":"10.1089/hs.2024.0086","DOIUrl":"10.1089/hs.2024.0086","url":null,"abstract":"Natural and human-induced disasters are increasing, which affects public health and safety in many ways including disruption of healthcare. Emergency preparedness mitigates the impacts of these disasters and training improves preparedness. However, no standard for training emergency managers exists. This study aimed to explore the state of US healthcare preparedness and the impact of training on preparedness and proposes a training standard for healthcare emergency managers. Mixed methods research was conducted to understand different aspects of training, inform the design of a training standard, and explore potential barriers. The first phase included a quantitative survey with 67 participants who responded to questions about training topics, quantity, and delivery format. In the second qualitative phase, 5 focus groups with 29 participants were conducted to deepen the understanding of survey results and collect information about training topics, barriers to adopting a standard, and recommendations for overcoming barriers. Ten training topics, for a quantity of 11 hours or more per topic, were identified in the quantitative phase and reinforced in the qualitative phase. In-person training was preferred for all but 3 topics, where online synchronous delivery was preferred. Other aspects of training were further explored, and the concept of a basic versus advanced training standard emerged as a major theme. Barriers to training included financial support and time to attend training as well as gaps in leadership knowledge and support. While training is key to improved healthcare emergency preparedness, variation in training exists. This study recommends a standard in healthcare emergency manager training.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"147-154"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077743","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

Now Is the Time to Update Emergency Response Plans. 现在是更新应急响应计划的时候了。

IF 2.1 4区医学

Health Security Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1089/hs.2025.0073

Lisa M Koonin

引用次数: 0

Development and Implementation of Rapid Discharge Plan in a Municipal Healthcare System. 市级医疗系统快速出院计划的制定与实施。

IF 2.1 4区医学

Health Security Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI: 10.1089/hs.2024.0096

Ryan M Leone, Laura G Iavicoli, David M Silvestri, R James Salway

{"title":"Development and Implementation of Rapid Discharge Plan in a Municipal Healthcare System.","authors":"Ryan M Leone, Laura G Iavicoli, David M Silvestri, R James Salway","doi":"10.1089/hs.2024.0096","DOIUrl":"10.1089/hs.2024.0096","url":null,"abstract":"When patient demand exceeds hospital capacity in certain scenarios, such as natural disasters, terrorist attacks, or staffing shortages, the rapid discharge of patients identified through reverse triage methodologies can create surge capacity. The evaluation of this concept has been documented in numerous resources and studies, but current tools tend to be extensive and siloed, which may make them difficult to use during emergencies. To prepare the largest municipal healthcare system in the United States for situations requiring rapid patient discharge, NYC Health + Hospitals/Central Office Emergency Management sought to develop a short, synthesized, and user-friendly plan. After consulting experts and reviewing existing peer-reviewed articles, gray literature, and internal facility documents, the team created a 7-page rapid action checklist that synthesizes important content. The Risk-based, Abbreviated, Patient Identification Discharge (RAPID) tool was successfully used during a resident labor action in May 2023, illustrating that its utility may extend beyond the system in which it was used. Future work should be done to validate and improve upon this tool.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"110-115"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515264","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

Examining COVID-19 Vaccine Hesitancy in Nairobi, Kenya, Using the Modified 5 Cs Model. 使用修改后的 5 Cs 模型研究肯尼亚内罗毕的 COVID-19 疫苗犹豫不决问题。

IF 2.1 4区医学

Health Security Pub Date : 2025-03-01 Epub Date: 2025-03-03 DOI: 10.1089/hs.2024.0049

Christine Crudo Blackburn, Leila H Abdullahi, Tim Callaghan, Brian Colwell, Tasmiah Nuzhath, Jessica Hernandez

{"title":"Examining COVID-19 Vaccine Hesitancy in Nairobi, Kenya, Using the Modified 5 Cs Model.","authors":"Christine Crudo Blackburn, Leila H Abdullahi, Tim Callaghan, Brian Colwell, Tasmiah Nuzhath, Jessica Hernandez","doi":"10.1089/hs.2024.0049","DOIUrl":"10.1089/hs.2024.0049","url":null,"abstract":"In this study, we identify facilitators and barriers to COVID-19 vaccination in Nairobi, Kenya, using the modified 5 Cs model for vaccine hesitancy. We conducted 33 in-person interviews in Nairobi, Kenya. Participants were recruited using convenience sampling by a member of the research team who resides in Nairobi and speaks Swahili. Interviews were audio recorded and transcripts were analyzed using thematic analysis. The modified 5 Cs model for vaccine hesitancy was applied to create a codebook prior to analysis. Participants cited misinformation, lack of trust in the science behind the vaccine, and concerns about side effects as reasons for not receiving the COVID-19 vaccine. Facilitators for choosing to receive the vaccination included concerns about the severity of COVID-19, vaccination requirements for school and employment, and communication from the government. This study is the first to organize facilitators and barriers to COVID-19 vaccine uptake in Kenya using the 5 Cs model of vaccine hesitancy. Our findings suggest that to improve vaccine uptake in Kenya, interventions should inform the public about the vaccine's safety and reduce misinformation.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"102-109"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537016","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

Detection of Antibiotic-Resistant Airborne Bacteria in Restaurant Environments in Riyadh City. 利雅得市餐馆环境中空气中耐药细菌的检测

IF 2.1 4区医学

Health Security Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI: 10.1089/hs.2024.0046

Basel Aldosary, Hichem Chouayekh, Alhanouf Alkhammash, Wasayf Aljuaydi, Gabr El-Kot, Adel Alhotan, Walid Aljarbou, Aiydh Alshehri

{"title":"Detection of Antibiotic-Resistant Airborne Bacteria in Restaurant Environments in Riyadh City.","authors":"Basel Aldosary, Hichem Chouayekh, Alhanouf Alkhammash, Wasayf Aljuaydi, Gabr El-Kot, Adel Alhotan, Walid Aljarbou, Aiydh Alshehri","doi":"10.1089/hs.2024.0046","DOIUrl":"10.1089/hs.2024.0046","url":null,"abstract":"The spread of bacteria that cause illness is a critical problem facing the restaurant industry worldwide. These bacteria can proliferate in various restaurants areas through airborne transmission mechanisms, increasing the risk of food contamination. In this study, our aim was to detect the presence of potential foodborne pathogenic bacteria-Escherichia coli, Staphylococcus aureus, and aerobic bacteria-in aerosols of different restaurants zones in Riyadh city in the Kingdom of Saudi Arabia. We focused on 3 important zones: preparation (Zone A), food packaging (Zone B), and handwashing (Zone C). The bacteria of interest were isolated, identified, and characterized by using selective media, biochemical, and antibiotic susceptibility tests. The results showed that all 40 of the studied restaurants were contaminated with aerobic bacteria, with a total count of 3,978 colony-forming units (CFU) in Zone C, 1,323 in Zone B, and 525 in Zone A. E coli was identified as the most prevalent illness-causing bacteria in Zone A-derived aerosols (721 CFU), while S aureus had the highest occurrence in aerosols in Zone C (528 CFU). Pertaining to the antibiotic resistance phenotype of assessed isolates, our findings revealed that Zone C-derived E coli isolates showed resistance ranging from 25% to 100% toward 8 of the 15 tested antibiotics. S aureus isolates originating from Zone B exhibited between 25% and 75% resistance to 2 antibiotics, while isolates from Zone C showed resistance ranging from 5.88% to 47.05% to 4 antibiotics. Findings from this study illustrate that restaurants' aerosols are highly contaminated with different antibiotic-resistant bacteria, which increases the risk of food poisoning and threats food security.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"94-101"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515444","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

Hospital Preparedness for Conducting Clinical Research During a Pandemic: A Nationwide Survey Among Designated Medical Institutions for Infectious Diseases in Japan. 大流行期间医院开展临床研究的准备情况：日本全国传染病指定医疗机构调查。

IF 2.1 4区医学

Health Security Pub Date : 2025-03-01 Epub Date: 2025-03-03 DOI: 10.1089/hs.2024.0044

Kazuaki Jindai, Hiroki Saito, Eriko Morino, Ryota Hase, Masaya Yamato, Miwa Sonoda, Taro Shibata, Tatsuo Iiyama

{"title":"Hospital Preparedness for Conducting Clinical Research During a Pandemic: A Nationwide Survey Among Designated Medical Institutions for Infectious Diseases in Japan.","authors":"Kazuaki Jindai, Hiroki Saito, Eriko Morino, Ryota Hase, Masaya Yamato, Miwa Sonoda, Taro Shibata, Tatsuo Iiyama","doi":"10.1089/hs.2024.0044","DOIUrl":"10.1089/hs.2024.0044","url":null,"abstract":"In Japan, the Infectious Disease Control Law designates certain institutions across the country as medical institutions for infectious diseases, with the role to respond to and prepare for epidemic or pandemic infections. Since the early stages of the COVID-19 pandemic, these designated medical institutions have provided clinical care to patients with COVID-19. While these institutions primarily handle clinical care, they are also well poised to conduct rigorous clinical research that is needed to address future health emergencies. The COVID-19 pandemic highlighted the importance of clinical research as a medical countermeasure through its role in the development of effective novel vaccines and therapeutics. Under the Japanese system, designated medical institutions that cared for patients with COVID-19 had the privilege to access the earliest cases and were uniquely positioned to contribute to scientific evidence. Based on this understanding, we conducted a nationwide survey and analyzed data from 100 designated medical institutions to better understand their experiences and involvement in clinical research during the COVID-19 pandemic and their readiness and willingness to conduct clinical research in a future health emergency. While quite a few institutions showed willingness to participate in infectious disease research in the event of a future health emergency, it was evident that many would require additional expertise and financial support to facilitate such research. Our analysis suggests that further capacity development, empowerment for clinical research, and a strong collaborative network across stakeholders are required to improve pandemic response and preparedness in Japan.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"82-93"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537024","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

Assessment of Training Needs on Biorisk Management for Medical and Veterinary Laboratory Staff in Vietnam: A Survey in 13 Provinces. 越南医学和兽医实验室工作人员生物风险管理培训需求评估：对13个省的调查

IF 2.1 4区医学

Health Security Pub Date : 2025-03-01 Epub Date: 2025-04-02 DOI: 10.1089/hs.2024.0039

Phuc Pham Duc, Le Thanh Hai, Pham Dieu Quynh, Nguyen Manh Hung, Dinh Xuan Tung, Kavitha Misra, Le Thi Thanh Xuan, Hai-Thanh Pham

{"title":"Assessment of Training Needs on Biorisk Management for Medical and Veterinary Laboratory Staff in Vietnam: A Survey in 13 Provinces.","authors":"Phuc Pham Duc, Le Thanh Hai, Pham Dieu Quynh, Nguyen Manh Hung, Dinh Xuan Tung, Kavitha Misra, Le Thi Thanh Xuan, Hai-Thanh Pham","doi":"10.1089/hs.2024.0039","DOIUrl":"10.1089/hs.2024.0039","url":null,"abstract":"The study team conducted a cross-sectional study among medical laboratory staff (MLS) and veterinary laboratory staff (VLS) employed in laboratories affiliated in Vietnam to assess the current biorisk management (BRM) training situation and to identify MLS and VLS training needs. A total of 283 laboratory staff members, comprising 168 MLS and 115 VLS, completed the questionnaire. Over two-thirds (68.7%) of the respondents possessed more than 5 years of laboratory experience, with 71.4% operating within high levels of laboratory biosafety. Results showed that more MLS had undergone BRM training, but higher scores were observed for VLS in terms of addressing their organizational reputation and other types of biorisk within their biorisk system. Training needs on BRM among both MLS and VLS were confirmed to be high across all BRM areas measured, with most respondents expressing the need for training or retraining. The study underscores the necessity to enhance both the quantity and quality of BRM training in Vietnam. Consequently, it strongly advocates for the development of a standardized national training program on BRM, aimed at ensuring the effectiveness of training activities.","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"124-135"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772228","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