Health SecurityPub Date : 2024-01-01Epub Date: 2023-10-19DOI: 10.1089/hs.2023.0075
Zev Goldberg, Alexander G Linder, Lauren N Miller, Erin M Sorrell
{"title":"Wastewater Collection and Sequencing as a Proactive Approach to Utilizing Threat Agnostic Biological Defense.","authors":"Zev Goldberg, Alexander G Linder, Lauren N Miller, Erin M Sorrell","doi":"10.1089/hs.2023.0075","DOIUrl":"10.1089/hs.2023.0075","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"11-15"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49676925","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}
Health SecurityPub Date : 2024-01-01Epub Date: 2023-12-11DOI: 10.1089/hs.2023.0071
Andrew M Adams, Jessica Arrazola, Elizabeth R Daly, Megan Tompkins
{"title":"Threat Agnostic Epidemiology and Surveillance in US Public Health Agencies: Future Potential and Needs.","authors":"Andrew M Adams, Jessica Arrazola, Elizabeth R Daly, Megan Tompkins","doi":"10.1089/hs.2023.0071","DOIUrl":"10.1089/hs.2023.0071","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"25-30"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803351","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}
Health SecurityPub Date : 2024-01-01Epub Date: 2023-12-11DOI: 10.1089/hs.2023.0089
Jamie K Reaser, Rohit A Chitale, Gary M Tabor, Peter J Hudson, Raina K Plowright
{"title":"Looking Left: Ecologically Based Biosecurity to Prevent Pandemics.","authors":"Jamie K Reaser, Rohit A Chitale, Gary M Tabor, Peter J Hudson, Raina K Plowright","doi":"10.1089/hs.2023.0089","DOIUrl":"10.1089/hs.2023.0089","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"74-81"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803347","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}
Health SecurityPub Date : 2024-01-01Epub Date: 2023-09-20DOI: 10.1089/hs.2023.0067
John L Hick, Eric S Toner, Dan Hanfling, Paul D Biddinger, James V Lawler
{"title":"Data and Disasters: Essential Information Needed for All Healthcare Threats.","authors":"John L Hick, Eric S Toner, Dan Hanfling, Paul D Biddinger, James V Lawler","doi":"10.1089/hs.2023.0067","DOIUrl":"10.1089/hs.2023.0067","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"3-10"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41126309","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}
Health SecurityPub Date : 2024-01-01Epub Date: 2023-12-06DOI: 10.1089/hs.2023.0068
Lindsay Morton, Kathleen Creppage, Nazia Rahman, June Early, Laurie Hartman, Ashley Hydrick, Matthew Kasper
{"title":"Challenges and Opportunities in Pathogen Agnostic Sequencing for Public Health Surveillance: Lessons Learned From the Global Emerging Infections Surveillance Program.","authors":"Lindsay Morton, Kathleen Creppage, Nazia Rahman, June Early, Laurie Hartman, Ashley Hydrick, Matthew Kasper","doi":"10.1089/hs.2023.0068","DOIUrl":"10.1089/hs.2023.0068","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"16-24"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138487399","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}
Health SecurityPub Date : 2024-01-01Epub Date: 2023-12-06DOI: 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":"<p><p>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 <i>window of time to transfer</i>, <i>patient care setting</i>, and <i>conclusion of patient care</i>-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.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"58-64"},"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}
Health SecurityPub Date : 2024-01-01Epub Date: 2023-12-11DOI: 10.1089/hs.2023.0070
Jalal Awan, Laura J Faherty, Henry H Willis
{"title":"Navigating Uncertainty in Public Health Decisionmaking: The Role of a Value of Information Framework in Threat Agnostic Biosurveillance.","authors":"Jalal Awan, Laura J Faherty, Henry H Willis","doi":"10.1089/hs.2023.0070","DOIUrl":"10.1089/hs.2023.0070","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"39-44"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803349","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}
Health SecurityPub Date : 2024-01-01Epub Date: 2024-01-19DOI: 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":"<p><p>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 <i>Zaire ebolavirus.</i> 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 <i>t</i> test, <i>P</i><.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.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"65-73"},"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}
Health SecurityPub Date : 2024-01-01DOI: 10.1089/hs.2024.0010
Amesh A Adalja, Kelsey Lane Warmbrod, Mary J Lancaster
{"title":"Introduction to the Special Feature: Threat Agnostic Approaches to Biodefense and Public Health Are Now a Reality.","authors":"Amesh A Adalja, Kelsey Lane Warmbrod, Mary J Lancaster","doi":"10.1089/hs.2024.0010","DOIUrl":"https://doi.org/10.1089/hs.2024.0010","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":"22 1","pages":"1-2"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139930928","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}