Haider Ashfaq, Hamza Ashraf, Mahad Butt, Aiman Ashfaq
{"title":"Dengue Crisis Escalates in Peru in 2024: A Call for Immediate Action.","authors":"Haider Ashfaq, Hamza Ashraf, Mahad Butt, Aiman Ashfaq","doi":"10.1017/dmp.2025.50","DOIUrl":"10.1017/dmp.2025.50","url":null,"abstract":"<p><p>The escalating dengue crisis in Peru demands immediate action from global health organizations, health care authorities, and government officials. Endemic to Peru, dengue has seen a drastic increase in cases, with the largest outbreak on record occurring in the first half of 2023, resulting in 139 366 confirmed cases and 381 deaths. Despite efforts to contain the outbreak through integrated surveillance and response strategies, the crisis worsened in 2024 due to drastic climate changes, exacerbating conditions for dengue transmission. Heavy rains since December 2023 have caused flooding and landslides, creating ideal breeding grounds for dengue vectors. Overwhelmed local authorities, especially in areas with limited access to public services due to floods and landslides, struggle to manage the crisis. With more than half the population at risk of dengue infection, urgent measures are required to control the spread of dengue and mitigate increasing mortality rates. Targeted interventions in areas with limited health care access are crucial, considering underreporting and limitations of health systems, to accurately assess the true burden of the disease and prevent further escalation of the crisis.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e84"},"PeriodicalIF":1.9,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804764","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":"Factors Related to Current Level of Knowledge and Skills of Psychological First Aid Among Health Care Providers for Africa and the Global South: A Systematic Review.","authors":"Oluwaseun Adebayo Adewunmi, Takeo Fujiwara, Nobutoshi Nawa, Yu Par Khin, Eyitayo Adedamola Lawal","doi":"10.1017/dmp.2025.91","DOIUrl":"https://doi.org/10.1017/dmp.2025.91","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Psychological First Aid (PFA) is a crucial intervention designed to mitigate the psychological impact of acute crises among individuals. PFA aims to equip health care providers with the necessary skills and knowledge to offer immediate psychosocial support, thereby reducing the potential for long-term mental health issues. This study assesses health care practitioners' existing knowledge and skills in PFA.</p><p><strong>Methods: </strong>We searched PubMed, Psych INFO, Web of Science, CINAHL, and Google Scholar databases from April 1, 2023 to August 7, 2023, for studies published within 10 years that reported knowledge and skills of health care workers on PFA. A qualitative synthesis was performed on the selected studies.</p><p><strong>Results: </strong>Out of the 626 resulting studies, 12 were eligible. Self-efficacy was used to determine the effectiveness of psychological first-aid training. Passage of time had a significant impact on health care workers' understanding of proper psychosocial responses. PFA training is effective in providing psychological assistance to health personnel. The longer-term effects of the PFA training program are unknown.</p><p><strong>Conclusions: </strong>The findings highlight the effectiveness of PFA training in improving health care providers' knowledge and skills, calling for ongoing efforts to address challenges, adapt training approaches, and ensure the continued improvement of psychosocial support in acute crises.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e85"},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796281","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}
Syed Mukareem Ali, Khabab Abbasher Hussien Mohamed Ahmed, Areeba Ahsan, Ghassan E Mustafa Ahmed, Irtebaat Fatima, Samiuddin Tariq Ahmed, Faizan Niaz, Irfan Ullah, Abdul Waris
{"title":"Smallpox Vaccines for Monkeypox: Is Emergency Vaccination Imminent?","authors":"Syed Mukareem Ali, Khabab Abbasher Hussien Mohamed Ahmed, Areeba Ahsan, Ghassan E Mustafa Ahmed, Irtebaat Fatima, Samiuddin Tariq Ahmed, Faizan Niaz, Irfan Ullah, Abdul Waris","doi":"10.1017/dmp.2025.66","DOIUrl":"https://doi.org/10.1017/dmp.2025.66","url":null,"abstract":"<p><p>Monkeypox virus (MPXV) is a contagious disease that has been endemic in central and west Africa since 1970, characterized by symptoms such as fever, headache, and skin rash. While there is no approved treatment for MPXV infections, vaccination has proven effective in limiting its transmission, and previous smallpox vaccinations may also provide protection against monkeypox. However, the dependence of monkeypox on animal hosts makes eradication more complicated than with smallpox. Research should focus on assessing the safety of the vaccines, their duration of immunity, and their efficacy against the prevalent strains of monkeypox. The virus's accelerated rate of mutation poses additional challenges, as does the fact that it can be transmitted through animals, making eradication more complex than with smallpox. A comprehensive global immunization strategy is needed to address these complexities and draw on lessons learned from past eradication efforts.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e81"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765616","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}
Muluwork Tefera Dinberu, Senait Kebede, Tal Berkowitz, David Greenky
{"title":"Hazard Vulnerabilities Analysis in the Low-Resourced Global Setting.","authors":"Muluwork Tefera Dinberu, Senait Kebede, Tal Berkowitz, David Greenky","doi":"10.1017/dmp.2025.81","DOIUrl":"https://doi.org/10.1017/dmp.2025.81","url":null,"abstract":"<p><p>A hazard vulnerabilities analysis (HVA) is an exercise used by institutions to identify potential threats and is required for credentialing hospitals in the US. To date, there is no documentation of HVA completion in low/middle income countries (LMIC) in the literature. American physicians working together with local physicians and staff from a major referral hospital in Addis Ababa, Ethiopia conducted an HVA in the LMIC setting. Using the Kaiser HVA template, the tool and exercise were tailored to the needs and resources of the LMIC setting. The exercise prompted rich discussion and facilitated the development of a framework to address local hospital threats. Many threats were considered sub-acute or chronic problems that had potential to acutely worsen, putting hospital operations and patient care in jeopardy and impacting staff. Ongoing threats were addressed creatively by the hospital administration, caregivers, and staff, a testament to the resiliency of the system and those working in it. Nonetheless, the hospital benefited from the HVA framework to improve future preparedness. Conducting an HVA in the LMIC setting is feasible, and this example can serve as a basis for HVA completion by other hospitals in similar settings.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e78"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765965","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":"Trauma Level of Midwifery Students After the Catastrophe of the Century Turkey Earthquake: A Cross-Sectional Descriptive Study.","authors":"Sakine Yılmaz, Yadigar Ordu, Demet Aktaş","doi":"10.1017/dmp.2025.77","DOIUrl":"https://doi.org/10.1017/dmp.2025.77","url":null,"abstract":"<p><strong>Objective: </strong>Earthquakes deeply affect people's lives and cause significant psychological damage. This study was conducted to determine the trauma level of midwifery students after the devastating earthquake in Turkey.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted with 252 students enrolled in the midwifery department of the Faculty of Health Sciences of a state university in Turkey. Data were collected using the participant information form and the Scale for Determining the Level of Post-Earthquake Trauma. Kruskal-Wallis and Mann-Whitney U tests were used for data analysis.</p><p><strong>Results: </strong>This study found that post-earthquake, students had trauma levels and sub-dimension scores related to behavioral problems, excitement limitation, affective and cognitive structuring, and sleep problems that were above average. The research revealed that students who were present in one of the earthquake-affected provinces, experienced house destruction, suffered the loss of relatives, had previous traumatic events, or received disaster management training had significantly higher levels of trauma.</p><p><strong>Conclusions: </strong>In this direction, it is of utmost importance for university students in midwifery departments to be prepared for natural disasters like earthquakes. This preparedness will enable them to effectively cope with the physical and psychological issues caused by such disasters, benefiting both their own health and public health.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e79"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765629","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":"Diabetes Self-Management and Health Care Demand Procrastination Behavior Among Earthquake Victims with Type 2 Diabetes in Earthquake Zone.","authors":"Erdal Ceylan","doi":"10.1017/dmp.2025.79","DOIUrl":"https://doi.org/10.1017/dmp.2025.79","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this descriptive study was to assess diabetes self-management and health care demand procrastination behaviors among earthquake victims with type 2 diabetes.</p><p><strong>Methods: </strong>The population of the study consisted of earthquake victims with Type 2 diabetes in Hatay, Türkiye. The sample included 202 people with type 2 diabetes who lived in 7 distinct container cities. Data were collected using the Introductory Information Form, Diabetes Self-Management Scale, and Healthcare Demand Procrastination Scale via face-to-face interviews.</p><p><strong>Results: </strong>Participants' average score on the diabetes self-management scale was 58.34 ± 9.11. Being under the age of 60, employed, visiting a medical center on their own, having received diabetes education, and owning a glucometer were associated with better diabetes self-management, whereas being illiterate and having difficulty covering diabetes-related expenses were associated with poor diabetes management (<i>P</i> < 0.05). Participants' average score on the Healthcare Demand Procrastination Scale was 2.35 ± 0.72. Respondents who didn't have a nearby health care institution, whose diabetes diagnosis duration was between 1-5 years, and who didn't have a glucometer had significantly higher scores on the Healthcare Demand Procrastination Scale (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>Diabetes self-management among earthquake victims with Type 2 diabetes was low. It was also determined that participants' health care demand procrastination behaviors were at a moderate level.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e82"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765922","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}
Hannah B Wild, Moumini Niaone, Aparna Cheran, Madeline Ross, Barclay T Stewart, Nicolas Meda
{"title":"How Many Goats Does a Mannequin Cost? Community-engaged Design of Layperson First Responder Training Materials in Low-resource Settings.","authors":"Hannah B Wild, Moumini Niaone, Aparna Cheran, Madeline Ross, Barclay T Stewart, Nicolas Meda","doi":"10.1017/dmp.2025.69","DOIUrl":"10.1017/dmp.2025.69","url":null,"abstract":"<p><strong>Objectives: </strong>Simulation materials for layperson first responder (LFR) trainings used in high-resource settings are prohibitively expensive for use in low- and low-middle income countries. To date, no structured approach to community-engaged design in identifying accessible and acceptable simulation materials for LFR trainings has been developed.</p><p><strong>Methods: </strong>We conducted 2 workshops with male (18) and female participants (10) in a rural village in the Centre-Est region of Burkina Faso using principles of community-engaged research to define solutions for improvised LFR training materials.</p><p><strong>Results: </strong>Participants reported a range of reactions to the use of live trainees and animal models for LFR training including considerations around gender sensitivity, use of animals for training purposes in regions of food insecurity, and religious and cultural barriers to consumption of meat after use for training purposes. A range of locally available options for training materials was identified by participants.</p><p><strong>Conclusions: </strong>Significant sociocultural variability exists across low-resource environments with implications for the acceptability and availability of improvised materials for LFR training. Affected communities should be engaged in the selection and design of improvisation strategies to ensure context-appropriate adaptation.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e80"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764400","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}
Christopher Wright, Cullen Clark, Hazel Jeong, Jessica Gillespie, Rachel Stanley, Jennifer Melvin
{"title":"Improving Mass Casualty Incident Preparedness of Pediatric Emergency Medicine Fellows: A Quality Improvement Initiative.","authors":"Christopher Wright, Cullen Clark, Hazel Jeong, Jessica Gillespie, Rachel Stanley, Jennifer Melvin","doi":"10.1017/dmp.2025.74","DOIUrl":"https://doi.org/10.1017/dmp.2025.74","url":null,"abstract":"<p><strong>Objective: </strong>Mass casualty incidents (MCI) overwhelm health care systems; however, MCIs are infrequent and require ongoing preparatory efforts. Although there is dedicated disaster medicine education in emergency medicine, most pediatric emergency medicine (PEM) fellows complete pediatric residencies. Pediatric residents have variable exposure to disaster training as part of their curriculum. To improve this, a quality improvement (QI) initiative was implemented to increase MCI comfort and knowledge amongst PEM fellows.</p><p><strong>Methods: </strong>This study took place in a single-center tertiary pediatric hospital, amongst 1 cohort of PEM fellows. Following a baseline survey, a key driver diagram was developed to guide Plan-Do-Study-Act (PDSA) cycles. A focused disaster curriculum was provided to fellows and specific quick references were developed. Knowledge application interventions included mock triage, response scavenger hunt, and tabletop MCI exercise.</p><p><strong>Results: </strong>PEM fellow comfort and knowledge of MCI response improved from an average of 2.93 to 6.56 on a 10-point Likert scale, and 3.71 to 6.58 on 10-point Likert scale respectively following the active intervention cycle and showed sustained results over a 6-month period without further interventions.</p><p><strong>Conclusions: </strong>Utilizing QI methodology, PEM fellow comfort with MCI response, and knowledge of MCI response increased. As MCIs are a rare occurrence, ongoing assessment is necessary to evaluate the need for further interventions to maintain knowledge and comfort levels.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e83"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765615","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}
Heba Mohtady Ali, Jamie Ranse, Anne Roiko, Cheryl Desha
{"title":"Health Care Workers' Perceptions of Hospital Disaster Planning and Preparedness for Building Resilient Healthcare Systems.","authors":"Heba Mohtady Ali, Jamie Ranse, Anne Roiko, Cheryl Desha","doi":"10.1017/dmp.2025.3","DOIUrl":"https://doi.org/10.1017/dmp.2025.3","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine health care workers' (HCWs) perceptions of hospital disaster planning and preparedness within the context of building resilient health care systems. It also evaluated HCWs' involvement in the planning process.</p><p><strong>Methods: </strong>Thirteen HCWs from 2 Queensland hospitals participated in in-depth, semi-structured interviews. These interviews were audio-recorded with participant consent and transcribed verbatim. Transcripts, recordings, and participant details were coded for confidentiality. Thematic analysis was used to identify essential patterns in the data and make sense of them.</p><p><strong>Results: </strong>HCWs' perspectives on disaster planning underscored the importance of comprehensive planning, business continuity, proactive approaches emphasizing anticipation and risk mitigation, and implementation of established plans through training, resource management, and operational readiness. HCWs' participation in planning ranged from high engagement through collaboration and continuous improvement to moderate or lower levels focusing on regulatory compliance and resource allocation.</p><p><strong>Conclusions: </strong>This study highlights HCWs' views regarding disaster planning and preparedness for building resilient health care systems. HCWs emphasised comprehensive planning and proactive preparedness, aligning with global priorities for disaster risk reduction. They stress the importance of education, training, operational readiness, and continuous improvement. This study underlines the vital role of HCWs' participation in disaster planning and the need for comprehensive training initiatives.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e77"},"PeriodicalIF":1.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755836","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}
Ramnath Vadi, Wojtek Wilk, Anna Radecka, Diana Maddah
{"title":"What Do 32 COVID-19 Deployments of Emergency Medical Teams Tell Us about Challenges and Lessons Learned?","authors":"Ramnath Vadi, Wojtek Wilk, Anna Radecka, Diana Maddah","doi":"10.1017/dmp.2025.70","DOIUrl":"https://doi.org/10.1017/dmp.2025.70","url":null,"abstract":"<p><p>The COVID-19 pandemic showed the vital role of Emergency Medical Teams (EMTs) in international surge responses. The EMTs with their internationally skilled team members were able to meaningfully support countries facing the pandemic, especially those who were suffering from scarcity in the quality and quantity of workforce and financial resources within their health systems. This report summarizes the main operational challenges faced by UK-Med and The Polish Center for International Aid (PCPM) Emergency Medical Teams, based on experiences from their 32 COVID-19 deployments. In particular, the paper discusses the hindrances related to Ministries of Health expectations and the changing roles of EMTs during deployments.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e74"},"PeriodicalIF":1.9,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733217","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}