Disaster Medicine and Public Health Preparedness最新文献_第3页

Overcoming Barriers to Service Delivery in Disasters. 克服灾害中提供服务的障碍。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-22 DOI: 10.1017/dmp.2025.10184

Mohammad Hossein Panahi, Pirhossein Kolivand, Narjes Nikpey, Fatemeh Zahra Poudineh, Negin Nayerloo, Ali Delpisheh, Mehrdad Farrokhi

{"title":"Overcoming Barriers to Service Delivery in Disasters.","authors":"Mohammad Hossein Panahi, Pirhossein Kolivand, Narjes Nikpey, Fatemeh Zahra Poudineh, Negin Nayerloo, Ali Delpisheh, Mehrdad Farrokhi","doi":"10.1017/dmp.2025.10184","DOIUrl":"https://doi.org/10.1017/dmp.2025.10184","url":null,"abstract":"Background: The increasing frequency and severity of unexpected events in recent years underscore the need for more effective disaster management strategies. This study aimed to identify obstacles and solutions for serving affected groups, providing practical strategies for improved disaster response.Methodology: This qualitative content analysis study of the conventional type, conducted in 2024, involved semi-structured face-to-face interviews and a focused group discussion with 17 participants, including university experts, executive bodies, and affected individuals. The method of \"Granheim and Lundman\" was used to analyze the data, and \"Lincoln and Guba's\" four criteria were used to establish the reliability of the data.Results: A total of 348 themes were identified, ultimately refined to 245 themes after repetition analysis. These themes were categorized into eight main categories: \"Management, Financial and Non-Financial Resources, Programs, Educational Affairs, Organizational Matters, Community Affairs, Participation, and Spiritual Affairs.\" Additionally, 29 subcategories were extracted.Conclusion: This study reveals key obstacles in disaster service delivery, including inadequate management, resources, and coordination. Solutions such as enhancing communication, clarifying roles, and promoting community participation can address these challenges. Strengthening public education, updating regulations, and integrating local cultural and spiritual support systems are essential for improving crisis response.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e270"},"PeriodicalIF":1.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115067","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

Experiences Regarding the Health, Security, and Privacy Problems of Women in Kahramanmaraş Earthquake. kahramanmaraki地震中妇女健康、安全和隐私问题的经验。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-19 DOI: 10.1017/dmp.2025.10180

Süreyya Gümüşsoy, Mukadder Tortumlu Özbek, Ali Akgün, Sezgin Durmuş

{"title":"Experiences Regarding the Health, Security, and Privacy Problems of Women in Kahramanmaraş Earthquake.","authors":"Süreyya Gümüşsoy, Mukadder Tortumlu Özbek, Ali Akgün, Sezgin Durmuş","doi":"10.1017/dmp.2025.10180","DOIUrl":"https://doi.org/10.1017/dmp.2025.10180","url":null,"abstract":"Objective: It is becoming increasingly evident that women are affected differently from men before, during, and after disasters. This study aims to evaluate the safety, health, and privacy concerns associated with earthquakes in Kahramanmaraş, focusing on the impact on women.Methods: The study is a case study design within a qualitative research approach. The data obtained were evaluated using the thematic analysis method. In the study, semi-structured interviews were conducted with 24 survivors of the earthquake. The data were analyzed with MAXQDA analysis software.Results: The study revealed that women have various health and safety risks. The main themes include experiences related to health, safety and privacy issues, hygiene, and other problems. Lack of adequate privacy, security problems, lack of appropriate resources and specialized facilities, women's menstrual difficulties, exposure to or witnessing violence, and issues related to being alone were found to be important themes.Conclusions: The root causes of women's vulnerability during disasters should be identified, and programs should be designed to reduce this vulnerability. Strategies and policies based on the needs of women should be developed to reduce their future vulnerability. Inclusion of women in decision-making processes will be effective in the development of gender strategies.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e268"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088166","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

Assessing the Resilience of the Supply Chain of Medicines and Consumables during Disasters Based on the World Economic Forum Framework: A Case of Iran. 基于世界经济论坛框架的灾害期间药品和耗材供应链弹性评估：以伊朗为例

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-19 DOI: 10.1017/dmp.2025.10192

Ramin Ravangard, Abolfazl Raeyat Mohtashami, Ahmad Allahyari Bouzanjani, Narges Khatoon Siadat, Milad Ahmadi Marzaleh

{"title":"Assessing the Resilience of the Supply Chain of Medicines and Consumables during Disasters Based on the World Economic Forum Framework: A Case of Iran.","authors":"Ramin Ravangard, Abolfazl Raeyat Mohtashami, Ahmad Allahyari Bouzanjani, Narges Khatoon Siadat, Milad Ahmadi Marzaleh","doi":"10.1017/dmp.2025.10192","DOIUrl":"https://doi.org/10.1017/dmp.2025.10192","url":null,"abstract":"Objectives: Pharmacies play a critical role in healthcare systems, especially during emergencies. Disruptions in the supply of medicines and consumables pose significant challenges in disaster response and recovery. Given the complexity and socio-political sensitivity of the resilient medicine supply chain, this study aimed to assess the resilience of the supply chain of medicines and consumables during disasters in Iran based on the World Economic Forum framework.Methods: A cross-sectional, descriptive-analytical study was conducted using a validated questionnaire. Data were collected from 224 pharmacies in Shiraz city using the census method for hospital-based pharmacies and cluster and simple random sampling methods for city-level pharmacies. The collected data were analyzed and modeled using SPSS v.21 and Smart PLS v.3 software.Results: The results confirmed the validity and reliability of the questionnaire developed for assessing the resilience of the supply chain of medicines and consumables during disasters based on the World Economic Forum framework. The results also demonstrated that participation (41.04), policy (30.22), information technology (26.72), and strategy (23.46) directly and positively contributed, respectively, to enhancing the resilience of the medicines and consumables supply chain during disasters.Conclusions: According to the results, the medicines and consumables supply chain resilience in Iran can be improved by facilitating international partnerships, developing better relationships with suppliers, moving toward digital and information technology-based supply chains, having a strategic plan for the medicines and consumables supply chain in disasters, and developing coordinating policies and effective strategies.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e266"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088118","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

Early Surveillance and Public Health Emergency Response Measures to SARS, H1N1, and COVID-19: A Case-Comparative Study. SARS、H1N1和COVID-19的早期监测和公共卫生应急措施：病例比较研究

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-19 DOI: 10.1017/dmp.2025.10197

Zhicheng Liu, Dingqi Li, Jinhua Li, Yue Du, Li Wang, Jiarui Si

引用次数: 0

Factors Influencing Cardiopulmonary Resuscitation Quality in Palestinian Emergency Settings. 巴勒斯坦急诊环境中影响心肺复苏质量的因素

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-18 DOI: 10.1017/dmp.2025.10203

Nesreen Alqaissi, Fuad Farajalla, Mohammad Qtait, Issa M Darabee, Dania S Khallaf, Khaled R Daghamin, Mariam S Rjoub

引用次数: 0

Tine san Ospidéal Phenomenological Study: Irish Hospital Fire. 爱尔兰医院火灾现象学研究。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-18 DOI: 10.1017/dmp.2025.10204

Geolain S Rust, Eric S Weinstein

{"title":"Tine san Ospidéal Phenomenological Study: Irish Hospital Fire.","authors":"Geolain S Rust, Eric S Weinstein","doi":"10.1017/dmp.2025.10204","DOIUrl":"10.1017/dmp.2025.10204","url":null,"abstract":"Objective: Hospitals are under constant threat from internal and external hazards. A fire can cause substantial structural damage that necessitates evacuations which can compromise care. The objective of this study is to assess the lived experiences of the Wexford General Hospital Staff who responded to the fire to learn how to improve an Irish Hospital Fire Protection System.Method: This Hermeneutic Phenomenological research study was conducted through focus group discussions and structured interviews. Hospital staff who volunteered to participate in the study must have worked on the day or night shift of the incident.Results: Discussion contents review yielded codes and themes, drawn into positive and negative lived experiences. Two main themes emerged: Positive Themes = Luck, Leadership, Level-headed, Liaison, Look-back and Learn (L5); Problem Themes = Alarms, Begrudge, Communication, Directive, Emergency Plan, Flow (ABCDEF).Conclusions: The Hermeneutic Phenomenology methodology utilized in this study specifically learning from the lived experiences of those who were on duty during the WGH fire can improve the fire protection system at hospitals based on the knowledge gained encompassed in the L5 and ABCDEF findings.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":" ","pages":"e284"},"PeriodicalIF":1.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082090","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

Enhancing Preparedness and Response to Flood Disasters: A Scoping Review of Training Activities for Response Staff. 加强对洪水灾害的准备和应对：应对人员培训活动的范围审查。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-16 DOI: 10.1017/dmp.2025.10195

Mehmet Kokoç, Perihan Şimşek, Abdülkadir Gündüz, Salih Akyıldız

{"title":"Enhancing Preparedness and Response to Flood Disasters: A Scoping Review of Training Activities for Response Staff.","authors":"Mehmet Kokoç, Perihan Şimşek, Abdülkadir Gündüz, Salih Akyıldız","doi":"10.1017/dmp.2025.10195","DOIUrl":"10.1017/dmp.2025.10195","url":null,"abstract":"Objective: This study examines the scope and trends of empirical research on training activities for flood disaster response teams.Methods: A scoping review, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, was conducted in June 2024 across four electronic databases and grey literature. The analysis included experimental and quasi-experimental studies published since 2005. An initial pool of 1193 studies was identified, 18 met the eligibility criteria and were included in the final analysis.Results: These studies revealed three key themes: 1) evaluation and improvement of operational procedures, 2) preparation of response teams, and 3) management of health-related issues.Conclusion: The results highlight the limited availability of empirical evidence in this area, reflecting the relatively small number of studies focusing specifically on training activities for flood disaster response teams. However, research in this field has shown growth since 2010, with a notable integration of educational technologies in most studies. Key training topics include psychological first aid and the evaluation of operational plans. Given the increasing frequency and severity of flood disasters due to global warming, further research is essential to develop and implement effective training programs, enabling response teams to address such emergencies more efficiently and comprehensively.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e263"},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071041","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 Curve-Fitting Approach for Generating Long-Term Projections of COVID-19 Mortality. 生成COVID-19死亡率长期预测的曲线拟合方法

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-16 DOI: 10.1017/dmp.2025.10188

George Kafatos, George Seegan, Bagmeet Behera, David Neasham, Brian Bradbury, Neil Accortt

{"title":"A Curve-Fitting Approach for Generating Long-Term Projections of COVID-19 Mortality.","authors":"George Kafatos, George Seegan, Bagmeet Behera, David Neasham, Brian Bradbury, Neil Accortt","doi":"10.1017/dmp.2025.10188","DOIUrl":"10.1017/dmp.2025.10188","url":null,"abstract":"Objective: This study aims to develop a curve-fitting approach for long-term COVID-19 mortality projections and evaluate its effectiveness as a scalable, data-driven tool for pandemic forecasting.Methods: The basic characteristics of a dynamic curve-fitting approach capable of generating long-term projections are described. To demonstrate its utility, the model was retrospectively applied using mortality data from the start of the pandemic, January to June 2020 (6-month data), to project into the period between June 2020 and April 2021 (11-month projections).Results: For scenarios with the best fit, the difference between observed and projected total deaths varied in the projection period between 7.7% and 28.2%.Discussion: When the COVID-19 pandemic started in early 2020, there was lack of understanding regarding its long-term impact. Available mathematical models were complex and typically provided short- and mid-term projections. The approach described generates long-term projections that are relatively easy to implement and can be enhanced to include other parameters such as vaccine impact or virus variants. The method could prove to be a valuable tool during a future pandemic.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e262"},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070975","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

1 + 1 = 3: How Practitioners Can Synergize Resilience Across Health and Beyond. 1 + 1 = 3：从业者如何在健康和其他领域协同恢复力。

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-10 DOI: 10.1017/dmp.2025.10185

Novil Wijesekara

{"title":"1 + 1 = 3: How Practitioners Can Synergize Resilience Across Health and Beyond.","authors":"Novil Wijesekara","doi":"10.1017/dmp.2025.10185","DOIUrl":"10.1017/dmp.2025.10185","url":null,"abstract":"Despite growing recognition of the interdependencies of resilience across systems, sectors, and levels (SSLs), translating this understanding into coordinated action remains a challenge. This study identifies seven systemic gaps that reinforce a persistent know–do gap, creating an unhealthy milieu intérieur that reinforces fragmentation across SSLs. In response, seven prerequisites for synergizing resilience are proposed, along with a working definition of Synergistic Resilience.To operationalize this concept, the Synergistic Resilience Compass (SRC) is introduced—a structured, adaptable, and practitioner-focused framework. A Seven-Step Rollout is proposed to guide implementation across diverse contexts, while illustrating SRC’s utility through case vignettes.Benefits, along with practice and research implications of SRC, are discussed through potential use case examples, balancing constructivism and pragmatism. Limitations and future directions, including iterative refinement, toolkit development, and creating a community of practice, are highlighted. The SRC provides a framework for synergizing resilience across SSLs where 1+1 becomes 3.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e260"},"PeriodicalIF":1.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031053","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

Modeling the Impact of Antimicrobial Resistance on Medical Preparedness and Response for a Nuclear or Radiological Public Health Emergency. 模拟抗菌素耐药性对核或放射性突发公共卫生事件的医疗准备和响应的影响

IF 1.8 4区医学

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-10 DOI: 10.1017/dmp.2025.9

Andrew J Phipps, Sue K Cammarata, Julia A Falvey, Matthew A Clay, Cameron D Bess, Mary J Homer, Mark T Albrecht

{"title":"Modeling the Impact of Antimicrobial Resistance on Medical Preparedness and Response for a Nuclear or Radiological Public Health Emergency.","authors":"Andrew J Phipps, Sue K Cammarata, Julia A Falvey, Matthew A Clay, Cameron D Bess, Mary J Homer, Mark T Albrecht","doi":"10.1017/dmp.2025.9","DOIUrl":"https://doi.org/10.1017/dmp.2025.9","url":null,"abstract":"Objective: Antimicrobial resistant infections are expected to increase the rate of antibiotic treatment failure in patients during a mass casualty incident. We aim to examine the potential impact of rising antimicrobial resistance (AMR) on medical preparedness and response to a nuclear detonation in the United States (U.S.) using a model to estimate the number of casualties with secondary bacterial infections overlaid with real-world data on the burden of antibiotic-resistant pathogens.Methods: The population of injured individuals needing treatment was estimated from a simulation involving a 100-kiloton nuclear detonation in a major U.S. metropolitan area. Contemporary antibiotic resistance rates for eight key bacterial pathogens were derived from the SENTRY Microbiology Visualization Platform.Results: Our model estimated that up to 65% of the casualties could be at risk to develop a secondary bacterial infection requiring antibiotic treatment which, when combined with the increasing burden of AMR in U.S., could result in up to one third of those patients who are injured and infected being at risk for treatment failure due to antibiotic resistance.Conclusions: The burden of AMR on the emergency response to a mass casualty incident, as described, could be a significant hinderance to efforts to treat infections and protect lives.","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e259"},"PeriodicalIF":1.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031048","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