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  Subjects -> HEALTH AND SAFETY (Total: 1425 journals)
    - CIVIL DEFENSE (23 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (627 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (387 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (107 journals)
    - PHYSICAL FITNESS AND HYGIENE (112 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (627 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 25)
African Health Sciences     Open Access   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 43)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 16)
American Journal of Health Education     Hybrid Journal   (Followers: 32)
American Journal of Health Promotion     Hybrid Journal   (Followers: 30)
American Journal of Health Sciences     Open Access   (Followers: 9)
American Journal of Health Studies     Full-text available via subscription   (Followers: 12)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 238)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annales des Sciences de la Santé     Open Access  
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 7)
Autism & Developmental Language Impairments     Open Access   (Followers: 9)
Behavioral Healthcare     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 18)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 11)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 23)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 23)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 1)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access   (Followers: 1)
Cuadernos de la Escuela de Salud Pública     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 9)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 4)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 21)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 22)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 4)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 8)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 13)
Family Medicine and Community Health     Open Access   (Followers: 9)
Family Relations     Partially Free   (Followers: 13)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 16)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 8)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 4)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 10)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 57)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Equity     Open Access  
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 23)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 43)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 4)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 53)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 20)
Health Psychology Review     Hybrid Journal   (Followers: 42)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 14)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal  
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 14)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
Healthy Aging Research     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  

        1 2 3 4 | Last

Similar Journals
Journal Cover
Disaster Medicine and Public Health Preparedness
Journal Prestige (SJR): 0.471
Citation Impact (citeScore): 1
Number of Followers: 13  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1935-7893 - ISSN (Online) 1938-744X
Published by Cambridge University Press Homepage  [374 journals]
  • DMP volume 13 issue 2 Cover and Front matter
    • PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.28
      Issue No: Vol. 13, No. 2 (2019)
       
  • DMP volume 13 issue 2 Cover and Back matter
    • PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.29
      Issue No: Vol. 13, No. 2 (2019)
       
  • Disaster Risk Reduction in Myanmar
    • Authors: Beuy Joob; Viroj Wiwanitkit
      Pages: 103 - 103
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.34
      Issue No: Vol. 13, No. 2 (2019)
       
  • Burden of Frailty in Post-Disaster Low-Income Countries: An Example From
           Nepal
    • Authors: Jagadish K. Chhetri; Gehendra Mahara, Bruno Vellas, Matteo Cesari
      Pages: 104 - 104
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.50
      Issue No: Vol. 13, No. 2 (2019)
       
  • Celebrity Role in Sarpol-e Zahab Earthquake in Iran 2017
    • Authors: Mohammad Heidari; Seyedeh Samaneh Miresmaeeli, Neda Eskandary
      Pages: 105 - 106
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.104
      Issue No: Vol. 13, No. 2 (2019)
       
  • Successful Renovation of a Closed School Into a Long-Term Care Facility in
           the Affected Area After the 2011 Fukushima Disaster
    • Authors: Yoshitaka Nishikawa; Akihiko Ozaki, Masaharu Tsubokura
      Pages: 107 - 108
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.107
      Issue No: Vol. 13, No. 2 (2019)
       
  • Health Care Providers in War and Armed Conflict: Operational and
           Educational Challenges in International Humanitarian Law and the Geneva
           Conventions, Part I. Historical Perspective
    • Authors: Frederick M. Burkle; Adam L. Kushner, Christos Giannou, Mary A. Paterson, Sherry M. Wren, Gilbert Burnham
      Pages: 109 - 115
      Abstract: Since 1945, the reason for humanitarian crises and the way in which the world responds to them has dramatically changed every 10 to 15 years or less. Planning, response, and recovery for these tragic events have often been ad hoc, inconsistent, and insufficient, largely because of the complexity of global humanitarian demands and their corresponding response system capabilities. This historical perspective chronicles the transformation of war and armed conflicts from the Cold War to today, emphasizing the impact these events have had on humanitarian professionals and their struggle to adapt to increasing humanitarian, operational, and political challenges. An unprecedented independent United Nations–World Health Organization decision in the Battle for Mosul in Iraq to deploy to combat zones emergency medical teams unprepared in the skills of decades-tested war and armed conflict preparation and response afforded to health care providers and dictated by International Humanitarian Law and Geneva Convention protections has abruptly challenged future decision-making and deployments. (Disaster Med Public Health Preparedness. 2019;13:109–115)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.41
      Issue No: Vol. 13, No. 2 (2019)
       
  • Public Health and Mental Health Implications of Environmentally Induced
           Forced Migration
    • Authors: James M. Shultz; Andreas Rechkemmer, Abha Rai, Katherine T. McManus
      Pages: 116 - 122
      Abstract: Climate change is increasingly forcing population displacement, better described by the phrase environmentally induced forced migration. Rising global temperatures, rising sea levels, increasing frequency and severity of natural disasters, and progressive depletion of life-sustaining resources are among the drivers that stimulate population mobility. Projections forecast that current trends will rapidly accelerate. This will lead to an estimated 200 million climate migrants by the year 2050 and create dangerous tipping points for public health and security.Among the public health consequences of climate change, environmentally induced forced migration is one of the harshest and most harmful outcomes, always involving a multiplicity of profound resource and social losses and frequently exposing migrants to trauma and violence. Therefore, one particular aspect of forced migration, the effects of population displacement on mental health and psychosocial functioning, deserves dedicated focus. Multiple case examples are provided to elucidate this theme. (Disaster Med Public Health Preparedness. 2019;13:116–122)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.27
      Issue No: Vol. 13, No. 2 (2019)
       
  • Creation of a Collaborative Disaster Preparedness Video for Daycare
           Providers: Use of the Delphi Model for the Creation of a Comprehensive
           Disaster Preparedness Video for Daycare Providers
    • Authors: Pamela Mar; Robert Spears, Jeffrey Reeb, Sarah B. Thompson, Paul Myers, Rita V. Burke
      Pages: 123 - 127
      Abstract: ObjectiveEight million American children under the age of 5 attend daycare and more than another 50 million American children are in school or daycare settings. Emergency planning requirements for daycare licensing vary by state. Expert opinions were used to create a disaster preparedness video designed for daycare providers to cover a broad spectrum of scenarios.MethodsVarious stakeholders (17) devised the outline for an educational pre-disaster video for child daycare providers using the Delphi technique. Fleiss κ values were obtained for consensus data. A 20-minute video was created, addressing the physical, psychological, and legal needs of children during and after a disaster. Viewers completed an anonymous survey to evaluate topic comprehension.ResultsA consensus was attempted on all topics, ranging from elements for inclusion to presentation format. The Fleiss κ value of 0.07 was obtained. Fifty-seven of the total 168 video viewers completed the 10-question survey, with comprehension scores ranging from 72% to 100%.ConclusionEvaluation of caregivers that viewed our video supports understanding of video contents. Ultimately, the technique used to create and disseminate the resources may serve as a template for others providing pre-disaster planning education. (Disaster Med Public Health Preparedness. 2019;13:123–127)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.9
      Issue No: Vol. 13, No. 2 (2019)
       
  • Primary Care Medical Practices: Are Community Health Care Providers Ready
           for Disasters'
    • Authors: Rachel M. Peters; Thomas J. Hipper, Esther D. Chernak
      Pages: 128 - 132
      Abstract: ObjectiveThis study seeks to determine the capacity of community primary care practices to meet the needs of patients during public health emergencies and to identify the barriers and resources necessary to participate in a coordinated response with public safety agencies.MethodsThe self-administered web-based survey was distributed in January 2014 via e-mail to primary care providers in Pennsylvania using the listservs of several professional societies.ResultsA total of 179 primary care providers participated in the survey. In total, 38% had practice continuity of operations plan in place and 26% reported that they had a plan for patient surge in the outpatient setting. Thirty percent reported that they were registered on the state Health Alert Network and 41% said they were able to communicate with patients during disasters. Only 8% of providers reported that they believed that their patients with special health care needs were prepared for a disaster, although over two-thirds of responding practices felt they could assist these patients with disaster preparedness. Providers indicated that more information regarding government agency plans and community resources, patient education materials, and more time to devote to counseling during patient encounters would improve their ability to prepare their patients with special health care needs for disasters. Providers also reported that they would benefit from partnerships to help the practice during emergencies and communications technology to reach large numbers of patients quickly.ConclusionsCommunity-based primary care practices can be useful partners during public health emergencies. Efforts to promote continuity of operations planning, improved coordination with government and community partners, as well as preparedness for patients with special health care needs, would augment their capabilities and contribute to community resilience. (Disaster Med Public Health Preparedness. 2019;13:128–132).
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.13
      Issue No: Vol. 13, No. 2 (2019)
       
  • Post-Flood Rapid Needs Assessment in Srinagar City, Jammu and Kashmir
           State, India, September, 2014
    • Authors: Rajesh Yadav; Dundaiah Somashekar, Samir V. Sodha, Kayla F. Laserson, Srinivasa Venkatesh, Himanshu Chauhan
      Pages: 133 - 137
      Abstract: ObjectivesTorrential rainfall and flooding from September 2-6, 2014 submerged >350 villages in Jammu and Kashmir state. We conducted rapid needs assessment in capital Srinagar from 27 September to 1 October to assess population health and safety needs.MethodsBased on Community Assessment for Public Health Emergency Response (CASPER) methodology, we selected 7 households each from 30 census blocks using 2-stage cluster sampling. We collected information on demographics, needs, and illnesses using structured questionnaire.ResultsOf the 210 households surveyed, an estimated 57% (CI: 41%-73%) reported significant damage, 50% (CI: 36%-63%) were evacuated, and 16% (CI: 10%-22%) reported injuries. Households lacked electricity (22%; CI: 8.8%-36%), tap water (13%; CI: 5%-21%), working toilets (11%; CI: 4%-19%), and adequate food supply (14%; CI: 8%-20%). Moreover, 55% (CI: 45%-64%) of households reported cough, cold, fever, rashes, or diarrhea; 68% (CI: 59%-77%) experienced agitation, anxiety, depression, or nightmares since the flooding. Of the households with a member on medicines for non-communicable diseases, 40% did not have a week’s supply. Restoring basic essentials (30%; CI: 22%-37%) and repairing houses (30%; CI: 19%-40%) were the most urgent needs expressed.ConclusionsFloods damaged >1/2 of households in Srinagar, disrupting basic essentials, and causing mental trauma. These findings helped authorities prioritize assistance with psychological symptoms and availability of prescription medicines. (Disaster Med Public Health Preparedness. 2019;13:133–137)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.21
      Issue No: Vol. 13, No. 2 (2019)
       
  • Basic Seismic Response Capability of Hospitals in Lima, Peru
    • Authors: Nicola Liguori; Nicola Tarque, Celso Bambaren, Sandra Santa-Cruz, Juan Palomino, Michelangelo Laterza
      Pages: 138 - 143
      Abstract: ObjectiveThe objective of the study was to research the basic seismic response capability (BSRC) of hospitals in Lima Metropolitana. A large number of wounded could be registered in case of an earthquake; therefore, operational hospitals are necessary to cure the injured. The study focused on the operational performance of the hospitals, autonomies of essential resources such as power, water, medical gases, and medicine, in addition to the availability of emergency communication system and ambulances.MethodsData by a probabilistic seismic risk analysis have been used to assess the operational level of the hospitals. Subsequently, availability of an essential resource has been combined with the immediately operational hospitals to evaluate the BSRC of the health facilities.ResultsForty-one of Lima’s hospitals have been analyzed for a seismic event with 72-100 years of a return period. Three hospitals (7.3%) were capable to work in a self-sufficient manner for 72 hours, another three (7.3%) for 24 hours, and one (2.4%) for 12 hours.ConclusionResults showed a low performance of the hospitals in case of an earthquake. The issue is due to the high seismic vulnerability of the existing structures. Given the importance of Lima city in Peru, structural and nonstructural retrofitting plans should be implemented to improve the preparedness of the health system in case of an emergency. (Disaster Med Public Health Preparedness. 2019;13:138–143)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.47
      Issue No: Vol. 13, No. 2 (2019)
       
  • Emergency Organization of Child Psychiatric Care Following the Terrorist
           Attack on July 14, 2016, in Nice, France
    • Authors: Lucie Chauvelin; Morgane Gindt, Bertrand Olliac, Philippe Robert, Susanne Thümmler, Florence Askenazy
      Pages: 144 - 146
      Abstract: In the actual context of terrorism targeting children and families, it seems essential to describe different experiences of pediatric psychological emergency devices after such unexpected mass trauma. Here we testify our experience of the psychological emergency care setup dedicated to children and families during the first 48 hours after the terrorist attack of Nice, France, on July 14, 2016. Activated within the hour following the attack, the device included two child psychiatry teams turning over each day, receiving at least 163 individuals (99 children and 64 adults) within the first 2 days. (Disaster Med Public Health Preparedness. 2019;13:144–146)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.51
      Issue No: Vol. 13, No. 2 (2019)
       
  • A Framework to Assess the Quality of Non-traditional Articles in the Field
           of Disaster Response and Management
    • Authors: Mary Hall; Chris Cartwright, Andrew C. K. Lee
      Pages: 147 - 151
      Abstract: ObjectiveWhile carrying out a scoping review of earthquake response, we found that there is no universal standardized approach for assessing the quality of disaster evidence, much of which is variable or not peer reviewed. With the lack of a framework to ascertain the value and validity of this literature, there is a danger that valuable insights may be lost. We propose a theoretical framework that may, with further validation, address this gap.MethodsExisting frameworks – quality of reporting of meta-analyses (QUORUM), meta-analysis of observational studies in epidemiology (MOOSE), the Cochrane assessment of bias, Critical Appraisal Skills Programme (CASP) checklists, strengthening the reporting of observation studies in epidemiology (STROBE), and consensus guidelines on reports of field interventions in disasters and emergencies (CONFIDE)–were analyzed to identify key domains of quality. Supporting statements, based on these existing frameworks were developed for each domain to form an overall theoretical framework of quality. This was piloted on a data set of publications from a separate scoping review.ResultsFour domains of quality were identified: robustness, generalizability, added value, and ethics with 11 scored, supporting statements. Although 73 out of 111 papers (66%) scored below 70%, a sizeable portion (34%) scored higher.ConclusionOur theoretical framework presents, for debate and further validation, a method of assessing the quality of non-traditional studies and thus supporting the best available evidence approach to disaster response. (Disaster Med Public Health Preparedness. 2019;13:147–151)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.61
      Issue No: Vol. 13, No. 2 (2019)
       
  • Increasing Perceived Emergency Preparedness by Participatory Policy-Making
           (Think-Tanks)
    • Authors: Bruria Adini; Avi Israeli, Moran Bodas, Kobi Peleg
      Pages: 152 - 157
      Abstract: ObjectiveThe study aimed to examine impact of think-tanks designed to create policies for emerging threats on medical teams’ perceptions of individual and systemic emergency preparedness.MethodsMulti-professional think-tanks were established to design policies for potential attacks on civilian communities. In total, 59 multi-sector health care managers participated in think-tanks focused on: (a) primary care services in risk zones; (b) hospital care; (c) casualty evacuation policies; (d) medical services to special-needs populations; and (e) services in a “temporary military-closed zone.” Participants rotated systematically between think-tanks. Perceived individual and systemic emergency preparedness was reviewed pre-post participation in think-tanks.ResultsA significant increase in perceived emergency preparedness pre-post-think-tanks was found in 8/10 elements including in perceived individual role proficiency (3.71±0.67 vs 4.60±0.53, respectively; P
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.8
      Issue No: Vol. 13, No. 2 (2019)
       
  • Communicable Disease Surveillance Systems in Disasters: Application of the
           
    • Authors: Javad Babaie; Ali Ardalan, Hasan Vatandoost, Mohammad Mahdi Goya, Ali Akbarisari
      Pages: 158 - 164
      Abstract: ObjectiveOne of the most important measures following disasters is setting up a communicable disease surveillance system (CDSS). This study aimed to develop indicators to assess the performance of CDSSs in disasters.MethodIn this 3-phase study, firstly a qualitative study was conducted through in-depth, semistructured interviews with experts on health in disasters and emergencies, health services managers, and communicable diseases center specialists. The interviews were analyzed, and CDSS performance assessment (PA) indicators were extracted. The appropriateness of these indicators was examined through a questionnaire administered to experts and heads of communicable diseases departments of medical sciences universities. Finally, the designed indicators were weighted using the analytic hierarchy process approach and Expert Choice software.ResultsIn this study, 51 indicators were designed, of which 10 were related to the input (19.61%), 17 to the process (33.33%), 13 to the product (25.49%), and 11 to the outcome (21.57%). In weighting, the maximum score was that of input (49.1), and the scores of the process, product, and outcome were 31.4, 12.7, and 6.8, respectively.ConclusionThrough 3 different phases, PA indicators for 4 phases of a chain of results were developed. The authors believe that these PA indicators can assess the system’s performance and its achievements in response to disasters. (Disaster Med Public Health Preparedness. 2019;13:158–164)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.10
      Issue No: Vol. 13, No. 2 (2019)
       
  • A Bibliometric Profile of Disaster Medicine Research from 2008 to 2017: A
           Scientometric Analysis
    • Authors: Liang Zhou; Ping Zhang, Zhigang Zhang, Lidong Fan, Shuo Tang, Kunpeng Hu, Nan Xiao, Shuguang Li
      Pages: 165 - 172
      Abstract: This study analyzed and assessed publication trends in articles on “disaster medicine,” using scientometric analysis. Data were obtained from the Web of Science Core Collection (WoSCC) of Thomson Reuters on March 27, 2017. A total of 564 publications on disaster medicine were identified. There was a mild increase in the number of articles on disaster medicine from 2008 (n=55) to 2016 (n=83). Disaster Medicine and Public Health Preparedness published the most articles, the majority of articles were published in the United States, and the leading institute was Tohoku University. F. Della Corte, M. D. Christian, and P. L. Ingrassia were the top authors on the topic, and the field of public health generated the most publications. Terms analysis indicated that emergency medicine, public health, disaster preparedness, natural disasters, medicine, and management were the research hotspots, whereas Hurricane Katrina, mechanical ventilation, occupational medicine, intensive care, and European journals represented the frontiers of disaster medicine research. Overall, our analysis revealed that disaster medicine studies are closely related to other medical fields and provides researchers and policy-makers in this area with new insight into the hotspots and dynamic directions. (Disaster Med Public Health Preparedness. 2019;13:165–172)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.11
      Issue No: Vol. 13, No. 2 (2019)
       
  • When Natural Disaster Follows Economic Downturn: The Incremental Impact of
           Multiple Stressor Events on Trajectories of Depression and Posttraumatic
           Stress Disorder
    • Authors: Amar D. Mandavia; George A. Bonanno
      Pages: 173 - 182
      Abstract: ObjectiveTo determine whether there were incremental mental health impacts, specifically on depression trajectories, as a result of the 2008 economic crisis (the Great Recession) and subsequent Hurricane Sandy.MethodUsing latent growth mixture modeling and the ORANJ BOWL dataset, we examined prospective trajectories of depression among older adults (mean age, 60.67; SD, 6.86) who were exposed to the 2 events. We also collected community economic and criminal justice data to examine their impact upon depression trajectories. Participants (N=1172) were assessed at 3 times for affect, successful aging, and symptoms of depression. We additionally assessed posttraumatic stress disorder (PTSD) symptomology after Hurricane Sandy.ResultsWe identified 3 prospective trajectories of depression. The majority (83.6%) had no significant change in depression from before to after these events (resilience), while 7.2% of the sample increased in depression incrementally after each event (incremental depression). A third group (9.2%) went from high to low depression symptomology following the 2 events (depressive-improving). Only those in the incremental depression group had significant PTSD symptoms following Hurricane Sandy.ConclusionWe identified a small group of individuals for whom the experience of multiple stressful events had an incremental negative effect on mental health outcomes. These results highlight the importance of understanding the perseveration of depression symptomology from one event to another. (Disaster Med Public Health Preparedness. 2019;13:173–182)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.12
      Issue No: Vol. 13, No. 2 (2019)
       
  • The Long-Term Effects of the Deepwater Horizon Oil Spill on Women’s
           Depression and Mental Distress
    • Authors: Ariane Lisann Rung; Evrim Oral, Elizabeth Fontham, Daniel J. Harrington, Edward J. Trapido, Edward S. Peters
      Pages: 183 - 190
      Abstract: ObjectiveThe purpose of the study is to describe changes in mental health among women following an oil spill and to examine their association with the Deepwater Horizon oil spill (DHOS).MethodsThe Women and Their Children’s Health study followed 2038 women in Louisiana after the DHOS. Subjects were interviewed in 2012-2014 and 2014-2016. Oil spill exposure was characterized using survey items about economic and physical exposures. Outcomes were depressive symptoms and mental distress.ResultsAfter adjustment for relevant demographics, depressive symptoms increased over 2 time points following the DHOS, whereas symptoms of mental distress decreased. For every year increase in time since the DHOS, the rate ratio for depressive symptoms increased by a factor of 1.08. In contrast, the rate ratio for mental distress decreased by a factor of 0.97. In addition, initial associations between economic and physical exposure to the DHOS persisted up to 6 years after the spill; women who were more highly exposed experienced higher levels of depressive symptoms (rate ratios ranged from 1.08 to 1.11) and mental distress (rate ratios from 1.05 to 1.11) at each time point than women who were less exposed.ConclusionA better understanding of recovery patterns following an oil spill can help direct critical mental health response efforts. (Disaster Med Public Health Preparedness. 2019;13:183–190)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.14
      Issue No: Vol. 13, No. 2 (2019)
       
  • A Qualitative Study of Paramedic Duty to Treat During Disaster Response
    • Authors: Erin Smith; Frederick Burkle, Kristine Gebbie, David Ford, Cécile Bensimon
      Pages: 191 - 196
      Abstract: ObjectivesDisasters place unprecedented demands on emergency medical services and can test paramedics personal commitment as health care professionals. Despite this challenge, guidelines and codes of ethics are largely silent on the issue, providing little to no guidance on what is expected of paramedics or how they ought to approach their duty to treat in the face of risk. The objective of this research is to explore how paramedics view their duty to treat during disasters.MethodsThe authors employed qualitative methods to gather Australian paramedic perspectives.ResultsOur findings suggest that paramedic decisions around duty to treat will largely depend on individual perception of risk and competing obligations. A code of ethics for paramedics would be useful, but ultimately each paramedic will interpret these suggested guidelines based on individual values and the situational context.ConclusionsComing to an understanding of the legal issues involved and the ethical-social expectations in advance of a disaster may assist paramedics to respond willingly and appropriately. (Disaster Med Public Health Preparedness. 2019;13:191–196)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.15
      Issue No: Vol. 13, No. 2 (2019)
       
  • Evaluation of Gamma Radiation-Induced Biochemical Changes in Skin for Dose
           Assesment: A Study on Small Experimental Animals
    • Authors: Sandeep Kumar Soni; Mitra Basu, Priyanka Agrawal, Aseem Bhatnagar, Neelam Chhillar
      Pages: 197 - 202
      Abstract: ObjectiveResearchers have been evaluating several approaches to assess acute radiation injury/toxicity markers owing to radiation exposure. Keeping in mind this background, we assumed that whole-body irradiation in single fraction in graded doses can affect the antioxidant profile in skin that could be used as an acute radiation injury/toxicity marker.MethodsSprague-Dawley rats were treated with CO-60 gamma radiation (dose: 1-5 Gy; dose rate: 0.85 Gy/minute). Skin samples were collected (before and after radiation up to 72 hours) and analyzed for glutathione (GSH), glutathione peroxidase (GPx), superoxide dismutase (SOD), catalase (CAT), and lipid peroxidation (LPx).ResultsIntra-group comparison showed significant differences in GSH, GPx, SOD, and CAT, and they declined in a dose-dependent manner from 1 to 5 Gy (P value
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.16
      Issue No: Vol. 13, No. 2 (2019)
       
  • Tethered Balloon Technology in Design Solutions for Rescue and Relief Team
           Emergency Communication Services
    • Authors: Saeed Hamood Alsamhi; Mohd. Samar Ansari, Ou Ma, Faris Almalki, Sachin Kumar Gupta
      Pages: 203 - 210
      Abstract: The actions taken at the initial times of a disaster are critical. Catastrophe occurs because of terrorist acts or natural hazards which have the potential to disrupt the infrastructure of wireless communication networks. Therefore, essential emergency functions such as search, rescue, and recovery operations during a catastrophic event will be disabled. We propose tethered balloon technology to provide efficient emergency communication services and reduce casualty mortality and morbidity for disaster recovery. The tethered balloon is an actively developed research area and a simple solution to support the performance, facilities, and services of emergency medical communication. The most critical requirement for rescue and relief teams is having a higher quality of communication services which enables them to save people’s lives. Using our proposed technology, it has been reported that the performance of rescue and relief teams significantly improved. OPNET Modeler 14.5 is used for a network simulated with the help of ad hoc tools (Disaster Med Public Health Preparedness. 2019;13:203–210).
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.19
      Issue No: Vol. 13, No. 2 (2019)
       
  • Impact of Nepal Earthquake on Patients Presenting for Emergency Care at
           Patan Hospital
    • Authors: Mimang Tembe; Sushma Dhakal, Ashis Shrestha, Josh Mugele, Darlene R. House
      Pages: 211 - 216
      Abstract: ObjectiveNatural disasters have a significant impact on the health sector. On April 25, 2015, Nepal was struck by a 7.8 magnitude earthquake. The aim of the study was to compare patient volumes and clinical conditions presenting to the emergency department pre- and post-earthquake.MethodsA retrospective study was done at Patan Hospital Emergency Department in Kathmandu, Nepal. Volume, demographics, and patient diagnoses were collected for 4 months post-disaster and compared with cases seen the same months the year before the disaster to control for seasonal variations.ResultsAfter the 2015 Nepal earthquake, 12,180 patients were seen in the emergency department. This was a significant decrease in patient volume compared with the 14,971 patients seen during the same months in 2014 (P=0.04). Of those, 5496 patients (4093 pre-disaster and 1433 post-disaster) had a chief complaint or diagnosis recorded for analysis. An increase in cardiovascular and respiratory cases was seen as well as an increase in psychiatric cases (mostly alcohol related) and cases of anemia. There was a decrease in the number of obstetrics/gynecology, infectious disease, and poisoning cases post-earthquake.ConclusionsUnderstanding emergency department utilization after the earthquake has the potential to give further insight into improving disaster preparedness plans for post-disaster health needs. (Disaster Med Public Health Preparedness. 2019;13:211–216).
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.20
      Issue No: Vol. 13, No. 2 (2019)
       
  • The Incidence, Risk Factors, and Chronobiology of Acute Myocardial
           Infarction Ten Years After Hurricane Katrina
    • Authors: John C. Moscona; Matthew N. Peters, Rohit Maini, Paul Katigbak, Bradley Deere, Holly Gonzales, Christopher Westley, Hassan Baydoun, Kapil Yadav, Patrick Ters, Ahmad Jabbar, Alaa Boulad, Indrajeet Mahata, Taraka V. Gadiraju, Ryan Nelson, Sudesh Srivastav, Anand Irimpen
      Pages: 217 - 222
      Abstract: ObjectiveThe purpose of this study was to investigate the 10-year impact of Hurricane Katrina on the incidence of acute myocardial infarction (AMI) along with contributing risk factors and any alteration in chronobiology of AMI.MethodsA single-center, retrospective, comparison study of AMI incidence was performed at Tulane University Health Sciences Center from 2 years before Hurricane Katrina to 10 years after Hurricane Katrina. A 6-year, pre-Katrina and 10-year, post-Katrina cohort were also compared according to pre-specified demographic, clinical, and chronobiological data.ResultsAMI incidence increased from 0.7% (150/21,079) to 2.8% (2,341/84,751) post-Katrina (P
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.22
      Issue No: Vol. 13, No. 2 (2019)
       
  • Perceptions of Resilience and Physical Health Symptom Improvement
           Following Post Disaster Integrated Health Services
    • Authors: Howard J. Osofsky; Carl F. Weems, Rebecca A. Graham, Joy D. Osofsky, Tonya C. Hansel, Lucy S. King
      Pages: 223 - 229
      Abstract: ObjectiveTheorists and researchers have linked resilience with a host of positive psychological and physical health outcomes. This paper examines perceptions of resilience and physical health symptoms in a sample of individuals exposed to multiple community disasters following involvement in integrated mental health services.MethodsA multiwave naturalistic design was used to follow 762 adult clinic patients (72% female; 28% minority status), ages 18-92 years (mean age=40 years), who were evaluated for resilience and physical health symptoms prior to receiving services and at 1, 3, and 6 months’ follow-up.ResultsData indicated increases in perceptions of resilience and decreased physical health symptoms reported over time. Results also indicated that resilience predicted physical health symptoms, such that resilience and physical health symptoms were negatively associated (ie, improved resilience was associated with decreases in physical health symptoms). These effects were primarily observed for those individuals with previous exposure to natural disasters.ConclusionsFindings provide correlational evidence for behavioral health treatment provided as part of a stepped-care, collaborative model in reducing physical health symptoms and increasing resilience post-disaster. Controlled trials are warranted. (Disaster Med Public Health Preparedness. 2019;13:223–229)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.35
      Issue No: Vol. 13, No. 2 (2019)
       
  • Health-Promoting Lifestyles Among Health Care Workers in a Postdisaster
           Area: A Cross-sectional Study
    • Authors: Wanqiu Yang; Timothy Sim, Ke Cui, Jun Zhang, Yanchun Yang, Xiaohong Ma
      Pages: 230 - 235
      Abstract: ObjectiveHealth care workers performing rescue tasks in large-scale disaster areas are usually challenged in terms of physical and mental endurance, which can affect their lifestyles. Nevertheless, data on whether health care workers tend to adopt healthy lifestyles after disasters are limited. This paper compares the adoption of healthy lifestyle behaviors among health care workers with that among non–health care workers in a postdisaster area.MethodsThis cross-sectional observational study was conducted in August 2016. The Health-Promoting Lifestyle Profile II questionnaire was used to interview 261 health care workers and 848 non–health care workers.ResultsResults of the multivariable linear models showed that health care workers had lower physical activity levels (ß=−1.363, P
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.36
      Issue No: Vol. 13, No. 2 (2019)
       
  • Posttraumatic Stress, Depression, and Coping Following the 2015 Nepal
           Earthquake: A Study on Adolescents
    • Authors: Asmita Sharma; Nilamadhab Kar
      Pages: 236 - 242
      Abstract: ObjectiveThe study aimed to gather data on posttraumatic stress and depression in adolescents following the 2015 Nepal earthquake and explore the adolescents’ coping strategies.MethodsIn a questionnaire-based, cross-sectional study about 1 year after the earthquake, adolescents in two districts with different degrees of impact were evaluated for disaster experience, coping strategies, and symptoms of posttraumatic stress and depression measured with the Child Posttraumatic Stress Scale and the Depression Self Rating Scale.ResultsIn the studied sample (N=409), the estimated prevalence of posttraumatic stress disorder (PTSD) (43.3%) and depression (38.1%) was considerable. Prevalence of PTSD was significantly higher in the more affected area (49.0% v 37.9%); however, the prevalence figures were comparable in adolescents who reported a stress. The prevalence of depression was comparable. Female gender, joint family, financial problems, displacement, injury or being trapped in the earthquake, damage to livelihood, and fear of death were significantly associated with a probable PTSD diagnosis. Various coping strategies were used: talking to others, praying, helping others, hoping for the best, and some activities were common. Drug abuse was rare. Most of the coping strategies were comparable among the clinical groups.ConclusionsA considerable proportion of adolescents had posttraumatic stress and depression 1 year after the earthquake. There is a need for clinical interventions and follow-up studies regarding the outcome. Disaster Med Public Health Preparedness. 2019;13:236–242)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.37
      Issue No: Vol. 13, No. 2 (2019)
       
  • Analysis of Emergency Health Care Workforce and Service Readiness for a
           Mass Casualty Event in the Republic of Ireland
    • Authors: Tener Goodwin Veenema; Fiona Boland, Declan Patton, Tom O’Connor, Zena Moore, Sarah Schneider-Firestone
      Pages: 243 - 255
      Abstract: ObjectiveUltimately, a country’s capacity for a large-scale major emergency response will be directly related to the competence of its health care provider (HCP) workforce and communication between emergency responders and hospitals. The purpose of this study was to assess HCP preparedness and service readiness for a major emergency involving mass casualties (mass casualty event or MCE) in Ireland.MethodsA cross-sectional study using a 53-item survey was administered to a purposive sample of emergency responders and HCPs in the Republic of Ireland. Data collection was achieved using the Qualtrics® Research Suite. Descriptive statistics and appropriate tests of comparison between professional disciplines were conducted using Stata 13.ResultsA total of 385 respondents, registered nurses (43.4%), paramedics (37.9%), medical doctors (10.1%), and administrators/managers (8.6%), participated in the study. In general, a level of knowledge of MCEs and knowledge of clinical response activities and self-assessed clinical competence varied drastically across many aspects of the survey. Knowledge and confidence also varied across professional disciplines (P
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.45
      Issue No: Vol. 13, No. 2 (2019)
       
  • Predictors of Individual Resilience Characteristics Among Individuals Ages
           65 and Older in Post-Disaster Settings
    • Authors: Jessica Liddell; Regardt J. Ferreira
      Pages: 256 - 264
      Abstract: ObjectiveLiterature explores which factors most impact resilience and how these factors impact an individual and communities’ ability to cope with disaster. Less research has focused on how age impacts resilience. This research adapts several previous conceptual models used to investigate resilience. To investigate the unique vulnerabilities faced by older individuals in post-disaster settings, this analysis was undertaken to investigate predictors of individual resilience.MethodsData for the study were derived from the Centers for Disease Control and Prevention (CDC) Gulf States Population Survey (GSPS). The final sample included 5,713 adult residents from 4 gulf-coast states. Multiple linear regression was used for the analysis.ResultsAll models (demographic, health, social, and combined) acted as significant predictors of individual resilience. Health and social resilience models accounted for more of the variance in resilience scores. In all models, age was negatively associated with resilience scores. Being female was protective across all models. The results of the model testing indicate inequitable disaster mitigation, with social and health indicators explaining the most variance in the resilience levels.ConclusionThis research provides practitioners with the knowledge they need to focus their interventions on the areas where it is most needed to empower resilient individuals. (Disaster Med Public Health Preparedness. 2019;13:256–264)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.52
      Issue No: Vol. 13, No. 2 (2019)
       
  • Clinical Characteristics of the 2013 Haiyan Typhoon Victims Presenting to
           the Belgian First Aid and Support Team
    • Authors: Gerlant van Berlaer; Frank de Jong, Timothy Das, Carlos Primero Gundran, Matthijs Samyn, Geert Gijs, Ronald Buyl, Michel Debacker, Ives Hubloue
      Pages: 265 - 278
      Abstract: ObjectiveIn 2013, the Philippines was struck by typhoon Haiyan, which damaged local hospitals and disrupted health care. The Belgian First Aid and Support Team erected a field hospital and water purification unit in Palo. This study aims to describe the diagnoses encountered and treatment provided.MethodsIn this cross-sectional study, medical records of 1267 field hospital patients were reviewed for gender, age, complaints, diagnoses, and management and referral information.ResultsAlmost 28% of the patients suffered from injury, but most presented with nonsurgical diseases (64%), particularly of respiratory (31%), dermatological (11%), and digestive (8%) origin. Only 53% presented with disaster-related pathology, and 59% showed signs of infection. Patients needed wound care (47%), pain relief (33%), or antibiotics (29%); 9% needed procedures, 8% needed fluid therapy, and 5% needed psychological support. Children under 5 years of age were more at risk for infections (OR, 18.8; CI, 10.6-33.3) and injuries (OR, 10.3; CI, 6.3-16.8). Males were more prone to injuries than females (OR, 2.1; CI, 1.6-2.6).ConclusionsOne week after the acute phase of a typhoon, respiratory, dermatological, and digestive problems emerge to the prejudice of trauma. Only 53% of patients presented with disaster-related conditions. Young children are more at risk for injury and infectious diseases. These trends should be anticipated when composing Emergency Medical Teams and medical resources to be sent to disaster sites. (Disaster Med Public Health Preparedness. 2019;13:265-278)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.54
      Issue No: Vol. 13, No. 2 (2019)
       
  • Implications of Prenatal Exposure to the Spring 2011 Alabama and Missouri
           Tornadoes on Birth Outcomes
    • Authors: Kenneth E. Christopher; Panagiota Kitsantas, Kiara K. Spooner, Joseph F. Robare, Dan Hanfling
      Pages: 279 - 286
      Abstract: ObjectiveDespite emerging evidence of the detrimental effects of natural disasters on maternal and child health, little is known about exposure to tornadoes during the prenatal period and its impact on birth outcomes. We examined the relationship between prenatal exposure to the spring 2011 tornado outbreak in Alabama and Joplin (Missouri) and adverse birth outcomes.MethodsWe conducted a retrospective, cross-sectional cohort study using the 2010-2012 linked infant births and deaths data set from the National Center for Health Statistics for tornado-affected counties in Alabama (n=126,453) and Missouri (Joplin, n=6,897). Chi-square and logistic regression analyses were performed to estimate associations between prenatal exposure to tornadoes and birth outcomes.ResultsPrenatal exposure to the tornado incidents did not influence birth weight outcomes. Women exposed to Alabama tornadoes were less likely to have a preterm birth compared to unexposed mothers (OR: 0.93, 95% CI: 0.91, 0.96). Preterm births among Joplin-tornado exposed mothers were slightly higher (13%) compared with unexposed mothers (11.2%). Exposed mothers from Joplin were also more likely to have a cesarean section compared to their counterparts (OR: 1.14, 95% CI: 1.02, 1.26).ConclusionsWe found no association between tornado exposure and adverse birth weight and infant mortality rates. Our findings suggest that prenatal exposure can amplify the odds for a cesarean section. (Disaster Med Public Health Preparedness. 2019;13:279–286)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.55
      Issue No: Vol. 13, No. 2 (2019)
       
  • Volunteer First Responders for Optimizing Management of Mass Casualty
           Incidents
    • Authors: Eli Yafe; Blake Byron Walker, Ofer Amram, Nadine Schuurman, Ellen Randall, Michael Friger, Bruria Adini
      Pages: 287 - 294
      Abstract: ObjectiveRapid response to a trauma incident is vital for saving lives. However, in a mass casualty incident (MCI), there may not be enough resources (first responders and equipment) to adequately triage, prepare, and evacuate every injured person. To address this deficit, a Volunteer First Responder (VFR) program was established.MethodsThis paper describes the organizational structure and roles of the VFR program, outlines the geographical distribution of volunteers, and evaluates response times to 3 MCIs for both ambulance services and VFRs in 2000 and 2016.ResultsWhen mapped, the spatial distribution of VFRs and ambulance stations closely and deliberately reflects the population distribution of Israel. We found that VFRs were consistently first to arrive at the scene of an MCI and greatly increased the number of personnel available to assist with MCI management in urban, suburban, and rural settings.ConclusionsThe VFR program provides an important and effective life-saving resource to supplement emergency first response. Given the known importance of rapid response to trauma, VFRs likely contribute to reduced trauma mortality, although further research is needed in order to examine this question specifically. (Disaster Med Public Health Preparedness. 2019;13:287–294)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.56
      Issue No: Vol. 13, No. 2 (2019)
       
  • Musculoskeletal Pain is Associated With New-Onset Psychological Distress
           in Survivors of the Great East Japan Earthquake
    • Authors: Yutaka Yabe; Yoshihiro Hagiwara, Takuya Sekiguchi, Yumi Sugawara, Masahiro Tsuchiya, Masashi Koide, Nobuyuki Itaya, Shinichiro Yoshida, Yasuhito Sogi, Toshihisa Yano, Ichiro Tsuji, Eiji Itoi
      Pages: 295 - 300
      Abstract: ObjectivePsychological distress is a common symptom after natural disasters. Although musculoskeletal pain also increases after natural disasters, its relation to psychological distress is not known. This study aimed to examine the association of musculoskeletal pain with new-onset psychological distress among survivors of the Great East Japan Earthquake.MethodsA panel study was conducted with survivors at 2 and 3 years after the Great East Japan Earthquake. New-onset psychological distress was defined as psychological distress absent at 2 years and present at 3 years after the disaster. The number of musculoskeletal pain sites at 2 years after the disaster was divided into 3 categories (0, 1, and ≥2). Multivariate logistic regression models were used to calculate the odds ratio and 95% confidence interval for new-onset psychological distress according to the number of musculoskeletal pain sites.ResultsThe rate of new-onset psychological distress was 6.7%. Musculoskeletal pain was associated with new-onset psychological distress. Using “0” as a reference, the adjusted odds ratios (95% confidence interval) were 1.65 (0.92-2.95) in “1” and 2.12 (1.24-3.64) in “≥2” (P for trend=.02).ConclusionsMusculoskeletal pain is associated with new-onset psychological distress among survivors of the Great East Japan Earthquake. (Disaster Med Public Health Preparedness. 2019;13:295–300)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.57
      Issue No: Vol. 13, No. 2 (2019)
       
  • Effects of Virtual Reality Simulation on Worker Emergency Evacuation of
           Neonates
    • Authors: Sharon Farra; Eric Hodgson, Elaine T. Miller, Nathan Timm, Whittney Brady, Matt Gneuhs, Jun Ying, Jackie Hausfeld, Emily Cosgrove, Ashley Simon, Michael Bottomley
      Pages: 301 - 308
      Abstract: ObjectiveThis study examined differences in learning outcomes among newborn intensive care unit (NICU) workers who underwent virtual reality simulation (VRS) emergency evacuation training versus those who received web-based clinical updates (CU). Learning outcomes included a) knowledge gained, b) confidence with evacuation, and c) performance in a live evacuation exercise.MethodsA longitudinal, mixed-method, quasi-experimental design was implemented utilizing a sample of NICU workers randomly assigned to VRS training or CUs. Four VRS scenarios were created that augmented neonate evacuation training materials. Learning was measured using cognitive assessments, self-efficacy questionnaire (baseline, 0, 4, 8, 12 months), and performance in a live drill (baseline, 12 months). Data were collected following training and analyzed using mixed model analysis. Focus groups captured VRS participant experiences.ResultsThe VRS and CU groups did not statistically differ based upon the scores on the Cognitive Assessment or perceived self-efficacy. The virtual reality group performance in the live exercise was statistically (P
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.58
      Issue No: Vol. 13, No. 2 (2019)
       
  • Assessing Subgroup Differences in Posttraumatic Stress Disorder Among
           Rescue Workers in Japan With the Impact of Event Scale–Revised
    • Authors: Yoshikazu Noda; Kenichi Asano, Eiji Shimizu, Yoshiyuki Hirano
      Pages: 309 - 318
      Abstract: ObjectiveWe examined the impact of demographic confounding factors on responses to the Impact of Event Scale–Revised.MethodsParticipants were rescue workers aged 20 to 65 years who had responded during the Great East Japan Earthquake in 2011. A multiple indicators, multiple causes model was used to examine associations between covariates and latent factors or items in the Impact of Event Scale–Revised.ResultsParticipants were recruited from April to August 2015. The model fit indices in the confirmatory factor analysis and the multiple indicators, multiple causes model suggested an acceptable model fit. Higher education and the Connor-Davidson Resilience Scale score were significantly associated with a decrease in intrusion, avoidance, and hyperarousal. Counseling was significantly associated with increased avoidance. In the direct path model using modification indices, counseling and early arrival were identified as significant covariates.ConclusionsThis study found that higher education and resilience reduced all 3 factors in the Impact of Event Scale–Revised and improved the symptoms of intrusion, avoidance, and hyperarousal. Counseling and early arrival were also associated with improvement in certain items. However, counseling was also linked to increased avoidance and worsening psychophysiological reactions. Further research is recommended to clarify these relationships. (Disaster Med Public Health Preparedness. 2019;13:309–318)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.62
      Issue No: Vol. 13, No. 2 (2019)
       
  • Enhancing Global Health Security: US Africa Command’s Disaster
           Preparedness Program
    • Authors: Melinda J. Morton Hamer; Paul L. Reed, Jane D. Greulich, Charles W. Beadling
      Pages: 319 - 329
      Abstract: US Africa Command’s Disaster Preparedness Program (DPP), implemented by the Center for Disaster and Humanitarian Assistance Medicine, partnered with US Government agencies and international organizations to promote stability and security on the African continent by engaging with African Partner Nations’ (PN) civil and military authorities to improve disaster management capabilities. From 2008 to 2015, DPP conducted disaster preparedness and response programming with 17 PNs. DPP held a series of engagements with each, including workshops, strategic planning, developing preparedness and response plans, tabletop exercises, and prioritizing disaster management capability gaps identified through the engagements. DPP partners collected data for each PN to further capacity building efforts. Thus far, 9 countries have completed military pandemic plans, 10 have developed national pandemic influenza plans, 9 have developed military support to civil authorities plans, and 11 have developed disaster management strategic work plans. There have been 20 national exercises conducted since 2009. DPP was cited as key in implementation of Ebola response plans in PNs, facilitated development of disaster management agencies in DPP PNs, and trained nearly 800 individuals. DPP enhanced PNs’ ability to prepare and respond to crises, fostering relationships between international agencies, and improving civil-military coordination through both national and regional capacity building. (Disaster Med Public Health Preparedness. 2019;13:319–329)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.17
      Issue No: Vol. 13, No. 2 (2019)
       
  • Evaluation and Gap Analysis of Pediatric Disaster Preparedness Resources
    • Authors: Tessa J. Koeffler; Natalie E. Demeter, Lynn Kysh, Jeffrey Reeb, Alix Stayton, Robert Spears, Rita V. Burke
      Pages: 330 - 337
      Abstract: The goal of this research was to identify, summarize, and evaluate pediatric disaster preparedness resources in the United States and to identify areas that need improvement or further development. Using standard literature, gray literature and website reviews, relevant resources were identified and the 50 most relevant resources were studied in depth. Each resource was given a grade of A, B, or C based on content, format, quality, and thoroughness. These resources were divided into 3 categories: (1) hospital resources, (2) school resources, and (3) training/education resources. Half of the 50 resources (25) were given a grade of A, indicating the highest level of quality and thoroughness, with pertinent information presented in a clear format. Sixteen of the resources were given a rating of B, while 9 of the resources were given a rating of C. Over 60% of the resources did not contain culturally sensitive information and more than 60% of the resources did not contain preparedness information for children with disabilities. Resources specific to hospitals and schools were limited in number and quality available, while training/education resources were widely available. In addition, 60% of resources were not specific to schools, children’s hospitals, or to certain occupations (ie, nurses, doctors, teachers, principals). Based on these results, gaps in cultural sensitivity were identified and limitations in resources for children with disabilities and for schools and hospitals currently exist. All these areas require further development in the field of pediatric disaster preparedness (Disaster Med Public Health Preparedness. 2019;13:330–337)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.23
      Issue No: Vol. 13, No. 2 (2019)
       
  • Identification of the Incapacitated Patient in Mass Casualty Events: An
           Exploration of Challenges, Solutions, and Barriers
    • Authors: Danielle Osborn; Lucy Easthope
      Pages: 338 - 344
      Abstract: Increasing scrutiny of the role and actions of emergency responders in the aftermath of mass casualty events has led to improvements and advances in terms of treatment and care. However, despite these improvements, the authors have identified a growing concern relating to the identification of incapacitated patients and those unable to provide any identifying details, such as pediatric patients. The use of visual identification and the reliance on personal effects within the vicinity of a victim, either living or deceased, has resulted in mistaken identification in a number of major international incidents. The purpose of this article is to consider whether commonly used scientific methods for identification of the deceased could and should be broadened to include victims who are incapacitated and unable to confirm their own identity. The medicolegal questions that may arise when applying identification methods established for deceased patients to the living casualty will also be examined. (Disaster Med Public Health Preparedness. 2019;13:338–344)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.38
      Issue No: Vol. 13, No. 2 (2019)
       
  • In+Situ+Simulation-Based+Training+Approach+to+Active+Shooter+Response+in+the+Emergency+Department&rft.title=Disaster+Medicine+and+Public+Health+Preparedness&rft.issn=1935-7893&rft.date=2019&rft.volume=13&rft.spage=345&rft.epage=352&rft.aulast=Mannenbach&rft.aufirst=Mark&rft.au=Mark+S.+Mannenbach&rft.au=Carol+J.+Fahje,+Kharmene+L.+Sunga,+Matthew+D.+Sztajnkrycer&rft_id=info:doi/10.1017/dmp.2018.39">An In Situ Simulation-Based Training Approach to Active Shooter Response
           in the Emergency Department
    • Authors: Mark S. Mannenbach; Carol J. Fahje, Kharmene L. Sunga, Matthew D. Sztajnkrycer
      Pages: 345 - 352
      Abstract: With an increased number of active shooter events in the United States, emergency departments are challenged to ensure preparedness for these low frequency but high stakes events. Engagement of all emergency department personnel can be very challenging due to a variety of barriers. This article describes the use of an in situ simulation training model as a component of active shooter education in one emergency department. The educational tool was intentionally developed to be multidisciplinary in planning and involvement, to avoid interference with patient care and to be completed in the true footprint of the work space of the participants. Feedback from the participants was overwhelmingly positive both in terms of added value and avoidance of creating secondary emotional or psychological stress. The specific barriers and methods to overcome implementation are outlined. Although the approach was used in only one department, the approach and lessons learned can be applied to other emergency departments in their planning and preparation. (Disaster Med Public Health Preparedness. 2019;13:345–352)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.39
      Issue No: Vol. 13, No. 2 (2019)
       
  • Use of Big Data and Information and Communications Technology in
           Disasters: An Integrative Review
    • Authors: Jeffrey D. Freeman; Brigette Blacker, Grace Hatt, Sophia Tan, Jeremy Ratcliff, Thomas B. Woolf, Craig Tower, Daniel J. Barnett
      Pages: 353 - 367
      Abstract: Novel approaches to improving disaster response have begun to include the use of big data and information and communication technology (ICT). However, there remains a dearth of literature on the use of these technologies in disasters. We have conducted an integrative literature review on the role of ICT and big data in disasters. Included in the review were 113 studies that met our predetermined inclusion criteria. Most studies used qualitative methods (39.8%, n=45) over mixed methods (31%, n=35) or quantitative methods (29.2%, n=33). Nearly 80% (n=88) covered only the response phase of disasters and only 15% (n=17) of the studies addressed disasters in low- and middle-income countries. The 4 most frequently mentioned tools were geographic information systems, social media, patient information, and disaster modeling. We suggest testing ICT and big data tools more widely, especially outside of high-income countries, as well as in nonresponse phases of disasters (eg, disaster recovery), to increase an understanding of the utility of ICT and big data in disasters. Future studies should also include descriptions of the intended users of the tools, as well as implementation challenges, to assist other disaster response professionals in adapting or creating similar tools. (Disaster Med Public Health Preparedness. 2019;13:353–367)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.73
      Issue No: Vol. 13, No. 2 (2019)
       
  • Organization or Community-Based Outbreak' Responding to Cases of
           Meningitis Under Epidemiologic Uncertainty
    • Authors: Tea Burmaz; Vittorio Selle, Vincenzo Baldo, Elena Savoia
      Pages: 368 - 371
      Abstract: Six cases of serogroup C invasive meningococcal disease were identified in Treviso district, Veneto region, Italy between December 13 and 15, 2007. The afflicted patients were found to have attended the same Latin-dance clubs on the same nights, and chemoprophylaxis was provided to potentially exposed individuals. Despite these efforts, 2 cases caused by the same meningococcal strain subsequently occurred in the same area, without any apparent epidemiological correlation to the initial cases. This may have resulted from a failure to neutralize the meningococcal carrier/s. The root cause analysis method applied to public health emergency preparedness was used to analyze the response to this critical incident. The root cause analysis revealed a need to develop regional guidelines for the classification and management of a meningococcal outbreak and for developing risk-communication strategies that include the identification of appropriate channels of communication for differing segments of the population. (Disaster Med Public Health Preparedness. 2019;13:368–371)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.18
      Issue No: Vol. 13, No. 2 (2019)
       
  • Lessons Learnt From Exercise Celestial Navigation: The Application of a
           Geographic Information System to Inform Legionnaires’ Disease Control
           Activity
    • Authors: Emma Quinn; Kai Hsiao, George Truman, Nectarios Rose, Richard Broome
      Pages: 372 - 374
      Abstract: Geographic information systems (GIS) have emerged in the past few decades as a technology capable of assisting in the control of infectious disease outbreaks. A Legionnaires’ disease cluster investigation in May 2016 in Sydney, New South Wales (NSW), Australia, demonstrated the importance of using GIS to identify at-risk water sources in real-time for field investigation to help control any immediate environmental health risk, as well as the need for more staff trained in the use of this technology. Sydney Local Health District Public Health Unit (PHU) subsequently ran an exercise (based on this investigation) with 11 staff members from 4 PHUs across Sydney to further test staff capability to use GIS across NSW. At least 80% of exercise participants reported that the scenario progression was realistic, assigned tasks were clear, and sufficient data were provided to complete tasks. The exercise highlighted the multitude of geocoding applications and need for inter-operability of systems, as well as the need for trained staff with specific expertise in spatial analysis to help assist in outbreak control activity across NSW. Evaluation data demonstrated the need for a common GIS, regular education and training, and guidelines to support the collaborative use of GIS for infectious disease epidemiology in NSW. (Disaster Med Public Health Preparedness. 2019;13:372–374)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.40
      Issue No: Vol. 13, No. 2 (2019)
       
  • Fire Disaster Readiness: Preparation for the Evacuation of Medical
           Facilities During Fires in Haifa, Israel, 2016
    • Authors: Anatoly Kreinin; Alexey Lyansberg, Miriam Yusupov, Daniel S. Moran
      Pages: 375 - 379
      Abstract: When a fire occurs, there is little time to escape. In less than 30 seconds, a fire can rage out of control, filling the area with heat and toxic thick smoke (Purdue University Fire Department, 2017; http://www.purdue.edu/ehps/fire/fire-101.html.) In 2010, following the successful evacuation of Maale Ha’Carmel Mental Health Center during a raging forest fire in the area, a comprehensive investigation was performed to evaluate the management of the evacuation process and to systematically elicit lessons learned from the incident. In 2016, a forest fire erupted in the same geographic area that required the evacuation of Fliman Geriatric Rehabilitation Hospital, and methodical debriefing identified the strengths and weaknesses of the evacuation process in that hospital. The lessons learned from the evacuation of these two health care facilities, which were at the focus of major fires in Israel in 2010 and in 2016, are presented. (Disaster Med Public Health Preparedness. 2019;13:375–379)
      PubDate: 2019-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.53
      Issue No: Vol. 13, No. 2 (2019)
       
 
 
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