Subjects -> HEALTH AND SAFETY (Total: 1540 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (724 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (387 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (108 journals)
    - PHYSICAL FITNESS AND HYGIENE (130 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (724 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
Acta Informatica Medica     Open Access   (Followers: 2)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 11)
Advances in Public Health     Open Access   (Followers: 27)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 3)
African Health Sciences     Open Access   (Followers: 5)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 8)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 44)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 7)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access   (Followers: 1)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 18)
American Journal of Health Education     Hybrid Journal   (Followers: 35)
American Journal of Health Promotion     Hybrid Journal   (Followers: 34)
American Journal of Health Sciences     Open Access   (Followers: 10)
American Journal of Health Studies     Full-text available via subscription   (Followers: 13)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 29)
American Journal of Public Health     Full-text available via subscription   (Followers: 268)
American Journal of Public Health Research     Open Access   (Followers: 27)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 6)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 7)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 12)
Annals of Health Law     Open Access   (Followers: 6)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 14)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 4)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 2)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Suicide Research     Hybrid Journal   (Followers: 9)
Archivos de Prevención de Riesgos Laborales     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 11)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 11)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 5)
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: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 12)
Behavioral Healthcare     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 9)
Biosafety and Health     Open Access   (Followers: 2)
Biosalud     Open Access   (Followers: 1)
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: 12)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 50)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 22)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 12)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 10)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 24)
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: 24)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access   (Followers: 1)
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 & Salud     Open Access   (Followers: 1)
Ciencia & Trabajo     Open Access   (Followers: 1)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 4)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 5)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 5)
Cuadernos de la Escuela de Salud Pública     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 5)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 15)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
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: 24)
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: 24)
EcoHealth     Hybrid Journal   (Followers: 5)
Education for Health     Open Access   (Followers: 8)
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: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 6)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 20)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 3)
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: 14)
Eurasian Journal of Health Technology Assessment     Open Access  
EUREKA : Health Sciences     Open Access   (Followers: 3)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 5)
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: 9)
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: 14)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 15)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 17)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Digital Health     Open Access  
Frontiers in Public Health     Open Access   (Followers: 8)
Frontiers of Health Services Management     Partially Free   (Followers: 4)
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  
Gestão e Desenvolvimento     Open Access   (Followers: 1)
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Annual Review     Open Access   (Followers: 2)
Global Health Journal     Open Access   (Followers: 1)
Global Health Promotion     Hybrid Journal   (Followers: 17)
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: 9)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 8)
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: 19)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 13)
Health and Human Rights     Open Access   (Followers: 10)
Health and Research Journal     Open Access   (Followers: 2)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 10)
Health and Social Work     Hybrid Journal   (Followers: 68)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)

        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: 15  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1935-7893 - ISSN (Online) 1938-744X
Published by Cambridge University Press Homepage  [388 journals]
  • DMP volume 14 issue 2 Cover and Front matter
    • PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.120
      Issue No: Vol. 14, No. 2 (2020)
       
  • DMP volume 14 issue 2 Cover and Back matter
    • PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.121
      Issue No: Vol. 14, No. 2 (2020)
       
  • Public Health and COVID-19: From Response to Recovery
    • Authors: James J. James
      Pages: 161 - 162
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.111
      Issue No: Vol. 14, No. 2 (2020)
       
  • Engaging Local Health Departments in Disaster Research: A Washington State
           Survey
    • Authors: Ali Everhart; Resham Patel, Nicole A. Errett
      Pages: 163 - 167
      Abstract: Objective:Disaster research can inform effective, efficient, and evidence-based public health practices and decision making; identify and address knowledge gaps in current disaster preparedness and response efforts; and evaluate disaster response strategies. This study aimed to identify challenges and opportunities experienced by Washington State local health departments (LHDs) regarding engagement in disaster research activities.Methods:An online survey was disseminated to the emergency preparedness representative for the 35 LHDs in Washington State. Survey questions sought to assess familiarity and experience with disaster research, as well as identify facilitators and barriers to their involvement. The survey was first piloted with 7 local and state public health emergency preparedness practitioners.Results:A total of 82.9% of Washington’s 35 LHDs responded to our survey. Only 17.2% of respondents had previous experience with disaster research. Frequently reported barriers to engaging in disaster research included funding availability, competing everyday priorities, staff capacity, and competing priorities during disaster response.Conclusions:These findings can inform efforts to support disaster research partnerships with Washington State LHDs and facilitate future collaboration. Researchers and public health practitioners should develop relationships and work to incorporate disaster research into LHD planning, training, and exercises to foster practice-based disaster research capacity.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.41
      Issue No: Vol. 14, No. 2 (2020)
       
  • Impact of Crisis Intervention on the Mental Health Status of Emergency
           Responders Following the Berlin Terrorist Attack in 2016
    • Authors: Ulrich Wesemann; Manuel Mahnke, Sarah Polk, Antje Bühler, Gerd Willmund
      Pages: 168 - 172
      Abstract: Objective:The most common crisis intervention used with German rescue workers is Critical Incident Stress Management (CISM). Results regarding its effectiveness are inconsistent. A negative reinforcement of avoidance, due to premature termination of strong emotions during the Critical Incident Stress Debriefing (CISD), may explain this. The effectiveness of the CISD after terror attacks in Germany has not yet been investigated.Methods:All emergency responders deployed at the terror attack on Breitscheidplatz in Berlin were invited to take part in the study; 37 of the N = 55 participants had voluntarily participated in CISD; 18 had not.Results:Participants with CISD showed lower quality of life in psychological health and higher depressive symptomatology. Of these, females had lower quality of life in social relationships, whereas males showed more posttraumatic stress symptoms. Emergency responders from non-governmental organizations had higher phobic anxiety. Emergency medical technicians showed more somatic and depressive symptoms.Conclusion:There is no conclusive explanation for why rescue workers with CISD score worse on certain measures. It is possible that CISD has a harmful influence due to negative reinforcement, or that there was a selection effect. Further research differentiating occupational group, sex, and type of event is necessary.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.60
      Issue No: Vol. 14, No. 2 (2020)
       
  • Active Shooter: What Would Health Care Students Do While Caring for Their
           Patients' Run' Hide' Or Fight'
    • Authors: Nicole McKenzie; Carolina Wishner, Martha Sexton, Danielle Saevig, Brian Fink, Paul Rega
      Pages: 173 - 177
      Abstract: Objective:The aim of this study was to explore the clinical decisions that health care students would make if faced with an active shooter event while providing patient care.Methods:A cross-sectional study design was used to survey 245 students from 6 different professional programs. Participants read 4 case-based scenarios, selected 1 of 4 actions in a multiple-choice format, and responded to an open-ended question. Demographic questions asked whether participants had been a victim of violence and whether they have taken a certified active shooter course. Statistical analysis included descriptive statistics and chi-square testing.Results:For each case, most students chose “patient-centric” versus “provider-centric” actions (range: 66%–94% and 4%–17%, respectively). The gender of the patient made no difference in actions. Those who attended a certified active shooter course tended to act with more “provider-centric” concerns than those who did not take such a course.Conclusion:A significant majority of interprofessional health care students, when presented with specific case-scenarios, declared they would act to protect themselves and their patients during an active shooter event. This “patient-centric” attitude transcends the oversimplified “Run-Hide-Fight” axiom and must be addressed by all health care educational institutions.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.67
      Issue No: Vol. 14, No. 2 (2020)
       
  • Changes in Psychiatric Emergency Room Visits Following the Boston Marathon
           Bombing
    • Authors: Amber Frank; Gaddy Noy, Clifton Chow, H. Stephen Leff
      Pages: 178 - 182
      Abstract: Objective:This study reviews patient encounters at a Boston-area community hospital Psychiatric Emergency Services (PES) following the Boston Marathon bombings, with the goal of describing the impact of terrorist attacks on PES encounters.Methods:All PES encounters for 2 months preceding and 2 months following the bombing were identified in the electronic medical record. Demographics, current and past psychiatric problems, and trauma history were assessed for all records. Encounters seen post-bombing were compared with those before the bombing.Results:Demographics, current and past psychiatric problems, and trauma history were not significantly different before versus after the bombing; 36 of 440 (8.2%) post-bombing encounters directly mentioned the bombings. New-onset posttraumatic stress disorder (PTSD) symptoms caused by the bombing occurred in only 4 encounters (0.9%).Conclusions:PES encounters after a terrorist event are likely to mirror those seen before a terrorist event, with only a minority of encounters presenting for new PTSD or acute stress disorder.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.70
      Issue No: Vol. 14, No. 2 (2020)
       
  • Social Media Usage During Disasters: Exploring the Impact of Location and
           Distance on Online Engagement
    • Authors: Qing Deng; Yi Liu, Xiaodong Liu, Hui Zhang, Xiaolong Deng
      Pages: 183 - 191
      Abstract: Social media play an important role in emergency management. The location of citizens and distance from a disaster influence the social media usage patterns. Using the Tianjin Port Explosion, we apply the correlation analysis and regression analysis to explore the relationship between online engagement and location. Citizens’ online engagement is estimated by social media. Three dimensions of the psychological distance – spatial, temporal, and social distances – are applied to measure the effects of location and distance. Online engagement is negatively correlated to such 3 kinds of the distance, which indicates that citizens may pay less attention to a disaster that happens at a far away location and at an area of less interaction or at a relatively long period of time. Furthermore, a linear model is proposed to measure the psychological distance. The quantification relationship between online engagement and psychological distance is discussed. The result enhances our understanding of social media usage patterns related to location and distance. The study gives a new insight on situation awareness, decision-making during disasters.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.36
      Issue No: Vol. 14, No. 2 (2020)
       
  • A Cross-Sectional Study on China’s Public Health Emergency Personnel’s
           
    • Authors: Miaomiao Zhao; Baohua Liu, Lan Wang, Qunhong Wu, Zheng Kang, Yanhua Hao, Daniel Amporfro, Lijun Gao
      Pages: 192 - 200
      Abstract: Objective:This study aimed to identify the important capacities that were most urgently needed during emergency response and factors associated with the Centers for Disease Control and Prevention (CDC) professionals’ field coping-capacity for public health emergency.Methods:Professional workers (N = 1854) from 40 CDC institutions were chosen using the stratified cluster random sampling method in all 13 municipalities of Heilongjiang Province, China. Descriptive analysis and multivariate logistic regression were used.Results:Of 10 key capacities, the 3 that were most urgently needed during emergency response fieldwork as identified by respondents were crisis communication capacity, personal protection capacity, and laboratory detection capacity. Overall, 38.1% of respondents self-rated as “poor” on their coping-capacity. The logistic regression found that proficiency in emergency preparedness planning, more practical experiences in emergency response, effectiveness in training and drills, a higher education level, and a higher professional position were significantly associated with the individual’s field coping-capacity.Conclusion:This study identified CDC professionals’ most urgent capacity need and the obstructive factors and highlighted the importance of enhancing the capacity in crisis communication, personal protection, and laboratory detection. Intervention should be targeted at sufficient fund, formalized, and effective emergency training and drills, more operational technical guidance, and all-around supervision and evaluation.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.37
      Issue No: Vol. 14, No. 2 (2020)
       
  • Enhanced One Health Surveillance during the 58th Presidential
           Inauguration—District of Columbia, January 2017
    • Authors: Tiana A. Garrett-Cherry; Andrew K. Hennenfent, Sasha McGee, John Davies-Cole
      Pages: 201 - 207
      Abstract: Objective:In January 2017, Washington, DC, hosted the 58th United States presidential inauguration. The DC Department of Health leveraged multiple health surveillance approaches, including syndromic surveillance (human and animal) and medical aid station–based patient tracking, to detect disease and injury associated with this mass gathering.Methods:Patient data were collected from a regional syndromic surveillance system, medical aid stations, and an internet-based emergency department reporting system. Animal health data were collected from DC veterinary facilities.Results:Of 174 703 chief complaints from human syndromic data, there were 6 inauguration-related alerts. Inauguration attendees who visited aid stations (n = 162) and emergency departments (n = 180) most commonly reported feeling faint/dizzy (n = 29; 17.9%) and pain/cramps (n = 34;18.9%). In animals, of 533 clinical signs reported, most were gastrointestinal (n = 237; 44.5%) and occurred in canines (n = 374; 70.2%). Ten animals that presented dead on arrival were investigated; no significant threats were identified.Conclusion:Use of multiple surveillance systems allowed for near-real-time detection and monitoring of disease and injury syndromes in humans and domestic animals potentially associated with inaugural events and in local health care systems.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.38
      Issue No: Vol. 14, No. 2 (2020)
       
  • Injury Patterns and Outcomes of Victims After the 2016 Jiangsu Tornado in
           China: A Retrospective Analysis of Injuries Treated at a Teaching Hospital
           
    • Authors: Gen hua Mu; Xing Li, Shan shan Hou, Zhong qian Lu, Yi jun Deng
      Pages: 208 - 213
      Abstract: Objective:The aim of this study is to characterize the injury profiles and outcomes of victims of a tornado in Jiangsu Province, China.Methods:This study retrospectively investigated the clinical records of 144 patients treated at a teaching hospital due to a tornado. Each patient’s demographic data, diagnosis, injury types, causes of injury, infection status, and outcomes were all reviewed.Results:Of the 144 patients, 64 (44.4%) were male, and 80 (55.6%) were female. The patients’ ages ranged from 2 months to 94 years; 91 (63.19%) were admitted within the first 12 h after the disaster. The most frequently injured sites were the body surfaces (24.48%), followed by the limbs and pelvis (21.79%) and chest (20.3%). Soft-tissue injuries and fractures were the most frequent injuries. Traumatic brain injuries were the main causes of death. Tornado-related injuries were primarily caused by flying/falling bricks, wood, and glass. Twenty-three (15.9%) patients suffered from infections, which consisted mainly of skin/soft tissue infections and pneumonia.Conclusions:Destructive tornadoes often cause heavy casualties with little warning. Medical aid agencies must be prepared to accommodate the massive numbers of injured patients after a catastrophe. Proper triage and prompt treatment of injured victims may decrease mortality. (Disaster Med Public Health Preparedness. 2019;xx:xxx-xxx).
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.43
      Issue No: Vol. 14, No. 2 (2020)
       
  • Core Capacities for Public Health Emergencies of International Concern at
           Ground Crossings: A Case Study from North India
    • Authors: Rahuldeep Singh; Kumar Sumit, Shaikh Shah Hossain
      Pages: 214 - 221
      Abstract: Objective:International airports, ports, and ground crossings are required to have health units for undertaking public health measures during routine times and specific measures during the time of public health emergency of international concern (PHEIC). This study was conducted at a ground crossing of North India to assess the implementation status of International Health Regulations (IHR) (2005) at a ground crossing in the prevention and control of public health emergencies and to assess the risk of imported infections from a ground crossing.Methods:A qualitative study was conducted at the selected point of entry. The World Health Organization (WHO) core capacity assessment tool and in-depth interviews were used for data collection in the form of meetings and visits to isolation sites, and general observations were conducted regarding facilities on routine and other infrastructure and equipment that can be used during emergencies. Respondents were recruited using purposive methods.Results:The findings reveal that there is lack of awareness among the travelers, which increases the risks of spreading diseases. The overall implementation status at the ground crossing according to the assessment conducted using WHO Tool was 76%. It showed the need for further strengthening of the implementation at the site. Gaps were identified regarding the local capacity for handling chemical, radiological and nuclear hazards, and shortage of regular staff through stakeholders.Conclusion:The findings from this study, as well as the suggestions and recommendations given by stakeholders, should help revise the current strategies of action. Hence, the gaps identified should be fulfilled to better respond to PHEIC at the ground crossings.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.46
      Issue No: Vol. 14, No. 2 (2020)
       
  • Evaluating Perceived Emergency Preparedness and Household Preparedness
           Behaviors: Results from a CASPER Survey in Fairfax, Virginia
    • Authors: Rennie W. Ferguson; Shawn Kiernan, Ernst W. Spannhake, Benjamin Schwartz
      Pages: 222 - 228
      Abstract: Objectives:Using data collected from a Community Assessment for Public Health Emergency Response (CASPER) conducted in Fairfax Health District, Virginia, in 2016, we sought to assess the relationship between household-level perceived preparedness and self-reported preparedness behaviors.Methods:Weighted population estimates and 95% confidence intervals were reported, and Pearson’s chi-squared test was used to investigate differences by group.Results:Examining responses to how prepared respondents felt their household was to handle a large-scale emergency or disaster, an estimated 7.4% of respondents (95% CI: 4.3–12.3) reported that their household was “completely prepared,” 37.3% (95% CI: 31.4–43.7) were “moderately prepared,” 38.2% (95% CI: 31.6–45.2) were “somewhat prepared,” and 14.4% (95% CI: 10.2–20.0) were “unprepared.” A greater proportion of respondents who said that their household was “completely” or “moderately” prepared for an emergency reported engaging in several behaviors related to preparedness. However, for several preparedness behaviors, there were gaps between perceived preparedness and self-reported readiness.Conclusions:Community assessments for public health preparedness can provide valuable data about groups who may be at risk during an emergency due to a lack of planning and practice, despite feeling prepared to handle a large-scale emergency or disaster.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.48
      Issue No: Vol. 14, No. 2 (2020)
       
  • Disaster Training Needs and Expectations Among Turkish Emergency Medicine
           Physicians – A National Survey
    • Authors: Erkan Gunay; Murat Ersel, Justin A. Yax, Johnathan M. Sheele, Gunnur Karakurt, Kerim Acar, Scott H. Frank
      Pages: 229 - 235
      Abstract: Objectives:Earthquakes, landslides, and floods are the most frequent natural disasters in Turkey. The country has also recently experienced an increased number of terrorist attacks. The purpose of this study is to understand the expectations and training of Turkish emergency medicine attending physicians in disaster medicine.Methods:An online questionnaire was administered to the 937 members of the Emergency Medicine Association of Turkey, of which 191 completed the survey (20%).Results:Most participants (68%) worked at a Training and Research Hospital (TRH) or a University Hospital (UH), and 69% had practiced as an attending for 5 years or less. Mass immigration, refugee problems, and war/terror attacks were considered to be the highest perceived risk topics. Most (95%) agreed that disaster medicine trainings should occur during residency training. Regular disaster drills and exercises and weekly or monthly trainings were the most preferred educational modalities. Most respondents (85%) were interested in advanced training in disaster medicine, and this was highest for those working less than 5 years as an attending. UH and TRH residency training programs were not considered in themselves to be sufficient for learning disaster medicine.Conclusions:Turkish emergency medicine residency training should include more disaster medicine education and training.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.50
      Issue No: Vol. 14, No. 2 (2020)
       
  • The August 24, 2016, Central Italy Earthquake: Validation of the
           “Modified Utstein Template for Hospital Disaster Response Reporting”
           As a New Tool for Reporting Hospitals’ Response to Disasters
    • Authors: Matteo Paganini; Luca Ragazzoni, Fabio Rossitto, Aurora Vecchiato, Rita Bonfini, Maria Vittoria Mucciante, Alessandra Nisii, Francesco Della Corte, Pier Luigi Ingrassia
      Pages: 236 - 247
      Abstract: Background:After-action reports analyze events and improve knowledge about how to prevent and react to unexpected situations. Anyway, there is no consensus among the templates developed for disaster events reporting, and there is not a specific model for reporting hospital disaster response.Objective:The study was aimed to pilot the use of a new assessment tool for hospital response to natural disasters.Methods:A data collection tool, focused on hospital disaster response to natural disasters, was created modifying the “Utstein-Style Template for Uniform Data Reporting of Acute Medical Response in Disasters” and tested the reaction of the nearest hospitals to the epicenter after the August 24, 2016, Central Italy earthquake.Results:Four hospitals were included. The completion rate of the tool was 97.10%. A total of 613 patients accessed the 4 emergency departments, most of them in Rieti Hospital (178; 29.04%). Three hundred thirty-six (54.81%) patients were classified as earthquake-related, most with trauma injuries (260; 77.38%).Conclusions:This template seemed to be a valid instrument for hospital disaster management reporting and could be used for better comprehension of hospital disaster reaction, debriefing activities, and hospital disaster plan revisions.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.54
      Issue No: Vol. 14, No. 2 (2020)
       
  • Use of Dimensional Analysis in the X-, Y-, and Z-Axis to Predict
           Occurrence of Injury in Human Stampede
    • Authors: Abdullah Alhadhira; Michael S Molloy, Marcel Casasola, Ritu R Sarin, Michael Massey, Amalia Voskanyan, G.R. Ciottone
      Pages: 248 - 255
      Abstract: Background:Human stampedes (HS) may result in mass casualty incidents (MCI) that arise due to complex interactions between individuals, collective crowd, and space, which have yet to be described from a physics perspective. HS events were analyzed using basic physics principles to better understand the dynamic kinetic variables that give rise to HS.Methods:A literature review was performed of medical and nonmedical sourced databases, Library of Congress databases, and online sources for the term human stampedes resulting in 25,123 references. Filters were applied to exclude nonhuman events. Retrieved references were reviewed for a predefined list of physics terms. Data collection involved recording frequency of each phrase and physics principle to give the final proportions of each predefined principle used a single-entry method for each of the 105 event reports analyzed. Data analysis was performed using the R statistics packages “tidyverse”, “psych”, “lubridate”, and “Hmisc” with descriptive statistics used to describe the frequency of each observed variable.Results:Of the 105 reports of HS resulting in injury or death reviewed, the following frequency of terms were found: density change in a limited capacity, 45%; XY-axis motion failure, 100%; loss of proxemics, 100%; deceleration with average velocity of zero, 90%; Z-axis displacement pathology (falls), 92%; associated structure with nozzle effect, 93%; and matched fluid dynamic of high pressure stagnation of mass gathering, 100%.Conclusions:Description or reference to principles of physics was seen in differing frequency in 105 reports. These include XY-axis motion failure of deceleration that leads to loss of human to human proxemics, and high stagnation pressure resulting in the Z-axis displacement effect (falls) causing injury and death. Real-time video-analysis monitoring of high capacity events or those with known nozzle effects for loss of proxemics and Z-axis displacement pathology offers the opportunity to prevent mortality from human stampedes.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.47
      Issue No: Vol. 14, No. 2 (2020)
       
  • A Public Health Response to a Mudslide in Freetown, Sierra Leone, 2017:
           Lessons Learnt
    • Authors: Robert Musoke; Alexander Chimbaru, Amara Jambai, Charles Njuguna, Janet Kayita, James Bunn, Anderson Latt, Michel Yao, Zabulon Yoti, Ali Yahaya, Jane Githuku, Immaculate Nabukenya, Jane Maina, Stanley Ifeanyi, Ibrahima Socé Fall
      Pages: 256 - 264
      Abstract: On August 14, 2017, a 6-kilometer mudslide occurred in Regent Area, Western Area District of Sierra Leone following a torrential downpour that lasted 3 days. More than 300 houses along River Juba were submerged; 1141 people were reported dead or missing and 5905 displaced. In response to the mudslide, the World Health Organization (WHO) Country Office in Sierra Leone moved swiftly to verify the emergency and constitute an incident management team to coordinate the response. Early contact was made with the Ministry of Health and Sanitation and health sector partners. A Public Health Emergency Operations Center was set up to coordinate the response. Joint assessments, planning, and response among health sector partners ensured effectiveness and efficiency. Oral cholera vaccination was administered to high-risk populations to prevent a cholera outbreak. Surveillance for 4 waterborne diseases was enhanced through daily reporting from 9 health facilities serving the affected population. Performance standards from the WHO Emergency Response Framework were used to monitor the emergency response. An assessment of the country’s performance showed that the country’s response was well executed. To improve future response, we recommend enhanced district level preparedness, update of disaster response protocols, and pre-disaster mapping of health sector partners.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.53
      Issue No: Vol. 14, No. 2 (2020)
       
  • A Systematic Review of Techniques Employed for Determining Mental Health
           Using Social Media in Psychological Surveillance During Disasters
    • Authors: Dhivya Karmegam; Thilagavathi Ramamoorthy, Bagavandas Mappillairajan
      Pages: 265 - 272
      Abstract: During disasters, people share their thoughts and emotions on social media and also provide information about the event. Mining the social media messages and updates can be helpful in understanding the emotional state of people during such unforeseen events as they are real-time data. The objective of this review is to explore the feasibility of using social media data for mental health surveillance as well as the techniques used for determining mental health using social media data during disasters. PubMed, PsycINFO, and PsycARTICLES databases were searched from 2009 to November 2018 for primary research studies. After screening and analyzing the records, 18 studies were included in this review. Twitter was the widely researched social media platform for understanding the mental health of people during a disaster. Psychological surveillance was done by identifying the sentiments expressed by people or the emotions they displayed in their social media posts. Classification of sentiments and emotions were done using lexicon-based or machine learning methods. It is not possible to conclude that a particular technique is the best performing one, because the performance of any method depends upon factors such as the disaster size, the volume of data, disaster setting, and the disaster web environment.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.40
      Issue No: Vol. 14, No. 2 (2020)
       
  • Impact of Clinician Personal Protective Equipment on Medical Device Use
           During Public Health Emergency: A Review
    • Authors: Hanniebey D. Wiyor; James C. Coburn, Karen L. Siegel
      Pages: 273 - 283
      Abstract: The aim of this systematic review is to evaluate the impact of personal protective equipment (PPE) on medical device use during public health emergency responses. We conducted a systematic literature search of peer-reviewed journals in PubMed, Web of Science, and EBSCO databases. Twenty-nine of 92 articles published between 1984 and 2015 met the inclusion criteria for the review. Although many medical device use impacts were reported, they predominantly fell into 3 categories: airway management, drug administration, and diagnostics and monitoring. Chemical, biological, radiological, and nuclear (CBRN)-PPE increased completion times for emergency clinical procedures by as much as 130% and first attempt failure rates by 35% (anesthetist) versus 55% (non-anesthetist). Effects of CBRN-PPE use depend on device, CBRN-PPE level, and clinician experience and training. Continuous clinical training of responders in CBRN-PPE and device modifications can improve safety and effectiveness of medical device use during public health emergency response.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.52
      Issue No: Vol. 14, No. 2 (2020)
       
  • Response to a Fire Incident in the Operation Room: A Cautionary Tale
    • Authors: Raman Sharma; Ashok Kumar, Vipin Koushal
      Pages: 284 - 288
      Abstract: Health care facilities are always seen as places of haven and protection for managing external incidents, but situations become difficult and challenging when such facilities themselves are affected by internal hazards. Such incidents are arguably more disruptive than external incidents, because patients are dependent on supportive measures and are neither in position to respond to such crisis situation nor do they know how to respond. Operating room fires are rare but potentially catastrophic, involving loss of costly resources and possibly lives. This case report details a true operating room fire incident in an emergency operating room and details the real-life challenges encountered by operating room staff in preserving both life and property. As a result of this work, precautionary measures may be implemented to mitigate such incidents. Careful coordination, continuous training, and fire drill exercises can improve the overall outcomes and minimize the possibility of these potentially fatal problems, thereby making a safer health care environment for every worker and patient.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2018.170
      Issue No: Vol. 14, No. 2 (2020)
       
  • The Challenge of Affordable Housing in Disasters: Western Iran Earthquake
           in 2017
    • Authors: Mohammad Heidari; Neda Eskandary, Seyedeh Samaneh Miresmaeeli
      Pages: 289 - 291
      Abstract: In November 2017, a disruptive earthquake occurred in Western Iran. After the major earthquake in Kermanshah, most affordable buildings such as a hospital in Islamabad and a dozen schools were destroyed. According to experts, a dangerous location (construction on the fault), poor quality of concrete, inappropriate connection of the facade to the structure, the use of undesirable construction materials, and low quality of non-structural components are considered as the main reasons for these damages. Regarding the role of government in the developing countries, construction policies should be modified and new policies should be implemented to enhance the structural and non-structural resilience in the buildings.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.5
      Issue No: Vol. 14, No. 2 (2020)
       
  • Pretraining and Precredentialing Staff for Disaster: A Lesson Learned From
           the Experience of the 2016 Kumamoto Earthquakes
    • Authors: Soichiro Kato; Akihiko Yamamoto, Ichiro Kawachi, Takaaki Sakamoto, Chikara Kunugi, Takehiko Tarui, Yoshihiro Yamaguchi
      Pages: 292 - 294
      Abstract: The integration of external staff into a hospital’s disaster response can present technical challenges. Although hospitals will always prefer to use their own staff in disaster response, there have been many historical examples where external staffing is required. During the 2016 Kumamoto Earthquakes, the Oita Prefectural Hospital required medical professionals to expand disaster response staff. They were able to identify 2 appropriate emergency physicians belonging to a remote hospital who had previously worked at the Oita Prefectural hospital. The physicians were effectively able to supplement the hospital staff, providing care for additional patients, and giving the existing on-duty staff some respite. Based on our experience, we suggest that hospital coalitions and disaster response authorities explore mechanisms of cross-credentialing and cross-training staff to make it easier to share staff in a disaster.
      PubDate: 2020-04-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.44
      Issue No: Vol. 14, No. 2 (2020)
       
 
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