Last data update: May 20, 2024. (Total: 46824 publications since 2009)
Records 1-4 (of 4 Records) |
Query Trace: Echols E[original query] |
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A community checklist for health sector resilience informed by Hurricane Sandy
Toner ES , McGinty M , Schoch-Spana M , Rose DA , Watson M , Echols E , Carbone EG . Health Secur 2017 15 (1) 53-69 This is a checklist of actions for healthcare, public health, nongovernmental organizations, and private entities to use to strengthen the resilience of their community's health sector to disasters. It is informed by the experience of Hurricane Sandy in New York and New Jersey and analyzed in the context of findings from other recent natural disasters in the United States. The health sector is defined very broadly, including-in addition to hospitals, emergency medical services (EMS), and public health agencies-healthcare providers, outpatient clinics, long-term care facilities, home health providers, behavioral health providers, and correctional health services. It also includes community-based organizations that support these entities and represent patients. We define health sector resilience very broadly, including all factors that preserve public health and healthcare delivery under extreme stress and contribute to the rapid restoration of normal or improved health sector functioning after a disaster. We present the key findings organized into 8 themes. We then describe a conceptual map of health sector resilience that ties these themes together. Lastly, we provide a series of recommended actions for improving health sector resilience at the local level. The recommended actions emphasize those items that individuals who experienced Hurricane Sandy deemed to be most important. The recommendations are presented as a checklist that can be used by a variety of interested parties who have some role to play in disaster preparedness, response, and recovery in their own communities. Following a general checklist are supplemental checklists that apply to specific parts of the larger health sector. |
Effects of optimism on recovery and mental health after a tornado outbreak
Carbone EG , Echols ET . Psychol Health 2017 32 (5) 1-19 OBJECTIVE: Dispositional optimism, a stable expectation that good things will happen, has been shown to improve health outcomes in a wide range of contexts, but very little research has explored the impact of optimism on post-disaster health and well-being. DESIGN: Data for this study come from the Centers for Disease Control and Prevention's Public health systems and mental health community recovery (PHSMHCR) Survey. Participants included 3216 individuals living in counties affected by the April 2011 tornado outbreak in Mississippi and Alabama. MAIN OUTCOME MEASURES: This study assesses the effect of dispositional optimism on post-disaster recovery and mental health. RESULTS: Dispositional optimism was found to have a positive effect on personal recovery and mental health after the disaster. Furthermore, it moderated the relationship between level of home damage and personal recovery as well as the relationship between home damage and post-traumatic stress disorder (PTSD), with stronger effects for those with increased levels of home damage. CONCLUSIONS: The utility of screening for optimism is discussed, along with the potential for interventions to increase optimism as a means of mitigating adverse mental health effects and improving the recovery of individuals affected by disasters and other traumatic events. |
Severe respiratory illness associated with enterovirus D68 - Missouri and Illinois, 2014
Midgley CM , Jackson MA , Selvarangan R , Turabelidze G , Obringer E , Johnson D , Giles BL , Patel A , Echols F , Oberste MS , Nix WA , Watson JT , Gerber SI . MMWR Morb Mortal Wkly Rep 2014 63 (36) 798-9 On August 19, 2014, CDC was notified by Children's Mercy Hospital in Kansas City, Missouri, of an increase (relative to the same period in previous years) in patients examined and hospitalized with severe respiratory illness, including some admitted to the pediatric intensive care unit. An increase also was noted in detections of rhinovirus/enterovirus by a multiplex polymerase chain reaction assay in nasopharyngeal specimens obtained during August 5-19. On August 23, CDC was notified by the University of Chicago Medicine Comer Children's Hospital in Illinois of an increase in patients similar to those seen in Kansas City. To further characterize these two geographically distinct observations, nasopharyngeal specimens from most of the patients with recent onset of severe symptoms from both facilities were sequenced by the CDC Picornavirus Laboratory. Enterovirus D68 (EV-D68) was identified in 19 of 22 specimens from Kansas City and in 11 of 14 specimens from Chicago. Since these initial reports, admissions for severe respiratory illness have continued at both facilities at rates higher than expected for this time of year. Investigations into suspected clusters in other jurisdictions are ongoing. |
First confirmed cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection in the United States, updated information on the epidemiology of MERS-CoV infection, and guidance for the public, clinicians, and public health authorities - May 2014
Bialek SR , Allen D , Alvarado-Ramy F , Arthur R , Balajee A , Bell D , Best S , Blackmore C , Breakwell L , Cannons A , Brown C , Cetron M , Chea N , Chommanard C , Cohen N , Conover C , Crespo A , Creviston J , Curns AT , Dahl R , Dearth S , DeMaria A , Echols F , Erdman DD , Feikin D , Frias M , Gerber SI , Gulati R , Hale C , Haynes LM , Heberlein-Larson L , Holton K , Ijaz K , Kapoor M , Kohl K , Kuhar DT , Kumar AM , Kundich M , Lippold S , Liu L , Lovchik JC , Madoff L , Martell S , Matthews S , Moore J , Murray LR , Onofrey S , Pallansch MA , Pesik N , Pham H , Pillai S , Pontones P , Poser S , Pringle K , Pritchard S , Rasmussen S , Richards S , Sandoval M , Schneider E , Schuchat A , Sheedy K , Sherin K , Swerdlow DL , Tappero JW , Vernon MO , Watkins S , Watson J . MMWR Morb Mortal Wkly Rep 2014 63 (19) 431-6 Since mid-March 2014, the frequency with which cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection have been reported has increased, with the majority of recent cases reported from Saudi Arabia and United Arab Emirates (UAE). In addition, the frequency with which travel-associated MERS cases have been reported and the number of countries that have reported them to the World Health Organization (WHO) have also increased. The first case of MERS in the United States, identified in a traveler recently returned from Saudi Arabia, was reported to CDC by the Indiana State Department of Health on May 1, 2014, and confirmed by CDC on May 2. A second imported case of MERS in the United States, identified in a traveler from Saudi Arabia having no connection with the first case, was reported to CDC by the Florida Department of Health on May 11, 2014. The purpose of this report is to alert clinicians, health officials, and others to increase awareness of the need to consider MERS-CoV infection in persons who have recently traveled from countries in or near the Arabian Peninsula. This report summarizes recent epidemiologic information, provides preliminary descriptions of the cases reported from Indiana and Florida, and updates CDC guidance about patient evaluation, home care and isolation, specimen collection, and travel as of May 13, 2014. |
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