RISK COMMUNICATION AS A CORE PUBLIC HEALTH COMPETENCE IN INFECTIOUS DISEASE MANAGEMENT: DEVELOPMENT OF THE ECDC TRAINING CURRICULUM AND PROGRAMME

Risk communication has been identified as a core competence for guiding public health responses to infectious disease threats. The International Health Regulations (2005) call for all countries to build capacity and a comprehensive understanding of health risks before a public health emergency to allow systematic and coherent communication, response and management. Research studies indicate that while outbreak and crisis communication concepts and tools have long been on the agenda of public health officials, there is still a need to clarify and integrate risk communication concepts into more standardised practices and improve risk communication and health, particularly among disadvantaged populations. To address these challenges, the European Centre for Disease Prevention and Control (ECDC) convened a group of risk communication experts to review and integrate existing approaches and emerging concepts in the development of a training curriculum. This curriculum articulates a new approach in risk communication moving beyond information conveyance to knowledge- and relationship-building. In a pilot training this approach was reflected both in the topics addressed and in the methods applied. This article introduces the new conceptual approach to risk communication capacity building that emerged from this process, presents the pilot training approach developed, and shares the results of the course evaluation.published_or_final_versio

The Integration of Intergovernmental Coordination and Information Management in Response to Immediate Crises: Thailand Emergency Management

Recent occurrences of natural disasters and severe manmade hazards have increased awareness of the need for effective mitigation and response to extreme events. States of emergency require multiple agencies to perform multiple tasks simultaneously to return the situation to normal. This study proposes an inter-organizational model supported by the efficient use of information and communication technologies to assist multiple agencies in coordinating their actions more effectively during states of emergency. The model will assist participating agencies to develop the capacity to adapt to emergency conditions as well as the ability to replace other functions that fail in order to maintain the continuity of basic operations for the community until the state of emergency is cleared. Three recent cases of emergency operations in Thailand are examined to assess whether coordination among response agencies can be improved by using appropriately designed interagency operations. The complex environment of emergency response operations offers an extraordinary opportunity to investigate methods that may be used to understand and identify factors that build strength or lead to weakness in practice. The interdependence of sequential failures from sudden impacts such as the collapse of electrical transmission lines or a communication system provides a practical challenge for assessing the use of information and communication technologies in managing emergencies. Insights gained from this project may assist public agencies to work together more effectively.This research is conducted as an exploratory study with a nested case design. It employs both qualitative and quantitative methods of observation, interviews, social network analysis, document review and structured surveys to identify complementary characteristics rather than advocating a single style of research. Units of analysis are the emergency response organizations at national, provincial and local levels while units of observation are emergency response personnel in each organization. In addition, units of observation are stratified into top, middle, and operational levels of management in order to obtain information that may vary by levels of authority. Information obtained from multiple sources is analyzed to understand better the existing emergency response operations and how to improve the system effectively and efficiently.An alternative approach based on lessons learned from this study is to build systematic and adaptive collaboration among agencies, national, provincial and local levels, in emergency management of Thailand. The primary actors, Department of Disaster Prevention and Mitigation (DDPM), Bangkok Metropolitan Authority (BMA), Civil Emergency Relief Department (CERD), and District Offices (DO) can play effective roles in emergency response network under different scales of emergency. Insufficient information support and communication channels increase the difficulties of activating the action plan in wider response in states of emergency. Information technology and communication systems allow multiple agencies to share their knowledge and information they need in making informed decisions. Communication is a significant means to enable participating agencies to coordinate their operations simultaneously. These functions of information technology and communication help connect the entire emergency operation into a well-organized direction

Research Directions in Information Systems for Humanitarian Logistics

This article systematically reviews the literature on using IT (Information Technology) in humanitarian logistics focusing on disaster relief operations. We first discuss problems in humanitarian relief logistics. We then identify the stage and disaster type for each article as well as the article’s research methodology and research contribution. Finally, we identify potential future research directions

Improving Patient Satisfaction with the Virtual Handoff Process through the Utilization of Educational Pamphlets in the Emergency Department

Boarding patients in the emergency room while waiting to transfer the patient to the proper unit can be harmful to clinical care and have significant financial opportunity costs. At one local hospital it was found that on average patients were being boarded in the emergency room (ED) for approximately 85 minutes waiting to be transferred. Several barriers that caused this delay were found including, delay in room cleaning, nurse staff shortage, and inability to give report to the nurse receiving the patient. In an attempt to combat this delay which may be caused by a difficulty in giving patient report, this organization is rolling out a virtual bedside handoff process. While virtual technology is not a new concept, there are many patients that may not be comfortable with the technology. The purpose of the evidence-based project was to provide a written educational pamphlet that details the how’s and why’s of the virtual handoff process to the patient to be given upon admission. The goal of the educational pamphlet was to increase the patients’ satisfaction with the process. A pre-survey was given to a group of patients after they experienced the virtual handoff process to assess their comfort level. These results were compared to the post-survey results of patients that received the educational pamphlet prior to experiencing the virtual handoff process. Ten pre-surveys and seven post-surveys were analyzed utilizing SPSS and descriptive statistics. The analysis concluded that the participants who received the educational pamphlet felt more prepared for the virtual handoff process

The Use of Social Media by UK Local Resilience Forums

The potential uses of social media in the field of emergency preparedness, resilience and response (EPRR) are varied and interesting. The UK government have produced guidance documents for its use in the UK EPRR field but evidence of use is poorly documented and appears sporadic. This paper presents the results of a survey of Local Resilience Forums (LRF) in the UK on their use and engagement with social media. The findings suggest that the level of application of social media strategies as emergency planning or response tools varied significantly between the LRFs. While over 90percent of respondents claimed that their LRF used social media as part of their strategy, most of this use was reactive or passive, rather than proactive and systematic. The various strategies employed seem to be linked most strongly to local expertise and the existence of social media ‘champions’ rather than to the directives and guidance emerging from government

Qualitative Research of Violent Incidents Toward Young Paramedics in the Czech Republic

Introduction: Prehospital and emergency medical services (EMS) providers are usually the first to respond to an individual’s urgent health needs, sometimes in emotionally charged circumstances. Because violence toward EMS providers in the Czech Republic is often overlooked and under-reported, we do not have a complete understanding of the extent of such violence, nor do we have recommendations from EMS professional organizations on how to resolve this problem in prehospital emergency medicine.Methods: We conducted this study to explore the process of violence against EMS providers, using the Strauss/Corbin systematic approach of grounded theory to create a paradigm model. The participants in this research included personnel who had at least two years experience in the EMS systems of the city of Prague and the Central Bohemian Region, and who had been victims of violence. Our sample included 10 registered paramedics and 10 emergency medical technicians ages 23–33 (mean ± standard deviation: 27.7). The impact of communication during EMS delivery, in the context of violence from patients or their relatives, emerged as the core category and the main focus of our study. The five main groups of the paradigm model of violence against EMS personnel included causal, contextual and intervening conditions, strategies, and consequences.Results: Of the 20 study participants, 18 reported experiencing an attack during the night shift. Ten participants experienced violence on the street, and 10 inside an ambulance. The perpetrators in all 18 cases were men. The behavior of EMS personnel plays a crucial role in how violent confrontations play out: nonprofessional behavior with drunken or addict patients increases the possibility of violence in 70% of cases.Conclusion: We found that paramedics and EMTs were exposed to verbal abuse and physical violence. However, in 10 of the violent encounters reported by our 20 participants, the attack was perpetrated by otherwise-ordinary people (ie, individuals with strong family support and good jobs) who found themselves in a very stressful situation. Thanks to grounded theory we learned that for all 20 participants there was a potential opportunity to prevent the conflict

Policy into practice: Adoption of hazard mitigation measures by local government in Queensland:A collaborative research project between Queensland University of Technology and Emergency Management Queensland in association with Local Government of Queensland Disaster Management Alliance

The focus of the present research was to investigate how Local Governments in Queensland were progressing with the adoption of delineated DM policies and supporting guidelines. The study consulted Local Government representatives and hence, the results reflect their views on these issues. Is adoption occurring? To what degree? Are policies and guidelines being effectively implemented so that the objective of a safer, more resilient community is being achieved? If not, what are the current barriers to achieving this, and can recommendations be made to overcome these barriers? These questions defined the basis on which the present study was designed and the survey tools developed.\ud \ud While it was recognised that LGAQ and Emergency Management Queensland (EMQ) may have differing views on some reported issues, it was beyond the scope of the present study to canvass those views.\ud \ud The study resolved to document and analyse these questions under the broad themes of: \ud \ud • Building community capacity (notably via community awareness).\ud • Council operationalisation of DM. \ud • Regional partnerships (in mitigation/adaptation).\ud \ud Data was collected via a survey tool comprising two components: \ud \ud • An online questionnaire survey distributed via the LGAQ Disaster Management Alliance (hereafter referred to as the “Alliance”) to DM sections of all Queensland Local Government Councils; and\ud • a series of focus groups with selected Queensland Councils\u