scholarly journals Lessons Learned from the State of Ohio H1N1 Influenza Outbreak After-Action Review

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
William A Mase
Keyword(s):  
H1n1 Influenza ◽  
The State ◽  
Lessons Learned ◽  
Influenza Outbreak ◽  
After Action Review

Lessons learned in implementing a 24/7 public health call center in response to H1N1 in the state of New Jersey

2009 ◽  
Vol 4 (5) ◽  
pp. 253-260 ◽  
Author(s):  
Terry Clancy, PhD ◽  
Christopher Neuwirth, BA ◽  
Glenn Bukowski, MA
Keyword(s):  
Public Health ◽  
New Jersey ◽  
Call Center ◽  
Initial Response ◽  
H1n1 Influenza ◽  
Public Health Emergency ◽  
The State ◽  
Lessons Learned ◽  
Influenza Outbreak ◽  
Phone Calls

Objective: The purpose of this article was to collect, examine, and report the data obtained in response to opening a 24/7 Call Center in response to the H1N1 influenza outbreak in the State of New Jersey in the Spring of 2009. Design: Data log sheets were collected and analyzed based on phone calls received into the State of New Jersey H1N1 Call Center during the initial response to the H1N1 public health emergency from April to May 2009. Data were stratified to examine the types of calls received, where they originated, and the types of organizations/agencies that needed guidance/information during the initial response to the H1N1 public health emergency. Additionally, lessons learned from this operational response were documented. Results: 3,855 calls were received and analyzed during the first 8 days of commencing the H1N1 Call Center. Signs and symptoms were the main category of questions asked, representing 31.2 percent of the call volume. Of the 3,855 calls, 216 (5.6 percent) were from agencies, such as healthcare institutions. Multiple lessons learned were documented from a planning and operations perspective. Conclusions: Communication to the general public is paramount to ensure accurate information is being conveyed during a public health response. The lessons learned from this operation are currently being utilized in response to the H1N1 influenza outbreak during the Fall of 2009.

Response to H1N1 Influenza Outbreak in a Pediatric Children's Hospital: Challenges Faced and Lessons Learned

2010 ◽  
Vol 25 (5) ◽  
pp. 375-381 ◽  
Author(s):  
Paul Cannava ◽  
Dina Cicillini ◽  
Marybeth Higgins ◽  
Ann McGrath ◽  
Jerry O'Leary
Keyword(s):  
H1n1 Influenza ◽  
Lessons Learned ◽  
Influenza Outbreak ◽  
Children's Hospital ◽  
Children’S Hospital

After-action review of the 2009-10 H1N1 Influenza Outbreak Response: Ohio’s Public Health System’s performance

2017 ◽  
Vol 15 (5) ◽  
pp. 325 ◽  
Author(s):  
William A. Mase, Dr PH ◽  
Beth Bickford, MS ◽  
Casey L. Thomas, MA ◽  
Shamika D. Jones, MPH ◽  
Michael Bisesi, PhD
Keyword(s):  
Public Health ◽  
Emergency Response ◽  
Local Area ◽  
H1n1 Influenza ◽  
Response Strategy ◽  
Local Health ◽  
Influenza Outbreak ◽  
Response Strategies ◽  
After Action Review ◽  
Pharmaceutical Industries

Objective: In early 2009, H1N1 influenza was identified within the human population. Centers for Disease Control and Prevention (CDC) officials responded with focused assessment, policy development, and assurances. The response was mobilized through efforts including procurement of adequate vaccine supply, local area span of control, materials acquisition, and facilities and resource identification.Methods: Qualitative evaluation of the assurance functions specific to the system's ability to assure safe and healthy conditions are reported. The methodology mirrors the Homeland Security Exercise and Evaluation Program used to assess system capability.Results: Findings demonstrate the effectiveness of community responsive disease prevention efforts in partnership with the public health systems mission to unify traditional public sector systems, for-profit systems, and local area systems was accomplished. As a result of this response pharmaceutical industries, healthcare providers, healthcare agencies, police/safety, colleges, and health and human service agencies were united. Conclusions: Findings demonstrate the effectiveness of community response strategies utilizing feedback from system stakeholders. After-action review processes are critical in all-hazards preparedness. This analysis of local health district response to the H1N1 influenza outbreak informs future public health service delivery. Results provide a synthesis of local health department's emergency response strategies, challenges encountered, and future-focused emergency response strategy implementation. A synthesis is provided as to policy and practice developments which have emerged over the past seven years with regard to lessons learned from the 2009-10 H1N1 influenza outbreak and response.

Building Evidence for Legal Decision Making in Real Time: Legal Triage in Public Health Emergencies

2011 ◽  
Vol 5 (S2) ◽  
pp. S242-S251 ◽  
Author(s):  
James G. Hodge ◽  
Timothy Lant ◽  
Jalayne Arias ◽  
Megan Jehn
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Real Time ◽  
H1n1 Influenza ◽  
Lessons Learned ◽  
Influenza Outbreak ◽  
Public Health Emergencies ◽  
Ethical Decisions ◽  
Law And Ethics ◽  
Critical Public Health

ABSTRACTSimilar to the triaging of patients by health care workers, legal and public health professionals must prioritize and respond to issues of law and ethics in declared public health emergencies. As revealed by the 2009-2010 H1N1 influenza outbreak and other events, there are considerable inconsistencies among professionals regarding how to best approach these issues during a public health emergency. Our project explores these inconsistencies by attempting to assess how practitioners make legal and ethical decisions in real-time emergencies to further critical public health objectives. Using a fictitious scenario and interactive visualization environment, we observed real-time decision-making processes among knowledgeable participants. Although participants' decisions and perspectives varied, the exercise demonstrated an increase in the perception of the relevance of legal preparedness in multiple aspects of the decision-making process and some key lessons learned for consideration in future repetitions of the exercise and actual, real-time emergency events.(Disaster Med Public Health Preparedness. 2011;5:S242-S251)

scholarly journals 22.F. Workshop: What makes for resilient health systems? Evidence from the State of Health in the EU country profiles

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Health System ◽  
Health Systems ◽  
Building Blocks ◽  
The State ◽  
Lessons Learned ◽  
Three Dimensions ◽  
Health System Strengthening ◽  
New Work ◽  
State Of Health ◽  
The Eu

Abstract The European Commission's State of Health in the EU (SoHEU) initiative aims to provide factual, comparative data and insights into health and health systems in EU countries. The resulting Country Health Profiles, published every two years (current editions: November 2019) are the joint work of the European Observatory on Health Systems and Policies and the OECD, in cooperation with the European Commission. They are designed to support the efforts of Member States in their evidence-based policy making and to contribute to health care systems' strengthening. In addition to short syntheses of population health status, determinants of health and the organisation of the health system, the Country Profiles provide an assessment of the health system, looking at its effectiveness, accessibility and resilience. The idea of resilient health systems has been gaining traction among policy makers. The framework developed for the Country Profiles template sets out three dimensions and associated policy strategies and indicators as building blocks for assessing resilience. The framework adopts a broader definition of resilience, covering the ability to respond to extreme shocks as well as measures to address more predictable and chronic health system strains, such as population ageing or multimorbidity. However, the current framework predates the onset of the novel coronavirus pandemic as well as new work on resilience being done by the SoHEU project partners. This workshop aims to present resilience-enhancing strategies and challenges to a wide audience and to explore how using the evidence from the Country Profiles can contribute to strengthening health systems and improving their performance. A brief introduction on the SoHEU initiative will be followed by the main presentation on the analytical framework on resilience used for the Country Profiles. Along with country examples, we will present the wider results of an audit of the most common health system resilience strategies and challenges emerging from the 30 Country Profiles in 2019. A roundtable discussion will follow, incorporating audience contributions online. The Panel will discuss the results on resilience actions from the 2019 Country Profiles evidence, including: Why is resilience important as a practical objective and how is it related to health system strengthening and performance? How can countries use their resilience-related findings to steer national reform efforts? In addition, panellists will outline how lessons learned from country responses to the Covid-19 pandemic and new work on resilience by the Observatory (resilience policy briefs), OECD (2020 Health at a Glance) and the EC (Expert Group on Health Systems Performance Assessment (HSPA) Report on Resilience) can feed in and improve the resilience framework that will be used in the 2021 Country Profiles. Key messages Knowing what makes health systems resilient can improve their performance and ability to meet the current and future needs of their populations. The State of Health in the EU country profiles generate EU-wide evidence on the common resilience challenges facing countries’ health systems and the strategies being employed to address them.

scholarly journals Better state pictures facilitating state machine characteristic conjecture

2021 ◽  
Author(s):  
Dang Duy Bui ◽  
Kazuhiro Ogata
Keyword(s):  
Virtual Machines ◽  
Mutual Exclusion ◽  
State Machine ◽  
Formal Proof ◽  
The State ◽  
Lessons Learned ◽  
Java Virtual Machines ◽  
Core Part ◽  
Proximity Principle

AbstractThe mutual exclusion protocol invented by Mellor-Crummey and Scott (called MCS protocol) is used to exemplify that state picture designs based on which the state machine graphical animation (SMGA) tool produces graphical animations should be better visualized. Variants of MCS protocol have been used in Java virtual machines and therefore the 2006 Edsger W. Dijkstra Prize in Distributed Computing went to their paper on MCS protocol. The new state picture design of a state machine formalizing MCS protocol is assessed based on Gestalt principles, more specifically proximity principle and similarity principle. We report on a core part of a formal verification case study in which the new state picture design and the SMGA tool largely contributed to the successful completion of the formal proof that MCS protocol enjoys the mutual exclusion property. The lessons learned acquired through our experiments are summarized as two groups of tips. The first group is some new tips on how to make state picture designs. The second one is some tips on how to conjecture state machine characteristics by using the SMGA tool. We also report on one more case study in which the state picture design has been made for the mutual exclusion protocol invented by Anderson (called Anderson protocol) and some characteristics of the protocol have been discovered based on the tips.

Introduction to the Alaska Marine Highway System’s New Ocean Class Vessel

1998 ◽  
Vol 35 (01) ◽  
pp. 11-37
Author(s):  
Bruce L. Hutchison
Keyword(s):  
United States ◽  
The State ◽  
Lessons Learned ◽  
Historical Background ◽  
Experimental Program ◽  
Procurement Process ◽  
Federal Highway ◽  
Under Construction ◽  
Passenger Vessel ◽  
The U.S

The Alaska Marine Highway System's new Ocean Class RoRo passenger vessel, now under construction at Halter Marine, Inc., is the first large ocean and SOLAS certificated passenger vessel designed and built in the U.S. since the S.S. United States in 1952 and the smaller Alaska ferry M/V Tustumena in 1963. The vessel, M/V Kennicott, is the result of an innovative designand-construct procurement process employed by the State of Alaska under a special experimental program sanctioned by the Federal Highway Administration. This paper aims to elucidate that process and introduce the resulting design. Some historical background is given as well as a discussion of challenges facing publicly owned North American ferry systems and lessons learned in the course of this endeavor.

scholarly journals Control of H1N1 influenza outbreak: A study conducted in a naval warship

2017 ◽  
Vol 19 (2) ◽  
pp. 142
Author(s):  
Sougat Ray ◽  
Arun Gupta ◽  
Rahul Tyagi ◽  
Avishek Kumar
Keyword(s):  
H1n1 Influenza ◽  
Influenza Outbreak
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