Ready Or Not? Protecting the Public's Health

Total Page:16

File Type:pdf, Size:1020Kb

Ready Or Not? Protecting the Public's Health ISSUE REPORT Ready or Not? PROTECTING THE PUBLIC’S HEALTH FROM DISEASES, DISASTERS, AND BIOTERRORISM2008 DECEMBER 2008 PREVENTING EPIDEMICS. PROTECTING PEOPLE. TRUST FOR AMERICA’S HEALTH The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to IS A NON-PROFIT, NON-PARTISAN improving the health and health care of all Americans, the Foundation works with a diverse ORGANIZATION DEDICATED TO group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought SAVING LIVES AND MAKING experience, commitment, and a rigorous, balanced approach to the problems that affect DISEASE PREVENTION A the health and health care of those it serves. Helping Americans lead healthier lives and get the care they need-the Foundation expects to make a difference in our lifetime. For NATIONAL PRIORITY. more information, visit www.rwjf.org. TFAH BOARD OF DIRECTORS REPORT AUTHORS PEER REVIEWERS Lowell Weicker, Jr. Jeffrey Levi, PhD. TFAH thanks the reviewers for their time, President Executive Director expertise, and insights. The opinions ex- Former 3-term U.S. Senator and Trust for America’s Health pressed in this report do not necessarily rep- Governor of Connecticut and resent the views of these individuals or their Associate Professor in the Department organizations. Cynthia M. Harris, PhD, DABT of Health Policy Vice President Scott J. Becker, MS The George Washington University Director and Associate Professor Executive Director School of Public Health and Health Institute of Public Health, Florida Association of Public Health Laboratories Services A&M University James S. Blumenstock Serena Vinter, MHS Margaret A. Hamburg, MD Chief Program Officer Lead Author and Senior Research Associate Secretary Public Health Practice Trust for America’s Health Senior Scientist Association of State and Territorial Nuclear Threat Initiative (NTI) Rebecca St. Laurent, JD Health Officials Health Policy Research Assistant Patricia Baumann, MS, JD Jonathan E. Fielding, MD, MPH Trust for America’s Health Treasurer Director and Health Officer President and CEO Laura M. Segal, MA Los Angeles County Department of Bauman Foundation Director of Public Affairs Public Health Trust for America’s Health Gail Christopher, DN Margaret A. Hamburg, MD Vice President for Health Senior Scientist WK Kellogg Foundation Nuclear Threat Initiative (NTI) John W. Everets Timothy Jones, MD State Epidemiologist David Fleming, MD Tennessee Department of Health Director of Public Health Seattle King County, Washington Senior Staff Center for Biosecurity Arthur Garson, Jr., MD, MPH University of Pittsburgh Medical Center Executive Vice President and Provost and the Robert C. Taylor Professor of Health Irwin Redlener, MD Science and Public Policy Associate Dean for Public Health University of Virginia Advocacy and Disaster Preparedness Columbia University, Mailman School Robert T. Harris, MD of Public Health Former Chief Medical Officer and Senior Vice President for Healthcare BlueCross BlueShield of North Carolina Alonzo Plough, MA, MPH, PhD Vice President of Program, Planning and Evaluation The California Endowment Theodore Spencer Project Manager Natural Resources Defense Council TABLE OF CONTENTS INTRODUCTION . .3 SECTION 1: State-By-State Public Health Preparedness Indicators and Scores . .11 Indicator 1: Mass Distribution -- Strategic National Stockpile (SNS) . .18 Indicator 2: Mass Distribution -- State Antiviral Purchases . .23 Indicator 3: Public Health Laboratories -- Lab Pickup and Delivery Services . .27 Indicator 4: Public Health Laboratories -- Pandemic Influenza Planning . .29 Indicator 5: Biosurveillance -- NEDSS Compatibility . .32 Indicator 6: Health Care Volunteer Emergency Liability Protection . .35 Indicator 7: Entity Emergency Liability Protection . .38 Indicator 8: Medical Reserve Corps Readiness . .41 Indicator 9: Food Safety -- Detection and Diagnosis . .44 Indicator 10: Public Health Funding Commitment -- State Public Health Budgets . .48 Select 2009 State Preparedness Indicators . .50 SECTION 2: Federal Preparedness . .55 1. Funding for Pandemic and All-Hazards Preparedness . .55 2. Pandemic Influenza Preparedness . .58 3. The State of Federal Preparedness . .59 4. The Implementation of the 2006 Pandemic and All-Hazards Preparedness Act . .66 5. Additional Federal Issues . .66 SECTION 3: Hospital Emergency Preparedness . .72 1. Hospital Preparedness Program . .74 2. Mass Casualty Care . .75 3. Financing Hospital Preparedness . .77 4. Preparedness and Health Reform . .77 SECTION 4: Additional Issues and Concerns . .79 1. Transition Terror: Are We Prepared? . .79 2. At-Risk Populations and Community Resilience . .80 3. Children and Preparedness . .81 4. Behavioral Health Considerations . .83 5. Public Health Workforce . .84 SECTION 5: Recommendations . .85 1. Funding . .86 2. Restructuring of Federal Health Agencies . .88 3. Transparency, Accountability, and Oversight . .90 4. Surge Capacity . .91 5. Preparedness and Health Reform . .92 6. Public Health Workforce . .92 7. Research and Development . .93 8. Legal Preparedness . .94 9. Health and Sick Leave Benefits . .95 10. Food Safety Reforms . .95 11. Community Resiliency . .96 Appendix A: CDC and ASPR Preparedness Grants by State . .98 Appendix B: Influenza Antiviral Drug Purchases by States, Territories, and Select Cities . .99 Appendix C: Data and Methodology for State Indicators . .100 Appendix D: Federal Preparedness Advisory Groups, Panels and Committees . .104 Appendix E: Key Deliverables and Due Dates under PAHPA . .107 Endnotes . .112 1 Introduction ore than seven years after the terrorist attacks of September 11, 2001 Mand the subsequent anthrax-laced mailings in October of that year, and three years after Hurricanes Katrina and Rita devastated the Gulf Coast region, America has grown complacent about public health emergency preparedness. In January 2009, President-elect Barack Obama will be inaugurated as president. Periods of governmental transition, here and abroad, are often seen as a time when new leaders are tested in international affairs, especially during war-time. Many national security experts are concerned that the United States could face another terrorist attack, which requires higher levels of vigilance, including increased attention to possible bioterror threats.1 President- elect Obama has noted the importance of assuring a smooth transition. Asked about his transition team’s priorities he told CBS’s 60 Minutes, “Number one, I think it’s important to get a national security team in place because transition periods are potentially times of vulnerability to a terrorist attack.”2 While significant progress has been made to of economic deterioration, and based on the better protect the country from health emer- course of past recessions, the Center predicts gencies, funding for essential programs has that 2010 state budget gaps will be about $100 been cut, putting these improvements in billion.3 Trust for America’s Health (TFAH) jeopardy. Additionally, a number of critical is deeply concerned about the potential im- areas of preparedness still have significant pact of these budget cuts on states’ ability to gaps, including surge capacity and biosur- be prepared for emergencies. veillance systems, and these problems are less Pandemic flu, emerging infectious diseases, likely to be addressed as funding decreases. terrorism, and catastrophic natural disasters Federal funding for state and local prepared- remain serious threats to our national security. ness is down more than 25 percent from FY Instead of cutting these programs, President- 2005 levels. In addition, there is no longer elect Obama, his administration, and the any supplemental funding for states and lo- 111th Congress must prioritize public health calities for pandemic influenza preparedness, emergency preparedness and dedicate sus- even though state and local public health de- tained and increased funding to ensure Amer- partments are expected to play a key role in icans are well protected. the nation’s strategy for combating pandemic Americans expect and rely on the govern- influenza. State and local governments will ment to protect them from terrorism and not be able to make up for the shortfalls in the natural disasters, since people have little current economic climate. According to the power to protect themselves from these Center on Budget and Policy Priorities, 33 crises. In a recent survey conducted by states are facing shortfalls to their 2009 state Greenberg Quinlan Rosner Research and budgets, and 16 states already project short- Public Opinion Strategies for TFAH, 61 per- falls to their 2010 budgets. At the current rate 3 cent of Americans say that preparing for areas, however, where continued, concerted major disasters is a very important issue for action is needed. From assuring an adequate government to focus on. stockpile of pandemic influenza counter- measures to having adequate laboratory ca- It is also clear that Americans will blame the pacity to respond to a chemical or government if preparedness is lacking dur- radiological event, federal and state policies ing future emergencies. When Americans still fall short of their stated goals. In many learn more about the details of gaps in pre- other areas, a lack of transparency makes it paredness, they are very concerned and be- hard for the American people
Recommended publications
  • BIENNIAL REPORT 20I5 & 20I6 Letter from Our That Promise to Address the Critical Link Between Health Founders Care and School Success
    BIENNIAL REPORT 20I5 & 20I6 Letter from our that promise to address the critical link between health Founders care and school success. From Hurricane Katrina to the Flint Lead Crisis, our mobile clinics have responded to disasters affecting thousands of children. Through our unique relationship with Columbia University’s renowned National Center for Disaster Preparedness (NCDP), CHF has garnered the information, guidelines and programs to ensure that young people are protected before and during disasters, and are able to successfully return to normal life. And, year after year, we have been crusaders on Capitol Hill and in state and local governments, tireless in our defense of programs and policies that empower the most vulnerable in our society to access the life-changing health care they deserve. Our idea has grown and flourished thanks to our phenomenal staff, and to our countless supporters and partners - many of whom are acknowledged in this report. We are grateful for all they have done to make our mission their own. As we enter our 30th year, we are excited to announce that Dennis Walto will be at the helm as our new Chief Executive Officer. Dennis first worked with us soon after ometimes an idea can change the world. Around we founded CHF, and twenty-five years later, we were 30 years ago, we had such an idea. We saw children lucky enough to be able to rehire Dennis with the intention Sand families living in shelters, struggling with health of him succeeding Irwin. As he moves into his new role as conditions that we knew could be eliminated or managed President Emeritus and Senior Advisor, Irwin will remain with proper care.
    [Show full text]
  • Pg.6 FINAL REV 2909
    6 C olumbia U niversity RECORD February 6, 2004 Preparing for the Unthinkable: NCDP’s Irwin Redlener rwin Redlener, director of the Redlener: We’ve been working Mailman School’s National continuously on the concerns of ICenter for Disaster Prepared- children and special populations ness (NCDP), which he founded in preparedness planning. The last May, has seen his share of challenge is that a lot of the disasters. He’s helped with earth- answers are not known about quake relief in Guatemala and managing children exposed to served as medical director for weapons of mass destruction. So USA for Africa and Hands Across we held a national conference in America, when he treated famine Washington last year, with 65 or victims in Sudan in the 1980s. 70 pediatric experts, and came More recently the Brooklyn up with a consensus report about native has been working closer to how, given what we currently home, having served as president know, children should be man- of Montefiore’s Children’s Hos- aged under many of these cir- pital before joining Columbia. He cumstances. The report was pub- and his medical teams responded lished last May and is currently with direct assistance in the in the hands of disaster planners immediate aftermath of 9/11, and in every state. We’re also look- he’s been involved in disaster ing into suggested standard pro- planning ever since. He also tocols for school disaster plan- cofounded the Children’s Health ning, as well as developing Fund (CHF) with Paul Simon in guidelines for how to establish 1987.
    [Show full text]
  • "Children and Megadisasters- Lessons Learned in the New
    Advances in Pediatrics 54 (2007) 189–214 ADVANCES IN PEDIATRICS Children and Megadisasters: Lessons Learned in the New Millennium Andrew L. Garrett, MD, MPHa,*, Roy Grant, MAb, Paula Madrid, PsyDa, Arturo Brito, MD, MPHb, David Abramson, PhD, MPHa, Irwin Redlener, MDa aNational Center for Disaster Preparedness, Columbia University, Mailman School of Public Health, 722 W. 168th St., New York, NY 10023, USA bChildren’s Health Fund, 215 West 125th Street, Suite 301, New York, NY 10027, USA he term megadisaster has worked its way into the mainstream since the start of the new millennium. The expression once reserved for the techni- T cal meaning of the word—a ‘‘one in a million’’ disaster—has recently been brought to the forefront by several large natural events that have occurred in the past 5 years, namely Hurricane Katrina in the United States and the Indian Ocean tsunami of 2004. These two disasters, as well as the terrorist attacks of September 2001 in the United States have directed a persistent spotlight on the systems by which the public and its government plan for, respond to, and recover from high-impact catastrophes. From the beginnings of human society, both nature and our own species have found ways to traumatically disrupt the status quo. Despite the many ca- tastrophes in our history, the term disaster has been difficult to define. Most def- initions include some reference to the event’s impact on people, the economy, or the environment. More theoretically, a disaster can be seen as a complex function of risk and vulnerability. As an example, the magnitude of a hurricane disaster is not as simple as the force of the hurricane itself upon a community but rather a sum of those forces (eg, storm-force winds) plus the special vulner- abilities faced by the community (eg, levee failure) plus the community’s capac- ity to reduce the actual or potential negative consequences of risk (eg, an inability to evacuate citizens).
    [Show full text]
  • Hurricane Katrina Research Bibliography
    Social Science Research Council Task Force on Katrina and Rebuilding the Gulf Coast Hurricane Katrina Research Bibliography Kai Erikson, Ph.D. Chair, SSRC Task Force on Katrina 203-481-1450 [email protected] Lori Peek, Ph.D. Associate Chair, Research Projects, SSRC Task Force on Katrina 970-491-6777 [email protected] April 2008 Hurricane Katrina Research Bibliography This bibliography includes reference information for reports, journal articles, book chapters, and books that explore the human effects of Hurricane Katrina. Citations are organized according to the following subject areas: children and schools; displaced persons; economic effects and employment; elderly; emergency preparedness and response; environmental effects; evacuation; gender; health and health care; housing; media; post-disaster recovery; race and class; and research methods. The bibliography also includes authored books that discuss Katrina in general, edited books that cover a range of subjects related to the storm, special issues of scholarly journals, documentary films, and websites dedicated to Katrina. Children and Schools Abramson, David and Richard Garfield. 2006. On the Edge: Children and Families Displaced by Hurricanes Katrina and Rita Face a Looming Medical and Mental Health Crisis. A Report of the Louisiana Child and Family Health Study. New York: National Center for Disaster Preparedness and Operation Assist, Columbia University Mailman School of Public Health. http://www.ncdp.mailman.columbia.edu/files/On%20the%20Edge%20L- CAFH%20Final%20Report_Columbia%20University.pdf Abramson, David, Richard Garfield, and Irwin Redlener. 2007. The Recovery Divide: Poverty and the Widening Gap among Mississippi Children and Families Affected by Hurricane Katrina. A Report of the Mississippi Child and Family Health Study.
    [Show full text]
  • Curriculum Vitae 2020
    Curriculum Vitae 2020 Lori Peek, Ph.D. Department of Sociology 303-492-9061 (office) Natural Hazards Center 303-492-6818 (Hazards Center) University of Colorado Boulder [email protected] 483 UCB www.colorado.edu/sociology/ Boulder, CO 80309-0483 hazards.colorado.edu/ Education 2005 Doctor of Philosophy in Sociology University of Colorado Boulder Dissertation Title: “The Identity of Crisis: Muslim Americans after September 11” Dissertation Co-Chairs: Patricia Adler and Dennis Mileti 1999 Master of Education in Human Resource Studies Colorado State University 1997 Bachelor of Arts in Sociology Ottawa University Summa Cum Laude 1996 Summer Study Abroad Program Nottingham Trent University – Nottingham, England Current Positions 2017- Professor, Department of Sociology, University of Colorado Boulder 2017- Director, Natural Hazards Center, Institute of Behavioral Science, University of Colorado Boulder 2018- Principal Investigator, National Science Foundation-Supported CONVERGE Initiative, Social Science Extreme Events Research (SSEER) and Interdisciplinary Science and Engineering Extreme Events Research (ISEEER) Networks Other Faculty Appointments and Affiliations 2011-16 Associate Professor, Department of Sociology, Colorado State University 2011-16 Associate Professor, Community and Behavioral Health, Colorado School of Public Health 2010-16 Co-Director, Center for Disaster and Risk Analysis (CDRA), Colorado State University 2015- Research Associate Professor, Program on Population Impact, Recovery, and Resiliency (PIR2), College of
    [Show full text]
  • Gothamist NY Health Officials Caught Off Guard by New Childhood
    In late April, New York City's health department officials became aware of a disturbing new public health threat: an illness affecting children that was being linked to coronavirus and known to have caused at least one child's death in the United Kingdom. Described in an alert by England's National Health services as a "multisystem inflammatory state," patients were said to have required intensive care, exhibiting symptoms of both toxic shock syndrome, a rare complication resulting from a bacterial infection, and Kawasaki disease, an illness that causes inflammation of the blood vessels. At the time, the city had not received any reports about such cases, according to Ellen Lee, a medical director in the division of disease control for the city's Health Department. Nor, she added, had health officials noticed any similar alerts in the U.S. on public health listservs. "The public health community learned about it at the same time that it was hitting mainstream media," Lee said, in a telephone interview on Sunday. On April 29th, two days after the U.K. alert, city health officials began the process of making calls, reaching out to all hospitals that had more than five ICU beds for pediatric patients. Then, on May 1st, the city included the information about reports of pediatric cases in the U.K., Italy and some U.S. cities during one of its routine coronavirus webinars, which is attended by roughly 600 to 700 local health providers. Through the health department's initial outreach, city officials learned that there were nine cases of pediatric patients in New York City showing symptoms of Kawasaki disease.
    [Show full text]
  • The Economic Crisis and the Health, Well-Being and Security of New York’S Children and Families Report of a Meeting, March 13, 2009
    The Economic Crisis and the Health, Well-Being and Security of New York’s Children and Families REPORT OF A MEETING, MARCH 13, 2009 On March 13th, the Children’s Health Fund (CHF) and the National Center for Children in Poverty (NCCP) hosted the New York City Child Health Forum, “Economic Crisis: How the Fallout will Affect the Health, Well-Being and Security of Children and Families.” By gathering economic, political and policy experts, CHF and NCCP presented a clear picture of how the current economic crisis reveals long-term CHF was founded in 1987 by pediatrician-child advocate Irwin Redlener, MD, and singer-songwriter Paul Simon. policy issues that have ongoing effects on children and CHF is committed to providing comprehensive health care families. This forum was the first joint event held by to the nation’s most medically underserved children through CHF and NCCP. the development and support of innovative primary care medical programs and the promotion of guaranteed access to appropriate health care for all children. To date, CHF has developed and supports a National Network of 22 programs and two affiliates in 15 different states and the he March 2009 New York Child Health Forum District of Columbia. shed light on troubling long-term trends that T For more information visit www.childrenshealthfund.org. have become only more salient in the context of today’s economic crisis. These range from the rising income inequality and erosion of the income tax base that has jeopardized the state and city’s fiscal situation to the persistent underpayment for community health center services that has put the centers very survival at risk.
    [Show full text]
  • Gov Cuomo Letter Final
    February 27, 2013 The Honorable Andrew Cuomo Governor of New York State New York State Capitol Building Albany, NY 12224 Dear Governor Cuomo, We, the undersigned medical professionals, elected officials, organizations, and concerned New Yorkers, write to thank you. We support your decision to allow rule-making deadlines to lapse in order to grant Department of Health (DOH) Commissioner Nirav Shah additional time to continue the Health Review of the Department of Environmental Conservation’s (DEC) draft Supplemental Generic Environmental Impact Statement (SGEIS) for High Volume Hydraulic Fracturing (HVHF). As DOH Commissioner Shah emphasizes in his recent letter to DEC Commissioner Joseph Martens, understanding the potential impact of HVHF on public health involves answering complex questions. We therefore applaud you for not rushing the DOH through this essential process in order to meet an arbitrary deadline. In particular, we agree with DOH Commissioner Shah’s assertion, as expressed in his February 12 communiqué to DEC Commissioner Martens, that “the time to ensure the impacts on public health are considered is before a state permits drilling.” On February 13, you were quoted as saying that the decision on HVHF is “too important to make a mistake.” We agree. We look no farther than our southern border to see the terrible results of moving ahead with HVHF without properly considering the public health consequences from a range of drilling- related impacts. These impacts include 24/7 noise pollution; vehicular accidents; diesel exhaust; well casing/cement failures; direct contamination of wells with methane from deep-level fracture zones; hazardous air pollutants from venting and flaring operations; chemical spills; improper disposal of radioactive waste water; silica dust; stream sedimentation; and, of course, climate- altering methane emissions to air.
    [Show full text]
  • “After Hurricane Sandy: Lessons Learned for Bolstering the Resilience of Health Systems and Services”
    “After Hurricane Sandy: Lessons Learned for Bolstering the Resilience of Health Systems and Services” Hosted by Kostas Research Institute for Homeland Security, Northeastern University & Columbia University’s National Center for Disaster Preparedness Read Ahead Materials Table of Contents Summaries of Reports .......................................................................................................................................3 “Hurricane Sandy: Lessons Learned, Again” (David M. Abramson and Irwin Redlener, December 2012) ............................................... 11 “Lack of Authority” (Sasha Chavkin, February 1, 2013) ....................................................................................... 13 “The Long Road to Recovery: The Environmental Health Impacts of Hurricane Sandy” (John Manuel, May 2013) ....................................................................................................... 16 “A Hospital System’s Response To A Hurricane Offers Lessons, Including The Need For Mandatory Interfacility Drills” (Christina Verni, August 2012) .............................................................................................. 24 “Facing Uncertainty — Dispatch from Beth Israel Medical Center, Manhattan (Sushrut Jangi, December 13, 2012) ..................................................................................... 32 “Disaster Resilience and People with Functional Needs” (Sophia Jan and Nicole Lurie, December 13, 2012) ............................................................
    [Show full text]
  • System-Based Mobile Primary Pediatric Care for Homeless Children: the Anatomy of a Working Program
    81---------- System-based Mobile Primary Pediatric Care for Homeless Children: The Anatomy of a Working Program IRWIN REDLENER, MO, AND KAREN B. REDLENERi' The New York Children's Health Project (NYCHP) of the Montefiore Medical Center-Albert Einstein College of Medicine has been providing comprehensive health services to homeless and medically underserved children since 1987. Fully equipped mobile child health offices have been the major mechanism for bringing pediatrician-led teams to places that are convenient for and accessible to underserved children and their families. The program was initiated in November 1987. Through De­ cember 1993, the NYCHP has provided care to 18,296 children at 79,695 program encounters. Additionally, 4,872 specialty referrals have been made for these patients (Table). The · target patient popUlation of the NYCHP ranges from 0 through 21 years of age. Approximately 95% of the homeless children seen by the NYCHP are currently living with one or both parents or with a guardian. The remainder are unattached home­ less youth who receive health services via NYCHP mobile teams working at a drop-in center for runaways, or at a foster car~ facility. Mobile units have been used for decades in a variety of health care settings. However, most applications have been for episodic care programs, health screening initiatives, or health education. The NYCHP is designed to provide primary health care with a • Dr. RedleOCI is Associate Professor of Pediatrics, Albert Einstein College of Medicine, and Ms. Redlener is Director, Community Ch ild Health Network, Montefiore Medical Center, Bronx, NY 10461. Address reprint requests to Dr.
    [Show full text]
  • Protecting Americans from Infectious Diseases2015
    ISSUE REPORT Embargoed until 10:00 am ET on December 17 Outbreaks: PROTECTING AMERICANS FROM INFECTIOUS DISEASES2015 ealthcare workers in West Africa report that some personnel are able to wear Htheir PPE for only 40 minutes at a time because of high temperatures and humid conditions. Even in the United States, where management of patients with Ebola is done in air-conditioned environments, uncomfortable PPE is a common complaint and causes a burden for healthcare workers. In September 2014, President Obama announced a “Grand Challenge” to design improved PPE for use by healthcare workers during treatment of Ebola patients. CDC’s National Institute for Occupational Safety and Health (NIOSH) is partnering with other U.S. agencies on the “Fighting Ebola: A Grand Challenge for Development” to help healthcare workers on the front lines provide better care and stop the spread of Ebola. The USAID-led Grand Challenge includes developing, testing, and improving PPE to address issues of protection, heat stress, and comfort for healthcare workers. NIOSH conducts research that supports the epidemic response and the Grand Challenge and is working closely with federal partners on the Grand Challenge, including (but not limited to) participating in crowdsourcing events to promote innovation, reviewing promising ideas that can be scaled to the field, and setting performance, test, and evaluation requirements. A NIOSH sweating thermal manikin with the PPE ensemble commonly used by Doctors Without Borders (MSF) for high 44 exposure areas. CDC artist’s rendering of the Ebola virus. There are five identified Ebola virus species, four of which are known to cause disease in humans.
    [Show full text]
  • Leadership and Decision-Making in Pandemics COVID-19 Is Disrupting
    Leadership and Decision-Making in Pandemics COVID-19 is disrupting the way we work, live and spend our leisure time. As a country, the United States of America responded poorly to the outbreak. Other countries, like South Korea, South Africa and New Zealand responded well, as did certain US states and cities at different stages of the unfolding pandemic. In response, we have adjusted our individual habits of health and behavior, and have begun to make changes to the design of our economic and social institutions. Some of these changes will be temporary, others more durable. Many actors are using the pandemic to make changes they wanted to make all along but lacked the opportunity. As we recover from COVID-19 we must bring the lessons of failure and the ingredients of success to the next pandemic that will inevitably hit us. Lesson-learning rarely happens automatically. It takes leadership and deliberate decisions to figure out what needs to be done, how to manage a process of change and at what scale to finance it. With leading-edge lectures, experienced guest speakers with international experience, and a power- ful desktop exercise in pandemic response, we will delve into the issues and equip participants with the decision- making tools they can use as leaders of institutions in the spheres in which they operate. We are excited to bring you this course. Course Schedule • Monday, June 8th – History and Dynamics of Modern Pandemics • Tuesday, June 9th – US Response to COVID-19 • Wednesday, June 10th – Governance of Pandemics • Thursday, June 11th – Don’t Snap Back to Old Ways – Building Innovation into Recovery • Friday, June 12th – Desktop Exercise Monday, June 8, 2020 History and Dynamics of Modern Pandemics Session Description: In the midst of COVID-19 there are many valuable lessons to be learned from past epidemics and pandemics.
    [Show full text]