Implementing the Cities Readiness Initiative: Lessons Learned From Boston

Koh, Howard K.; Elqura, Loris J.; Judge, Christine M.; Jacob, John; Williams, Amy E.; Crowther, Maryanne; Serino, Richard A.; Auerbach, John

doi:10.1097/dmp.0b013e318164f440

Cited by 15 publications

(17 citation statements)

References 8 publications

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“…10,11 Specifically, CRI grantees, which now comprise the 72 largest cities in the United States, must demonstrate the ability to dispense countermeasures to all designated at-risk populations within 48 hours of the decision to do so. Although the CRI addresses urban centers, this 48-hour performance goal has assumed near-universal currency in countermeasure dispensing strategies across the United States.…”

Section: Introductionmentioning

confidence: 99%

“…Massachusetts, for example, recently described how its statewide public health response infrastructure was essentially completely reinvented since 2004 to meet the CRI requirement. 11 However, no published reports have quantitatively evaluated how outcomes vary in relation to meeting or missing the 48-hour goal; in fact, one recently published model assumed that the first 48 hours of an anthrax response dispensing campaign would constitute just the ''ramp-up'' time to full dispensing capacity, with the actual mass prophylaxis campaign taking over 11 days. 12 The model presented here, first developed in 2002-2003 for the Agency for Healthcare Research and Quality (AHRQ), was used during the initial formulation of the CRI to provide quantitative assessments of the effect of mass prophylaxis interventions on expected hospital surge arrivals in the aftermath of an aerosol anthrax attack (Dr. William Raub, DHHS, personal communication, September 10, 2008.).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predicting Hospital Surge after a Large-Scale Anthrax Attack: A Model-Based Analysis of CDC's Cities Readiness Initiative Prophylaxis Recommendations

Hupert

Wattson

Cuomo³

et al. 2009

Med Decis Making

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. Delays in detecting and initiating response to large-scale, covert aerosol anthrax releases in a major city would render even highly effective CRI-compliant mass prophylaxis campaigns unable to prevent unsustainable levels of surge hospitalizations. Although outcomes may improve with more rapid epidemiological identification of affected subpopulations and increased collaboration across regional public health and hospital systems, these findings support an increased focus on prevention of this public health threat.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predicting Hospital Surge after a Large-Scale Anthrax Attack: A Model-Based Analysis of CDC's Cities Readiness Initiative Prophylaxis Recommendations

Hupert

Wattson

Cuomo³

et al. 2009

Med Decis Making

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show abstract

“…Koh et al (2008), in their article "Implementing the Cities Readiness Initiative: Lessons Learned from Boston," pointed out the "Herculean task" of providing prophylactic antibiotics for an entire city population within 48 hr of release of aerosolized anthrax. Koh et al stressed that making point of dispensing (POD) sites operational requires thousands of trained volunteers in a "seamless coordination of federal, state, and local officials" (p. 47).…”

Section: Population-specific Program Planmentioning

confidence: 98%

“…In the event of biological warfare such as anthrax, mass protection of the public must be facilitated within 48 hr of exposure (Koh et al, 2008). Koh et al (2008), in their article "Implementing the Cities Readiness Initiative: Lessons Learned from Boston," pointed out the "Herculean task" of providing prophylactic antibiotics for an entire city population within 48 hr of release of aerosolized anthrax.…”

Section: Population-specific Program Planmentioning

confidence: 99%

Disabled Adults in Adult Care Facilities Facing Disasters in New York City: An Aggregate Assessment

Maja-Schultz¹,

Swain²

2012

Care Management Journals

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Disabled adults who reside in adult care facilities (ACFs) are an at-risk population in the event of an emergency or disaster. This aggregate requires housing in congregate residential settings due to frailty, function, and/or cognitive impairments. All senior residents need long-term assistance to maintain maximum independence, including 24-hr on-site monitoring, case management, and personal care services such as eating, toileting, transferring, bathing, and dressing. Twenty-five percent of this special population of older adults has psychiatric disabilities and nonmental health comorbidities (Caron et al, 2008). Through a literature search, the challenges and risks of this aggregate in the event of a naturally occurring or manmade emergency, including epidemiological and environmental risks, are identified. Evidence-based literature reveals that the foundation of an effective emergency response and recovery is planning and preparation. Lessons learned from past disasters in the United States have brought attention to the needs of disabled and chronically ill older adults. Developing partnerships, improving communication systems, identifying emergency shelters for disabled adults, and empowering ACF residents and staff through education are recommended with the universal goal of reducing injury, preventing or controlling illness, and saving lives. An innovative educational program utilizing Hybrid Modality is outlined in this article including planning, coalition building, and the use of mapping systems as tools and strategies to improve outcomes. Resources such as local, state, and federal agencies; consumer groups; and trade associations are referenced for accessibility.

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“…18 It found that mail carriers served more people per hour per provider than could be reached by operating a fixed dispensing site.…”

Section: Exhibitmentioning

confidence: 99%

Bioterrorism And Biological Threats Dominate Federal Health Security Research; Other Priorities Get Scant Attention

Shelton¹,

Connor²,

Uscher‐Pines

et al. 2012

Health Affairs

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The federal government plays a critical role in achieving national health security by providing strategic guidance and funding research to help prevent, respond to, mitigate, and recover from disasters, epidemics, and acts of terrorism. In this article we describe the first-ever inventory of nonclassified national health security-related research funded by civilian agencies of the federal government. Our analysis revealed that the US government's portfolio of health security research is currently weighted toward bioterrorism and emerging biological threats, laboratory methods, and development of biological countermeasures. Eight of ten other priorities identified in the Department of Health and Human Services' National Health Security Strategy-such as developing and maintaining a national health security workforce or incorporating recovery into planning and response-receive scant attention. We offer recommendations to better align federal spending with health security research priorities, including the creation of an interagency working group charged with minimizing research redundancy and filling persistent gaps in knowledge.

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Implementing the Cities Readiness Initiative: Lessons Learned From Boston

Cited by 15 publications

References 8 publications

Predicting Hospital Surge after a Large-Scale Anthrax Attack: A Model-Based Analysis of CDC's Cities Readiness Initiative Prophylaxis Recommendations

Predicting Hospital Surge after a Large-Scale Anthrax Attack: A Model-Based Analysis of CDC's Cities Readiness Initiative Prophylaxis Recommendations

Disabled Adults in Adult Care Facilities Facing Disasters in New York City: An Aggregate Assessment

Bioterrorism And Biological Threats Dominate Federal Health Security Research; Other Priorities Get Scant Attention

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