Pandemic Influenza Planning in the United States from a Health Disparities Perspective

Blumenshine, Philip; Reingold, Arthur; Egerter, Susan; Mockenhaupt, Robin; Braveman, Paula; Marks, James S.

doi:10.3201/eid1405.071301

Cited by 214 publications

(238 citation statements)

References 24 publications

(19 reference statements)

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“…Several studies have shown that risk communication for communicable diseases has failed to reach intended communities particularly those most at risk (Blumenshine et al, 2008;Braverman, Egerter, Cubbin, & Marchi, 2004;Crouse Quinn, 2008;Reynolds, 2007). To understand why, there is a need for research that captures the breadth, depth, and variability of public comprehensions and perceptions of risk; optimal sources of risk information; and common health beliefs, especially among minority and hardto-reach communities (Blanchard et al, 2005;Elledge, Brand, Regens, & Boatright, 2008;Morrison & Yardley, 2009;Voeten et al, 2009).…”

Section: Evidence Gapsmentioning

confidence: 97%

Reputation, Relationships, Risk Communication, and the Role of Trust in the Prevention and Control of Communicable Disease: A Review

Cairns

Andrade

MacDonald

2013

Journal of Health Communication

105

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Population-level compliance with health protective behavioral advice to prevent and control communicable disease is essential to optimal effectiveness. Multiple factors affect perceptions of trustworthiness, and trust in advice providers is a significant predeterminant of compliance. While competency in assessment and management of communicable disease risks is critical, communications competency may be equally important. Organizational reputation, quality of stakeholder relationships and risk information provision strategies are trust moderating factors, whose impact is strongly influenced by the content, timing and coordination of communications. This article synthesizes the findings of 2 literature reviews on trust moderating communications and communicable disease prevention and control. We find a substantial evidence base on risk communication, but limited research on other trust building communications. We note that awareness of good practice historically has been limited although interest and the availability of supporting resources is growing. Good practice and policy elements are identified: recognition that crisis and risk communications require different strategies; preemptive dialogue and planning; evidence-based approaches to media relations and messaging; and building credibility for information sources. Priority areas for future research include process and cost-effectiveness evaluation and the development of frameworks that integrate communication and biomedical disease control and prevention functions, conceptually and at scale.

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Section: Evidence Gapsmentioning

confidence: 97%

Reputation, Relationships, Risk Communication, and the Role of Trust in the Prevention and Control of Communicable Disease: A Review

Cairns

Andrade

MacDonald

2013

Journal of Health Communication

105

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“…Most messages focused on protection from smoke inhalation among those in affected areas. An important part of any messaging is the development and timely release of effective health risk communication to encourage behaviors to limit negative health impacts (Vaughan & Tinker, 2009), especially among vulnerable populations (Blumenshine et al, 2008;Vlahov, Coady, Ompad, & Galea, 2007). Few previous studies have looked at effective risk communication during wildfires or analyzed the effect of technical message content, especially among vulnerable groups.…”

mentioning

confidence: 98%

Emergency Health Risk Communication During the 2007 San Diego Wildfires: Comprehension, Compliance, and Recall

Sugerman

Keir

Dee

et al. 2012

Journal of Health Communication

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In October 2007, wildfires burned nearly 300,000 acres in San Diego County, California. Emergency risk communication messages were broadcast to reduce community exposure to air pollution caused by the fires. The objective of this investigation was to determine residents' exposure to, understanding of, and compliance with these messages. From March to June 2008, the authors surveyed San Diego County residents using a 40-question instrument and random digit dialing. The 1,802 respondents sampled were predominantly 35-64 years old (65.9%), White (65.5%), and educated past high school (79.0%). Most (82.5%) lived more than 1 mile away from the fires, although many were exposed to smoky air for 5-7 days (60.7%) inside and outside their homes. Most persons surveyed reported hearing fire-related health messages (87.9%) and nearly all (97.9%) understood the messages they heard. Respondents complied with most to all of the nontechnical health messages, including staying inside the home (58.7%), avoiding outdoor exercise (88.4%), keeping windows and doors closed (75.8%), and wetting ash before cleanup (75.6%). In contrast, few (<5%) recalled hearing technical messages to place air conditioners on recirculate, use High-Efficiency Particulate Air filters, or use N-95 respirators during ash cleanup, and less than 10% of all respondents followed these specific recommendations. The authors found that nontechnical message recall, understanding, and compliance were high during the wildfires, and reported recall and compliance with technical messages were much lower. Future disaster health communication should further explore barriers to recall and compliance with technical recommendations.

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“…Furthermore, Blumenshine et al (7) suggested that various factors determine the severity of pandemic influenza, including differential exposure to influenza due to income or ethnicity, unequal levels of susceptibility, differential access to prophylaxis, and treatment after disease develops. A study in the United States reported higher rate of hospitalization among Asian/Pacific Islanders, non-Hispanic blacks, and Hispanics compared with non-Hispanic whites during the 2009 pandemic (30).…”

Section: Discussionmentioning

confidence: 99%

Identification of Conserved Peptides Comprising Multiple T Cell Epitopes of Matrix 1 Protein in H1N1 Influenza Virus

Lohia

Baranwal

2015

Viral Immunology

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Cell mediated immune response plays a key role in combating viral infection and thus identification of new vaccine targets manifesting T cell mediated response may serve as an ideal approach for influenza vaccine. The present study involves the application of an immunoinformatics-based consensus approach for epitope prediction (three epitope prediction tools each for CD4+ and CD8+ T cell epitopes) and molecular docking to identify peptide sequences containing T cell epitopes using the conserved sequences from all the Matrix 1 protein sequences of H1N1 virus available until April 2015. Three peptides comprising CD4+ and CD8+ T cell epitopes were obtained, which were not exactly reported in earlier studies. Population coverage study of these multiepitope peptides revealed that they are capable of inducing a potent immune response belonging to individuals from different populations and ethnicity distributed around the globe. Conservation study with other subtypes of influenza virus infecting humans (H2N2, H5N1, H7N9, and H3N2) revealed that these three peptides were conserved (>90%), with 100% identity in most of these strains. Hence, these peptides can impart immunity against H1N1 as well as other subtypes of influenza virus. A molecular docking study of the predicted peptides with class I and II human leukocyte antigen (HLA) molecules has shown that the majority of them have comparable binding energies to that of native peptides. Hence, these peptides from Matrix 1 protein of H1N1 appear to be promising candidates for universal vaccine design.

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Pandemic Influenza Planning in the United States from a Health Disparities Perspective

Cited by 214 publications

References 24 publications

Reputation, Relationships, Risk Communication, and the Role of Trust in the Prevention and Control of Communicable Disease: A Review

Reputation, Relationships, Risk Communication, and the Role of Trust in the Prevention and Control of Communicable Disease: A Review

Emergency Health Risk Communication During the 2007 San Diego Wildfires: Comprehension, Compliance, and Recall

Identification of Conserved Peptides Comprising Multiple T Cell Epitopes of Matrix 1 Protein in H1N1 Influenza Virus

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