Public Health Emergency Researchers:
Information for Radiation Emergencies
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Public Health Emergency Research
Understanding and improving medical preparedness and response during mass casualty incidents is an increasingly important area of research.
Involves applying scientific processes to development of public policy, protecting public health, studying and enhancing responder safety and health, and environmental issues related to assessment, protection, and remediation.
Selected articles and references on this page noted below are relevant to
Establishing and evaluating benchmarks for preparedness
Learning from actual incidents
Preparedness and responses generally, not radiation incidents specifically.
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National Health Security Preparedness Index (NHSPI)
Launched in 2013, it is "the most comprehensive measure of the nation's health security preparedness to date".
Uses primarily existing (already collected), public-use, public health and health care system measures and compares these data against key national standards for preparedness.
Index evaluations by state Recent publications
Uzun Jacobson E, Inglesby T, Khan AS, Rajotte JC, Burhans RL, Slemp CC, Links JM.
Design of the national health security preparedness index. Biosecur Bioterror. 2014 May-Jun;12(3):122-31. [PubMed Citation] Lumpkin JR, Miller YK, Inglesby T, Links JM, Schwartz AT, Slemp CC, Burhans RL, Blumenstock J, Khan AS.
The importance of establishing a national health security preparedness index. Biosecur Bioterror. 2013 Mar;11(1):81-7. [PubMed Citation] Additions to this bibliography will appear in future updates to REMM.
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HHS/ASPR Public Health Emergency Research Initiative
Science Preparedness (HHS/ASPR) — Scientific research framework that can enable emergency planners, responders and the whole community to better prepare for, respond to, and recover from major public health emergencies
Public Health Emergency Research Review Board (PDF - 1.6 MB) (PHERRB, 2012, see pages 87, 115)
Serves as IRB of record by conducting expedited human subject protection review for proposed public health emergency research studies
Supplements the review from local institutions by providing regulatory review
NIH designated to maintain PHERRB infrastructure withinin the Office of Human Subjects Research Protection (OHSRP)
Protocols are usually multisite studies
Created partnership with Institute of Medicine to convene meetings quickly to assess research opportunities during responses to disasters or outbreaks (See below.)
Sponsored workshops and Exercises
NIH Disaster Research Response Project (DR2)
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Lurie N, Manolio T, Patterson AP, Collins F, Frieden T.
Research as a part of public health emergency response. N Engl J Med. 2013 Mar 28;368(13):1251-5. [PubMed Citation]
Disaster Information Management Research Center (DIMRC) (NIH/NLM) Other
Murphy DJ, Rubinson L, Blum J, Isakov A, Bhagwanjee S, Cairns CB, Cobb JP, Sevransky JE; United States Critical Illness and Injury Trials Group - Program for Emergency Preparedness.
Development of a Core Clinical Dataset to Characterize Serious Illness, Injuries, and Resource Requirements for Acute Medical Responses to Public Health Emergencies. Crit Care Med. 2015 Nov;43(11):2403-8. [PubMed Citation] Piltch-Loeb R, Kraemer JD, Nelson C, Stoto MA.
A public health emergency preparedness critical incident registry. Biosecur Bioterror. 2014 May-Jun;12(3):132-43. [PubMed Citation] Savoia E, Preston J, Biddinger PD.
A Consensus Process on the Use of Exercises and After Action Reports to Assess and Improve Public Health Emergency Preparedness and Response. Prehosp Disaster Med. 2013 Mar 28:1-3. [PubMed Citation]
Engaging the Public in Critical Disaster Planning and Decision Making. (Institute of Medicine, August 23, 2013) Decker JA, Kiefer M, Reissman DB, Funk R, Halpin J, Bernard B, Ehrenberg RL, Schuler CR, Whelan E, Myers K, Howard J.
A decision process for determining whether to conduct responder health research following large disasters. Am J Disaster Med. 2013 Winter;8(1):25-33. [PubMed Citation] Chan JL, Burkle FM Jr.
A framework and methodology for navigating disaster and global health in crisis literature. PLoS Curr. 2013 Apr 4;5. [PubMed Citation] Roy N, Thakkar P, Shah H.
Developing-world disaster research: present evidence and future priorities. Disaster Med Public Health Prep. 2011 Jun;5(2):112-6. [PubMed Citation]
A National Agenda for Public Health Systems Research on Emergency Preparedness. RAND Corporation, Technical Report 660.
Public Health Preparedness and Response to Chemical and Radiological Incidents, Functions, Practices and Areas for Future Work. RAND Corporation, Technical report 719.