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)
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.