Missteps at WHO Fueled Ebola’s Spread

The 2014 Ebola epidemic was always going to be deadly, but an Associated Press investigation, featuring quotes by NCDP Director Dr. Irwin Redlener, has found that a string of avoidable errors badly undermined the work of aid workers. Source: https://www.youtube.com/watch?v=oSgexq5qfcE

Ebola and the Politics of Pandemic

The Earth Institute presented the first 2014-2015 Sustainable Development Seminar Series, Ebola and the Politics of Pandemic, on November 6th. Beyond urgent medical and humanitarian consequences and response demands, the growing Ebola crisis has serious implications for governments, the private sector, and public messengers. This session will explore how money, power, and media affect — …

New York City Panel on Climate Change 2015 ReportChapter 5: Public Health Impacts and Resiliency

Recent experience from Hurricane Sandy and high temperature episodes has clearly demonstrated that the health of New Yorkers can be compromised by extreme coastal storms and heat events. Health impacts that can result from exposure to extreme weather events include direct loss of life, increases in respiratory and cardiovascular diseases, and compromised mental health. Other …

Care of the Child With Ebola Virus Disease

Objectives: To provide clinicians with practical considerations for care of children with Ebola virus disease in resource-rich settings. Data Sources: Review of the published medical literature, World Health Organization and government documents, and expert opinion. Data Synthesis: There are limited data regarding Ebola virus disease in children; however, reported case-fatality proportions in children are high. …

Heat and Mortality in New York City Since the Beginning of the 20th Century

Background: Heat is recognized as one of the deadliest weather-related phenomena. Although the impact of high temperatures on mortality has been a subject of extensive research, few previous studies have assessed the impact of population adaptation to heat. Methods: We examined adaptation patterns by analyzing daily temperature and mortality data spanning more than a century …

Climate Change and Health on the U.S. Gulf Coast: Public Health Adaptation is Needed to Address Future Risks

The impacts of climate change on human health have been documented globally and in the United States. Numerous studies project greater morbidity and mortality as a result of extreme weather events and other climate-sensitive hazards. Public health impacts on the U.S. Gulf Coast may be severe as the region is expected to experience increases in …

The Medical Home and Care Coordination in Disaster Recovery: Hypothesis for Interventions and Research

In postdisaster settings, health care providers encounter secondary surges of unmet primary care and mental health needs that evolve throughout disaster recovery phases. Whatever a community’s predisaster adequacy of health care, postdisaster gaps are similar to those of any underserved region. We hypothesize that existing practice and evidence supporting medical homes and care coordination in …

Temporal Variation in Heat–Mortality Associations: A Multicountry Study

Background: Recent investigations have reported a decline in the heat-related mortality risk during the last decades. However, these studies are frequently based on modeling approaches that do not fully characterize the complex temperature–mortality relationship, and are limited to single cities or countries. Objectives: We assessed the temporal variation in heat–mortality associations in a multi-country data …

Disaster Prepared: How Federal Funding in the United States Supports Health System and Public Health Readiness

Federal funding for health and medical preparedness in the United States has created an important foundation for preparing the health and medical systems to respond to a wide range of hazards. A declining trend in funding for these preparedness activities threatens to undo the progress that has been made over the last decade, and reduce …

Do Shared Barriers When Reporting to Work During an Influenza Pandemic Influence Hospital Workers’ Willingness to Work? A Multilevel Framework

Objective Characteristics associated with interventions and barriers that influence health care workers’ willingness to report for duty during an influenza pandemic were identified. Additionally, this study examined whether workers who live in proximal geographic regions shared the same barriers and would respond to the same interventions. Methods Hospital employees (n=2965) recorded changes in willingness to …

The Hurricane Sandy Place Report: Evacuation Decisions, Housing Issues and Sense of Community

Hurricane Sandy was one of the largest storms on record, sweeping through the eastern seaboard of the United States with a massive diameter twice the size of Hurricane Katrina. Although wind speeds did not match those of Katrina, the combination of high tide at landfall and the lunar phase resulted in exceptionally high storm surges. …

The Hurricane Sandy Person Report: Disaster Exposure, Health Impacts, Economic Burden, and Social Well-Being

The impact a disaster has on the health of a population can be described as having a “dose-response” relationship: the larger the “dose” of the disaster, the greater the health impact or “response” among those individuals and communities exposed. This PERSON Briefing Report describes the impact of Hurricane Sandy (the dose) on the health and …

Winter season mortality: will climate warming bring benefits?

Extreme heat events are associated with spikes in mortality, yet death rates are on average highest during the coldest months of the year. Under the assumption that most winter excess mortality is due to cold temperature, many previous studies have concluded that winter mortality will substantially decline in a warming climate. We analyzed whether and …

Evidence-Based Pediatric Outcome Predictors to Guide the Allocation of Critical Care Resources in a Mass Casualty Event

Objective: ICU resources may be overwhelmed by a mass casualty event, triggering a conversion to Crisis Standards of Care in which critical care support is diverted away from patients least likely to benefit, with the goal of improving population survival. We aimed to devise a Crisis Standards of Care triage allocation scheme specifically for children. …