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 …

Would Triage Predictors Perform Better than First-Come-First-Served in Pandemic Ventilator Allocation?

In a pandemic, needs for ventilators might overwhelm the limited supply. Outcome predictors have been proposed to guide ventilator triage allocation decisions. However, pandemic triage predictors have not been validated. This quantitative simulation study evaluated outcomes resulting from allocation strategies varying in their performance for selecting short stay survivors as favorable candidates for ventilators. A …

Broadcasting Flu Messages – Citywide Transmission and Community Reception: An Evaluation of Ready New York’s pandemic influenza outreach campaign

Public health risk communication is a central feature of New York City’s pandemic flu preparedness plan. Particularly in the early stages of a pandemic, before effective therapeutic measures are available, non-pharmaceutical interventions such as social distancing, personal protective hygiene, and voluntary isolation are critical strategies for suppressing the spread of a novel viral strain. New …

Unanticipated Consequences of a Pandemic Flu in New York City: A Neighborhood Focus Group Study

There is fairly consistent evidence that ethnic and minority communities have historically been more vulnerable to disasters, less trusting of public authority, and often so socially marginalized that it placed them in harm’s way. In an effort to explore some of these issues we conducted a series of community-based focus groups among selected ethnic communities …

Unanticipated Consequences of Pandemic Flu: School Related Issues: A Preliminary Literature Review

In the event of a pandemic flu outbreak, closing schools would be one of the most likely non pharmaceutical interventions (NPI) considered to contain the outbreak, consistent with social distancing theories (Hodge 2006, Germann 2006). Children in preschool and school-age groups are frequently observed to amplify transmission of many forms of flu (Bell 2006, Germann …

The US pandemic influenza implementation plan at six months

There has been great concern recently about pandemic influenza. The US government developed a National Strategy for Pandemic Influenza in November 2005, followed by an implementation plan in May 2006. A six-month progress report was published in late December. The current strategies are intended to improve preparedness and response for the next influenza pandemic. In …

Interventions to Mitigate the Reduced Ability and Willingness to Work of Health Care Workers During a Pandemic Influenza Public Health Emergency

Several widely publicized articles were released in the past two years which suggest that health care and public health employees may be unable or unwilling to report to work during a public health emergency involving contagion or contamination such as pandemic influenza, SARS, smallpox, or a terrorist attack using disease or radiation: A 2006 study …

Comparison of Urban Transit Planning Responses to Pandemic Influenza

Pandemic influenza and other large scale communicable disease outbreaks pose a unique public safety concern in respect to transit and emergency planning. While local transit agencies, supported by federal funds, have identified disaster planning and response as critical to maintaining continuity of service and quality of life, most plans contend solely with event-based scenarios such …

The New York City Principals Pandemic Flu Survey: Are Schools Prepared?

It will be only a matter of time before another influenza pandemic occurs. Pandemic flu refers to a novel human influenza virus that causes a global outbreak, or pandemic. Researchers cannot accurately predict the timing, severity, or source of the next pandemic, but are certain it would present a myriad of issues for the public …

Unanticipated Consequences of Pandemic Flu: Transportation Related Issues: A Preliminary Literature Review

Broadly speaking, plans for the containment and treatment of pandemic flu lead to a set of circumscribed outcomes, which include process outcomes (e.g., numbers of individuals vaccinated, numbers of health care workers vaccinated, numbers of intensive care beds opened up) as well as health outcomes (e.g., flu-related morbidity and mortality, transmission rates, and attack rates). …

Epidemiological evidence of an early wave of the 1918 influenza pandemic in New York City

The 1918 “Spanish flu” was the fastest spreading and most deadly influenza pandemic in recorded history. Hypotheses of its origin have been based on a limited collection of case and outbreak reports from before its recognized European emergence in the summer of 1918. These anecdotal accounts, however, remain insufficient for determining the early diffusion and …