Skip to main content
×
Home
    • Aa
    • Aa

Developing National Standards for Public Health Emergency Preparedness With a Limited Evidence Base

Abstract
ABSTRACT

Objective: The paucity of evidence and wide variation among communities creates challenges for developing congressionally mandated national performance standards for public health preparedness. Using countermeasure dispensing as an example, we present an approach for developing standards that balances national uniformity and local flexibility, consistent with the quality of evidence available.

Methods: We used multiple methods, including a survey of community practices, mathematical modeling, and expert panel discussion.

Results: The article presents recommended dispensing standards, along with a general framework that can be used to analyze tradeoffs involved in developing other preparedness standards.

Conclusions: Standards can be developed using existing evidence, but would be helped immensely by a stronger evidence base.

(Disaster Med Public Health Preparedness. 2010;4:285-290)

Copyright
Corresponding author
Correspondence: Address correspondence and reprint requests to Dr Christopher Nelson, RAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138 (e-mail: cnelson@rand.org).
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

3. M Campbell , R Fitzpatrick , AL Kinmouth , P Sandercock , D Spiegelhalter , P. Tyrer Education and debate: framework for design and evaluation of complex interventions to improve public health. BMJ. 2000;321:694696.

4. D Lenaway , P Halverson , S Sotnikov , H Tilson , L Corso , W. Millington Public health systems research: setting a national agenda. Am J Public Health. 2006;96 (3):410413.

9. W. Lehr Understanding the process. J Am Soc Inf Sci. 1992;43:550555.

13. DA. Wilkening Sverdlovsk revisited: modeling human inhalation anthrax. Proc Natl Acad Sci U S A. 2006;103 (20):75897594.

14. LM Wein , DL Craft , EH. Kaplan Emergency response to an anthrax attack. Proc Natl Acad Sci U S A. 2003;100 (7):43464351.

17. C Nelson , E Beckjord , D Dausey , et alHow can we strengthen the evidence base for public health emergency preparedness. Disaster Med Public Health Prep. 2008;2:14.

19. RA Fowler , GD Sanders , DM Bravata , et alCost-effectiveness of defending against bioterrorism: a comparison of vaccination and antibiotic prophylaxis against anthrax. Ann Intern Med. 2005;142 (8):601610.

20. EH Kaplan , DL Craft , LM. Wein Emergency response to a smallpox attack: the case for mass vaccination. Proc Natl Acad Sci U S A. 2002;99 (16):1093510940.

21. SA Bozzette , R Boer , V Bhatnagar , et alA model for a smallpox-vaccination policy. N Engl J Med. 2003;348 (5):416425.

22. RW Rendin , NM Welch , LG. Kaplowitz Leveraging bioterrorism preparedness for non-bioterrorism events: a public health example. Biosecur Bioterror. 2005;3 (4):309315.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 1
Total number of PDF views: 25 *
Loading metrics...

Abstract views

Total abstract views: 109 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 28th May 2017. This data will be updated every 24 hours.