PUBLIC HEALTH ARCHIVES
Perfect Storm: Albuterol Shortage & Supply Chain Upset
Tom Cotter
May 3, 2023
As of 2020, albuterol was the seventh most commonly prescribed medication in the U.S., with more than an estimated 17 million patients receiving it and nearly 62 million prescriptions issued annually. Albuterol is a short-acting bronchodilator drug that helps treat or prevent respiratory issues by relaxing the smooth muscles in
Covenant School – Reviewing Another Tragic Shooting
Tanya M. Scherr and Daniel Scherr
April 19, 2023
March 2023 saw four school shootings, with the shooting at the Covenant School in Nashville, Tennessee, serving as the deadliest and garnering the most media attention. With so much coverage, focus, and effort to counter school shootings since Columbine, it raises the question of why the United States still has so many
Biosafety Laboratory Issues and Failures
Robert C. Hutchinson
April 12, 2023
Concerns regarding unexpected biological incidents and their public health implications were discussed in a 2014 Domestic Preparedness biosecurity and bioterrorism article. From the improper possession and storage of decades-old live smallpox virus in a former Food and Drug Administration laboratory (lab) on the National Institute of Health (NIH) campus to
Hazmat on the Rail
Glen Rudner
April 5, 2023
Since February 3, 2023, following the train derailment in East Palestine, Ohio, the public has closely followed reports and commentary by media outlets and elected officials. This incident has become more controversial and publicized than others in recent years and has caused a public outcry for change.
Guidance for Preparing Professionals Mentally for the Worst
James Greenstone and Weldon Walles
March 22, 2023
Professional groups have debated and researched the best practices relating to the standards and quality of care sufficient to maintain minimum standards during a disaster. Due to the fluid nature of a disaster, it is difficult to abide by a standard that will fit every situation. For example, the onset
A National Plan to Link Response and Recovery
Robert J. (Bob) Roller
March 15, 2023
Federal government-wide disaster planning dates to the Cold War-era Federal Response Plan (FRP) and similar documents that described how the United States would respond to nuclear war and severe disasters. This singular plan was maintained and updated after the Cold War ended. However, following the attacks of September 11, 2001,
Leader of the Pack – Canine Detection
Barb Clark
March 8, 2023
Technology such as drones, robots, listening and visual devices, etc., have successfully been used for search and rescue operations in numerous disaster responses. Yet, in many ways, a tool used for centuries continues to be as valuable, if not more effective, in finding and rescuing lost and trapped persons, recovering
An Integrated Public Safety Approach for Evolving Threats
Eva Jernegan
March 1, 2023
Violence prevention, hardening potential targets, eliminating threats, and reducing victim count are shared goals among all public safety stakeholders during mass casualty and other high-threat incidents. However, priorities and strategies among first responders and regional policymakers vary, and bad actors are often a step ahead of those committed to saving
Winter Storm – Reimagining Recovery Using Support Functions
Jamie Hannon and Stephanie Wright
February 1, 2023
In early February 2021, Harris County, Texas, and many other jurisdictions began monitoring a Siberian Air Mass that threatened nearly all of North America. This was the genesis of Winter Storm Uri. In the week preceding the storm’s arrival, the Harris County Office of Homeland Security & Emergency Management (HCOHSEM)
Crisis Standards of Care – A Mental Health Perspective
James Greenstone
January 25, 2023
Crisis standards of care and sufficiency of care are topics of great controversy and debate in professional circles. The reasons may be obvious to most. Traditionally, health care responders are trained and held to the standard of care of their profession when rendering aid. Nothing less is acceptable. The public
The Pony Express Rides Again
Monty Dozier
January 18, 2023
In the early days of the COVID-19 pandemic, health care providers and facilities, local jurisdictions, and state agencies struggled to acquire personal protective equipment (PPE), such as masks, gloves, gowns, and hand sanitizers, for their patients and staff. Supplies of these items were extremely low and getting them shipped proved
Beachie Creek Fire – A Practitioner’s Firsthand Account
Chuck Perino
January 4, 2023
When disaster strikes, sometimes those trained to respond find themselves and their families
fleeing from the fire. Once their families are safe, they jump back in to assist wherever needed. This
scenario happened to one emergency manager when the Beachie Creek wildfire engulfed surrounding Oregon
communities with little warning.
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