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Public health emergency preparedness: lessons learned about monitoring of interventions from the National Association of County and City Health Official's survey of nonpharmaceutical interventions for pandemic H1N1.
J Public Health Manag Pract. 2013 Jan-Feb; 19(1):70-6.JP

Abstract

OBJECTIVES

We assessed local health departments' (LHDs') ability to provide data on nonpharmaceutical interventions (NPIs) for the mitigation of 2009 H1N1 influenza during the pandemic response.

DESIGN

Local health departments voluntarily participated weekly in a National Association of County and City Health Officials Web-based survey designed to provide situational awareness to federal partners about NPI recommendations and implementation during the response and to provide insight into the epidemiologic context in which recommendations were made.

SETTING

Local health departments during the fall 2009 H1N1 pandemic response.

PARTICIPANTS

Local health departments that voluntarily participated in the National Association of County and City Health Officials Sentinel Surveillance Network.

MAIN OUTCOME MEASURES

Local health departments were asked to report data on recommendations for and the implementation of NPIs from 7 community sectors. Data were also collected on influenza outbreaks; closures, whether recommended by the local health department or not; absenteeism of students in grades K-12; the type(s) of influenza viruses circulating in the jurisdiction; and the health care system capacity.

RESULTS

One hundred thirty-nine LHDs participated. Most LHDs issued NPI recommendations to their community over the 10-week survey period with 70% to 97% of LHDs recommending hand hygiene and cough etiquette and 51% to 78% voluntary isolation of ill patients. However, 21% to 48% of LHDs lacked information of closure, absenteeism, or outbreaks in schools, and 28% to 50% lacked information on outpatient clinic capacity.

CONCLUSIONS

Many LHDs were unable to monitor implementation of NPI (recommended by LHD or not) within their community during the 2009 H1N1 influenza pandemic. This gap makes it difficult to adjust recommendations or messaging during a public health emergency response. Public health preparedness could be improved by strengthening NPI monitoring capacity.

Authors+Show Affiliations

Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. pcantey@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

23169406

Citation

Cantey, Paul T., et al. "Public Health Emergency Preparedness: Lessons Learned About Monitoring of Interventions From the National Association of County and City Health Official's Survey of Nonpharmaceutical Interventions for Pandemic H1N1." Journal of Public Health Management and Practice : JPHMP, vol. 19, no. 1, 2013, pp. 70-6.
Cantey PT, Chuk MG, Kohl KS, et al. Public health emergency preparedness: lessons learned about monitoring of interventions from the National Association of County and City Health Official's survey of nonpharmaceutical interventions for pandemic H1N1. J Public Health Manag Pract. 2013;19(1):70-6.
Cantey, P. T., Chuk, M. G., Kohl, K. S., Herrmann, J., Weiss, P., Graffunder, C. M., Averhoff, F., Kahn, E. B., & Painter, J. (2013). Public health emergency preparedness: lessons learned about monitoring of interventions from the National Association of County and City Health Official's survey of nonpharmaceutical interventions for pandemic H1N1. Journal of Public Health Management and Practice : JPHMP, 19(1), 70-6. https://doi.org/10.1097/PHH.0b013e31824d4666
Cantey PT, et al. Public Health Emergency Preparedness: Lessons Learned About Monitoring of Interventions From the National Association of County and City Health Official's Survey of Nonpharmaceutical Interventions for Pandemic H1N1. J Public Health Manag Pract. 2013 Jan-Feb;19(1):70-6. PubMed PMID: 23169406.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Public health emergency preparedness: lessons learned about monitoring of interventions from the National Association of County and City Health Official's survey of nonpharmaceutical interventions for pandemic H1N1. AU - Cantey,Paul T, AU - Chuk,Michelle G, AU - Kohl,Katrin S, AU - Herrmann,Jack, AU - Weiss,Paul, AU - Graffunder,Corinne M, AU - Averhoff,Francisco, AU - Kahn,Emily B, AU - Painter,John, PY - 2012/11/22/entrez PY - 2012/11/22/pubmed PY - 2013/12/18/medline SP - 70 EP - 6 JF - Journal of public health management and practice : JPHMP JO - J Public Health Manag Pract VL - 19 IS - 1 N2 - OBJECTIVES: We assessed local health departments' (LHDs') ability to provide data on nonpharmaceutical interventions (NPIs) for the mitigation of 2009 H1N1 influenza during the pandemic response. DESIGN: Local health departments voluntarily participated weekly in a National Association of County and City Health Officials Web-based survey designed to provide situational awareness to federal partners about NPI recommendations and implementation during the response and to provide insight into the epidemiologic context in which recommendations were made. SETTING: Local health departments during the fall 2009 H1N1 pandemic response. PARTICIPANTS: Local health departments that voluntarily participated in the National Association of County and City Health Officials Sentinel Surveillance Network. MAIN OUTCOME MEASURES: Local health departments were asked to report data on recommendations for and the implementation of NPIs from 7 community sectors. Data were also collected on influenza outbreaks; closures, whether recommended by the local health department or not; absenteeism of students in grades K-12; the type(s) of influenza viruses circulating in the jurisdiction; and the health care system capacity. RESULTS: One hundred thirty-nine LHDs participated. Most LHDs issued NPI recommendations to their community over the 10-week survey period with 70% to 97% of LHDs recommending hand hygiene and cough etiquette and 51% to 78% voluntary isolation of ill patients. However, 21% to 48% of LHDs lacked information of closure, absenteeism, or outbreaks in schools, and 28% to 50% lacked information on outpatient clinic capacity. CONCLUSIONS: Many LHDs were unable to monitor implementation of NPI (recommended by LHD or not) within their community during the 2009 H1N1 influenza pandemic. This gap makes it difficult to adjust recommendations or messaging during a public health emergency response. Public health preparedness could be improved by strengthening NPI monitoring capacity. SN - 1550-5022 UR - https://www.unboundmedicine.com/medline/citation/23169406/Public_health_emergency_preparedness:_lessons_learned_about_monitoring_of_interventions_from_the_National_Association_of_County_and_City_Health_Official's_survey_of_nonpharmaceutical_interventions_for_pandemic_H1N1_ L2 - https://doi.org/10.1097/PHH.0b013e31824d4666 DB - PRIME DP - Unbound Medicine ER -