An article published in 2013 discussed the considerable challenges of quarantine order implementation and enforcement during a future pandemic or other serious threats to public health. That discussion was after the emergence of severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), but before the re-emergence of the Ebola virus in West Africa. The level of preparedness for the rapid execution of federal quarantines has not greatly improved since 2013. The nation’s readiness may have even diminished during the current pandemic due to social, political, and organizational discord.
The COVID-19 pandemic significantly impacted the lives of healthcare workers and first responders – impacts they are still feeling. As workers on the frontlines, these people took a harder hit than the rest of the American population when COVID-19 swept across the nation. Several studies have shown that the pandemic increased a person’s likelihood to have negative impacts on mental health and led to the development of new coping strategies among healthcare workers and first responders.
In an emergency response, multiple groups of stakeholders such as city, county, state, and federal agencies are brought together to solve a crisis or execute a mission. While groups of individuals from within an agency may have a shared understanding of their mission, organization, hierarchy, and norms of engagement, proper coordination between distinct groups takes time, trust, and practice. By the nature of these missions, these are scarce and often intangible resources. Situational awareness through software and expert practitioners substantially increases the odds of mission success.
The buildup to World War II illustrated the negative effect that huge wartime demand for medical supplies, equipment, and pharmaceuticals had on public and private healthcare systems in the United States. After the war, the Defense Logistics Agency (DLA) began building and pre-positioning federally owned medical materiel in storage depots domestically and materiel management centers in the European and Pacific theaters of operations. Collectively, these inventories were named war reserve materiel (WRM) and consisted of billions of dollars of medical materiel. The WRM was designed to provide wartime start-up supplies until medical materiel manufacturers could ramp up production to levels capable of supporting both wartime and civilian healthcare needs simultaneously. The medical WRM was also used to provide medical support to contingencies and humanitarian assistance missions both at home and abroad.
On 11 March 2021, the world reached a dubious milestone – one year since the World Health Organization (WHO) first declared COVID-19 a global pandemic. Soon after that declaration, a large portion of the world shut down. In the 12 months that followed, community stakeholders have become relatively well-versed in the scientific theories surrounding social distancing, viral load, herd immunity, and transmission of respiratory droplets. However, no topic has likely been more discussed (or more heatedly debated) than the need for and use of face masks.
The mission of the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) is to save lives and protect Americans from 21st century health security threats by leading the nation’s medical and public health preparedness for, response to, and recovery from disasters and public health emergencies. To accomplish this mission, ASPR collaborates with hospitals, healthcare coalitions, community stakeholders and groups, state, local, tribal, and territorial governments, the private sector, and other partners across the U.S. to improve readiness and response capabilities.
The word “reconnaissance” conjures the image of sizing up the enemy and making a plan. Behind medieval history and WWII films about military battles across seas and foreign lands, military forces and commands strategized the battle with efforts revolving around reconnaissance. For many of those who diligently formulate and coordinate emergency response, planning, preparedness, mitigation, and recovery, and those who came out of the Civil Defense Era to build and mold modern emergency management, this pandemic response has elicited feelings of anger and a struggle between opinions and facts.
Ten years ago, a team of representatives from King and Pierce counties, cities of Seattle and Bellevue, Joint Base Lewis McChord, and Pacific Northwest National Laboratory set forth on developing the Regional Recovery Framework for a Biological Attack in the Seattle Urban Area. A collaboration of the Seattle Urban Area Security Initiative (UASI) partners and military and federal agencies, the framework was specific to a hypothetical catastrophic, wide‐area biological attack using weaponized anthrax in the Seattle urban area but was designed to be flexible and scalable to serve as the recovery framework for other chemical or biological incidents. The team revisited the framework again in 2012 to create the Denver UASI All-Hazards Regional Recovery Framework. Such frameworks have been revisited again for use during the COVID pandemic.
In the age of COVID-19, community leaders and the public they serve are bombarded with news related to testing. However, many do not understand the value the results can provide, to whom they should be given, and the actions that are allowed and should be taken. These questions need to be asked and small steps need to be taken to better comprehend what can and should be done to protect communities from a not fully understood biological threat.
The concept of hospital resilience has changed in light of COVID-19. Despite planning and training for unexpected worst cast scenarios, one key assumption was not consistent with this pandemic response – that not everyone would be affected. This webcast discusses the gaps, challenges, and opportunities related to this ongoing response as observed by four experts in this field: Connor Scott, Craig DeAtley, Dr. James Terbush, and Dr. Craig Vanderwagen.