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Khorram-Manesh A, Goniewicz K, Burkle FM. Unleashing the global potential of public health: A framework for future pandemic response. J Infect Public Health 2024; 17:82-95. [PMID: 37992438 DOI: 10.1016/j.jiph.2023.10.038] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 10/21/2023] [Accepted: 10/30/2023] [Indexed: 11/24/2023] Open
Abstract
Public health emergencies, especially pandemics, need to be managed globally, and on several levels, emphasizing the importance of leadership, communication, and synchronization of measures, data, and management plans in contrast to the management of the Coronavirus-19 pandemic, which illustrated diverse strategies employed by various nations. This paper aims to review and discuss whether globalized diseases in a globalized world should be managed by globalized public health. Using a systematic literature search, followed by a non-systematic literature review, selected studies were grouped into topics, and analyzed, using content analysis to enhance the conclusive results. The results present a roadmap towards a re-envisioned framework highlighting key areas of focus: data-driven decision-making, robust technology infrastructure, global cooperation, and ongoing public health education, as part of a coordinated global response. This article reveals the weaknesses of current pandemic management systems and recommends new steps to further strengthen the management of future pandemics.
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Affiliation(s)
- Amir Khorram-Manesh
- Department of Surgery, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Disaster Medicine Centre, Gothenburg University, Gothenburg, Sweden; Gothenburg Emergency Medicine Research Group (GEMREG), Sweden.
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Lowe AE, Garzon H, Lookadoo RE, Lawler JV, Duncan D, Schwedhelm S, Devereaux AV. Avoiding Crisis Conditions in the Healthcare Infrastructure: 2 Case Studies in Statewide Collaboration. Health Secur 2022; 20:S71-S84. [PMID: 35605056 DOI: 10.1089/hs.2021.0185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
In fall 2020, COVID-19 infections accelerated across the United States. For many states, a surge in COVID-19 cases meant planning for the allocation of scarce resources. Crisis standards of care planning focuses on maintaining high-quality clinical care amid extreme operating conditions. One of the primary goals of crisis standards of care planning is to use all preventive measures available to avoid reaching crisis conditions and the complex triage decisionmaking involved therein. Strategies to stay out of crisis must respond to the actual experience of people on the frontlines, or the "ground truth," to ensure efforts to increase critical care bed numbers and augment staff, equipment, supplies, and medications to provide an effective response to a public health emergency. Successful management of a surge event where healthcare needs exceed capacity requires coordinated strategies for scarce resource allocation. In this article, we examine the ground truth challenges encountered in response efforts during the fall surge of 2020 for 2 states-Nebraska and California-and the strategies each state used to enable healthcare facilities to stay out of crisis standards of care. Through these 2 cases, we identify key tools deployed to reduce surge and barriers to coordinated statewide support of the healthcare infrastructure. Finally, we offer considerations for operationalizing key tools to alleviate surge and recommendations for stronger statewide coordination in future public health emergencies.
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Affiliation(s)
- Abigail E Lowe
- Abigail E. Lowe, MA, is an Assistant Professor, Global Center for Health Security, College of Allied Health Professions; at the University of Nebraska Medical Center, Omaha, NE
| | - Hernando Garzon
- Hernando Garzon, MD, is Director, Emergency Response, California Department of Public Health, Sacramento, CA
| | - Rachel E Lookadoo
- Rachel E. Lookadoo, JD, is Director of Legal and Public Health Preparedness, Center for Biosecurity, Biopreparedness, and Emerging Infectious Diseases, and an Instructor, Department of Epidemiology, College of Public Health; at the University of Nebraska Medical Center, Omaha, NE
| | - James V Lawler
- James V. Lawler, MD, MPH, is Director of International Programs and Innovation, Global Center for Health Security, Director of Clinical and Biodefense Research, and Associate Professor, Department of Internal Medicine; at the University of Nebraska Medical Center, Omaha, NE
| | - Dave Duncan
- Dave Duncan, MD, is Retired Director, California Emergency Medical Services Authority, Rancho Cordova, CA
| | - Shelly Schwedhelm
- Shelly Schwedhelm, MSN, RN, NEA-BC, is Executive Director, Emergency Management and Biopreparedness, Nebraska Medicine, and Executive Director, Emergency Management and Clinical Operations, Global Center for Health Security; at the University of Nebraska Medical Center, Omaha, NE
| | - Asha V Devereaux
- Asha V. Devereaux, MD, MPH, FCCP, is a Senior Medical Officer, California Emergency Services Authority/CAL-MAT, Rancho Cordova, CA, and a Clinician, Pulmonary Medicine, Sharp Coronado Hospital, Coronado, CA
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Goniewicz K, Burkle FM, Hall TF, Goniewicz M, Khorram-Manesh A. Global public health leadership: The vital element in managing global health crises. J Glob Health 2022; 12:03003. [PMID: 35136593 PMCID: PMC8818292 DOI: 10.7189/jogh.12.03003] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Krzysztof Goniewicz
- Department of Security Studies, Military University of Aviation, Dęblin, Poland
| | - Frederick M Burkle
- Harvard Humanitarian Initiative, T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA
| | | | - Mariusz Goniewicz
- Department of Emergency Medicine, Interfaculty Centre for Didactics, Medical University of Lublin, Lublin, Poland
| | - Amir Khorram-Manesh
- Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden
- Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden
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Khorram-Manesh A, Carlström E, Hertelendy AJ, Goniewicz K, Casady CB, Burkle FM. Does the Prosperity of a Country Play a Role in COVID-19 Outcomes? Disaster Med Public Health Prep 2022; 16:177-186. [PMID: 32782059 PMCID: PMC7477401 DOI: 10.1017/dmp.2020.304] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 07/20/2020] [Accepted: 07/24/2020] [Indexed: 12/11/2022]
Abstract
OBJECTIVE This study aims to clarify the association between prosperity and the coronavirus disease (COVID-19) outcomes and its impact on the future management of pandemics. METHODS This is an observational study using information from 2 online registries. The numbers of infected individuals and deaths and the prosperity rank of each country were obtained from worldometer.info and the Legatum Institute's Prosperity Index, respectively. RESULTS There is a combination of countries with high and low prosperity on the list of COVID-19-infected countries. The risk of the virus pandemic seems to be more extensive in countries with high prosperity. A Spearman's rho test confirmed a significant correlation between prosperity, the number of COVID-19 cases, and the number of deaths at the 99% level. CONCLUSION New emerging pandemics affect all nations. In order to increase the likelihood of successfully managing future events, it is important to consider preexisting health security, valid population-based management approaches, medical decision-making, communication, continuous assessment, triage, treatment, early and complete physical distancing strategies, and logistics. These elements cannot be taught on-site and on occasion. There is a need for innovative and regular educational activities for all stakeholders committed to safeguarding our future defense systems concerning diagnostic, protection, treatment, and rehabilitation in pandemics, as well as other emergencies.
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Affiliation(s)
- Amir Khorram-Manesh
- Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Department of Research and Development, Swedish Armed Forces Defense Medicine Center, V. Frölunda, Sweden
| | - Eric Carlström
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- School of Business, University of Southeast Norway, Vestfold, Norway
| | - Attila J. Hertelendy
- Department of Information Systems and Business Analytics, College of Business, Florida International University, Miami, FL
| | - Krzysztof Goniewicz
- Department of Aviation Security, Military University of Aviation, 08-521Dęblin, Poland
| | - Carter B. Casady
- Faculty of the Built Environment, Bartlett School of Construction and Project Management, University College London, United Kingdom
| | - Frederick M. Burkle
- Harvard Humanitarian Initiative, Harvard University and T.H. Chan School of Public Health, Boston, MA
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Burkle FM, Bradt DA, Ryan BJ. Global Public Health Database Support to Population-Based Management of Pandemics and Global Public Health Crises, Part I: The Concept. Prehosp Disaster Med 2021; 36:95-104. [PMID: 33087213 PMCID: PMC7653233 DOI: 10.1017/s1049023x20001351] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Revised: 10/09/2020] [Accepted: 10/12/2020] [Indexed: 01/12/2023]
Abstract
This two-part article examines the global public health (GPH) information system deficits emerging in the coronavirus disease 2019 (COVID-19) pandemic. It surveys past, missed opportunities for public health (PH) information system and operational improvements, examines current megatrend changes to information management, and describes a new multi-disciplinary model for population-based management (PBM) supported by a GPH Database applicable to pandemics and GPH crises.
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Affiliation(s)
- Frederick M. Burkle
- Professor (Ret.) Senior Fellow and Scientist, Harvard Humanitarian Initiative, Harvard University, T.H. Chan School of Public Health, Cambridge, MassachusettsUSA
- Global Scholar, Woodrow Wilson International Center for Scholars, Washington, DC USA
| | - David A. Bradt
- Dept of International Health, Johns Hopkins School of Public Health, Baltimore, MarylandUSA
| | - Benjamin J. Ryan
- Clinical Associate Professor, Department of Environmental Science, Baylor University, Waco, TexasUSA
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Khorram-Manesh A, Goniewicz K, Burkle FM. Unrecognized risks and challenges of water as a major focus of COVID-19 spread. J Glob Health 2021; 11:03016. [PMID: 33643626 PMCID: PMC7898659 DOI: 10.7189/jogh.11.03016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Amir Khorram-Manesh
- Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.,Department of Development and Research, Armed Forces Center for Defense Medicine, Gothenburg, Västra Frölunda, Sweden
| | - Krzysztof Goniewicz
- Department of Aviation Security, Military University of Aviation, Dęblin, Poland
| | - Frederick M Burkle
- Harvard Humanitarian Initiative, T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA
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