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Wang K, Feng Y, Deng J, Su C, Li Q. An Evaluation Approach of Community Emergency Management Ability Based on Cone-ANP. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2351. [PMID: 36767718 PMCID: PMC9915332 DOI: 10.3390/ijerph20032351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 01/23/2023] [Accepted: 01/26/2023] [Indexed: 06/18/2023]
Abstract
In order to improve the emergency management ability of urban communities in response to emergencies and reduce the losses caused by emergencies, based on the method of Cone-Analytic Network Process (Cone-ANP), a whole-process community emergency management ability evaluation method was proposed. Using around 25 evaluation indexes from six dimensions, namely infrastructure resilience, community organization resilience, risk management, emergency material support, emergency force building, and emergency literacy, this method established the dominant relationship of each index by the analysis of the cone network structure. It determined the community safety culture construction as the cone-top element, and obtained the limit weight vector of all the evaluation indexes by expert evaluation. The membership degree of each index was calculated to quantify the evaluation results of community emergency management ability. The results could provide a guidance and reference basis for community emergency management.
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Affiliation(s)
- Kai Wang
- College of Safety Science and Engineering, Xi’an University of Science and Technology, Xi’an 710054, China
- Xi’an Key Laboratory of Urban Public Safety and Fire Rescue, Xi’an 710054, China
| | - Yuanyuan Feng
- College of Safety Science and Engineering, Xi’an University of Science and Technology, Xi’an 710054, China
- Xi’an Key Laboratory of Urban Public Safety and Fire Rescue, Xi’an 710054, China
| | - Jun Deng
- College of Safety Science and Engineering, Xi’an University of Science and Technology, Xi’an 710054, China
- Xi’an Key Laboratory of Urban Public Safety and Fire Rescue, Xi’an 710054, China
| | - Chang Su
- College of Safety Science and Engineering, Xi’an University of Science and Technology, Xi’an 710054, China
- Xi’an Key Laboratory of Urban Public Safety and Fire Rescue, Xi’an 710054, China
| | - Quanfang Li
- College of Safety Science and Engineering, Xi’an University of Science and Technology, Xi’an 710054, China
- Xi’an Key Laboratory of Urban Public Safety and Fire Rescue, Xi’an 710054, China
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Kelly D, Koay A, Mineva G, Volz M, McCool A, McLoughlin E, Ó Conluain R, Sharma M, Kerr A, Franklin BD, Grimes T. A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Public Health 2023; 214:50-60. [PMID: 36521272 DOI: 10.1016/j.puhe.2022.10.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 10/06/2022] [Accepted: 10/18/2022] [Indexed: 12/15/2022]
Abstract
OBJECTIVES Public health emergencies (PHE) can disrupt personal medication practices and increase the risk of medication-related harm and other negative medication-related outcomes. Our aim was to examine the extent and nature of published research on this topic to guide future research and practice. STUDY DESIGN Scoping review. METHODS Standard electronic databases were searched. PRISMA-ScR guidelines were followed. Extracted data were organised in response to review questions and narrative accounts developed. RESULTS A total of 129 studies were included, conducted across 32 countries, mostly in the USA (n = 42). Sixty-eight (53%) reported on infectious events, 49 (39%) climatological or ecological events and the remainder a mixture of terrorism, war or other disasters. The studies described several medication safety outcomes (medication-related harm, adherence, supply) and adaptive medication practices (self-altering prescribed medications, sharing medications and changing healthcare providers). Challenges to maintaining routine medication practices during a PHE included transport, finance, quarantine and knowledge-related issues. Twenty-eight studies (22%) examined health inequalities pertaining to adverse medication-related outcomes, with findings suggesting that gender, age, ethnicity, educational and socio-economic status may be related to inequalities. Research gaps identified included carers', children's and minority communities' experiences and intervention studies. CONCLUSIONS There is considerable evidence of disruptions to routine personal medication practices during PHEs and of medication-related harm and other negative outcomes. Maintaining medication supply for the management of chronic conditions is a universal problem across all emergency types. Research is needed to address these disruptions, particularly amongst people who experience health inequalities who may need additional support.
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Affiliation(s)
- Dervla Kelly
- School of Medicine, University of Limerick, Limerick, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland
| | - Aaron Koay
- School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland
| | - Gabriela Mineva
- School of Medicine, University of Limerick, Limerick, Ireland
| | - Monika Volz
- School of Medicine, University of Limerick, Limerick, Ireland
| | - Aoibhin McCool
- School of Medicine, University of Limerick, Limerick, Ireland
| | - Eavan McLoughlin
- School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland
| | | | - Manuj Sharma
- Research Department of Primary Care and Population Health, University College London, London, UK
| | - Aisling Kerr
- School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen, UK
| | - Bryony Dean Franklin
- Imperial College Healthcare NHS Trust, London, UK; NIHR Imperial Patient Safety Translational Research Centre, Imperial College London, UK; UCL School of Pharmacy, London, UK
| | - Tamasine Grimes
- School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland.
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Casellas Connors JP, Safayet M, Rosenheim N, Watson M. Assessing changes in food pantry access after extreme events. AGRICULTURE AND HUMAN VALUES 2022; 40:619-634. [PMID: 36340279 PMCID: PMC9616433 DOI: 10.1007/s10460-022-10373-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 09/23/2022] [Indexed: 06/07/2023]
Abstract
Food pantries play a growing role in supporting households facing or at risk of food insecurity in the United States. They also support emergency response and recovery following disasters and extreme weather events. Although food pantries are often placed in close proximity to communities with the highest rates of poverty and risk of food insecurity, access to these facilities can be disrupted during and after extreme events. Decreased access to food pantries following disasters can be particularly problematic as the need for these services is also likely to grow after such events. Despite the vast body of research on food retail access and food environments, relatively little research has utilized spatial analysis to understand food pantry access, particularly after extreme events. Using Geographic Information Systems (GIS), we characterize changes in access to food pantries following flooding events in Harris County, Texas-a highly populated and flood prone region with high levels of food insecurity and poverty. Specifically, our study models disruptions in road networks due to flooding and assesses the impacts of these disruptions on proximity to food pantries. The results reveal that much of Harris County sees only small increases in travel distance to food pantries due to extreme flooding, but some areas may be unable to access food pantries at all. This research highlights the potential and some of the limits of private food assistance networks to support emergency response efforts.
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Affiliation(s)
- John P. Casellas Connors
- Department of Geography, Texas A&M University, 3147 TAMU, College Station, TX 77843-3147 USA
- Hazards Reduction and Recovery Center, Texas A&M University, 3137 TAMU, College Station, TX 77843-3137 USA
| | - Mastura Safayet
- Department of Geography, Texas A&M University, 3147 TAMU, College Station, TX 77843-3147 USA
| | - Nathanael Rosenheim
- Hazards Reduction and Recovery Center, Texas A&M University, 3137 TAMU, College Station, TX 77843-3137 USA
- Landscape Architecture and Urban Planning, Texas A&M University, 3137 TAMU, College Station, TX 77843-3137 USA
| | - Maria Watson
- Shimberg Center for Housing Studies, M.E. Rinker, Sr. School of Construction Management, University of Florida, P.O. Box 115703, Gainesville, FL 32611-5703 USA
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Assessing the Feasibility and Effectiveness of a Linkage Into Mental Health Care Program for Adults Affected by Hurricane Sandy. Disaster Med Public Health Prep 2022; 17:e238. [PMID: 36062582 PMCID: PMC9905213 DOI: 10.1017/dmp.2022.176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE Research indicates that greater exposure to Hurricane Sandy is associated with increased mental health difficulties. This study examined whether Project Restoration, a program that linked adults into mental health care (L2C), was effective in reducing post-Sandy mental health difficulties as compared to a cohort of adults matched on mental health difficulties that were not linked into post-Sandy mental health care. METHODS Project Restoration participants (n = 52) with elevated self-reported mental health difficulties had the option to enroll into L2C. Project LIGHT (n = 63) used similar methodologies but did not have a L2C component and served as the matched control group. RESULTS Multivariable modeling showed significant decreases in all mental health difficulties except for depression in the Project Restoration group, whereas there were no significant decreases in LIGHT. The decrease in anxiety from baseline to follow-up was significantly greater for Project Restoration as compared to LIGHT. CONCLUSION Findings confirm the powerful impact community outreach and treatment have on reducing mental health difficulties after a disaster.
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Roy A, Noy I, Cuffe HE. Income and extratropical cyclones in New Zealand. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2022; 311:114852. [PMID: 35299135 DOI: 10.1016/j.jenvman.2022.114852] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 03/04/2022] [Indexed: 06/14/2023]
Abstract
Aotearoa New Zealand is highly vulnerable to extratropical cyclones because of its unique location in the midlatitude south pacific region. This study empirically investigates the impact of the extratropical cyclones on individual income, combining the data from Statistics New Zealand's Integrated Data Infrastructure (IDI) and the weather-related insurance claims data from the Earthquake Commission. Our sample covers the administrative longitudinal panel data of all the IRD registered individual taxpayers between 2010 and 2019. We estimate a set of panel regressions with individual and time-fixed effects to assess the impact of extratropical cyclones on the affected individual's annual income. We find that income from salaries and wages is negatively affected by the cyclones across various specifications. Extratropical cyclones also negatively affect the total individual income from wages and salaries, benefit and compensation, and sole tradership. However, we have limited success in identifying individual characteristics influencing the affected people's income level in our study.
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Affiliation(s)
- Apurba Roy
- Victoria University of Wellington, Wellington, New Zealand.
| | - Ilan Noy
- Victoria University of Wellington, Wellington, New Zealand
| | - Harold E Cuffe
- Victoria University of Wellington, Wellington, New Zealand
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Clay LA, Ross AD. Factors Associated with Food Insecurity Following Hurricane Harvey in Texas. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E762. [PMID: 31991735 PMCID: PMC7036850 DOI: 10.3390/ijerph17030762] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Revised: 01/06/2020] [Accepted: 01/18/2020] [Indexed: 12/20/2022]
Abstract
Food insecurity prevalence among disaster-affected households has been found to be higher than state prevalence in non-disaster times. This study applies a socio-ecological model of post-disaster food insecurity to a nested quota sample (n = 1002) recruited for a web survey from 41 Texas counties affected by Hurricane Harvey 12-15 months post-event. This analysis identifies risk and protective factors for food insecurity. Chi-square analysis was used to examine independent associations between individual, household, and social factors with food insecurity. A multivariate logistic model was fitted and adjusted odds ratios are reported. Economic instability (adjusted odds ratio (OR) 2.43; 95% Confidence Interval (CI) 1.73, 3.41), relocation due to Hurricane Harvey (OR 1.89; CI 1.15, 3.09), major home damage (OR 2.11; CI 1.12, 3.98), non-white race - black (OR 1.79; CI 1.01, 3.18), Hispanic (OR 1.67; CI 1.09, 2.54), other race (OR 4.39; CI 1.96, 9.82) - and community-based organization assistance (1.99; 1.11, 3.58) were risk factors while older age (45-64 years: 0.49; 0.32, 0.73; 65+ years 0.40; 0.22, 0.75), better physical health (0.46; 0.29, 0.71), better mental health (0.46; 0.32, 0.67), and high social support (0.37; 0.25, 0.55) were protective against food insecurity. Disaster policies and programs should address the disproportionate burden on households that relocate or have health conditions. Fostering social support networks, especially among relocated populations, may improve disaster health outcomes.
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Affiliation(s)
- Lauren A. Clay
- Health Administration and Public Health Department, D’Youville College, Buffalo, NY 14201, USA
- College of Global Public Health, New York University, New York, NY 10003, USA
| | - Ashley D. Ross
- Marine Sciences Department, Texas A&M University at Galveston, Galveston, TX 77550, USA;
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