Enabling Rapid and Sustainable Public Health Research During Disasters Summary of a Joint Workshop by the Institute of Medicine and the U.S. Department of Health and Human Services (2015) / Chapter Skim
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5 Partnering with the Community to Enable Research
5 Partnering with the Community to Enable Research
Pages 51-62
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From page 51... ...
Participants considered strategies to strengthen the interface and collaborations with first responders and emergency management, health departments, workers, and others to promote successful disaster research. PARTNERING FOR EPIDEMIOLOGY RESEARCH Texas leads the nation in the number of presidentially declared disasters, said David Lakey, commissioner of the Texas Department of State Health Services (DSHS)
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From page 52... ...
A participant added that there is a process before the survey that explains who is doing the survey, why, what they are doing, and what will be done with the results; people can then choose whether to participate. State Health Department Research With the goal of continuous quality improvement in mind, the Texas DSHS has published nearly 50 peer-reviewed articles on public health preparedness over the past decade, Lakey said.1 These are written by DSHS regional and central office staff from a variety of programs, often with academic partners as coauthors.
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From page 53... ...
Using data from the medical examiner, death certificates, hospitals, urgent care clinics, and survivor interviews, Lakey and colleagues characterized the injuries, resource needs and distribution, and communication priorities for affected individuals to help inform practice in future disasters. Success in these cases and others is dependent on relationships.
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Overall, be sensitive and respectful to those we are trying to serve, he concluded. ESTABLISHING TRUST IN THE COMMUNITY Stephen Bradberry, executive director of the Alliance Institute, expanded on the concept of maintaining an ongoing connection with the community, previously emphasized by Goldfrank during his remarks about hospital populations during Hurricane Sandy.
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As an example, Bradberry recalled the comment by Birnbaum that the NIEHS GuLF Study (on the health impacts of the Deepwater Horizon oil spill) has had challenges recruiting participants and is about 20,000 participants short of its goal.
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For example, following Hurricane Katrina, much of the work was done by immigrant day laborers. Slatin described a study conducted jointly by the University of California, Los Angeles, Labor and Occupational Safety Health program, and the National Day Laborer Organizing Network (NDLON)
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. Slatin relayed that Aguilar tried to supplement worker interview data by observing worksites, applying for jobs, attempting to obtain protective equipment, and generally putting himself in similar situations as the workers.
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UNDERSTANDING THE NEEDS OF THE COMMUNITY: THE DISASTER PSYCHOSOCIAL ASSESSMENT AND SURVEILLANCE TOOLKIT (DISASTER-PAST) Anthony Speier, associate professor at the Louisiana State University Health Sciences Center, described the Disaster Psychosocial Assessment and Surveillance Toolkit (Disaster-PAST)
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A suggestion was made that local and state health departments especially need to be engaged as partners before a disaster, as they are often overwhelmed during the response and bombarded with requests. With regard to funding predisaster research and relationship building, it
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This list is not meant to reflect a consensus among workshop participants. SOURCE: Plenary session summary of breakout panel discussion as reported by panel facilitator Jack Herrmann.
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From page 61... ...
It was also noted that many local health departments are working toward accreditation by the Public Health Accreditation Board, and among the measures are building partnerships, working with students, and being involved in research. Participants also noted the need to identify the unofficial "mayors," the people who are recognized as leaders within the community, Herrmann summarized.
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