Public Health Preparedness

Public health emergencies such as infectious disease, bioterrorism, or natural disasters require a coordinated response at the local, national, and international levels. RAND research improves the capability of public health systems to anticipate and prepare for such emergencies, by providing a robust set of standardized response measures, tabletop exercises, and toolkits; using GIS technology for planning; and identifying best practices and lessons learned from multiagency exercises.

Research conducted by: RAND Health; RAND Justice, Infrastructure, and Environment; RAND National Security Research Division; RAND Gulf States Policy Institute; RAND Europe

All Items (160)

Report

Bridging the Gap: Developing a Tool to Support Local Civilian and Military Disaster Preparedness — Apr 12, 2010

This report describes the current policy context for domestic all-hazards risk-informed capabilities-based planning by local military and civilian authorities and provides a framework for a local planning support tool for their use.

Commentary

What We Can Learn from the Christmas Day Bombing Attempt — Mar 26, 2010

President Obama's nominee to lead the TSA said he would like U.S. airport screening to more closely resemble Israel's. Perhaps attention is turning to what really matters about the attempted Northwest bombing: what it can teach us about aviation security, write Brian Michael Jenkins, Bruce Butterworth and Cathal Flynn.

Commentary

Jihad Jane and the Risk of Domestic Terrorism — Mar 12, 2010

The revelation of the arrest in October of Colleen Renee LaRose, who had adopted the pathetically predictable nom de guerre Jihad Jane, once again focuses national attention on homegrown terrorism. But while worrisome, this threat needs to be kept in perspective, writes Brian Michael Jenkins.

Commentary

How Can We Keep Los Angeles Secure? — Mar 5, 2010

High-ranking officials in Washington tell Americans that the threat from terrorists—principally self-radicalized homegrown terrorists—is high. Do terrorists pose a threat to Los Angeles, and if so, what should ordinary citizens do? asks Brian Michael Jenkins.

Report

Reconstructing Haiti — Jan 28, 2010

In testimony presented before the Senate Foreign Relations Committee, James Dobbins discusses the current international disaster relief operation in Haiti and how it is affected by a preexisting post-conflict reconstruction mission, which he considers ultimately more important.

Commentary

Terrorists Will Strike America Again — Jan 19, 2010

America's tolerance for terrorism cannot be zero. Although we obviously aim to do as much as possible, preventing every attack is an unattainable goal. The country needs to steel itself for the near-certainty that there will at some point be another major strike on U.S. territory, writes Gregory F. Treverton.

Commentary

Skip the Graft — Jan 17, 2010

The latest disaster to befall Haiti creates the opportunity to combine bipartisan accord on Haiti in Washington with keen and perhaps sustained American public interest, writes James Dobbins.

Journal Article

Enhancing Disaster Recovery: Lessons from Exemplary International Disaster Management Practices — Jan 1, 2010

Successful disaster recovery efforts in other countries emphasized local empowerment, organization and leadership, and planning for sustainability-providig potential lessons for US disaster management.

Journal Article

Perceived Seriousness of Seasonal and A(H1N1) Influenzas, Attitudes Toward Vaccination, and Vaccine Uptake Among U.S. Adults: Does the Source of Information Matter? — Jan 1, 2010

Information campaigns made more adults concerned about a pandemic, but didn't reassure them sufficiently about H1N1 vaccine safety and effectiveness that they got the vaccine.

Journal Article

Psychological Effects of Patient Surge in Large-Scale Emergencies: A Quality Improvement Tool for Hospital and Clinic Capacity Planning and Response — Jan 1, 2010

A novel and practical quality improvement tool can help hospitals and clinics plan for and respond to the psychological consequences of catastrophic events that create a surge of psychological casualties presenting for health care.

Journal Article

Research Priorities for Syndromic Surveillance Systems Response: Consensus Development Using Nominal Group Technique — Jan 1, 2010

This paper describes an expert panel process that identified a set of fundable and practically feasible research priorities in the field of syndromic surveillance.

Journal Article

Disaster Recovery Also Involves Human Recovery — Jan 1, 2010

This commentary argues that unless the U.S. examines and plans for the psychological consequences of disasters such as Katrina and the recent oil spill, communities will be struggling to address acute and chronic health issues while trying to rebuild.

Journal Article

Federal Initiative Increases Community Preparedness for Public Health Emergencies — Jan 1, 2010

This article describes an evaluation of the Cities Readiness Initiative, a federal program to improve communities' ability to dispense medications rapidly during emergencies.

Report

Seasonal Influenza Vaccine Use by Adults in the U.S.: A Snapshot as of Mid-November 2009 — Dec 7, 2009

This overview of the results of a survey of adults age 18 and over of seasonal influenza vaccine uptake will inform public health officials and other stakeholders on progress toward vaccinating adults prior to the end of the vaccination season.

Journal Article

Early Detection of Influenza Outbreaks Using the DC Department of Health's Syndromic Surveillance System — Dec 1, 2009

If fined tuned algorithms are used, emergency room-based syndromic surveillance focusing on unspecified infection cases in children is an effective way to determine the beginning of the influenza outbreak.

Commentary

Human Side of Katrina Recovery Still Needs Work — Oct 19, 2009

Four years after Hurricane Katrina, many people in the Gulf Coast region are still "just surviving," struggling with the economic devastation and the physical and psychological toll of these kinds of disasters, write Anita Chandra and Joie Acosta.

Commentary

Five Questions President Obama Should Ask in His Visit to New Orleans — Oct 14, 2009

The federal government has spent about $140 billion responding to Hurricanes Katrina and Rita, and the Gulf Coast now needs more money for hurricane and flood protection and for coastal restoration. But we still haven't properly evaluated whether our money was spent wisely, writes Melissa Flournoy.

Report

More Support Is Needed to Integrate Nongovernmental Agencies in Human Recovery from Disasters — Sep 23, 2009

Changing emergency planning rules to make nongovernmental organizations a key component of recovery efforts could get them involved earlier and speed the full recovery of communities after disaster strikes.

Past Event

Federal Investments to Improve Readiness in the Nation's Communities — Sep 14, 2009

Senior political scientist Christopher Nelson and operations researcher Edward Chan will discuss RAND's evaluation of federal efforts to improve public health preparedness in the nation's largest metropolitan areas in The H1N1 Pandemic: Lessons Learned from the Cities Readiness Initiative on September 14, 2009.

Multimedia

The H1N1 Pandemic: Lessons Learned from the Cities Readiness Initiative — Sep 14, 2009

In this Congressional Briefing held on September 14, 2009, researchers Christopher Nelson and Edward Chan discuss RAND's recently published evaluation of the Cities Readiness Initiative, which helps the nation's largest metropolitan areas develop the ability to rapidly deliver life-saving medications and other medical supplies to their populations. The study has implications for pandemic influenza and other federal public health preparedness programs.

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