Learning from Experience
The Public Health Response to West Nile Virus, SARS, Monkeypox, and Hepatitis A Outbreaks in the United States
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To help describe and enhance key aspects of state and local public health emergency preparedness, the U.S. Department of Health and Human Services asked RAND to study the response of state and local health departments to outbreaks of Severe Acute Respiratory Syndrome (SARS), monkeypox, West Nile virus, and hepatitis A that took place from 1999 to 2003. Public health agencies demonstrated a robust ability to implement the major components of response to a public health emergency. However, unlike some other emergency responders, they do not have command and control authority over many important resources that are needed for an optimal public health response. Researchers found that the most pervasive problem was the need for strong communication and coordination between public health and other governmental agencies involved in emergency response.
Table of Contents
Summary of Disease Outbreaks
Public Health Assessment
Just-in-Time Policy Development and Assurance
Coordination and Communication in Public Health
Communication with the Public
Organizational Learning and Workforce Development
Conclusions and Cross-Cutting Themes
West Nile Virus
Severe Acute Respiratory Syndrome (SARS)
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