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
Chapter One
Introduction
Chapter Two
Summary of Disease Outbreaks
Chapter Three
Public Health Assessment
Chapter Four
Just-in-Time Policy Development and Assurance
Chapter Five
Coordination and Communication in Public Health
Chapter Six
Communication with the Public
Chapter Seven
Organizational Learning and Workforce Development
Chapter Eight
Infrastructure Development
Chapter Nine
Conclusions and Cross-Cutting Themes
Appendix A
Methods
Appendix B
West Nile Virus
Appendix C
Severe Acute Respiratory Syndrome (SARS)
Appendix D
Monkeypox
Appendix E
Hepatitis A
The research described in the report was prepared for the Department of Health and Human Services by RAND Health, a unit of the RAND Corporation.
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