Emotional and Behavioral Consequences of Bioterrorism: Planning a Public Health Response

Stein, Bradley D.; Tanielian, Terri; Eisenman, David; Keyser, Donna J.; Burnam, M. Audrey; Pincus, Harold Alan

doi:10.1111/j.0887-378x.2004.00317.x

Cited by 63 publications

(47 citation statements)

References 89 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite people's widespread concern that they will panic during a crisis, there is little evidence that disasters provoke widespread panic (2,42,52,86,101,136). Contrary to popular belief, people may show more affiliative or voluntary behavior during and following a disaster, which may lead to effective collective proactive action (52,86).…”

Section: Risk Communicationmentioning

confidence: 96%

“…In hindsight, these events convinced the Centers for Disease Control and Prevention (CDC) and public health agencies that they must be better prepared for the deluge of demand for risk communication during a crisis; otherwise public health agencies could risk losing centralized control of the risk communication process, and ultimately, credibility (119). Specifically, inconsistent risk communication between the media, the general public, and potentially affected postal workers during the anthrax crisis was exacerbated by a lack of organizational preparedness for such an event (70,136,137,142). Increased training in media relations and risk communication and establishment of emergency operations centers (EOCs) in many health departments are directly linked to better media and communication input and output.…”

Section: Media Studiesmentioning

confidence: 99%

“…But much is still to be done and learned to assure effective emergency and crisis risk communication for public health (11,70,115). Since the well-documented anthrax risk communication debacle of 2001 (14,16,107,110,119,128,136,142), public health and the applied field of disaster management have both experienced risk communication missteps, most notably the failed attempt in 2003 to inoculate a large group of health workers for smallpox (17,125), the flu vaccine "shortages" in 2003 and 2004 (27, 126), and the failure in 2005 to evacuate New Orleans residents prior to flooding caused by Hurricane Katrina (20).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk Communication for Public Health Emergencies

Glik

2007

Annu. Rev. Public Health

590

446

View full text Add to dashboard Cite

This review defines crisis risk communication, traces its origins to a number of applied fields, and then shows how basic principles have become incorporated into emergency preparedness and risk communication for public health. Literature from four different disciplines that inform crisis risk communications are reviewed. These are (a) environmental risk communication, (b) disaster management, (c) health promotion and communication, and (d ) media and communication studies. Current curricula and training materials are briefly reviewed. Although this literature review suggests much progress has been made to incorporate and disseminate crisis risk communication principles into public health practice, and case studies suggest that public health workers have gained skills and experience, this emerging field still lacks in-depth evaluation of the effectiveness of event-specific crisis risk communication efforts. 33

show abstract

Section: Risk Communicationmentioning

confidence: 96%

Section: Media Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk Communication for Public Health Emergencies

Glik

2007

Annu. Rev. Public Health

590

446

View full text Add to dashboard Cite

show abstract

“…While patients exposed to radiation therapy provide one type of sample, most have not received whole-body radiation nor potentially lethal doses, and most are not frantic for reassurance as would likely occur in a radiation accident (Stein et al, 2004).…”

Section: Background: the Problemmentioning

confidence: 99%

Implementing EPR dosimetry for life-threatening incidents: Factors beyond technical performance

Flood¹,

Bhattacharyya

Nicolalde

et al. 2007

Radiation Measurements

View full text Add to dashboard Cite

Starting with the assumption that a device to detect unplanned radiation exposures is technically superior to current technology, we examine the additional stakeholders and processes that must be considered to move the device from the lab into use. The use is to provide reliable information to triage people for early treatment of exposure to ionizing radiation that could lead to the Acute Radiation Syndrome. The scenario is a major accident or terrorist event that leaves a large number of people potentially exposed, with the resulting need to identify those to treat promptly or not. In vivo EPR dosimetry is the exemplar of such a technique.Three major areas are reviewed: policy considerations, regulatory clearance, and production of the device. Our analysis of policy-making indicates that the current system is very complex, with multiple significant decision-makers who may have conflicting agendas. Adoption of new technologies by policy-makers is further complicated because many sources of expert input already have made public stances or have reasons to prefer current solutions, e.g., some may have conflicts of interest in approving new devices because they are involved with the development or adoption of competing techniques. Regulatory clearance is complicated by not being able to collect evidence via clinical trials of its intended use, but pathways for approval for emergency use are under development by the FDA. The production of the new device could be problematical if the perceived market is too limited, particularly for private manufacturers; for in vivo EPR dosimetry the potential for other uses may be a mitigating factor.Overall we conclude that technical superiority of a technique does not in itself assure its rapid and effective adoption, even where the need is great and the alternatives are not satisfactory for large populations. Many important steps remain to achieve the goals of approval and adoption for use.

show abstract

“…Moreover, despite cognitive development and the need to respond to large-scale disasters, psychological consequences of these disasters have not received due attention. A retrospective consideration of previous events and disasters indicates that the number of people searching for psychological support is 4 to 50 times greater than the number of individuals who look for help to address their physical problems [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Persian Version of Readiness for Events With Psychological Emergencies Assessment Tool

Sepahvand

Khankeh

Ebadi

2017

hdq

View full text Add to dashboard Cite

Background:In the case of a disastrous event, stress and anxiety often result in psychological diseases such as depression and post-traumatic stress disorder. Health care providers even suffer from such disaster-related disorders. Psychological complications can negatively influence their ability in providing care. Thus, this study aimed to examine the reliability and validity of the Persian version of Readiness for Events with Psychological Emergencies Assessment Tool (REPEAT). Materials and Methods:This cross-sectional study was designed to validate the Persian version of REPEAT. Data were gathered from 140 managers and staff members of select university hospitals in Tehran, Lorestan, and Semnan Provinces through convenient sampling. They were invited to complete REPEAT, which comprised 7 dimensions and 28 statements. Then, the qualitative content, construct validity, and reliability were determined. Results:In exploratory factor analysis, seven factors (including internal organizational structure and chain of command, resources and infrastructure, knowledge and skills, coordination with external organizations, risk assessment and monitoring, psychological support, and communication and information sharing) were extracted. The following eigenvalues were recorded for these seven factors: 3.59, 3.41, 2.78, 2.61, 2.94, 2.40, and 1.39, respectively. The results of Cronbach's alpha showed that the internal consistency of the Persian version of REPEAT was 0.805. The intraclass correlation coefficient was found to be 0.809 (CI95: 0.501-0.903, P<0.001). Conclusion:The results of data analysis revealed that this instrument is highly reliable and valid and can be used as an appropriate tool to measure psychological preparedness of hospitals. However, further validation is needed.

show abstract

Emotional and Behavioral Consequences of Bioterrorism: Planning a Public Health Response

Cited by 63 publications

References 89 publications

Risk Communication for Public Health Emergencies

Risk Communication for Public Health Emergencies

Implementing EPR dosimetry for life-threatening incidents: Factors beyond technical performance

Psychometric Properties of the Persian Version of Readiness for Events With Psychological Emergencies Assessment Tool

Contact Info

Product

Resources

About