In a later article Eitzen stated that it is important to consider risk in terms of the ability of a terrorist to access the agent, to have the scientific capacity to manufacture the agent, to weaponize the agent, along with the intent of the terrorist to use the agent. Challenges and opportunities for local health departments. New discoveries in the fields of manufacturing, information technology, health care, transportation, agriculture, and many others have changed the fabric of our society and the order of things. In addition, the authors noted that infrastructure such as surveillance and communication systems, laboratory capacity, and medical provider education and training are essential elements of a preparedness program. The public health system has been profoundly affected along with public health nursing. They experienced inadequate communication between the health department and the investigation site and lacked access to effective information systems. When the actual event occurred with anthrax, it was clear that local system capacity was severely stressed.
OJIN is a peer-reviewed, online publication that addresses current topics affecting nursing practice, research, education, and the wider health care sector. Taking the terror out of bioterrorism: Public health has been planning for the potential of bioterrorism for some time now. The competencies most critical in responding to the aftermath of September 11 include analytic, communication, policy development, cultural competence, research, leadership, and management skills. Anthrax is used as an example to illustrate how public health nursing can assist in a bioterrorism response. Given the heightened focus within the government and public on bioterrorism, public health faces risks in several key areas. The impact of threat of terrorism is less well known.
The author cited a critical need to enhance the public health and medical care system in order to prepare for mass causalities or exposure to toxic agents. One concern is that our public health opinion leaders need to be given legitimate authority and power to inform the public about these threats to health.
Events that change the foundation of a society, however, are not common. Epidemiology Review10 The first lines of detection of a biological agent released into the population reside with a physician or nurse who diagnoses an individual with signs and symptoms of the biological agent.
A challenge to public health and medicine. Following the anthrax exposures, the media lacked a consistent public health message and consistent leadership.
The public health system is a broad term used to describe all of the government and non-government organizations and agencies heei contribute to the improvement of the health status of a population. Local health districts and the public health workforce: Department of Health and Human Services, reports on a number of objectives for which the data show a decline in health status rather than improvement.
The lesson for public health is that mental health services should be an important component of a bioterrorism plan. Public health nurses, as members of the public health workforce, have had to face serious challenges in their response to threats of bioterrorism.
On September 11,our lives and the social order of America changed and have changed continuously for almost a year now. Public health nurses must fine tune their skills in risk communication. Review of the Literature Public health has been planning for the potential of bioterrorism for some time now. Additional information can be found at the Public Health Functions Projects website, www. The authors recommended that in order to prepare for the potential of bioterrorism, it is important that a knowledge base of these agents and others in terms of their use as a weapon, and also clinical skills in the detection, diagnosis, management, and prevention of the effects of a biological attack be developed.
A review of the literature provides background material on the extent to gesi public health has evolved in planning for a bioterrorism event.
Domains of Core Competencies and Skills. Information technology, stable funding, workforce capacity with particular emphasis on the nursing shortage, leadership at the xase, state and national level, and gaps in applying public health interventions all characterize challenges within our infrastructure. This step is a part of the assurance function of public health and is aligned with the implementation function in the nursing process.
The events of that one day have led to war, financial and economic crisis in many sectors, heightened security at airports and public events, threats to civil liberties, and acts of racial and ethnic discrimination and violence. Department of Health and Human Services.
As new funding comes into caee for preparedness, we must not lose our focus on our core public health mission of health promotion and protection and disease prevention. Public health departments at the state and local level etudy the primary providers of public health services.
A series of informational materials should be prepared, such as fact heesi, response protocols, and educational materials. The Public Health System Core Functions The public health system is a broad term used to describe all of the government and non-government organizations and agencies that contribute to the improvement of the health status of a population.
Organizations have been stressed and health care is no exception. The competencies are relevant for bioterrorism preparedness and for a public health nursing response to bioterrorism. Journal of Public Health Management and Practice, 7 1caze The use of firearms has increased by youth.
Risks and Challenges to Public Health Given the heightened focus within the government and public on bioterrorism, public health faces risks in several key areas.
Ten Essential Public Health Services.
Not only do public health nurses have a role in interventions related to bioterrorism; they have a role in protecting the public from future risks of biotetrorism. Public health agencies deliver services to individuals, families and populations using a framework called the core functions.
The public health infrastructure today faces multiple challenges. Impact of biotefrorism Individuals, Families and Organizations Although the focus of public health is at the population level, the impact of on individuals and families has helped frame the need for the types of service communities will need to plan for in a bioterrorism event.