Vulnerable Populations: The Sentinel for Public Health Preparedness

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1 Vulnerable Populations: The Sentinel for Public Health Preparedness Maureen Y. Lichtveld, M.D., M.P.H Tulane University School of Public Health and Tropical Medicine

2 Back to the Future Research All Hazards Systems

3 Inter-organizational networks Disease Burden/Susceptibility Life stage Census Disaster services Vulnerable Populations Single women household Children with chronic conditions Infrastructure capacity Pre Post disaster Responders as victims

4 Rebuilding for Health, Sustainability, and Disaster Preparedness in the Gulf Coast Region Rebuilding for Health, Sustainability, and Disaster Preparedness in the Gulf Coast Region Tulane University School of Public Health and Tropical Medicine The Diboll Auditorium 1440 Canal Street, New Orleans, Louisiana June 1-2, 2006 Sponsored by Institute of Medicine s (IOM) Roundtable on Environmental Health Sciences, Research, and Medicine National Research Council's (NRC) Disasters Roundtable NRC Roundtable on Science and Technology for Sustainability Hosted by Tulane University School of Public Health and Tropical Medicine

5 The Institute of Medicine Rebuilding for Health Sustainability and Disaster Preparedness in the Gulf Coast Region Key Issues Emergency planning and post- disaster story Rebuilding process Rebuilding homes and businesses Multiple lines of defense Coastal restoration/management Rebuilding communities health Role of science

6 Public Health Systems Research Can Do s Organization and operation Scope and scale Effectiveness and efficiency Performance and health protection

7 Priority Research Gaps that Hinder Public Health Preparedness Public health system building blocks for: Detection Response Containment Recovery Characteristics, risk, vulnerabilities of target populations Sustainable systems for preparedness Metrics of effectiveness, efficiency, and performance

8 Public Health System Prerequisites for all Hazards Preparedness What are the system determinants that under gird public health preparedness? What are the factors influencing effective functioning of such systems in vulnerable populations?

9 Characterizing Vulnerable Populations What are the key elements of SWOT analysis models adaptable to different vulnerable populations? Which evidence-based tools can produce rapid just-in-time and just-in-case assessments of vulnerable populations? Which key vulnerability indices can be applied across the hazard spectrum?

10 Sustainable Systems for Preparedness What are the core community based assets that foster sustainable public health preparedness and how can these be leveraged? What is the role of public health systems in bolstering community resilience for disasters?

11 BUILDING BACK BETTER A 12-Month Update on UNICEF s Work to Rebuild Children s Lives and Restore Hope since the Tsunami

12 Bonding Social Capital social networks between homogenous groups of people Bridging Social Capital social networks between heterogeneous groups Community Resilience

13 Metrics for Public Health Systems Preparedness How can we measure public health system readiness and capacity to address the needs of vulnerable populations? How can vulnerability indices inform the efficiency and effectiveness of public health systems before, during, and post disasters? What are the measures of community resilience and sustainable public health preparedness?

14 Public Health System Preparedness Research Science Inform Translation Application Policy Evaluation Implementation Practice

15 RESEARCH KNOWLEDGE VALIDATION MOLECULAR POPULATION ACQUISITION APPLIED TRANSFER TRANSLATION

16 Public Health Systems Preparedness Research-- Guiding Principles Engages end users Integrates quantitative and qualitative data Is trans-disciplinary Utilizes pilots for reality and adaptability check

17 Vulnerability

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