Enabling Rapid and Sustainable Public Health Research During Disasters Summary of a Joint Workshop by the Institute of Medicine and the U.S. Department of Health and Human Services (2015) / Chapter Skim
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9 Coordinating Logistics to Execute Rapid Research in Disaster Response
9 Coordinating Logistics to Execute Rapid Research in Disaster Response
Pages 99-110
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From page 99... ...
INTEGRATING DISASTER RESEARCH INTO THE INCIDENT COMMAND STRUCTURE From a state and local agency perspective, disaster research should inform or enhance emergency response or recovery activities, said Shelley DuTeaux, the assistant deputy director for public health and emergency preparedness for the California Department of Public Health. All disasters are local, she said, whether the locality is a neighborhood, a city or county, or multiple cities or counties.
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From page 100... ...
DuTeaux pointed out that the presidential emergency declaration specifies the type of assistance authorized, and therefore, for assistance for disaster research to be authorized, it must be in the emergency declaration. If there is no presidential declaration, access to federal assistance can still be given directly through the appropriate agency if that agency has the authority to act and to expend its own resources.
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From page 101... ...
. The aim of PREP is to "significantly enhance the national capability to rapidly glean crucial information regarding the clinical course of acute illness and injury and guide clinical resource requirements during emergent events." The goal is to not only collect these data, but to analyze them quickly and disseminate the results, ideally within 24 hours.
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From page 102... ...
These issues need to be addressed if we are to conduct clinically meaningful interventional research on time-sensitive, life-threatening illness and injury, Cairns said. Moving forward, he recommended reliance agreements in conjunction with an operational PHERRB (discussed at greater length earlier in this summary)
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From page 103... ...
. The NIEHS disaster response to the WTC collapses on 9/11 included, for example, on-site training for more than 7,000 response workers.
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From page 104... ...
provided in-classroom, site-specific health and safety training for more than 3,000 cleanup workers, and hundreds of hours of technical assistance, training, and briefings were provided on-site. In closing, Hughes concurred with the need to determine how research fits into the emergency response structure and the importance of connections to the ICS.
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From page 105... ...
This is why it is especially important to try to capture data rapidly in a sudden onset incident. Another phenomenon that is important to recognize when trying to capture data from a sudden onset incident is that the information reported can also evolve over time depending on why it is being provided.
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From page 106... ...
Barbera noted that many of the ICS forms used for incident action planning contain data that could be used for research. To study sudden onset events, researchers need to be able to deploy rapidly and have reliable transport to the incident.
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From page 107... ...
Researchers do not necessarily need to be at the scene, Barbera noted. Access to data could be facilitated through the emergency operation centers, for example, which directly support the incident management team.
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From page 108... ...
event; understand the systems of care and management; develop new interventions? The value of applied research is that it can help to answer immediate questions relevant to the response and provide decision makers with key information for allocating resources and meeting people's needs, but it is also foundational data for later research and can inform policies and procedures going forward.
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From page 109... ...
Part of the logistical network for disaster research would be centralized support for human subjects research, and similar to the IRB conversation, a few participants discussed the PHERRB and reliance agreements. The need for a national research response framework was also discussed, potentially integrating the elements of human subjects protection, minimum datasets, standardized terminology and processes, research training, the ICS, and public health emergency structures at the local, state, and national levels.
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