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1.
J Public Health Policy ; 29(1): 3-21, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18368014

RESUMO

Donor and government funding for public health programs in low-resource countries - to increase immunizations or treat HIV/AIDS, for example - has risen dramatically. Rising less rapidly is the funding for public health functions that are not direct services or linked to programs for high-priority diseases and conditions. In many countries, these functions are housed in National Public Health Institutes (NPHIs). NPHIs are science-based agencies, usually within national governments, that include in their missions such public goods as assessing and monitoring the population's health and responding to outbreaks. Through a survey, we collected information from and about members of a new international organization for NPHIs. The responses illustrate the roles of NPHIs as purveyors of public goods. Data collected in the future on NPHI structures, practices, and challenges will be helpful to countries that are creating or restructuring NPHIs. The new knowledge will also help advocates for increasing budgetary support for the public goods functions of NPHIs.


Assuntos
Saúde Global , Administração de Serviços de Saúde , Administração em Saúde Pública , Planejamento em Saúde/organização & administração , Acessibilidade aos Serviços de Saúde/organização & administração , Humanos , Programas de Imunização/organização & administração , Renda , Organização Mundial da Saúde
2.
Emerg Infect Dis ; 13(10): 1447-52, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18257985

RESUMO

The framework of the newly revised International Health Regulations is a key driver in the effort to strengthen global public health security. Unanimously agreed upon by the World Health Assembly on May 23, 2005, the regulations are the result of experience gained and lessons learned during the past 30 years. This global legal framework includes a commitment from the World Health Organization (WHO) and from each WHO member state to improve capacity for disease prevention, detection, and response. It provides standards for addressing national public health threats that have the potential to become global emergencies. Its success will rely on the capacity and performance of national public health systems, anchored by strong national public health institutes (NPHIs). The new International Association of National Public Health Institutes aims to strengthen and invigorate existing NPHIs, to create new NPHIs where none exist, and to provide funded grants to support NPHI development priorities.


Assuntos
Controle de Doenças Transmissíveis , Saúde Global , Cooperação Internacional , Doenças Transmissíveis Emergentes/prevenção & controle , Notificação de Doenças/normas , Diretrizes para o Planejamento em Saúde , Humanos , Administração em Saúde Pública/normas , Organização Mundial da Saúde
4.
Biosecur Bioterror ; 10(1): 89-97, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22283568

RESUMO

The use of tabletop exercises as a tool in emergency preparedness and response has proven to be an effective means of assessing readiness for unexpected events. Whereas most exercise developers target a population in a defined space (eg, state, county, metropolitan area, hospital), the Southeastern Center for Emerging Biologic Threats (SECEBT) conducted an innovative tabletop exercise involving an unusual foodborne outbreak pathogen, targeting public health agencies and academic institutions in 7 southeastern states. The exercise tested the ability of participants to respond to a simulated foodborne disease outbreak affecting the region. The attendees represented 4 federal agencies, 9 state agencies, 6 universities, 1 nonprofit organization, and 1 private corporation. The goals were to promote collaborative relationships among the players, identify gaps in plans and policies, and identify the unique contributions of each organization-and notably academic institutions-to outbreak recognition, investigation, and control. Participants discussed issues and roles related to outbreak detection and management, risk communication, and coordination of policies and responsibilities before, during, and after an emergency, with emphasis on assets of universities that could be mobilized during an outbreak response. The exercise generated several lessons and recommendations identified by participants and evaluators. Key recommendations included a need to establish trigger points and protocols for information sharing and alerts among public health, academic, and law enforcement; to establish relationships with local, state, and federal stakeholders to facilitate communications during an emergency; and to catalogue and leverage strengths, assets, and priorities of academic institutions to add value to outbreak responses.


Assuntos
Planejamento em Desastres/organização & administração , Surtos de Doenças/prevenção & controle , Doenças Transmitidas por Alimentos/prevenção & controle , Toxoplasmose/prevenção & controle , Comportamento Cooperativo , Planejamento em Desastres/métodos , Doenças Transmitidas por Alimentos/epidemiologia , Órgãos Governamentais , Humanos , Comunicação Interdisciplinar , Organizações sem Fins Lucrativos , Formulação de Políticas , Setor Privado , Sudeste dos Estados Unidos , Toxoplasmose/epidemiologia , Universidades
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