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Emergency Management Information: Challenges for the 21st Century

Emergency Management Information: Challenges for the 21st Century. ISCRAM 2008 Washington, D.C. 5th May 2008. Eric K. Noji, M.D., M.P.H ., Consultant in Global Health Security Washington, D.C. Good-bye !. Domaine de Noji Product of Prince Georges Co. USA.

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Emergency Management Information: Challenges for the 21st Century

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  1. Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington, D.C. 5th May 2008 Eric K. Noji, M.D., M.P.H., Consultant in Global Health Security Washington, D.C.

  2. Good-bye!

  3. Domaine de NojiProduct of Prince Georges Co. USA

  4. Health Information Needs in Emergency Populations • Establish health care priorities • Follow trends and reassess priorities • Detect and respond to epidemics • Evaluate program effectiveness • Ensure targeting of resources • Evaluate quality of health care

  5. Data for Decision-Making Available Services Victims Needs Disaster Epidemiology • Purpose: • Identify requirements, local capabilities, gaps • Avoid unnecessary and damaging assistance

  6. Hand-held Screens of Tornado Assessment Forms used last week

  7. On the Hand Held -Acute Disease Survey Form

  8. Internet Forms-Handheld Process Overview User Defines and Tests Questionnaire (Form) Via Web Interface 2 1 MultipleUsers Can Immediately Enter Data directly via Web Form Repository Encrypted Traffic 3 Handheld User Selects Forms & Downloads by direct wireless connection or via PC/cradle connection 5 4 Handheld Data & Forms are Synchronized the Next time device is connected User can enter Data via Forms when Handheld is disconnected

  9. Investigating Person-to-Person Spread

  10. Decision Making without Data • Need to make decisions rapidly in the absence of data • Few genuine subject matter experts • No “textbook” experience to guide response • Understanding of “risk” will evolve as a pandemic develops and spreads • ****Need coherent, rapid process for addressing scientific issues in midst of crisis****

  11. Bad communication adds to crisis • Mixed messages from multiple “experts” • Late information “overcome by events” • Over-reassuring messages • No reality check on recommendations • Myths, rumors, doomsayers not countered • Poor performance by spokesperson or leader • Public power struggles and confusion

  12. A Typical Day at CDC Autumn 2001

  13. Hand-held Screens of Tornado Assessment Forms used last week

  14. On the Hand Held -Acute Disease Survey Form

  15. Decision Making without Data • Need to make decisions rapidly in the absence of data • Few genuine subject matter experts • No “textbook” experience to guide response • Understanding of “risk” will evolve as an outbreak develops and spreads • ****Need coherent, rapid process for addressing scientific issues in midst of crisis****

  16. Bad communication adds to crisis • Mixed messages from multiple “experts” • Late information “overcome by events” • Over-reassuring messages • No reality check on recommendations • Myths, rumors, doomsayers not countered • Poor performance by spokesperson or leader • Public power struggles and confusion

  17. A Typical Day at CDC Autumn 2001

  18. Reports of Diseases

  19. Internet Forms-Handheld Process Overview User Defines and Tests Questionnaire (Form) Via Web Interface 2 1 MultipleUsers Can Immediately Enter Data directly via Web Form Repository Encrypted Traffic 3 Handheld User Selects Forms & Downloads by direct wireless connection or via PC/cradle connection 5 4 Handheld Data & Forms are Synchronized the Next time device is connected User can enter Data via Forms when Handheld is disconnected

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