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THE PUBLIC HEALTH SYSTEM RESPONDS TO HURRICANE KATRINA: LESSONS LEARNED AND TOPICS FOR RESEARCH

THE PUBLIC HEALTH SYSTEM RESPONDS TO HURRICANE KATRINA: LESSONS LEARNED AND TOPICS FOR RESEARCH. Maureen Y. Lichtveld, M.D., M.P.H Tulane University School of Public Health and Tropical Medicine February 8, 2006. KATRINA AND THE HEALTH SYSTEM.

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THE PUBLIC HEALTH SYSTEM RESPONDS TO HURRICANE KATRINA: LESSONS LEARNED AND TOPICS FOR RESEARCH

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  1. THE PUBLIC HEALTH SYSTEM RESPONDS TO HURRICANE KATRINA: LESSONS LEARNED AND TOPICS FOR RESEARCH Maureen Y. Lichtveld, M.D., M.P.H Tulane University School of Public Health and Tropical Medicine February 8, 2006

  2. KATRINA AND THE HEALTH SYSTEM • Pre-Katrina: workforce; organizational (infra) structure; governance • Response: system and geographic vulnerabilities • Recovery: external support temporary; post-Katrina state of the system • Sustainable development must be informed by issues of science, policy and practice

  3. Issues of Science: overarching observations from a health system research perspective • Integration of public health and primary care • Workforce quality and quantity • Health literacy- necessity rather than luxury • Preparedness and system performance • Connectivity: people and systems • What does it take to “show me the money?”

  4. A preview • System response from a geographic viewpoint • Immediate response phase: evacuation, sheltering, care • “Can you here me now?” • The “not-so-squeaky wheel” – mental health • “Between the headlines”- environmental health

  5. Public health system research issues at a glance: the Mississippi experience • How did public health system preparedness influenced disaster response performance • What are the knowledge gaps that hamper achieving sustained preparedness?

  6. UNC to the rescue • What issues of research must be addressed to assure flexibility and capacity in delivering acute medical care during disasters?

  7. Beyond the belt “accessories” • What are the gaps in science that hamper effective communication to disadvantaged and geographically dispersed populations? • What does it take to develop the evidence for a robust environmental health infrastructure?

  8. Special health needs do not disappear during disasters.. • What are the public health system parameters to assure effective evacuation plans that take into account people with special needs? • What are the performance indicators of a sheltering system?

  9. Mental health • How do natural disasters and man-made disasters differ from a mental health perspective? • How can public health system research strengthen the mental health delivery system, including the evidence base of natural disaster-specific interventions targeting disease conditions such as PTSD?

  10. The Panel’s tasks • Examine the lessons learned from a public health system perspective • Identify issues of research • Propose strategic actions

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