Stein Bradley D, Tanielian Terri L, Eisenman David P, Keyser Donna J, Burnam M Audrey, Pincus Harold A
RAND Corporation, 1700 Main Street, Santa Monica, CA 90407, USA.
Milbank Q. 2004;82(3):413-55, table of contents. doi: 10.1111/j.0887-378X.2004.00317.x.
Millions of dollars have been spent improving the public health system's bioterrorism response capabilities. Yet relatively little attention has been paid to precisely how the public will respond to bioterrorism and how emotional and behavioral responses might complicate an otherwise successful response. This article synthesizes the available evidence about the likely emotional and behavioral consequences of bioterrorism to suggest what decision makers can do now to improve that response. It examines the emotional and behavioral impact of previous "bioterrorism-like" events and summarizes interviews with experts who have responded to such events or conducted research on the effects of community-wide disasters. The article concludes by reflecting on the evidence and experts' perspectives to suggest actions to be taken now and future policy and research priorities.
数百万美元已用于提升公共卫生系统应对生物恐怖主义的能力。然而,对于公众将如何应对生物恐怖主义,以及情绪和行为反应可能如何使原本成功的应对变得复杂,相对而言却很少有人关注。本文综合了关于生物恐怖主义可能产生的情绪和行为后果的现有证据,以提出决策者目前可以采取哪些措施来改进应对。它考察了以往“类似生物恐怖主义”事件的情绪和行为影响,并总结了对那些应对过此类事件或对社区范围内灾难的影响进行过研究的专家的访谈。本文最后通过思考这些证据和专家的观点,提出现在应采取的行动以及未来的政策和研究重点。