Department of Environmental Health, Flinders University, GPO 2100, Adelaide, SA 5001, Australia.
Department of Environmental Health, Flinders University, GPO 2100, Adelaide, SA 5001, Australia.
Environ Int. 2010 Jan;36(1):51-59. doi: 10.1016/j.envint.2009.09.007. Epub 2009 Oct 24.
The paper supports the development of evidence-based emergency management frameworks of cooperation between agencies in the area of drinking water and public health, as part of developing the overall risk management culture within water utilities. We employed a qualitative research design to understand critical gaps in inter-agency relations that aggravated past drinking water and health incidents and from these identified determinants of effective relationships. We identified six critical institutional relationship components that were deficient in past incidents, namely proactivity, communication, training, sharing expertise, trust and regulation. We then analysed how these components are addressed by reputable water utilities and public health departments to develop positive examples of inter-agency cooperation. Control of different risks (e.g. public health, business, and reputation) resulting from drinking water incidents should employ a preventive framework similar to the multiple barrier approach for management of drinking water quality.
本文支持在饮用水和公共卫生领域建立机构间合作的循证应急管理框架，作为在水务公司内部发展全面风险管理文化的一部分。我们采用定性研究设计，以了解过去饮用水和健康事件中加剧机构间关系紧张的关键差距，并从这些差距中确定关系有效的决定因素。我们确定了过去事件中缺乏的六个关键机构关系组成部分，即主动性、沟通、培训、专业知识共享、信任和监管。然后，我们分析了信誉良好的水务公司和公共卫生部门如何应对这些组成部分，以制定机构间合作的积极范例。应对饮用水事件带来的不同风险（例如公共卫生、业务和声誉）应采用类似于管理饮用水质量的多屏障方法的预防框架。
