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本文引用的文献

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Trends in COVID-19 Incidence After Implementation of Mitigation Measures - Arizona, January 22-August 7, 2020.2020 年 1 月 22 日至 8 月 7 日亚利桑那州实施缓解措施后 COVID-19 发病率趋势。
MMWR Morb Mortal Wkly Rep. 2020 Oct 9;69(40):1460-1463. doi: 10.15585/mmwr.mm6940e3.
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Heat-Associated Mortality in a Hot Climate : Maricopa County, Arizona, 2006-2016.热相关死亡事件在炎热气候下的发生情况:亚利桑那州马里科帕县,2006-2016 年。
Public Health Rep. 2020 Sep/Oct;135(5):631-639. doi: 10.1177/0033354920938006. Epub 2020 Jul 20.
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The First Nationally Representative Benchmark of the Local Governmental Public Health Workforce: Findings From the 2017 Public Health Workforce Interests and Needs Survey.地方政府公共卫生人力的首个全国代表性基准:2017年公共卫生人力兴趣与需求调查结果
J Public Health Manag Pract. 2019 Mar/Apr;25 Suppl 2, Public Health Workforce Interests and Needs Survey 2017(2 Suppl):S26-S37. doi: 10.1097/PHH.0000000000000939.
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An Efficient Model for Designing Medical Countermeasure Just-in-Time Training During Public Health Emergencies.公共卫生突发事件中医疗对策即时培训的高效设计模型。
Am J Public Health. 2018 Sep;108(S3):S212-S214. doi: 10.2105/AJPH.2018.304599.
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Integrating Health into Local Climate Response: Lessons from the U.S. CDC Climate-Ready States and Cities Initiative.将健康融入地方气候应对行动:来自美国疾病控制与预防中心气候适应型州与城市倡议的经验教训。
Environ Health Perspect. 2017 Sep 20;125(9):094501. doi: 10.1289/EHP1838.
6
Public Health System Research in Public Health Emergency Preparedness in the United States (2009-2015): Actionable Knowledge Base.美国公共卫生应急准备中的公共卫生系统研究(2009 - 2015年):可操作知识库
Am J Public Health. 2017 Sep;107(S2):e1-e6. doi: 10.2105/AJPH.2017.304051.
7
Evaluation of a Novel Syndromic Surveillance Query for Heat-Related Illness Using Hospital Data From Maricopa County, Arizona, 2015.利用亚利桑那州马里科帕县2015年的医院数据对一种新型热相关疾病症状监测查询进行评估。
Public Health Rep. 2017 Jul/Aug;132(1_suppl):31S-39S. doi: 10.1177/0033354917706517.
8
Building Resilience Against Climate Effects—a novel framework to facilitate climate readiness in public health agencies.构建抵御气候影响的能力——一个促进公共卫生机构做好应对气候变化准备的新框架。
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9
Academic-health department collaborative relationships are reciprocal and strengthen public health practice: results from a study of academic research centers.学术机构与卫生部门的合作关系是相互的,且能加强公共卫生实践:一项对学术研究中心的研究结果
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The Academic Health Department: the process of maturation.学术健康部门:成熟过程。
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灵活性和伙伴关系被视为有助于应对双重危害:2020年夏季的新冠疫情和与高温相关的疾病。

Flexibility and partnerships perceived as supportive of dual hazard response: COVID-19 and heat related illness, Summer 2020.

作者信息

Austhof Erika, Brown Heidi E

机构信息

University of Arizona, Mel and Enid Zuckerman College of Public Health, Department of Epidemiology and Biostatistics, Tucson, AZ, USA.

出版信息

J Clim Chang Health. 2021 Oct;4:100068. doi: 10.1016/j.joclim.2021.100068. Epub 2021 Oct 9.

DOI:10.1016/j.joclim.2021.100068
PMID:34661192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8502081/
Abstract

OBJECTIVES

To understand how health departments implemented the response to the dual hazards of Heat Related Illness (HRI) and COVID-19 in Summer 2020.

METHODS

We interviewed five health jurisdictions with a Building Resilience Against Climate Effects (BRACE) Framework HRI project to understand impacts to organizational roles and preparedness activities, capacity to respond to the heat season, challenges experienced with resources and personnel, and how partners influenced their capacity to respond to dual hazards.

RESULTS

Health jurisdictions working in both heat preparedness and on the COVID-19 response highlighted three components as integral to maintaining public health capacity throughout the pandemic: 1) adapting to changing roles and responsibilities, 2) building and strengthening inter-organizational partnerships, and 3) maintaining flexibility through cross-training as themes to maintain the public health capacity throughout the pandemic.

CONCLUSIONS

With impacts of the changing climate, including resultant extreme events with subsequent public health impacts, simultaneous responses are likely to arise again in the future. Developing cross-training programs, fostering flexibility and adaptability within the workforce, and building and sustaining external partnerships can support health departments anticipating the need to respond to simultaneous public health hazards in the future.

摘要

目标

了解卫生部门在2020年夏季如何应对与高温相关疾病(HRI)和新冠疫情这两种双重危害。

方法

我们采访了五个采用抵御气候影响的建设韧性(BRACE)框架HRI项目的卫生辖区,以了解对组织角色和准备活动的影响、应对炎热季节的能力、资源和人员方面遇到的挑战,以及合作伙伴如何影响其应对双重危害的能力。

结果

参与高温防范和新冠疫情应对工作的卫生辖区强调了三个对在整个疫情期间维持公共卫生能力至关重要的要素:1)适应不断变化的角色和职责,2)建立和加强组织间伙伴关系,3)通过交叉培训保持灵活性,以此作为在整个疫情期间维持公共卫生能力的主题。

结论

随着气候变化的影响,包括由此产生的极端事件及其后续的公共卫生影响,未来可能会再次出现同时应对多种情况。制定交叉培训计划、培养员工的灵活性和适应性,以及建立和维持外部伙伴关系,可以支持卫生部门应对未来同时出现的公共卫生危害。