Sophia Y. Shea, MPH, is a Project Manager II, Global Center for Health Security, University of Nebraska Medical Center, Omaha, NE.
John L. Hick, MD, is a Professor of Emergency Medicine, University of Minnesota, and Medical Director of Emergency Preparedness, Hennepin Healthcare; both in Minneapolis, MN.
Health Secur. 2022 Jun;20(S1):S49-S53. doi: 10.1089/hs.2021.0192. Epub 2022 Apr 22.
Maintaining a public health emergency response for a sustained period of time requires availability of resources, physical and information technology infrastructure, and human capital. What perhaps is unprecedented is a medical center experiencing multiple disasters simultaneously. In this case study, the authors describe 2 separate disaster events experienced during the ongoing COVID-19 pandemic: (1) a cyberattack at Nebraska Medicine in Omaha, Nebraska, and (2) civil unrest following the murder of George Floyd in Minneapolis, Minnesota. Although these settings were very different, the following common themes can inform future disaster planning: the benefit of an already active incident command system, the prescient need for continuity of operations, and the anticipation of workforce fatigue. These dual-disaster experiences provide an opportunity to identify lessons learned that will drive improvements in emergency management through preparedness and mitigation measures and response innovations for future simultaneous disasters.
长时间维持公共卫生应急响应需要有资源、物理和信息技术基础设施以及人力资本。也许前所未有的是一个医疗中心同时遭遇多种灾害。在本案例研究中，作者描述了在持续的 COVID-19 大流行期间发生的 2 起单独的灾害事件：(1) 内布拉斯加州奥马哈的内布拉斯加医学中心遭遇网络攻击；(2) 明尼苏达州明尼阿波利斯市乔治·弗洛伊德被谋杀后发生的内乱。尽管这些情况大不相同，但以下共同主题可以为未来的灾难规划提供信息：现有的事故指挥系统的好处、持续运营的先见之明需求以及工作人员疲劳的预期。这双重灾害经验提供了一个机会，可以确定从中吸取的教训，这些教训将通过防范和缓解措施以及对未来同时发生的灾害的应对创新，推动应急管理的改进。
