Defining, describing, and categorizing public health infrastructure priorities for tropical cyclone, flood, storm, tornado, and tsunami-related disasters

Ryan, Benjamin J., Franklin, Richard C., Burkle, Frederick M., Watt, Kerrianne, Aitken, Peter, Smith, Erin C., and Leggat, Peter (2016) Defining, describing, and categorizing public health infrastructure priorities for tropical cyclone, flood, storm, tornado, and tsunami-related disasters. Disaster Medicine and Public Health Preparedness, 10 (4). pp. 598-610.

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Abstract

Objectives: The study aim was to undertake a qualitative research literature review to analyze available databases to define, describe, and categorize public health infrastructure (PHI) priorities for tropical cyclone, flood, storm, tornado, and tsunami-related disasters.

Methods: Five electronic publication databases were searched to define, describe, or categorize PHI and discuss tropical cyclone, flood, storm, tornado, and tsunami-related disasters and their impact on PHI. The data were analyzed through aggregation of individual articles to create an overall data description. The data were grouped into PHI themes, which were then prioritized on the basis of degree of interdependency.

Results: Sixty-seven relevant articles were identified. PHI was categorized into 13 themes with a total of 158 descriptors. The highest priority PHI identified was workforce. This was followed by water, sanitation, equipment, communication, physical structure, power, governance, prevention, supplies, service, transport, and surveillance.

Conclusions: This review identified workforce as the most important of the 13 thematic areas related to PHI and disasters. If its functionality fails, workforce has the greatest impact on the performance of health services. If addressed post-disaster, the remaining forms of PHI will then be progressively addressed. These findings are a step toward providing an evidence base to inform PHI priorities in the disaster setting.

Item ID: 45283
Item Type: Article (Refereed Research - C1)
Keywords: disasters; public health; emergency preparedness; disaster planning
Additional Information:

A version of this publication was included as Chapter 3 of the following PhD thesis: Ryan, Benjamin J. (2018) Addressing the impact of disasters on public health infrastructure and noncommunicable diseases. PhD thesis, James Cook University, which is available Open Access in ResearchOnline@JCU. Please see the Related URLs for access.

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ISSN: 1938-744X
Funders: Australian Health Service Innovation Fund (AHSIF), Cunningham Centre (CC), Toowomba Hospital Foundation (THF), James Cook University (JCU), Cairns and Hinterland Hospital and Health Service, Queensland (CHHHS)
Date Deposited: 25 Aug 2016 02:20
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111705 Environmental and Occupational Health and Safety @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111708 Health and Community Services @ 25%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 25%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920407 Health Protection and/or Disaster Response @ 100%
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