Policy implications of public health workforce development for disaster preparedness in the United States

Public health efforts were initiated in the United States with legislative actions for enhancing food safety and ensuring pure drinking water. Some additional policy initiatives during the early 20th century helped organize and coordinate relief efforts for victims of natural disasters. By 1950's the federal government expanded its role for providing better health and safety to the communities, and its disaster relief activities became more structured. A rise in terrorism related incidents during the late 1990's prompted new proactive policy directions. The traditional policy and program efforts for rescue, recovery, and relief measures changed focus to include disaster preparedness and countermeasures against terrorism.^ The study took a holistic approach by analyzing all major disaster related policies and programs, in regard to their structure, process, and outcome. Study determined that United States has a strong disaster preparedness agenda and appropriate programs are in place with adequate policy support, and the country is prepared to meet all possible security challenges that may arise in the future. The man-made disaster of September 11th gave a major thrust to improve security and enhance preparedness of the country. These new efforts required large additional funding from the federal government. Most existing preparedness programs at the local and national levels are run with federal funds which is insufficient in some cases. This discrepancy arises from the fact that federal funding for disaster preparedness programs at present are not allocated by the level of risks to individual states or according to the risks that can be assigned to critical infrastructures across the country. However, the increased role of the federal government in public health affairs of the states is unusual, and opposed to the spirit of our constitution where sovereignty is equally divided between the federal government and the states. There is also shortage of manpower in public health to engage in disaster preparedness activities, despite some remarkable progress following the September 11th disaster.^ Study found that there was a significant improvement in knowledge and limited number of studies showed improvement of skills, increase in confidence and improvement in message-mapping. Among healthcare and allied healthcare professionals, short-term training on disaster preparedness increased knowledge and improved personal protective equipment use with some limited improvement in confidence and skills. However, due to the heterogeneity of these studies, the results and interpretation of this systematic review may be interpreted with caution.^

The migratory farm labor problem in the United States : a report, together with individual views, to the Committee on Labor and Public Welfare, United States Senate, made by its Subcommittee on Migratory Labor, pursuant to S. Res. 267 (86th Cong., 2d sess.) a resolution authorizing a study of the problems of migratory labor.

Cover title.

Migratory labor. Hearings before the Subcommittee on Migratory Labor of the Committee on Labor and Public Welfare, United States Senate, Eighty-sixth Congress, first [-second] session, on S. 1085 [and other] bills ...

Hearings held Aug. 7, 1959-July 11, 1960 in various cities.

Migratory labor : hearings before the Subcommittee on Migratory Labor of the Committee on Labor and Public Welfare, United States Senate, Eighty-seventh Congress, first session, on S. 1123 [and other] bills ...

Hearings held Apr. 12, 1961 - Aug. 17, 1962.

The migratory farm labor problem in the United States. Third report of the Committee on Labor and Public Welfare, United States Senate,

Mode of access: Internet.

Reauthorization of the federal-aid highway program : field hearings before the Committee on Environment and Public Works and thee Subcommittee on Water Resources, Transportation, and Infrastructure, United States Senate, One Hundred Second Congress, first session, March 25, 1991--Houston, TX ... April 22, 1991--Billings, MT.

Shipping list no.: 91-498-P.

Environmental technology : hearing before the Committee on Environment and Public Works, United States Senate, One Hundred Third Congress, first session, February 23, 1993.

Shipping list no.: 93-0302-P.

Environmental aspects of the North American Free Trade Agreement : hearing before the Committee on Environment and Public Works, United States Senate, One Hundred Third Congress, first session, March 16, 1993.

Shipping list no.: 93-0331-P.

Desert tortoise habitat conservation : hearing before the Subcommittee on Forests and Public Land Management of the Committee on Energy and Natural Resources, United States Senate, One Hundred Seventh Congress, first session, on H.R. 880, to provide for the acquisition of property in Washington County, Utah, for implementation of a desert tortoise habitat conservation plan, May 10, 2001.

Shipping list no.: 2001-0272-P.

Report to the United States Bureau of Mines on the survey of southeastern Montana for areas suitable for synthetic liquid fuel plants.

Bibliography: p. 58-59.