التفاصيل البيبلوغرافية
| العنوان: |
Factors that support public health infrastructure recovery in Puerto Rico and US Virgin Islands after Hurricanes Irma and Maria. |
| المؤلفون: |
Luna-Pinto SC; Centers for Disease Control and Prevention/Office of Minority Health & Health Equity, Atlanta, Georgia., Ramos JI; Center for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia., Gonzalez Y; Center for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia., Cartagena NB; Center for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia., Taveras S; Center for State, Tribal, Local, and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia. |
| المصدر: |
Journal of emergency management (Weston, Mass.) [J Emerg Manag] 2024 Mar-Apr; Vol. 22 (2), pp. 129-138. |
| نوع المنشور: |
Journal Article |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Prime National Pub. Corp Country of Publication: United States NLM ID: 101284695 Publication Model: Print Cited Medium: Print ISSN: 1543-5865 (Print) Linking ISSN: 15435865 NLM ISO Abbreviation: J Emerg Manag Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Weston, MA : Prime National Pub. Corp., c2003- |
| مواضيع طبية MeSH: |
Cyclonic Storms* , Disaster Planning*/organization & administration, Puerto Rico ; Humans ; United States Virgin Islands ; United States ; Public Health ; Public Health Infrastructure |
| مستخلص: |
This paper describes the factors that support recovery of public health infrastructure (PHI), including conditions that facilitated or hindered recovery in United States (US) territories impacted by hurricanes Irma and Maria. A deductive approach was used to categorize data from five organizations that received crisis hurricane recovery (CHR) funds from the Centers for Disease Control and Prevention.* Spending was grouped into five infrastructure gaps: (1) human resources, (2) informatic upgrades, (3) equipment, (4) minor repairs, and (5) preventive maintenance. Unanticipated PHI costs, facilitators, and hinderances to PHI recovery were identified. Most (72 percent) of the $53,529,823 CHR funding was used to address infrastructure gaps in (1) human resources (56 percent), (2) informatics (16 percent), (3) equipment (13 percent), (4) minor repairs (10 percent), and (5) preventive maintenance (5 percent). Most of the requests (56 percent) to redirect funds were associated with unanticipated costs in initial work plans and budgets. The use of administrative partners, planning tools, dedicated staff, streamlined procedures, eg, contracts, and cost sharing facilitated PHI recovery. The most common hindrance to PHI recovery were delays in procurement and shipping. In summary, investments in dedicated funding to upgrade, repair, or replace critical structures and systems for infectious disease surveillance, laboratory capacity, vector control, environmental health inspections, and vaccine storage and administration in Puerto Rico and the US Virgin Islands after Hurricanes Irma and Maria contributed to their recovery capacity. These findings may inform funding and resource allocation considerations for PHI recovery in the US territories. |
| تواريخ الأحداث: |
Date Created: 20240502 Date Completed: 20240502 Latest Revision: 20240502 |
| رمز التحديث: |
20240502 |
| DOI: |
10.5055/jem.0841 |
| PMID: |
38695710 |
| قاعدة البيانات: |
MEDLINE |
