FORUM ON MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR DISASTERS AND EMERGENCIES AND ACTION COLLABORATIVE ON DISASTERS/PUBLIC HEALTH EMERGENCY RESEARCH

灾害和紧急情况医疗和公共卫生防备论坛以及灾害/公共卫生紧急情况研究行动合作

基本信息

  • 批准号:
    10937101
  • 负责人:
  • 金额:
    $ 4万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2023
  • 资助国家:
    美国
  • 起止时间:
    2023-09-26 至 2024-09-25
  • 项目状态:
    已结题

项目摘要

Policy Context There are many governmental agencies and private organizations charged with ensuring the Nation’s capacity to prevent and respond to the health effects that arise from disasters, both man-made and natural as exemplified by the recent SARS COV-2 global pandemic and increasingly frequent and severe natural disasters including heatwaves, hurricanes, and wildfires across the nation. While each of these stakeholders is critical in guaranteeing adequate prevention, response and recovery, efforts must be coordinated to foster functional strategies, communications, and collaborations to ensure optimal outcomes improving the health and well-being of our communities. Challenges arise, however, from the diverse set of responsibilities of the primary stakeholders, the Department of Health and Human Service (HHS) and the Department of Homeland Security (DHS) and coordinating the efforts among the many other governmental agencies (federal, state, and local), industry, professional societies, foundations, academia, and other interested parties. Aligning the responsibilities and focus of each stakeholder greatly assists in ensuring adequate protection and response. Each stakeholder offers unique assets that must be linked to an overall strategy. It is here where the appropriate federal agencies, including the HHS, DHS, Department of Defense, Department of Transportation, and Veterans Affairs, play a vital role in developing a national strategy and logistical support and coordinating with the private sector. The Forum for Medical and Public Health Preparedness for Disasters and Emergencies (the “Forum”) began to address these issues and coordination of stakeholders in 2008. The Forum provides a venue where the major stakeholders may sit down together and discuss the primary issues, afford organizations the opportunity to make assessments, discuss policies, and review outcomes. These areas focus not only on the immediate responses to disasters and public health emergencies, but also the intermediate and long-term needs that arise (e.g. providing adequate shelter, food and water safety, primary care, mental health) during the recovery phase and efforts to enhance preparedness, cooperation and information sharing. The activities of the federal government, volunteer organizations, the private sector, and others in the areas of medical and public health preparedness, resilience, and recovery are of increasing complexity, both in terms of technology and policy. Currently, it is difficult for the nation's medical emergency response, public health and mental health systems, and health research enterprise to meet the rapidly increasing and diverse medical and health challenges that result from all types of disasters including terrorism and natural disasters. Unfortunately, gaps continue to exist. Addressing the physical, psychological, and social needs, especially among at-risk population (e.g., pregnant and lactating women, children and adolescents, elderly, individuals with disabilities and pre-existing conditions, communities of color, and worker subpopulations) that result from various disasters will therefore require universal preparedness by all systems responsible for the public's health and well-being. Preparedness, response, and recovery are required for all hazards and should include all segments of the population during each phase of the event. The research and development needs of these initiatives are immense and thus require the federal government to seek to promote and coordinate needed scientific assessments and capacity building across the nation and with international partners. Such coordination will require the best advice available as federal agencies seek guidance in developing its strategic plans for advancing medical and public health preparedness, response, and recovery to disasters. These initiatives include scientific, technical, and workforce issues in the medical and public health arenas (infrastructure, clinical, environmental, and public health, research needs, including the development of new drugs and biologics and the collection and funding of critical data collection in a timely manner); effective training, education, and communication exercises; and evaluations of preparedness and post-disaster performance. The multiple and complex ethical issues surrounding these developing fields must also be considered. Technical Context The Forum will promote open discussion of existing systems and lessons learned from previous disasters and public health emergencies and identify areas for improvement. The upcoming FY2024 will consider opportunities to address four broad categories: (1) Digital Technology and Health Security, (2) Advancing Preparedness, (3) Expanding Access, and (4) Climate Change and Cascading Events. Within these areas, topics that might be on the meeting agendas of the forum include: Digital Technology and Health Security Topics within this theme focus on advancing digital technology and artificial intelligence as it relates to health security. Exploration of health preparedness for radiation, nuclear and chemical exposures and crisis standards of care will also be leveraged. Advancing Preparedness Topics within this theme focus on the Behavioral and Social Science aspects of preparedness. Discussions will concentrate on ways in which these scientific fields can advance the nation’s preparedness across all hazards and populations. Expanding Access Topics within this theme focus on expanding access to care/services to tribal communities, and other at-risk populations. Discussions will focus on leveraging preparedness experiences and opportunities for equitable reach to these vulnerable communities across the disaster cycle. Climate Change and Cascading Events Topics within this theme focus on cascading events related to climate change. Dissemination of declarations and the evolution of the Stafford Act will be discussed. Action Collaborative on Disaster/Public Health Emergency Research The Forum will continue to convene an Action Collaborative on Disaster/Public Health Emergency Research (the “Action Collaborative”) based upon the receipt of additional supporting funds from NIH and other sponsors. Recent efforts to respond to the COVID-19 crisis and the multiple increasing national disasters highlights the critical need to develop improved U.S. capacity for pre-, during- and post-event research and science. For this year the Action Collaborative will strive to further our collective capacity for timely disaster and public health research, especially with respect to at-risk populations and improvements in disaster data science. Focused interests and activities of the Action Collaborative may include 1) outlining and defining processes for designing and conducting research, particularly transdisciplinary research involving vulnerable and at-risk populations, 2) ensuring community engagement and IRB/ethical considerations in disaster research. 3) defining processes for expanding and enhancing a coordinated network of disaster researchers across the U.S. and globally; 4) facilitating platforms, exchanges, and processes for data collection, harmonization, integration, and warehousing research, 5) exploring appropriate venues to support the development and maintenance of a rapid response mechanisms for the National Academies and other platforms or forums to continue to meet sponsor needs for convening, generating ideas, and sharing information during the initial, as well as later stages of a public health emergency, and 6) promoting improved processes for developing, coordinating, and implementing the federal and academic research enterprise in response to disaster and public health emergencies, especially improving timeliness to avoid missing critical data. The Action Collaborative convenes in-person and/or virtual meetings and workshops which significantly influence the field of disaster science. For example, the hybrid 2022 landmark Pediatric Disaster Science Symposium convened academic, clinical and community stakeholders, along with subject matter experts, to scope perspectives, information and scientific needs related to disasters affecting child populations. Discussions focused around prioritization of pediatric disaster science foci, opportunities for alignment and synergy of scientific efforts, capacity building around evidence-based practices and scientific discovery to improve outcomes of children. Development and implementation of relevant virtual or in-person workshops or hybrid meetings may be pursued during this period of performance.
政策背景 许多政府机构和私人组织负责确保国家有能力预防和应对人为和自然灾害对健康造成的影响,最近的 SARS COV-2 全球大流行和日益频繁和严重的自然灾害就是例证。尽管每个利益相关者对于保证充分的预防、响应和恢复都至关重要,但必须协调努力,促进职能战略、沟通和合作,以确保取得改善健康和健康的最佳结果。然而,主要利益相关者、卫生与公众服务部 (HHS) 和国土安全部 (DHS) 的不同职责以及协调其他各方的努力也带来了挑战。政府机构(联邦、州和地方)、行业、专业协会、基金会、学术界和其他相关方。 协调每个利益相关者的职责和重点有助于确保充分的保护和应对,而这些资产必须与整体战略相联系,包括美国卫生与公众服务部、国土安全部、国防部在内的相关联邦机构都在其中。交通运输部和退伍军人事务部在制定国家战略和后勤支持以及与私营部门协调方面发挥着至关重要的作用。 灾难和紧急情况医疗和公共卫生准备论坛(“论坛”)于 2008 年开始解决这些问题并协调利益相关者。该论坛提供了一个场所,主要利益相关者可以坐下来讨论主要问题,这些领域不仅关注对灾害和公共卫生紧急情况的立即反应,还关注出现的中期和长期需求(例如提供足够的住房、食物和资源)。恢复阶段的水安全、初级保健、心理健康)以及加强准备、合作和信息共享的努力。 联邦政府、志愿者组织、私营部门和其他机构在医疗和公共卫生准备、复原力和恢复领域的活动无论在技术还是政策方面都变得越来越复杂。不幸的是,差距仍然存在。 满足身体、心理和社会需求,特别是高危人群(例如孕妇和哺乳期妇女、儿童和青少年、老年人、残疾人和既有疾病、有色人种社区和工人群体)因此,负责公众健康和福祉的所有系统都需要针对各种灾害做好普遍准备,并应在事件的每个阶段对所有人群进行准备、应对和恢复。这些举措的需求是巨大的,因此要求联邦政府寻求在全国范围内以及与国际合作伙伴之间促进和协调所需的科学评估和能力建设,在联邦机构寻求制定其战略计划的指导时,这种协调将需要现有的最佳建议。这些举措包括医疗和公共卫生领域的科学、技术和劳动力问题(基础设施、临床、环境和公共卫生、研究需求,包括开发)。新药和生物制品以及关键资金的收集和资助及时收集数据);有效的培训、教育和沟通活动;以及对这些发展中领域的准备和灾后绩效的评估。 技术背景 该论坛将促进对现有系统以及从以往灾难和突发公共卫生事件中汲取的经验教训进行公开讨论,并确定需要改进的领域。即将到来的 2024 财年将考虑解决四大类问题的机会:(1) 数字技术和健康安全,(2) 推进。准备,(3) 扩大准入,以及 (4) 气候变化和连锁事件,在这些领域中,论坛会议议程上可能包含的主题包括: 数字技术与健康安全 该主题的主题重点是推进数字技术和人工智能,因为它与健康安全相关,也将利用辐射、核和化学暴露的健康准备以及危机护理标准。 推进准备工作 该主题的主题重点是准备的行为和社会科学方面。 讨论将集中在这些科学领域如何促进国家针对所有灾害和人群的准备工作。 扩大访问范围 该主题的主题重点是扩大部落社区和其他高危人群获得护理/服务的机会,讨论的重点是利用备灾经验和机会,在整个灾害周期内公平地惠及这些脆弱社区。 气候变化和连锁事件 该主题的主题重点是与气候变化相关的连锁事件和《斯塔福德法案》的演变。 灾害/公共卫生应急研究行动合作 论坛将在收到 NIH 和其他赞助商最近为应对 COVID-19 危机和多重支持而做出的额外支持资金的基础上,继续召开灾害/公共卫生紧急研究行动合作组织(“行动合作组织”)。不断增加的国家灾害凸显了美国迫切需要提高灾前、灾中和灾后研究和科学能力。 今年,行动合作组织将努力提高我们及时进行灾害和公共卫生研究的集体能力,特别是在高危人群和灾害数据科学改进方面。行动合作组织的重点兴趣和活动可能包括 1) 概述和活动。定义设计和开展研究的流程,特别是针对弱势群体和高危人群的跨学科研究,2) 涉及确保灾害研究中的社区参与和 IRB/道德考虑,3) 定义扩大和加强美国各地研究人员协调网络的流程。全球范围内;4)促进数据收集、协调、整合和仓储研究的平台、交换和流程,5)探索适当的场所来支持国家科学院和其他平台或论坛继续发展和维护快速反应机制满足发起人在公共卫生紧急情况的初始和后期阶段召集、产生想法和共享信息的需求,以及 6) 促进改进开发、协调和实施联邦和学术研究企业的流程,以应对灾难和突发公共卫生事件,特别是提高及时性以避免丢失关键数据。 行动协作组织召开了对灾害科学领域产生重大影响的面对面和/或虚拟会议和研讨会,例如,具有里程碑意义的 2022 年混合型儿科灾害科学研讨会召集了学术、临床和社区利益相关者以及主题专家,以探讨其范围。讨论的重点是儿科灾害科学重点的优先顺序、科学工作的协调和协同作用、围绕循证实践的能力建设和改善成果的科学发现。在此期间,可以开展相关的虚拟或面对面研讨会或混合会议。

项目成果

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ROBERT DAY其他文献

ROBERT DAY的其他文献

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{{ truncateString('ROBERT DAY', 18)}}的其他基金

PARTIAL SUPPORT FOR THE FOOD FORUM
对食品论坛的部分支持
  • 批准号:
    10974273
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
ROUNDTABLE ON GENOMICS AND PRECISION HEALTH - Aging
基因组学和精准健康圆桌会议 - 老龄化
  • 批准号:
    10945853
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
PARTIAL SUPPORT OF BLUEPRINT FOR A NATIONAL PREVENTION INFRASTRUCTURE TO ADDRESS BEHAVIORAL HEALTH DISORDERS: A CONSENSUS STUDY
部分支持解决行为健康障碍的国家预防基础设施蓝图:共识研究
  • 批准号:
    10954098
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
PARTIAL SUPPORT OF BLUEPRINT FOR A NATIONAL PREVENTION INFRASTRUCTURE TO ADDRESS BEHAVIORAL HEALTH DISORDERS: A CONSENSUS STUDY
部分支持解决行为健康障碍的国家预防基础设施蓝图:共识研究
  • 批准号:
    10954403
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
PUBLIC HEALTH CONSEQUENCES OF CHANGES IN THE CANNABIS LANDSCAPE
大麻格局变化对公共卫生的影响
  • 批准号:
    10938225
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
PARTIAL SUPPORT OF BLUEPRINT FOR A NATIONAL PREVENTION INFRASTRUCTURE TO ADDRESS BEHAVIORAL HEALTH DISORDERS: A CONSENSUS STUDY
部分支持解决行为健康障碍的国家预防基础设施蓝图:共识研究
  • 批准号:
    10936250
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
PRIORITY-SETTING FOR PREVENTION AND TREATMENT-RELATED RESEARCH ON ALZHEIMER'S DISEASE AND RELATED DEMENTIAS AT THE NIH
美国国立卫生研究院 (NIH) 阿尔茨海默病及相关痴呆症预防和治疗相关研究的优先事项
  • 批准号:
    10945351
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
PARTIAL SUPPORT FOR THE FORUM ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS
对心理健康和药物滥用障碍论坛的部分支持
  • 批准号:
    10938245
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
PARTIAL SUPPORT FOR THE FORUM ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS
对心理健康和药物滥用障碍论坛的部分支持
  • 批准号:
    10954108
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:
Meaningful Outcome Measures in Adult Hearing Health Care
成人听力保健中有意义的成果措施
  • 批准号:
    10896742
  • 财政年份:
    2023
  • 资助金额:
    $ 4万
  • 项目类别:

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