Public Health Practices

Interactive, visual tool helps people with communication needs stay safe in emergency shelters

The Massachusetts Department of Public Health created a visual tool for two-way conversations between emergency shelter staff and people with communication needs. The booklet allows shelter staff to ensure residents know how the shelter operates and residents to use images to express their needs and concerns.

Partners create a healthcare system to meet the needs of uninsured during H1N1 surge

Concerned about the inability of large numbers of uninsured people to access care early in the 2009 H1N1 pandemic, an Oregon regional preparedness organization partnered with public health, care providers, and community organizations to create a flu-related care delivery system exclusively for uninsured and low-income people.

Nursing and pharmacy students are trained to provide immunizations to high-risk adults at free clinics

The Oregon Adult Immunization Coalition gathered donated vaccine and supplies, trained nursing and pharmacy students to provide immunizations, and organized free clinics for high-risk adults during H1N1.

Influenza education program increases surveillance capacity among rural, limited-English-speaking agricultural communities

Employees with limited or no English skills who work with swine or birds in rural agricultural areas may have little knowledge about influenza if they lack access to in-language educational programs. The Minnesota Center of Excellence for Influenza Research and Surveillance developed a train-the-trainer program to address such a need. Training materials cover practical, basic knowledge about influenza detection, prevention, and control in people, birds, and swine.

Farmworker preparedness during San Diego wildfires

California is home to the second highest number of FEMA-declared disasters each year, and it is also a substantial producer of much of the nation's agriculture.

Emergency preparedness guide addresses the unique needs of migrant and seasonal farm workers

The Migrant and Seasonal Farm Worker Emergency Preparedness Planning Guide helps planners integrate the needs of migrant and seasonal farm workers into existing emergency preparedness planning efforts. Ready-to-use checklists outline essential steps to take when working with migrant and seasonal farm workers during all phases of an emergency.

Regional Multidisciplinary Group Develops H1N1 Response Policies to Bridge the Gap between Public Health and Healthcare

Harmonizing public health and healthcare practices across jurisdictions can be difficult in the best of times and an even more daunting challenge during an emergency. Yet partners in Oregon were quickly able to develop regional comprehensive policies that received speedy support from hospitals and health systems, allowing for consistent approaches in H1N1 response.

Healthcare Systems and Public Health Collaborate on Free Vaccine Clinics

Competing healthcare systems in South Dakota worked together for several months to offer free H1N1 vaccine to the public. Avera Health and Sanford Health are two large healthcare systems that serve rural eastern South Dakota, while Rapid City Regional Health serves the western part of the state. South Dakota only has one local health department in Sioux Falls, so less populated areas rely on the services of the state health department's community health nurses.

Public health and faith-based organizations partner to offer food and vaccine to the homeless (SC, CA, FL)

Although homeless people were not explicitly listed as an a priority or target group during H1N1, three states that opted to prioritize them partnered with faith-based organizations to offer vaccine and other services.

Food Workers Learn about Flu

Throughout the country, health departments have struggled with how to best reach medically underserved populations during the novel H1N1 influenza pandemic. In Illinois, the Kane County Health Department implemented an innovative communication strategy that involved local sanitarians in their outreach efforts.

Mobile Vaccination Clinic Reaches Rural Areas

The Marion County Health Department in West Virginia used a mobile H1N1 vaccine clinic to reach small, rural communities across the region.

Outreach to racial and ethnic populations encouraging vaccination

As part of the Virginia Department of Health's (VDH) H1N1 vaccination campaign, state health officials undertook many activities to reach racial and ethnic minority populations in the Commonwealth. The state used measured research to thoughtfully position H1N1 media and outreach efforts to minority populations, specifically African-American and Hispanic groups.

Mobile Vaccination Clinic for Reaching a South Dakota Reservation

The Pine Ridge Reservation, home to over 14,000 Oglala Sioux and other tribal members, encompasses two million acres in southwestern South Dakota. Access to healthcare services is limited due to a lack of medical professionals, as well as a shortage of transportation. Shannon County, which includes much of the reservation, is the second-poorest county in the nation.

H1N1 Benefit Program for the Uninsured

In response to the 2009 H1N1 influenza outbreak this spring, the Wisconsin Department of Health Services recruited a state-wide network of health care providers to participate in a limited benefit program to provide flu-related care to the uninsured. The Department chose not to implement the benefit program in the spring. However, due to the resurgence of H1N1 influenza during the fall, the Department implemented the benefit effective Monday, November 2. Establishing the Provider Network:

Public Antiviral Stockpile Program

The purpose of Florida's Antiviral Stockpile program is to assure that anyone who has a prescribed need for medication to treat influenza-like illness has access to it, regardless of their ability to pay. Based on this goal, the state identified two situations in which interventions might be necessary: instances in which individuals are unable to afford antivirals, and times in which pharmacies are not able to meet demand for antivirals out of their own supplies.

The Prepared Community Initiative

The Prepared Community Initiative is a training and technical assistance program for local Community Health Councils. The Initiative is intended to prepare Community Health Councils to be collaborative partners in health-related emergency preparedness and response, especially as it pertains to at-risk populations.

Workbook for Healthcare Providers in Rural Communities

A workbook developed by the USA Center for Rural Public Health Preparedness and the Texas A&M School of Rural Public Health promotes strategies for engaging rural healthcare providers in all-hazards planning. The workbook is the result of long-term collaborations with rural partners across the country and reflects rural communities' ideas, comments, and needs.

Community Food Supply Outreach

A small, easily managed, and highly visible marketing project was achieved through a local health department's cooperative agreement with a grocery store. The health department's pandemic influenza planning committee coordinated a case lot sale of canned goods with the grocery store. Grocers placed lists of personal food stockpile items within the store.

Red Cross Preparedness and Resiliency materials (National)

The Preparedness and Resiliency materials from the American Red Cross address the mental well-being of adults and children following a disaster. The document on coping strategies for children is not specific to a pandemic situation, yet it contains accurate guidance for caregivers who are dealing with a child's experience of trauma or loss. An especially useful part of the guide is the list of age-based responses to trauma and triggers for when parents should seek professional help.

California Primary Care Telemedicine Project

A brief grant proposal aims to incorporate California community clinics and health centers into emergency preparedness and response services. The California Primary Care Association (CPCA) is requesting funding to create a video conference system that will allow CPCA to serve the needs of its clinics across the state. The proposal asks for video conference equipment, bridge equipment to link health center hubs, a consultant to advise administrators, and line fees.

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