Emergency Management Information: Challenges for the 21st Century Emergency Management Information:...

Emergency Management Information:

Challenges for the 21st Century

ISCRAM 2008 Washington, D.C.

5th May 2008

Eric K. Noji, M.D., M.P.H.,Consultant in Global Health Security

Washington, D.C.

Good-bye!

Domaine de NojiProduct of Prince Georges Co. USA

Health Information Needs in Emergency Populations

• Establish health care priorities• Follow trends and reassess priorities• Detect and respond to epidemics• Evaluate program effectiveness• Ensure targeting of resources• Evaluate quality of health care

Disaster Epidemiology

• Purpose: – Identify requirements, local capabilities,

gaps– Avoid unnecessary and damaging

assistance

VictimsNeeds

AvailableServices

Data for Decision-Making

Hand-held Screens of Tornado Assessment Forms used last week

On the Hand Held -Acute Disease Survey Form

Forms-Handheld Process Overview

Encrypted Traffic

Internet

Repository

User Defines and Tests

Questionnaire (Form) Via

Web Interface

Handheld User Selects Forms & Downloads

by direct wireless

connection or via

PC/cradle connection

MultipleUsers Can

Immediately Enter Data directly via Web Form

User can enter Data via Forms

when Handheld is

disconnected

Handheld Data & Forms

are Synchronized

the Next time device

is connected

Investigating Person-to-Person Spread

Decision Making without Data

• Need to make decisions rapidly in the absence of data

• Few genuine subject matter experts

• No “textbook” experience to guide response

• Understanding of “risk” will evolve as a pandemic develops and spreads

• ****Need coherent, rapid process for addressing scientific issues in midst of crisis****

Bad communication adds to crisis• Mixed messages from multiple

“experts”• Late information “overcome by

events”• Over-reassuring messages• No reality check on

recommendations• Myths, rumors, doomsayers not

countered• Poor performance by spokesperson

or leader• Public power struggles and

confusion

A Typical Day at CDC Autumn 2001

Hand-held Screens of Tornado Assessment Forms used last week

On the Hand Held -Acute Disease Survey Form

Decision Making without Data• Need to make decisions rapidly in

the absence of data• Few genuine subject matter

experts• No “textbook” experience to guide

response • Understanding of “risk” will evolve

as an outbreak develops and spreads

• ****Need coherent, rapid process for addressing scientific issues in midst of crisis****

Bad communication adds to crisis• Mixed messages from multiple

“experts”• Late information “overcome by

events”• Over-reassuring messages• No reality check on

recommendations• Myths, rumors, doomsayers not

countered• Poor performance by spokesperson

or leader• Public power struggles and

confusion

A Typical Day at CDC Autumn 2001

Reports of Diseases

Forms-Handheld Process Overview

Encrypted Traffic

Internet

Repository

User Defines and Tests

Questionnaire (Form) Via

Web Interface

Handheld User Selects Forms & Downloads

by direct wireless

connection or via

PC/cradle connection

MultipleUsers Can

Immediately Enter Data directly via Web Form

User can enter Data via Forms

when Handheld is

disconnected

Handheld Data & Forms

are Synchronized

the Next time device

is connected

Emergency Management Information: Challenges for the 21st Century Emergency Management Information:...

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