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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.

Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

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Page 1: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

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.

Page 2: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 3: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Good-bye!

Page 4: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 5: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Domaine de NojiProduct of Prince Georges Co. USA

Page 6: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

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

Page 7: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Disaster Epidemiology

• Purpose: – Identify requirements, local capabilities,

gaps– Avoid unnecessary and damaging

assistance

VictimsNeeds

AvailableServices

Data for Decision-Making

Page 8: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 9: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Hand-held Screens of Tornado Assessment Forms used last week

Page 10: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

On the Hand Held -Acute Disease Survey Form

Page 11: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Forms-Handheld Process Overview

Encrypted Traffic

Internet

Repository

User Defines and Tests

Questionnaire (Form) Via

Web Interface

1

Handheld User Selects Forms & Downloads

by direct wireless

connection or via

PC/cradle connection

2

MultipleUsers Can

Immediately Enter Data directly via Web Form

3

4

User can enter Data via Forms

when Handheld is

disconnected

5

Handheld Data & Forms

are Synchronized

the Next time device

is connected

Page 12: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 13: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Investigating Person-to-Person Spread

Page 14: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 15: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 16: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 17: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 18: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

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****

Page 19: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 20: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 21: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

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

Page 22: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

A Typical Day at CDC Autumn 2001

Page 23: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 24: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Hand-held Screens of Tornado Assessment Forms used last week

Page 25: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

On the Hand Held -Acute Disease Survey Form

Page 26: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 27: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 28: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

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****

Page 29: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

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

Page 30: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 31: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

A Typical Day at CDC Autumn 2001

Page 32: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 33: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 34: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 35: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Reports of Diseases

Page 36: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 37: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 38: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 39: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,
Page 40: Emergency Management Information: Challenges for the 21st Century Emergency Management Information: Challenges for the 21st Century ISCRAM 2008 Washington,

Forms-Handheld Process Overview

Encrypted Traffic

Internet

Repository

User Defines and Tests

Questionnaire (Form) Via

Web Interface

1

Handheld User Selects Forms & Downloads

by direct wireless

connection or via

PC/cradle connection

2

MultipleUsers Can

Immediately Enter Data directly via Web Form

3

4

User can enter Data via Forms

when Handheld is

disconnected

5

Handheld Data & Forms

are Synchronized

the Next time device

is connected


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