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Implementation of a High-Level Isolation Unit Readiness Checklist in the Irish Setting.
Health Secur
September 2024
Jocelyn J. Herstein, PhD, MPH, is an Assistant Professor, Department of Environmental, Agricultural and Occupational Health, College of Public Health, and Director, National Emerging Special Pathogens Training and Education Center International Partnerships and Programs; both at University of Nebraska Medical Center, Omaha, NE.
A high-level isolation unit (HLIU) is a specially designed biocontainment unit for suspected or confirmed high-consequence infectious diseases. For most HLIUs, maintaining readiness during times of inactivity is a challenge. In this case study, we describe a checklist approach to assess HLIU readiness to rapidly operate upon activation.
View Article and Find Full Text PDFUsing Video-Reflexive Methods to Develop a Provider Down Protocol for the New South Wales Biocontainment Center.
Health Secur
September 2024
Gwendolyn L. Gilbert, MD, FRACP, FRCPA, M. Bioethics, FASM, is a Senior Researcher at the Sydney Infectious Diseases Institute, The University of Sydney, Westmead, NSW, Australia.
The New South Wales Biocontainment Centre is a statewide referral facility for patients with high-consequence infectious disease (HCID). The facility collaborates with researchers to adapt existing HCID procedures such as donning and doffing of personal protective equipment (PPE). However, information on how to respond safely to collapse of a healthcare provider in full PPE within a contaminated zone is scarce.
View Article and Find Full Text PDFThe Importance of Networks and Relationships: Leveraging the Biocontainment Unit Leadership Workgroup for Special Pathogen Outbreak Response.
Health Secur
September 2024
Lauren M. Sauer, MSc, is Director, Special Pathogens Research Network, Global Center for Health Security, and an Associate Professor, College of Public Health; all at the University of Nebraska Medical Center, Omaha, NE.
Developing and sustaining relationships and networks before an emergency occurs is crucial. The Biocontainment Unit Leadership Workgroup is a consortium of the 13 Regional Emerging Special Pathogen Treatment Centers in the United States. Established in 2017, the volunteer-based workgroup is composed of operational leaders dedicated to maintaining readiness for special pathogen care.
View Article and Find Full Text PDFBuilding a biocontainment unit: Infrastructure and organizational experiences of the 13 regional biocontainment units in the United States.
Am J Infect Control
January 2025
Global Center for Health Security, University of Nebraska Medical Center, Omaha, NE; College of Public Health, University of Nebraska Medical Center, Omaha, NE.
In the United States, the system for special pathogen patient care incorporates a network of federally funded US biocontainment units that maintain operational readiness to care for patients afflicted by high-consequence infectious diseases (HCIDs). This network has expanded in number of facilities and in scope, serving as a regional resource for special pathogen preparedness. Lessons learned for maintaining these units are shared with the intent of informing new and existing biocontainment units.
View Article and Find Full Text PDFInformation Challenges Associated With Accessing and Sharing of Patient Information in Disasters: A Qualitative Analysis.
Health Secur
December 2023
Lainie Rutkow, JD, PhD, MPH, is a Professor of Medicine and Physiology, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, and Vice Provost for Interdisciplinary Initiatives, Office of the Provost, both at Johns Hopkins University, Baltimore, MD.
As disasters increase in frequency and severity, so too does the health impact on affected populations. Disasters exacerbate the already challenging health information-sharing landscape. A reduced capacity to access and share patient information may have negative impacts on providers' ability to care for patients individually and to address disaster health outcomes at the population level.
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