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. 2007 Jan-Feb;122(1):17-26.
doi: 10.1177/003335490712200103.

Evaluation of public health response to hurricanes finds North Carolina better prepared for public health emergencies

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Evaluation of public health response to hurricanes finds North Carolina better prepared for public health emergencies

Mary V Davis et al. Public Health Rep. 2007 Jan-Feb.

Abstract

Reviews of state public health preparedness improvements have been primarily limited to measuring funds expenditures and achievement of cooperative agreement benchmarks. Such reviews fail to assess states' actual capacity for meeting the challenges they may face during an emergency, as evidenced by activities undertaken during the various phases of a disaster. This article examines North Carolina's public health preparedness and response performance during two hurricanes, Hurricane Floyd in 1999 and Hurricane Isabel in 2003, as well as capacity building activities in the intervening years. North Carolina created new infrastructures, enhanced laboratory capacity, and strengthened communications after Hurricane Floyd. These activities facilitated implementation of functional capabilities through effective centralized communication, command and control incident management, and a rapid needs assessment and medical surveillance during Hurricane Isabel. North Carolina continues to implement these capabilities in public health emergencies. Measuring and implementing functional capabilities during exercises or real events facilitates achievement of preparedness performance standards, goals, and objectives.

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Figures

Figure 1
Figure 1
Definitions of disaster phases and public health activities
Figure 2
Figure 2
Questions for the evaluation of NC DPH planning, preparation, and response to Hurricanes Floyd and Isabel
Figure 3
Figure 3
Selected North Carolina Division of Public Health, Office of Public Health Preparedness and Response Hurricane Isabel preparation activities
Figure 4
Figure 4
North Carolina Division of Public Health Preparedness capacity-building activities and functional capability improvements

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