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. 2019 Dec 20;41(4):665-673.
doi: 10.1093/pubmed/fdy174.

Health and mass unemployment events-developing a framework for preparedness and response

A R Davies  1 , L Homolova  1 , C N B Grey  1 , M A Bellis  1
Affiliations

Health and mass unemployment events-developing a framework for preparedness and response

A R Davies et al. J Public Health (Oxf). .

Abstract

Background: Mass unemployment events are not uncommon yet the impact on health is not well recognised. There is a need for a preparedness and response framework, as exists for other events that threaten population health.

Methods: Framework informed by a narrative review of the impact of mass unemployment on health (studies published in English from 1990 to 2016), and qualitative data from 23 semi-structured interviews with individuals connected to historical national and international events, addressing gaps in published literature on lessons learnt from past responses.

Results: Economic and employment shock triggered by mass unemployment events have a detrimental impact on workers, families and communities. We present a public health informed response framework which includes (i) identify areas at risk, (ii) develop an early warning system, (iii) mobilise multi-sector action including health and community, (iv) provision of support across employment, finance and health (v) proportionate to need, (vi) extend support to family members and (vii) communities and (viii) evaluate and learn.

Conclusion: Mass unemployment events have an adverse impact on the health, financial and social circumstances of workers, families, and communities. This is the first framework for action to mitigate and address the detrimental impact of mass unemployment events on population health.

Keywords: emergency planning; public health; social determinants.

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Figures

Fig. 1
Fig. 1
A response framework for Mass Unemployment Events: centred around three core elements addressing: the employment, financial, health and psychosocial support needs of workers, families and communities.
See this image and copyright information in PMC

References

    1. Aylward M. Overcoming barriers to recovery and return to work: towards behavioral and cultural change In: Schultz IZ, Gatchel RJ, eds. Handbook of return to work: from research to practice. New York: Springer, 2016:119–39.
    1. Riva M, Terashima M, Curtis S et al. Coalfield health effects: variation in health across former coalfield areas in England. Health Place 2011;17:588–97. - PubMed
    1. Fitzpatrick J, Griffiths C, Kelleher M. Geographic inequalities in mortality in the United Kingdom in the 1990s. National Statistics. Health Stat Q 2000;7:7–20.
    1. Marmot M, Allen J, Goldblatt P et al. Fair Society, healthy lives: the marmot review: Strategic Review of Health Inequalities in England post 2010. London: University College London, 2010.
    1. Employment, Social Affairs & Inclusion Summary of European Globalisation adjustment Fund (EGF) applications - 2007 to date (Monthly update). Brussels: European Commission, 2017.

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