Bioterrorism and the people: How to vaccinate a city against panic
Bioterrorism and the people: How to vaccinate a city against panic
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DOI：
10.1086/338711
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发表时间：
2002-01-15
影响因子：
11.8
通讯作者：
Schoch-Spana, M
中科院分区：
文献类型：
--
作者：
Glass, TA;Schoch-Spana, M
生物恐怖主义政策的讨论和应对规划工作往往忽视公众参与生物恐怖主义行为应对的能力，或者假定当地居民会阻碍有效应对。对大规模恐慌和社会混乱的恐惧是这种偏见的根源。尽管不知道民众会对史无前例的生物恐怖主义行为作何反应，但自然和技术灾害以及疾病暴发的经验表明，通常存在一种有效且适应性强的集体行动模式。在医疗和公共卫生应对中不将公众作为关键伙伴纳入，可能会妨碍对疫情的有效管理，并增加社会混乱的可能性。最终，非专业个人和团体采取的行动可能对生物恐怖主义事件的结果产生最大影响。提出了将公众纳入生物恐怖主义应对规划的五条指导方针：（1）在应对疫情时将公众视为有能力的盟友；（2）让民间组织参与实际的公共卫生活动；（3）预见到以家庭为基础的病人护理和感染控制的需求；（4）投资于公众宣传和沟通策略；（5）确保规划反映受影响人群的价值观和优先事项。
Bioterrorism policy discussions and response planning efforts have tended to discount the capacity of the public to participate in the response to an act of bioterrorism, or they have assumed that local populations would impede an effective response. Fears of mass panic and social disorder underlie this bias. Although it is not known how the population will react to an unprecedented act of bioterrorism, experience with natural and technological disasters and disease outbreaks indicates a pattern of generally effective and adaptive collective action. Failure to involve the public as a key partner in the medical and public-health response could hamper effective management of an epidemic and increase the likelihood of social disruption. Ultimately, actions taken by nonprofessional individuals and groups could have the greatest influence on the outcome of a bioterrorism event. Five guidelines for integrating the public into bioterrorism response planning are proposed: (1) treat the public as a capable ally in the response to an epidemic, (2) enlist civic organizations in practical public health activities, (3) anticipate the need for home-based patient care and infection control, (4) invest in public outreach and communication strategies, and (5) ensure that planning reflects the values and priorities of affected populations.