Impact of 2003 Power Outages on Public Health and Emergency Response
Impact of 2003 Power Outages on Public Health and Emergency Response
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2003 年停电对公共卫生和应急响应的影响
DOI：
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发表时间：
2005
影响因子：
2.2
通讯作者：
A. Dannenberg
中科院分区：
文献类型：
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作者：
James C Kile;S. Skowronski;Mark D. Miller;S. Reissman;V. Balaban;Richard W. Klomp;Dori B. Reissman;H. Mainzer;A. Dannenberg
摘要简介：2003年，美国中西部和东北部发生了一次大停电，影响了大约5000万人。停电影响了州和地方市政当局的多个系统，进而影响了公共卫生。研究方法：采用开放式问卷进行半结构化访谈，并从俄亥俄州、密歇根州和纽约的州和当地选择主题专家作为方便样本。受访者被分为五个感兴趣的领域之一，包括：（1）应急准备;（2）医院和紧急医疗服务;（3）市政环境系统;（4）公共卫生监测和流行病学;（5）心理社会和行为问题。报告的停电对公共卫生、医疗服务以及应急准备和反应的积极和消极影响都有记录。答复按共同主题分类，并提出了建议。结果：受访者所在地停电的时间从<1小时到52小时不等。不同地点出现了许多共同的主题，包括通信故障、备用电源问题、人力和培训问题以及心理社会问题。报告的可归因于该事件的发病率和死亡率极低。结论：停电对多个市政基础设施造成了负面影响，并影响了医疗服务、应急反应和公共卫生工作。以前的联邦资金对公共卫生和应急能力产生了积极影响。根据答复者确定的共同主题提出了建议。这些建议可以帮助州和地方卫生部门、医疗服务提供者和应急响应者规划未来的停电问题。
Abstract Introduction: In 2003, a major power outage occurred in the midwest and northeast United States affecting some 50 million people. The power outages affected multiple systems in state and local municipalities and, in turn, affected public health. Methods: Semi-structured interviews were conducted using open-ended questionnaires, with a convenience sample of state- and locally selected subject matter experts from Ohio, Michigan, and New York. Respondents were interviewed in groups representing one of five areas of interest, including: (1) emergency preparedness; (2) hospital and emergency medical services; (3) municipal environmental systems; (4) public health surveillance and epidemiology; and (5) psychosocial and behavioral issues. The reported positive and negative impacts of the power outage on public health, medical services, and emergency preparedness and response were documented. Responses were categorized into common themes and recommendations were formulated. Results: The amount of time that the respondents' locations were without power ranged from <1 hour to 52 hours. Many common themes emerged from the different locations, including communications failures, alternate power source problems, manpower and training issues, and psychosocial concerns. There was minimal morbidity and mortality reported that could be attributed to the event. Conclusion: Power outages negatively impacted multiple municipal infrastructures, and affected medical services, emergency response, and public health efforts. Previous federal funding positively impacted public health and emergency response capabilities. Recommendations were made based upon the common themes identified by the respondents. Recommendations may assist state and local health departments, medical service providers, and emergency responders in planning for future power outage problems.