NYSDOH Hurricane Sandy Recovery: Priority Research Area C - Evaluation of the Pub

描述（由申请人提供）： 纽约卫生部正在领导一项合作努力，以评估公共卫生系统在飓风桑迪的准备、响应和恢复过程中的作用，并研究改善未来响应和恢复所需的修改。桑迪过后，纽约州的九个县和纽约市被宣布为灾区。长岛的拿骚和萨福克郡以及纽约市北部的韦斯特切斯特都受到了直接打击。总的来说，这三个县的卫生部门为近300万居民提供服务，另外六个受灾县为另外100万居民提供服务。许多地方卫生部门办公室和公共卫生服务提供者因停电或飓风破坏而关闭。NYSDOH被要求承担拿骚县法定传染病的监测、调查和控制活动。两个大型饮用水系统的基础设施遭到破坏，足以中断其向客户供水的能力。 目标1将侧重于评价公共卫生系统，解决目标1.1中的业务流程、目标1.2中的关键信息需求以及目标1.3中的公共卫生系统整合。 目标2将评估对选定社区服务提供者的影响，包括目标2.1中的公共饮用水供应商、目标2.2中的艾滋病毒/性传播疾病社区服务提供者和目标2.3中的妇女、儿童和社区服务提供者。每个目标有两个部分。（a）部分的成果是一份评估桑迪影响的研究报告，（B）部分的成果是关于为未来灾害建立复原力所需修改的研究摘要。 NYSDOH将使用内容分析来分析预先存在的数据源，如行动后报告和综合健康警报和通知系统记录。行政命令和法规豁免（联邦和州）将被审查。主要数据收集将包括定性研究，利用与关键信息提供者的保密一对一电话访谈和与重点小组的会议，优先考虑影响最大的县。通过定量调查收集的原始数据也将扩大到灾区所有县。州和地方卫生和应急管理部门将参与评估。已经确定了卫生部门的17个关键工作人员角色和应急管理部门的4个关键工作人员角色。所有科学研究和数据收集、管理和分析将按照NYSDOH机构审查委员会的批准进行，以确保知情同意和保密性。所有的研究活动将由一个指导小组与学术，地方和国家代表监督。

DESCRIPTION (provided by applicant): The New York State Department of Health is leading a collaborative effort to evaluate the public health system in its preparation, response, and recovery from Hurricane Sandy, and to research modifications needed to improve future response and recovery. Nine NYS counties and New York City (NYC) were declared as disaster areas after Sandy. The Long Island counties of Nassau and Suffolk suffered direct hits, as well as Westchester north of NYC. Collectively, the health departments in these three counties serve almost three million residents, with an additional million residents served by another six affected counties. Many local health department offices and public health service providers were closed due to power outages or hurricane damage. NYSDOH was required to assume surveillance, investigation, and control activities for notifiable diseases in Nassau County. Two large drinking water systems received infrastructure damage sufficient to interrupt their ability to deliver water to customers. Aim 1 wll focus on evaluating the public health system, addressing business processes in Objective 1.1, critical information needs in Objective 1.2, and public health system integration in Objective 1.3. Aim 2 will evaluate the impact on select community service providers, including public drinking water suppliers in Objective 2.1, HIV/STD community service providers in Objective 2.2, and WIC providers in Objective 2.3. Each objective has two parts. The outcome for part (a) is a research report evaluating the Sandy impact, and the outcome for part (b) is the research summary of needed modifications to build resiliency for future disasters. NYSDOH will analyze pre-existing data sources such as after action reports and Integrated Health Alerting and Notification System records using content analyses. Executive orders and regulation waivers (federal and state) will be reviewed. Primary data collection will include qualitative research using confidential one-on-one telephone interviews with key informants and meetings with focus groups, prioritizing counties with greatest impact. Primary data collection through quantitative surveys will also be extended to all counties in the disaster area. State and local health and emergency management departments will be included in the assessments. Seventeen key staff roles in health departments and four key staff roles in emergency management departments have been identified for participation. All scientific research and data collection, management, and analysis will be conducted as approved by the NYSDOH Institutional Review Board to assure informed consent and confidentiality. All research activities will be overseen by a Guidance Team with academic, local, and state representatives.