The Public Health Response to 2009 H1N1

A Systems Perspective

Edited by Michael A. Stoto and Melissa A. Higdon

Distills important lessons and insights about public health emergency preparedness from the U.S. and global H1N1 experience
Identifies the implications for measuring the level of preparedness in current public health systems
Illustrates a variety of rigorous qualitative research approaches that can be used to analyze the response to future public health emergencies
Highly relevant to newer outbreaks of flu and pathogens such as Ebola

The Public Health Response to 2009 H1N1

A Systems Perspective

Edited by Michael A. Stoto and Melissa A. Higdon

Description

The 2009 H1N1 pandemic tested the limits of the public health emergency preparedness systems in the US and abroad. The successes and failures from this pandemic remain relevant, particularly as pathogens like MER-CoV and Ebola continue to proliferate. As the world's population continues to travel farther and with more frequency than ever before, the lessons of 2009 stand as important touchstones for future public health infrastructures and interventions.

The Public Health Response to 2009 H1N1: A Systems Perspective draws lessons from the public health system's response to the influenza pandemic, offering a collection of chapters that are highly relevant to all public health emergencies. Not simply a historical case study, this analysis employs a systems perspective that encompasses both government health agencies and community-based entities such as care providers, schools, and media. The chapters demonstrate rigorous qualitative research approaches that can be used to analyze public health system responses to both pathogens and a wide variety of other public health emergencies.

With contributions from a broad panel of experts, the book will be useful for anyone seeking to learn from pH1N1 and to see public health systems in current, specific contexts. The Public Health Response to 2009 H1N1 draws important insights from this global event and will help improve public health emergency preparedness systems for future pandemics.

The Public Health Response to 2009 H1N1

A Systems Perspective

Edited by Michael A. Stoto and Melissa A. Higdon

Chapter 1: Introduction
Michael A. Stoto
Chapter 2: Did Advances in Global Surveillance and Notification Systems
Make a Difference in the 2009 H1N1 Pandemic?
Michael A. Stoto and Ying Zhang
Chapter 3: The Effectiveness of U.S. Public Health Surveillance Systems for Situational Awareness during the 2009 H1N1 Pandemic
Michael A. Stoto
Chapter 4: Variability in School Closure Decisions in Response to 2009 H1N1
Tamar Klaiman, John D. Kraemer, and Michael A. Stoto
Chapter 5: Wearing Many Hats: Lessons About Emergency Preparedness and Routine Public Health from the H1N1 Response
Matthew W. Lewis, Edward W. Chan, Christopher Nelson, Andrew S. Hackbarth, Christine Vaughan, Alonzo Plough, and Brit K. Oiulfstad
Chapter 6: Variation in the local management of publicly purchased antiviral drugs during the 2009 H1N1 influenza pandemic
Jennifer Coleman Hunter, Daniela C. Rodriguez, Tomas J. Aragon
Chapter 7: The H1N1 Response from the Perspective of State and Territorial Immunization Program Managers: Managing the Vaccination Campaign
Allison T. Chamberlain, Melissa A. Higdon, Katherine Seib, and Ellen A. S. Whitney
Chapter 8: Implementing a national vaccination campaign at the state and local level:
Massachusetts case study
Michael A. Stoto and Melissa Higdon
Chapter 9: The Italian Response to the 2009 H1N1 Pandemic
Elena Savoia, Pierluigi Macini, and Maria Pia Fantini
Chapter 10: Local Health Department Vaccination Success During 2009 H1N1
Tamar Klaiman, Katherine O'Connell, and Michael A. Stoto
Chapter 11: Public Communication during 2009 H1N1 Pandemic
Elena Savoia, Leesa Lin, and K. Viswanath
Chapter 12: Obstacles to pH1N1 Vaccine Availability: the Complex Contracting Relationship between Vaccine Manufacturers, WHO, Donor and Beneficiary Governments
Sam Halabi
Chapter 13: Implications for Policy and Practice
Michael A. Stoto

The Public Health Response to 2009 H1N1

A Systems Perspective

Edited by Michael A. Stoto and Melissa A. Higdon

Author Information

Edited by Michael A. Stoto, Professor of Health Systems Administration and Population Health, Georgetown University, and Edited by Melissa A. Higdon, Health Program Manager, Institute for Strategy and Competitiveness, Harvard Business School

Michael A. Stoto, PhD, is a Professor of Health Systems Administration and Population Health at Georgetown University. As an epidemiologist, statistician, and health policy analyst, Professor Stoto's research focuses on public health practice, especially with regard to preparedness; the evaluation of public health interventions, and infectious disease policy, and public health practice.

Melissa A. Higdon, MPH, is a Health Care Program Manager at the Institute for Strategy and Competitiveness at Harvard Business School. Previously, Ms. Higdon was a Research Assistant at Harvard School of Public Health in the Department of Society, Human Development, and Health working public health emergency preparedness research, primarily working on a grant funded by the Centers for Disease Control and Prevention. Ms. Higdon's graduate degree is largely focused on health policy.

Contributors:

Tomas J. Aragon

Allison T. Chamberlain, MS
Emory Preparedness and Emergency Response Research Center, Department of Epidemiology
Emory University
Atlanta, GA

Edward W. Chan, PhD
Engineering and Applied Sciences Department, RAND Corporation, Santa Monica, CA

Maria Pia Fantini, MD
Department of Biomedical and Neuromotor Sciences (DIBINEM)
University of Bologna
Bologna, Italy

Andrew S. Hackbarth, M.Phil
RAND Corporation
Santa Monica, CA

Sam F. Halabi, JD, M.Phil
University of Tulsa College of Law
O'Neill Institute for National and Global Health Law
Georgetown University
Washington, D.C.

Melissa A. Higdon, MPH
Research Assistant III (non-lab)
Harvard School of Public Health
Boston, MA

Jennifer C. Hunter, DrPH
School of Public Health
University of California
Berkeley, CA

Tamar A. Klaiman, PhD, MPH
Assistant Professor of Health Policy and Public Health University of the Sciences in Philadelphia
Philadelphia, PA

John D. Kraemer, JD, MPH
Department of Health Systems Administration
Georgetown University
Washington, DC

Leesa Lin, MS
Administrative Coordinator
Harvard School of Public Health
Boston, MA

Matthew W. Lewis, PhD
Behavioral and Policy Sciences Department
RAND Corporation, Santa Monica, CA

Pierluigi Macini, MD
President of Emilia Romagna of Italian Society of Hygene,
Preventive Medicine and Public Health (SItI).

Christopher Nelson, PhD, MS
Research Scientist
RAND Corporation
Santa Monica, CA

Katherine O'Connell BS, BSN, RN
Progressive Care Unit
Cooper University Hospital
Camden, NJ

Brit K. Oiulfstad, DVM, MPH
Acute Communicable Disease Control Program
County of Los Angeles - Department of Public Health
Los Angeles, CA

Alonzo Plough, PhD, MPH
Director Emergency Preparedness and Response
Department of Public Health - Los Angeles County
Los Angeles, CA

Daniela C. Rodriguez, DrPH
Department of International Health
Johns Hopkins University
Baltimore, MD

Elena Savoia, MD, MPH
Scientist
Harvard School of Public Health
Boston, MA

Katherine Seib, MSPH
Department of Medicine, Division of Infectious Diseases
Emory University, Atlanta, GA

Michael A. Stoto PhD
Department of Health Systems Administration,
Georgetown University
Washington, DC

Christine A. Vaughn, PhD
Behavioral and Policy Sciences Department
RAND Corporation
Santa Monica, CA

K. Viswanath, PhD
Professor of Health Communication
Department of Social and Behavioral Sciences
Harvard School of Public Health
Boston, MA, USA

Ellen A. S. Whitney, MPH
Emory Preparedness and Emergency Response Research Center
Department of Epidemiology, Emory University
Atlanta, GA

Ying Zhang, PhD
Research Assistant
Department of Health Systems Administration
Georgetown University
Washington, DC