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WK 11 DIS. EPID

Infectious Disease and Natural Disaster

The earthquake that struck Haiti in 2010 was one of the worst natural disasters in history. According to Peranteau et al. (2010):

Immediately after the earthquake the need so vastly outstripped the resources that patients generally lacked basic identifiers and medical records […] Treatment plans were reduced to word of mouth. At first we used scraps of paper or cardboard taped to the patient … (p. 127)

Nearly a quarter of a million people were killed with another quarter of a million injured, and millions of people were displaced from their homes (World Health Organization, 2010). In the ensuing months, a cholera epidemic ravaged the already traumatized country. The destruction of infrastructure, contamination of water supply, and increased human vulnerability from displacement create favorable conditions for the spread of infectious diseases following natural disasters. Respiratory infections and diarrheal diseases are also commonly found encountered after floods, tsunamis, and other types of meteorological and geophysical disasters.

In the aftermath of such tragedies, priority is placed on implementing control measures to re-establish basic healthcare and prevent epidemics. Nurses often play important leadership roles in both domestic and international disaster response. For this Discussion, you consider disasters from an epidemiologic perspective and how nurses can address health outcomes following them.

References:
Peranteau, W. H., Havens, J. M., Harrington, S., & Gates, J. D. (2010). Re-establishing surgical care at Port-au-Prince General Hospital, Haiti. 
Journal of the American College of Surgeons
211(1), 126–130. 

World Health Organization. (2010, September). Letter from the editor. 
Focus: Emergency and Humanitarian Action
5. 

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 


WEEKLY RESOURCES

Required Readings

· Curley, A. L. C. (Ed.). (2024). 
Population-based nursing: Concepts and competencies for advanced practice (4th ed.). Springer.

· Chapter 12, “Implications of Global Health in Population-Based Nursing” (pp. 303-335)

· Maness, L. R. (2019). The effect of hurricanes on pathogenic diseases. 
Journal of Environmental Health
81(6), 16–20.

· Mavrouli, M., Mavroulis, S., Lekkas, E., & Tsakris, A. (2021).
Respiratory infections following earthquake-induced tsunamis: Transmission risk factors and lessons learned for disaster risk management.Links to an external site. 
International Journal of Environmental Research and Public Health
18(9), Article 4952.

· Nuzzo, J. B., Meyer, D., Snyder, M., Ravi, S. J., Lapascu, A., Souleles, J., Andrada, C. I., & Bishai, D. (2019). 
What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping reviewLinks to an external site.
BMC Public Health
19(1), Article 1310.

· World Health Organization. (2018, February 22). 

Health inequities and their causes [Multimedia]Links to an external site.
.

Required Media

· Global Epidemiology and Population Health

·
Time Estimate: 2 minutes

· Walden University, LLC. (2021). 
Monitoring and controlling pandemicsLinks to an external site.[Interactive media]. Walden University Blackboard.

· Walden University. (2021, October 26). 

Talks for good: Racial inequalities in healthcare [Video]Links to an external site.
. YouTube.

Note: The approximate length of this media piece 60 minutes.

Previous

To prepare:

· Consider the role of epidemiologic methods in preparing for or responding to natural disasters.

· Focus on global health initiatives, effects of natural disasters on health outcomes, and global health inequities and how they are magnified by natural disasters.

· Select a recent (within past 10 years) natural disaster. You may choose an event that occurred in the U.S. or internationally.

· Explore the current literature and identify the specific leadership roles that nurses have in mitigating negative health outcomes following disasters.

By Day 3 of Week 11

· Briefly describe your selected recent natural disaster.

· Discuss the health consequences of the disaster at the population level.

· Explain how the concepts of population health and epidemiology discussed in this course were or could have been used to assess the preparation and health outcomes after this disaster.

· Explain how the concepts of population health and epidemiology discussed in this course were or could have been used to mitigate negative health effects following this disaster.

· Describe the specific leadership roles that nurses have in mitigating negative health outcomes following disasters. 

By Day 6 of Week 11

Respond to 
at least two colleagues 
on two different days in one or more of the following ways:

· Ask a probing question, substantiated with additional background information, evidence, or research.

· Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

· Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

· Validate an idea with your own experience and additional research.

· Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

· Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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