Local Officials Back Reduction in Disaster Preparedness Funding

St. Louis has experienced two tornadoes within the last two months. A recent fire led to the evacuation of a new nursing home in Enterprises, Alabama, last month. Meanwhile, Cleveland dealt with a blackout as crowds attended the NCAA Women’s Basketball Final Four.

In these incidents, local health officials managed aftermaths, supported hospitals, located new residences for displaced individuals, and coordinated efforts with fire services, police, and other municipal sectors.

The total cost of these responses reached approximately $735 million, funded by the Centers for Disease Control and Prevention. The budget proposed by President Trump allocates zero funds for such efforts.

The proposed budget cuts have increased anxiety among health officials, especially following a $12 billion reduction to state and local health agencies in March. Nineteen states and the District of Columbia have filed lawsuits aiming to stop these cuts.

“Both artificial and natural disasters are not reliant on federal funds, but the response aimed at saving lives certainly is,” stated Dr. Matifha Fratova Davis, Health Director of St. Louis. (Dr. Davis has resigned but will remain until a replacement is appointed.)

The city faces substantial sinkholes and is situated on fault lines prone to floods, in addition to being at risk for earthquakes. “We genuinely depend on this fundraising,” Dr. Davis remarked. Without it, “the entire community of St. Louis and its visitors will stay at risk.”

The Department of Health and Human Services directed budget-related inquiries to the Office of Management and Budget, which did not reply to requests for comments.

The funding has garnered interest from local health sectors via the Public Health Emergency Preparedness Cooperation Agreement, established after the September 11, 2001 attacks to prepare for biological threats and other emergencies.

This funding aids authorities in overseeing public health implications of both natural and artificial disasters while also containing infectious disease outbreaks. It also finances salaries of experienced officials tasked with readiness and mitigation of public health issues.

Funding amounts vary by jurisdiction. St. Louis and Cleveland each receive roughly $250,000, covering salaries for three staff members. In comparison, Dallas is allocated nearly $2 million, supporting salaries for 17 employees.

“There’s minimal cushion for these funds, especially at the local level,” noted Dr. Philip Fan, director of the Dallas County Health and Human Services Department in Texas.

If these funds vanish, even larger cities like Dallas will feel the effects. “The smaller the health department, the more pronounced the impact will be,” he explained.

Dr. Davis indicated that her department receives less than 1% of the overall St. Louis city budget. Should CDC public health emergency funds be reduced, Missouri and its cities may need to compensate for the deficit, as current budgets imply.

“These individuals will soon find themselves jobless,” Dr. Davis remarked regarding employees funded through the grant.

In Alabama, emergency response programs are fully financed through federal grants. Winter tornadoes, hurricanes, and ice storms can wreak havoc and necessitate intervention from health authorities.

“Accusations have been made against the Alabama Department of Public Health,” stated Dr. Scott Harris, state health officer.

In several jurisdictions, staff depend on hundreds of volunteers to assist with COVID-19 and MPOX vaccinations. Nevertheless, paid staff is essential for coordinating those activities and training volunteers, Dr. Huang explained.

“You can’t appear before everyone claiming, ‘Yes, I’m a doctor,'” he added. City officials will verify volunteer qualifications and mobilize them for emergencies as needed.

In Cleveland, health officials responsible for preparations receive midnight calls from hospitals regarding potential charcoal or other bacterial infectious threats.

“We’ve encountered numerous challenges with our efforts,” commented Dr. David Margolius, Director of Public Health in Cleveland. “However, it’s always better to be prepared than to be caught off guard.”

Some officials have expressed concern since the election about whether the Trump administration will continue funding for these programs. However, they did not anticipate a sudden cessation of funds, as seen with other CDC funding streams.

If Congress implements a funding cut, he noted, “We’ll have to urgently assess their situation.” “It’s entirely unfair for these teams and Cleveland residents to rely on these services under such circumstances.”

Source: www.nytimes.com

Investigating the UK’s lack of preparedness for the COVID-19 pandemic

People demonstrate outside the UK COVID-19 Inquiry site in London in October 2023.

Adrian Dennis/AFP via Getty Images

“The UK prepared for the wrong pandemic” This is the key conclusion from the first part of a government inquiry looking at the UK's response to the COVID-19 pandemic, in particular its preparedness and resilience.

“In 2019, it was widely believed, both in the UK and abroad, that the UK was not only well prepared to deal with a pandemic, but one of the best-prepared countries in the world. This belief proved dangerously wrong.” Heather HallettThe former judge leading the UK's coronavirus inquiry Video Statement Released at the same time Reports“The reality is that the UK was ill-prepared.”

“I have no hesitation in saying that the processes, plans and policies of the UK-wide civil emergency response arrangements have let down the people of all four countries,” Mr Hallett said. “There were serious errors on the part of the government and serious failings in the civil emergency system. This cannot be allowed to happen again.”

The main reason the UK was unprepared was because it planned on the assumption that the pandemic would be caused by a dangerous influenza strain or something similar, the report concluded, “which resulted in risk assessments being narrowly limited, excluding other types of pandemics.”

The next biggest mistake was assuming that because influenza spreads easily from person to person, there would be no way to stop the spread of a pandemic pathogen. “Plans were focused on dealing with the effects of the disease rather than preventing the spread of the disease,” the report said.

As a result, at the start of the COVID-19 pandemic, there were no plans to implement measures such as border controls, lockdowns, testing people or contact tracing to identify people who may have the coronavirus and stop them from infecting others.

“There was no preparation whatsoever for the fact that hygiene measures at the border might be necessary to protect the population,” the former health minister said. Matt Hancock Part of the problem, the inquiry said, is that because responsibility for health measures has been devolved between England, Scotland, Wales and Northern Ireland, it is not clear who can implement such measures.

The UK government also did not consider the possibility of a lockdown being necessary: ​​”There was no plan to introduce a lockdown.” Mark Woolhouse “Lockdowns were an ad-hoc public health intervention devised in real time in the face of a rapidly evolving public health emergency,” researchers from the University of Edinburgh in the UK said in a study.

Testing and tracing was envisioned as part of any response to new pathogens, but the capacity to do so was limited because it was assumed that any new infectious diseases would only have a small number of cases.

“One of the first lines of defence against a pandemic is containment, and this requires a test, trace and isolate system that can be rapidly expanded to meet the demands of a large outbreak,” Mr Hallett said. “This did not exist in the UK when the COVID-19 pandemic began.”

“The UK government's only pandemic plan, developed in 2011, was outdated and inadequate,” she said. “The UK government never applied or adapted it, and the principles on which it was based were ultimately abandoned, along with the 2011 strategy itself.”

The report does not explore the consequences of those failures, but a summary released with the report states that “further preparations could have avoided some of the enormous financial, economic and human costs of the COVID-19 pandemic.”

The inquiry will also look into decision-making and political governance in Westminster, Scotland, Wales and Northern Ireland, the impact on health systems across the UK, vaccines, medicines, anti-viral treatments, government procurement and PPE. [personal protective equipment]; the care sector, test and trace, the impact on children and young people, and the Government's business and finance response.

The latest report quoted a civil servant as saying: Chris Wormald “There's been a lot of discussion, of course, about countries like South Korea, who handled COVID very well. In fact, they had much higher standards of containment than we did, and that was a key difference.”

One of the aims of the review is to help the UK better prepare for the future. “The evidence overwhelmingly suggests that another, more infectious and deadly pandemic is likely in the near to medium term,” Hallett said. “This means that the UK will face another pandemic – one that, unless we prepare better, will cause untold suffering and huge economic loss, with the most vulnerable in society suffering the most.”

“This is a most urgent report because we are still not fully prepared for the next pandemic.” Duncan Robertson Loughborough University, UK Post to X.

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Source: www.newscientist.com

Taiwan’s Earthquake Preparedness Shines, Surpassing US Efforts

Taiwan experienced a significant earthquake on Wednesday, with experts noting that it was larger than some areas in the United States. The island was well-prepared for seismic disasters, which helped mitigate the impact. Despite nine reported deaths, authorities anticipate the death toll may increase. Over 1,000 individuals were injured, and around 100 are feared trapped.

The earthquake, measuring 7.4 in magnitude, highlighted Taiwan’s robust early warning system, modern seismic building codes, and the population’s familiarity with seismic activity. Following the devastating Chichi earthquake in 1999, Taiwan made substantial upgrades to its infrastructure to enhance resilience.

Geologist Larry Shuhen Lai, who grew up and studied in Taiwan, acknowledged the progress made in earthquake preparedness, comparing the nine deaths in the recent earthquake to the 2,400 casualties in the past. He emphasized Taiwan’s serious approach to earthquakes as part of daily life.

Experts noted that U.S. cities on the West Coast are taking various measures to prepare for earthquakes, but none are as well-prepared as Taipei, the capital of Taiwan.

A California Highway Patrol trooper checks for damage to a fallen car when the upper section of the Bay Bridge collapsed into the lower section after the Loma Prieta earthquake in San Francisco on October 17, 1989.George Nikitin/AP File

Taiwan is still assessing the earthquake’s impact and lessons learned, providing valuable insights for U.S. scientists and leaders to evaluate their own infrastructure and preparedness.

John Wallace, a civil engineering professor, highlighted the damage to older concrete buildings in Taiwan and emphasized the importance of retrofitting such structures. Taiwan’s skyscrapers, like Taipei 101, showcased advanced engineering that performed well during the earthquake.

Overall, experts commended Taiwan’s earthquake preparedness efforts, attributing them to the previous Chi-Chi earthquake that spurred significant improvements in safety measures and building codes.

Damaged buildings in Hualien City, Taiwan, on Tuesday.TVBS via AP

Taiwan’s gradual progress in earthquake safety, coupled with public education and trust in authorities, has been integral to its preparedness. Initiatives undertaken post the Chi-Chi earthquake have set the benchmark for earthquake resilience in the region.

The comparison with U.S. readiness, particularly on the West Coast, reveals disparities in earthquake preparedness, with Taiwan’s advanced early warning system being a standout feature. The system’s effectiveness in disseminating warnings and promoting public safety serves as a model for other earthquake-prone regions.

Both Taiwan and the U.S. utilize advanced warning systems based on seismic wave detection, highlighting the importance of continuous improvement and proactive measures to enhance earthquake resilience.

In conclusion, Taiwan’s 25-year journey towards earthquake preparedness offers valuable insights for other regions, emphasizing the significance of strategic planning, infrastructure upgrades, and community engagement in mitigating the impact of seismic events.

Source: www.nbcnews.com