European Parliament Library

Who's in charge?, leadership during epidemics, bioterror attacks, and other public health crises, Laura H. Kahn

Who's in charge?, leadership during epidemics, bioterror attacks, and other public health crises, Laura H. Kahn
Bibliography note
Includes bibliographical references (pages 189-224) and index
index present
Literary Form
non fiction
Main title
Who's in charge?
Nature of contents
Oclc number
Responsibility statement
Laura H. Kahn
Series statement
Praeger Security International
Sub title
leadership during epidemics, bioterror attacks, and other public health crises
With a new preface assessing leadership responses to the coronavirus pandemic, this text explores leadership problems that can develop during such public health crises as the 2001 anthrax attacks, 2003 SARS epidemic, and Mad Cow Disease epidemic of the 1980s-1990s. A threat to public health, such as a rampaging virus, is no time for a muddled chain of command and contradictory decision-making. Who's In Charge? Leadership during Epidemics, Bioterror Attacks, and Other Public Health Crises, re-issued with a new preface assessing leadership during the COVID-19 outbreak, explores the crucial relationships among political leaders, public health officials, and journalists to see why leadership confusion develops. As the problematic response to COVID-19 has once again shown, the reluctance of politicians to risk alarm can run counter to the public health need to prepare for worse cases. Many leaders will seek high visibility during a public health crisis, but politicians are not medical experts, and the more they speak, the more they risk disseminating harmful information. How to achieve the right balance is the essence of this book. Beginning by looking at the overarching issues of leadership and public health administration, it then examines in depth five emergencies: the 2001 anthrax attacks, the 1993 cryptosporidium outbreaks, the 2003 SARS outbreak, the 2001 foot-and-mouth disease crisis, and the battle against Mad Cow Disease
Table Of Contents
Preface Acknowledgments 1. Understanding Leadership An Overview of Leadership Studying Public Health Leadership Political Leaders and Bureaucrats Defining Leadership 2. The Long March to Improving the Public's Health Infectious Disease Epidemics Vaccines: A Fortunate Coincidence An Unfortunate Side Effect of Hospitals Early Public Health Epidemics in the Newly Formed United States Sweeping Social Changes in Europe The Father of Epidemiology Crossing Borders: European Influences on Early American Public Health Efforts Awakenings: A Long-Awaited Breakthrough The Germ Theory of Disease The Civil War and the Changing Face of U.S. Public Health Postwar Public Health Developments The Beginnings of International Health Pandemic Influenza in the Early 20th Century The Beginnings of the World Health Organization The HIV/AIDS Pandemic Public Health Past, Present, and Future 3. Microbes as Weapons Biowarfare and Bioterrorism through the Ages Advances in the 20th Century The Role of the United States The Role of the Soviet Union Terrorist Acts by Groups and Individuals Emerging Concerns 4. Rising to the Occasion Political Leadership during Infectious Disease Crises Anthrax Attack, Fall 2001, Hamilton Township, New Jersey Mayor Glen D. Gilmore, Hamilton Township, New Jersey Cryptosporidium Outbreak, Spring 1993, Milwaukee, Wisconsin Mayor John Norquist, Milwaukee, Wisconsin Severe Acute Respiratory Syndrome (SARS), Spring 2003, Toronto, Canada Deputy Mayor Case Ootes, Toronto, Canada Conclusion 5. Success Favors the Prepared Public Health Leader Anthrax Attacks in New Jersey, Florida, Maryland, and New York New Jersey Florida Maryland New York City Cryptosporidium in Milwaukee, Wisconsin SARS in Toronto, Canada Conclusion 6. Confronting Uncertainty The 1976-77 Swine Flu Dilemma The 1997 Avian Flu Dilemma The 2009 Swine Flu Dilemma Leaders' Responses to Disease Threats Information Required for Decision Making Conclusion 7. Part I: The Vital Link between Animal and Human Health The Impact of Animal Health Crises Bovine Spongiform Encephalopathy (BSE) Views of the Crisis Conclusion Part II: The Vital Link between Animal and Human Health The Foot-and-Mouth Disease Crisis Views of the Crisis Summing Up Conclusion 8. Reaching the Masses Risk Assessment, Perception, and Communication Smallpox Outbreak in New York City, 1947 The Changing Media From the Media Perspective Anthrax Outbreak in New Jersey, 2001 Cryptosporidium Outbreak in Wisconsin, 1993 SARS Outbreak in Toronto, 2003 Conclusion 9. All Hands on Deck Worst Case Scenarios Legal Challenges of Public Health and Bioterrorism Improving Preparedness A Better Model Experts' Advice Public Health and Emergency Management Who's in Charge? Epidemics and Bioterrorist Attacks: Leadership Challenges Public Health, the Military, and the National Guard Conclusion 10. Conclusion Critical Need: Prepared Elected Officials Relationships between Leaders When Science Does Not Have the Answers The Public Communication Roles of Different Leaders Legal and Organizational Structures and Crisis Leadership Training Elected Officials Notes Index
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