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book (5)


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English (5)


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2021 (3)

2020 (2)

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Book
Indonesian Fires and Haze: Measuring the Health Consequences of Smoke Exposure
Authors: --- --- ---
Year: 2021 Publisher: Santa Monica, Calif. RAND Corporation

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Abstract

Fires in Indonesia contribute to severe air pollution, or haze, that causes public health, environmental, and economic degradation across Indonesia and across equatorial Asia. As populations around the world are facing increasing threats from fires, now is a critical time to better understand the connection between fire pollution and public health outcomes. In this report, the authors present preliminary analysis that explores the drivers of fire activity in Indonesia and quantifies health impacts of air pollution exposure using a local survey collected in districts located around the country. The report concludes with recommendations for future research directions that will improve understanding of the health consequences of haze exposure.

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Book
Assessing Health and Human Services Needs to Support an Integrated Health in All Policies Plan for Prince George's County, Maryland
Authors: --- --- --- --- --- et al.
Year: 2021 Publisher: Santa Monica, Calif. RAND Corporation

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With evolving demographics and a changing health system landscape, the Prince George's County Council, acting as the County Board of Health, is considering its future policy approaches and resource allocations related to health and well-being. To inform this path forward, the authors of this report used primary and secondary data to describe both the health needs of county residents and drivers of health within the county, inclusive of the social, economic, built, natural, and health service environments. This report integrates these findings, an analysis of budget documents, and a review of promising practices from other communities to situate recommendations in a Health in All Policies framework to foster aligned and integrated planning and budgeting across the county to promote health and well-being. Findings from the assessment indicate a shared interest among leaders and residents to embrace a holistic strategy for health and well-being in the county. Inefficient uses of the health care system are identified, highlighting a need to rebalance investments in health care use and drivers of health. Additionally, challenges in navigating health and human services and inequities in drivers of health across communities are noted, signaling broader concerns related to residents' access to health and human services that influence health and well-being outcomes. Recommendations are provided for several paths forward for the county to pursue a more integrated policy approach to influence health and well-being outcomes.

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Book
Translational Impacts of World Trade Center Health Program Research: A Mixed Methods Study
Authors: --- --- --- --- --- et al.
Year: 2021 Publisher: Santa Monica, Calif. RAND Corporation

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The World Trade Center (WTC) Health Program (hereafter Program) provides medical monitoring and treatment for its Members: the responders and survivors who were at the WTC and related sites or located within the New York City disaster area during and after the terrorist attacks of September 11, 2001. Scientific research supported by the Program provides an evidence base for the health monitoring and clinical care of Members. In this report, the authors describe the findings and recommendations of a four-year study of the Program's research portfolio and its translational impact. They present results from a mixed methods assessment that integrates (1) a scoping review of nearly 1,000 peer-reviewed publications and thousands of pages of grey literature that reference research related to the health effects of 9/11, (2) stakeholder perspectives gathered through focus groups and interviews, and (3) a review of Program documentation. The report is intended to guide planning by Program leadership as it aims to maximize the impacts of Program research and achieve its goal of translating research into care for those affected by the attacks on 9/11.

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Book
Beyond recovery : transforming Puerto Rico's water sector in the wake of Hurricanes Irma and Maria

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The aftermath of Hurricanes Irma and Maria highlighted vulnerabilities in Puerto Rico's water sector. Hurricane damage spanned Puerto Rico's water infrastructure, including drinking water, wastewater, stormwater and flood control, as well as its water resources. This damage was attributed to multiple causes: the preexisting vulnerability of the water sector infrastructure; direct damage from Hurricanes Irma and Maria; and indirect disruption stemming from damage in other sectors, particularly the loss of electrical power. The recovery plan for the water sector in Puerto Rico involves not only repairing hurricane-damaged water infrastructure and systems but also fixing the significant legacy challenges in the water sector's infrastructure, operations, and governance. This report details a framework for a hurricane recovery made up of 30 courses of action consistent with the government of Puerto Rico's priorities. These courses of action address key opportunities for enhancing resilience in Puerto Rico's water sector, which include upgrading the physical infrastructure, as well as asset management and operational systems, with the objective of developing systems that are better hardened against extreme events but also more flexible and efficient. In addition, building capacity of water sector management organizations and personnel can enhance efficiency, contingency planning, and the ability to take advantage of new technologies and practices. Improving situational awareness of water sector assets and developing performance metrics that can be tracked in real time can provide early warning of problems and accelerate emergency responses.


Book
Health and social Services in Puerto Rico before and after Hurricane Maria : predisaster conditions, hurricane damage, and themes for recovery
Authors: --- --- --- --- --- et al.
Year: 2020 Publisher: Santa Monica, Calif. RAND Corporation

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In September 2017, Puerto Rico was struck by two major hurricanes—Irma and Maria—that intensified existing challenges in Puerto Rico's health and social services infrastructure. In the aftermath, the government of Puerto Rico created a long-term recovery plan built on an evidence-based assessment of the damage from the hurricanes and the ongoing needs across Puerto Rico. Development of the recovery plan was supported by the Federal Emergency Management Agency, other federal agencies, local stakeholders, and analysis from the Homeland Security Operational Analysis Center (HSOAC), operated by RAND Corporation under contract with the U.S. Department of Homeland Security. HSOAC research provided the foundation for the 31 courses of action in the recovery plan addressing the health and social services sector. These actions are a mix of social, governmental, fiscal, and economic policies and reforms. This collection of actions presents an opportunity to build a more resilient health and social services infrastructure and regional health care networks to ensure reliable access to services, promote health and well-being, and more efficiently and effectively respond to public health crises and future disasters. The actions span the areas of health care, public health and emergency preparedness, environmental health, mental and behavioral health, and social services. The damage and needs assessment and courses of actions cover four major themes: building system capacity to respond both during disasters and routine times; strengthening the health and social services workforce; strengthening support services for at-need populations; and creating health-promoting communities.

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