A decision process for determining whether to conduct responder health research following large disasters
Keywords:disaster research, responder research, postdisaster research, surveillance, health monitoring
Disasters often set the stage for scientific inquiry within the field of occupational safety and health. This is especially true when the long-term consequences of exposures associated with a particular disaster are unclear. However, a responder research study can be costly and difficult to design, and researchers must consider whether the proposed study will produce useful, reliable results and is a prudent public health investment.
The decision process can be segregated into various components, including scientific rationale that should be formally recognized as critical to efficiently and effectively determine whether a research study is warranted. The scientific rationale includes certain controlling or “gatekeeper” factors that should be present to proceed with research.
Jackson BA, Baker JC, Ridgely MS, et al.: Protecting emergency responders: Safety management in disaster and terrorism response. DHHS (NIOSH) Publication No. 2004-144, Rand Publication No. MG-170. 2004. Available at http://www.cdc.gov/niosh/docs/2004-144/pdfs/2004-144.pdf. Accessed January 22, 2013.
Government Accountability Office: September 11: HHS needs to develop a plan that incorporates lessons from the responder health programs. GAO-08-610, May 2008. Available at http://www.gao.gov/new.items/d08610.pdf. Accessed January 23, 2013.
Kitt MM, Decker JA, Delaney L, et al.: Protecting workers in large-scale emergency responses. JOEM. 2011; 53(7): 711-715.
Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, National Biodefense Safety Board: Call to Action: Include Scientific Investigations as an Integral Component of Disaster Planning and Response. Available at http://www.phe.gov/Preparedness/legal/boards/nbsb/Documents/nbsbrec14.pdf. Accessed January 22, 2013.
National Response Team: Emergency Responder Health Monitoring and Surveillance Document, January 26, 2012.Available at http://nrt.sraprod.com/ERHMS/. Accessed January 23, 2013.
Protection of Human Subjects, 45 Code of Federal Regulations, part 46.
Agency for Toxic Substances and Disease Registry: Guidance for ATSDR Health Studies. April 1996, Available from the Division of Health Studies, Agency for Toxic Substances and Disease Registry, 4770 Buford Highway, Mailstop F-57, Atlanta, GA 30341-3717.
Popper K: The Logic of Scientific Discovery. New York: Basic Books, Inc., 1959. 9. Singleton RA, Straits BC: Approaches to Social Research. 3rd ed. New York: Oxford University Press, 1999.
Rothman KJ, Greenland S: Modern Epidemiology. 2nd ed. Philadelphia: Lippincott-Raven, 1998.
Department of Homeland Security: Office for Domestic Preparedness, National Preparedness Guidelines, 2007. Available at http://www.fema.gov/pdf/emergency/nrf/National_Preparedness_Guidelines.pdf. Accessed January, 23, 2013.
NIOSH Emergency Preparedness Program Goals: Available at http://www.cdc.gov/niosh/programs/epr/goals.html. Accessed January 23, 2013.
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