A Tale of Many Cities: A Contemporary Historical Study of the Implementation of School Closures during the 2009 pA(H1N1) Influenza Pandemic
Identifieur interne : 001B38 ( Ncbi/Checkpoint ); précédent : 001B37; suivant : 001B39A Tale of Many Cities: A Contemporary Historical Study of the Implementation of School Closures during the 2009 pA(H1N1) Influenza Pandemic
Auteurs : J. Alexander Navarro ; Katrin S. Kohl ; Martin S. Cetron ; Howard MarkelSource :
- Journal of health politics, policy and law [ 0361-6878 ] ; 2016.
Descripteurs français
- KwdFr :
- Administration de la santé publique (histoire), Contrôle des maladies contagieuses (), Contrôle des maladies contagieuses (histoire), Grippe humaine (), Grippe humaine (histoire), Grippe humaine (épidémiologie), Histoire du 20ème siècle, Histoire du 21ème siècle, Humains, Pandémies (histoire), Santé publique, Sous-type H1N1 du virus de la grippe A, Villes, Établissements scolaires (histoire).
- MESH :
- histoire : Administration de la santé publique, Contrôle des maladies contagieuses, Grippe humaine, Pandémies, Établissements scolaires.
- épidémiologie : Grippe humaine.
- Contrôle des maladies contagieuses, Grippe humaine, Histoire du 20ème siècle, Histoire du 21ème siècle, Humains, Santé publique, Sous-type H1N1 du virus de la grippe A, Villes.
English descriptors
- KwdEn :
- Cities, Communicable Disease Control (history), Communicable Disease Control (methods), History, 20th Century, History, 21st Century, Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (epidemiology), Influenza, Human (history), Influenza, Human (prevention & control), Pandemics (history), Public Health, Public Health Administration (history), Schools (history).
- MESH :
- epidemiology : Influenza, Human.
- history : Communicable Disease Control, Influenza, Human, Pandemics, Public Health Administration, Schools.
- methods : Communicable Disease Control.
- prevention & control : Influenza, Human.
- Cities, History, 20th Century, History, 21st Century, Humans, Influenza A Virus, H1N1 Subtype, Public Health.
Abstract
Applying qualitative historical methods, we examined the consideration and implementation of school closures as a nonpharmaceutical intervention (NPI) in thirty US cities during the spring 2009 wave of the pA(H1N1) influenza pandemic. We gathered and performed close textual readings of official federal, state, and municipal government documents; media coverage; and academic publications. Lastly, we conducted oral history interviews with public health and education officials in our selected cities. We found that several local health departments pursued school closure plans independent of CDC guidance, that uncertainty of action and the rapidly evolving understanding of pA(H1N1) contributed to tension and pushback from the public, that the media and public perception played a significant role in the response to school closure decisions, and that there were some notable instances of interdepartmental communication breakdown. We conclude that health departments should continue to develop and fine-tune their action plans while also working to develop better communication methods with the public, and work more closely with education officials to better understand the complexities involved in closing schools. Lastly, state and local governments should work to resolve lingering issues of legal authority for school closures in times of public health crises.
Url:
DOI: 10.1215/03616878-3523958
PubMed: 26921384
PubMed Central: 5595096
Affiliations:
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PMC:5595096Le document en format XML
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<front><div type="abstract" xml:lang="en"><p id="P1">Applying qualitative historical methods, we examined the consideration and implementation of school closures as a nonpharmaceutical intervention (NPI) in thirty US cities during the spring 2009 wave of the pA(H1N1) influenza pandemic. We gathered and performed close textual readings of official federal, state, and municipal government documents; media coverage; and academic publications. Lastly, we conducted oral history interviews with public health and education officials in our selected cities. We found that several local health departments pursued school closure plans independent of CDC guidance, that uncertainty of action and the rapidly evolving understanding of pA(H1N1) contributed to tension and pushback from the public, that the media and public perception played a significant role in the response to school closure decisions, and that there were some notable instances of interdepartmental communication breakdown. We conclude that health departments should continue to develop and fine-tune their action plans while also working to develop better communication methods with the public, and work more closely with education officials to better understand the complexities involved in closing schools. Lastly, state and local governments should work to resolve lingering issues of legal authority for school closures in times of public health crises.</p>
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