NEJM - Research as a Part of Public Health Emergency Response

nejm.org - March 28, 2013

In the past decade, a succession of public health emergencies has challenged preparedness and response capacities of government agencies, hospitals and clinics, public health agencies, and academic researchers, in the United States and abroad. The epidemic of the severe acute respiratory syndrome (SARS), the 9/11 terrorist attacks, and the anthrax mailings stand out as signal examples in the early years of the decade. In addition to natural disasters such as the 2010 earthquake in Haiti and the 2012 Superstorm Sandy, other recent events — including the 2009 influenza A (H1N1) pandemic, the Deepwater Horizon oil spill, and the Fukushima Daiichi nuclear reactor emergency in Japan — illustrate the diverse and complex forms that threats to public health can assume. Figure 1 displays some examples over the past decade or so and highlights the diversity and frequency of events that can be expected to occur in the foreseeable future.