Who's in Charge?
Leadership during Epidemics, Bioterror Attacks, and Other Public Health Crises
2nd Edition
Published on 16. April 2020
Book
Paperback/Softback
266 pages
978-1-4408-7817-6 (ISBN)
Description
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.
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.
More details
Series
Edition
2nd edition
Language
English
Place of publication
United States
Publishing group
Bloomsbury Publishing Plc
Target group
College/higher education
Dimensions
Height: 234 mm
Width: 156 mm
Thickness: 14 mm
Weight
409 gr
ISBN-13
978-1-4408-7817-6 (9781440878176)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Other editions
Additional editions
Laura H. Kahn
Who's in Charge?
Leadership During Epidemics, Bioterror Attacks, and Other Public Health Crises
E-Book
04/2020
2nd Edition
Praeger Publishers Inc
€28.49
Available for download
Laura H. Kahn
Who's in Charge?
Leadership During Epidemics, Bioterror Attacks, and Other Public Health Crises
E-Book
04/2020
2nd Edition
Praeger Publishers Inc
€28.49
Available for download
Person
Laura H. Kahn, MD, MPH, MPP is a physician and research scholar in the Program on Science and Global Security at the Woodrow Wilson School of Public and International Affairs at Princeton University.
Content
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
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