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Employer Requirements to Work during Emergency Responses: Key Ethics Considerations

Published online by Cambridge University Press:  01 January 2021

Abstract

Local health departments and their employees are at the forefront of emergency preparedness and response. Yet, recent studies have found that some local public health workers are unwilling to report to work in a variety of disaster scenarios. This can greatly compromise a response, as many local health departments need “all hands on deck” to effectively meet increased demands. To address these concerns, local health departments have employed varied policy strategies to ensure that employees do report to work. After describing different approaches taken by local health departments throughout the United States, we briefly identify and explore key ethics considerations that arise for local health departments when employees are required to report to work for emergency responses. We then discuss how these ethics considerations may inform local health department practices intended to promote a robust emergency response.

Type
Symposium Articles
Copyright
Copyright © American Society of Law, Medicine and Ethics 2017

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References

Dearinger, A. T., Howard, A., and Ingram, R. et al., “Communication Efforts among Local Health Departments and Health Care Professionals during the 2009 H1N1 Outbreak,” Journal of Public Health Management and Practice 17 (2011): 45-51; J. C. Hunter, D. C. Rodriguez, and T. J. Aragon, “Public Health Management of Antiviral Drugs during the 2009 H1N1 Influenza Pandemic: A Survey of Local Health Departments in California,” BMC Public Health 82 (2012): 82.CrossRefGoogle Scholar
Gibbs, L. I. and Holloway, C. F., Hurricane Sandy after Action: Report and Recommendations to Mayor Michael R Bloomberg, available at <http://www.nyc.gov/html/recovery/downloads/pdf/sandy_aar_5.2.13.pdf> (last visited January 23, 2017).+(last+visited+January+23,+2017).>Google Scholar
Devnani, M., “Factors Associated with the Willingness of Health Care Personnel to Work during an Influenza Public Health Emergency: An Integrative Review,” Prehospital and Disaster Medicine 27 (2012): 551-566; M. Chaffee, “Willingness of Healthcare Personnel to Work in a Disaster: An Integrative Review of the Literature,” Disaster Medicine and Public Health Preparedness 3 (2009): 42-56.CrossRefGoogle Scholar
Rutkow, L., Taylor, H., and Barnett, D. J., “Public Policy, Public Health Workers, and Infectious Disease Response: An Analysis of Focus Group Data,” American Public Health Association Annual Meeting, Chicago, IL (2015).Google Scholar
See supra note 4.Google Scholar
McCabe, L. O., Barnett, D. J., and Taylor, H. G. et al., “Ready, Willing, and Able: A Framework for Improving the Public Health Emergency Preparedness System,” Disaster Medicine and Public Health Preparedness 4 (2010): 161-168.CrossRefGoogle Scholar
E.g., Federal Emergency Management Agency, Emergency Management Institute, available at <https://training.fema.gov> (last visited January 23, 2017).+(last+visited+January+23,+2017).>Google Scholar
Rutkow, L., Vernick, J. S., and Thompson, C. B. et al., “Legal Protections to Promote Response Willingness among the Local Public Health Workforce,” Disaster Medicine and Public Health Preparedness 9 (2015): 98-102.CrossRefGoogle Scholar
Barnett, D. J., Thompson, C. B., and Errett, N. A. et al., “Determinants of Emergency Response Willingness in the Local Public Health Workforce by Jurisdictional and Scenario Patterns: A Cross-Sectional Survey,” BMC Public Health 12 (2012): 164.CrossRefGoogle Scholar
Thompson, A. K., Faith, K., Gibson, J. L. et al., “Pandemic Influenza Preparedness: An Ethical Framework to Guide Decision-Making,” BMC Medical Ethics 7 (2006): 12.CrossRefGoogle Scholar
Kass, N. E., “An Ethics Framework for Public Health and Avian Influenza Pandemic Preparedness,” Yale Journal of Biology and Medicine 78 (2005): 239-254.Google Scholar