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A Role for Science in Responding to Health Crises.

Leremy A Colf, Reginald Brothers, Christina E Murata

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    The Department of Homeland Security

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    Area of Science:

    • Public Health Emergency Preparedness
    • Homeland Security Science and Technology
    • Interagency Collaboration

    Background:

    • The Department of Homeland Security's (DHS) Science and Technology (S&T) Directorate has a public health role beyond biodefense.
    • DHS S&T contributed to the 2014-16 Ebola outbreak response, identifying areas for improvement.

    Purpose of the Study:

    • To propose improvements for future public health crisis responses by DHS, interagency partners, and academia.
    • To ensure scientific advancements inform government policy and operational decisions during health crises.

    Main Methods:

    • Analyzing successes and lessons learned from past public health responses, including the Ebola outbreak.
    • Developing pre-incident scientific capabilities for agnostic threat response.
    • Creating disease-specific master question lists and DHS-specific playbooks and tools.
    • Refining communication and information-sharing practices through exercises.

    Main Results:

    • Identified numerous areas for improvement in public health crisis response.
    • Proposed strategies for enhanced interagency and academic collaboration.
    • Initiated discussions on integrating science into government policy for health crises.

    Conclusions:

    • Proactive development of scientific capabilities and strategic planning tools are crucial for effective crisis response.
    • Clearer integration of scientific expertise into policy and operational decision-making is essential for future public health security.
    • Enhanced collaboration between government agencies and academia can strengthen national response efforts.