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Local Decision Making for Implementing Social Distancing in Response to Outbreaks.
Rebecca Katz1, Andrea Vaught2, Samuel J Simmens3
11 Center for Global Health Science and Security, Georgetown University, Washington, DC, USA.
Public Health Reports (Washington, D.C. : 1974)
|January 19, 2019
Summary
Local health departments
Area of Science:
- Public Health
- Epidemiology
- Health Policy
Background:
- Social distancing is crucial for preventing infectious disease spread.
- Understanding local public health decision-making for social distancing is vital.
- Past outbreak responses show significant variation among health departments.
Purpose of the Study:
- Identify preparedness features and concerns influencing social distancing implementation.
- Determine factors explaining variations in health department responses to outbreaks.
Main Methods:
- Online survey of US health departments in 2015.
- Paired survey data with area population demographic characteristics.
- Analyzed trends in social distancing decision-making.
Main Results:
- 25% of contacted health departments responded; 42% had implemented social distancing.
- Few departments had dedicated budgets for isolation/quarantine.
- Public health impact was the primary concern (41%), followed by law, politics, finances, and social issues.
Conclusions:
- Variations in social distancing decisions stem from differences in authority, resources, and primary concerns.
- Future research and guidelines should address these influencing factors.
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