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The 6 E Framework of Public Health Preparedness for Mass Gatherings-Lessons Learned From Super Bowl LIII, Fulton

Neil C Murthy1, David P Holland, Allison T Chamberlain

  • 1Preventive Medicine Residency Program, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Murthy); Office of Medical and Preventive Services (Dr Holland), Office of Epidemiology (Dr Chamberlain and Ms Sasha Smith), and Office of Emergency Preparedness (Mr Callahan and Ms Wendy Smith), Fulton County Board of Health, Atlanta, Georgia; Department of Medicine, Division of Infectious Diseases (Dr Holland), and Department of Epidemiology, Rollins School of Public Health (Dr Chamberlain), Emory University, Atlanta, Georgia.

Journal of Public Health Management and Practice : JPHMP
|August 25, 2020
PubMed

Insights

The 6 E framework enhanced public health preparedness for Super Bowl LIII by systematically engaging stakeholders and executing plans. This approach facilitated effective coordination during an epidemiological event, showcasing its value for mass gatherings.

Area of Science:

  • Public Health
  • Epidemiology
  • Emergency Preparedness

Background:

  • Super Bowl LIII in Atlanta presented significant public health challenges due to a large influx of attendees.
  • The Fulton County Board of Health (FCBOH) led public health planning, focusing on core functional areas like bioterrorism preparedness and surveillance.

Purpose of the Study:

  • To introduce and detail the 6 E framework developed by FCBOH for community-wide public health preparedness for mass gatherings.
  • To illustrate the practical application of the 6 E framework using the Super Bowl LIII event.

Main Methods:

  • The 6 E framework involves: engaging stakeholders, examining capabilities and gaps, establishing roles, executing plans, exercising plans, and evaluating impact.
  • FCBOH systematically applied each step of the 6 E framework in preparation for the Super Bowl.

Main Results:

  • The framework enabled effective coordination among federal, state, and local stakeholders, including law enforcement.
  • A successful epidemiological investigation and response were coordinated following reports of gastrointestinal illness.

Conclusions:

  • The 6 E framework offers a systematic approach to community preparedness for mass gatherings.
  • Cross-sectoral and cross-jurisdictional partnerships are crucial for successful event preparedness, and the framework supports this.
Abstract

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