ficiency in the evaluation of public health emergency preparedness, response, and recovery (IOM, 2006). That committee found that:

The organization and operations of effective systems of public health preparedness need to be constituted to cope with a wide range of threats—the all-hazards approach—including catastrophic health events…. include state, local, tribal, and federal public health agencies; practitioners from emergency response and healthcare delivery systems; communities, homeland security and public safety, health-care delivery systems, employers and business, the media, academia, and individual citizens…. Public health emergencies will vary in scale, timing, predictability, and the potential to overwhelm routine capabilities and to disrupt the provision of daily life and health-care services. (IOM, 2006: 13)

This study is the first, however, to focus solely on community-level resilience and especially on the role of private–public collaboration in enhancing community-level disaster resilience.


This report provides the reader with both a conceptual framework for community-level, resilience-focused private–public collaboration and guidance on how such collaboration may be established. The theoretical basis for private–public collaboration is provided in Chapter 2. The chapter lays out the committee’s primary assumptions and justifications regarding resilience and collaboration, the committee’s framework, and finally its conceptual model outlining the major elements of resilience-focused private–public collaboration. It also addresses how collaboration can work at the local or community level but in a multilevel context that spans local, state, and national organizations in both the private and public sectors. Chapter 3 provides guidelines to develop, implement, and evaluate collaboration at all levels. Chapter 4 summarizes challenges to the formation and maintenance of private–public collaboration including those associated with increasing capacity and access of vulnerable populations; perceptions of risk and uncertainty; scales of collaboration; trust and information sharing; diverging interests; lack of coordination; and lack of outcome measures. Chapter 5 identifies research that could advance knowledge and understanding the committee considers crucial to inform strategies for forming, maintaining, and supporting private–public collaboration.


Beach, D. 2002. Coastal Sprawl: The Effects of Urban Design on Aquatic Ecosystems in the United States. The Pew Charitable Trusts. April 8. Available at (accessed June 20, 2010).

Bell, R. 2006. Disasters: Wasted Lives, Valuable Lessons. Wyomissing, PA: Tapestry Press.

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