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From page 63... ... 3 Intimate Partner Violence and Public Health Emergencies PUBLIC HEALTH EMERGENCIES The committee defines a public health emergency (PHE) for the purposes of this report as a situation with health consequences whose scale, timing, or unpredictability threatens to overwhelm the routine capabilities of the affected geographic area. Read the entire page →
From page 65... ... IPV AND PUBLIC HEALTH EMERGENCIES 65 federal officials concerning how to support PHE preparedness, response, and recovery. The response to PHEs may involve different actors and roles depending on the nature of the event and the jurisdiction's organizational structure. Read the entire page →
From page 66... ... 66 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV U.S. Laws and Regulations Concerning Emergency Response Several federal laws are principally relevant to PHE response. Read the entire page →
From page 67... ... IPV AND PUBLIC HEALTH EMERGENCIES 67 During declared federal emergencies and disasters, federal authorities collaborate with SLTT authorities to provide emergency and disaster assistance, which may include services and supplies as well as financial assistance. Emergency declarations also act as triggers for provisions under other laws, which allow officials powers that they would not have in steady state conditions. Read the entire page →
From page 68... ... 68 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV programs (Medicare and Medicaid) Read the entire page →
From page 69... ... IPV AND PUBLIC HEALTH EMERGENCIES 69 Secretary may issue a PREP Act14 declaration that limits liability for medical countermeasures provided during this time. Indian Health Service and Tribal Emergency Preparedness American Indian and Alaska Native (AI/AN) Read the entire page →
From page 70... ... 70 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV The Indian Health Service (IHS) is an HHS agency that provides health services to AI/AN populations with the goal of "ensur(ing) Read the entire page →
From page 71... ... IPV AND PUBLIC HEALTH EMERGENCIES 71 successful disaster recovery, particularly from large-scale or catastrophic incidents (DHS, 2016) Read the entire page →
From page 72... ... 72 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Community Lifelines lifelines@fema.dhs.gov fema.gov/lifelines Definition A lifeline enables the Water Systems continuous operation of critical business and government functions and is essential to human Potable Water Infrastructure health and safety or economic security. Purpose HAZMAT Wastewater Management Hydration Root Cause Analysis Interdependencies COMPONENTS of Lifelines Prioritization Ease of Communication Assessing Status What? Read the entire page →
From page 73... ... IPV AND PUBLIC HEALTH EMERGENCIES 73 medical care, hospital decompression, patient movement and transfer support, and mass prophylaxis and vaccinations (ASPR, 2021b) Read the entire page →
From page 74... ... 74 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV unique organizational role could position HCCs as a conduit for ensuring a greater emphasis on IPV care in PHEs, whether through developing and deploying specific protocols or by including IPV scenarios in drills and tabletop exercises. Emergency Management Assistance Compact The Emergency Management Assistance Compact (EMAC) Read the entire page →
From page 75... ... IPV AND PUBLIC HEALTH EMERGENCIES 75 social inequalities, increasing urbanization, and rapid population growth -- particularly in coastal areas -- further predispose certain groups to disasterrelated disparities (Raker et al., 2020) Read the entire page →
From page 77... ... IPV AND PUBLIC HEALTH EMERGENCIES 77 FIGURE 3-3 Social Vulnerability Index (SVI) Read the entire page →
From page 78... ... 78 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Intimate Partner Violence During the COVID-19 Pandemic The most recent surveillance data and research related to IPV during PHEs comes from the COVID-19 pandemic. The increase in IPV during the COVID-19 pandemic, particularly during the earlier periods of the pandemic, received attention in the media and among the IPV care professionals, advocates, and others who provide care and support for individuals experiencing IPV (Evans et al., 2020; Gupta and Aviva, 2020) Read the entire page →
From page 79... ... IPV AND PUBLIC HEALTH EMERGENCIES 79 Holland and colleagues (2021) reported on cross-sectional data from CDC's National Syndromic Surveillance Program that were collected before and during the COVID-19 pandemic. Read the entire page →
From page 80... ... 80 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Intimate Partner Violence During Heat Waves Extreme heat events can also disrupt routine capabilities. Heat-related health problems can lead to patient volume surges that overwhelm first responders and health care systems (Sanz-Barbero et al., 2018) Read the entire page →
From page 81... ... IPV AND PUBLIC HEALTH EMERGENCIES 81 harms during technological disasters (Rung et al., 2016) Read the entire page →
From page 82... ... 82 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV and Nguyen, 2022) Read the entire page →
From page 83... ... IPV AND PUBLIC HEALTH EMERGENCIES 83 health care systems during disasters, and staff burnout. Additionally, as mentioned earlier, regulatory and other measures taken to mitigate the risks associated with PHEs may result in unintended barriers to care. Read the entire page →
From page 84... ... 84 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Shelter-in-place or stay-at-home orders are issued at local, state, tribal, or federal levels because of PHEs such as pandemics, chemical hazards, or winter storms (DHS, 2019b) Read the entire page →
From page 85... ... IPV AND PUBLIC HEALTH EMERGENCIES 85 food production, health care) but could not access COVID-19 economic relief (Disney et al., 2022) Read the entire page →
From page 86... ... 86 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Federal Plan for Equitable Long-Term Recovery and Resilience for Social, Behavioral, and Community Health20 provides several recommendations that could be beneficial for addressing these challenges. Support Services Community-based organizations, neighborhood associations, community outreach workers, and other support service providers are critical for addressing social drivers of health during steady state periods. Read the entire page →
From page 87... ... IPV AND PUBLIC HEALTH EMERGENCIES 87 BOX 3-3 IPV Service Providers' Adaptations During the COVID-19 Pandemic "…in 2020 a lot really had changed. In our county, we all had to shelter in place beginning, I think it was March 16th, 2020, when all of our school districts were ordered to go to work remotely from home. Read the entire page →
From page 88... ... 88 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Renov et al., 2022) Read the entire page →
From page 89... ... IPV AND PUBLIC HEALTH EMERGENCIES 89 instead of explicitly addressing IPV. In instances when IPV and domestic violence overlap, these resources may offer valuable information and protocols. Read the entire page →
From page 90... ... 90 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV IPV-specific guidance. The fact sheet suggests that first responders refresh their training in case they need to deliver a baby; encourages them to facilitate private conversations with a nurse or advocate; and suggests that they promote access to continued clinical care, healthy foods and baby items, clean water and formula or breastfeeding supplies, and an emergency birth plan (HHS, 2017) Read the entire page →
From page 91... ... IPV AND PUBLIC HEALTH EMERGENCIES 91 frameworks provide guidance for PHE planning and response and collaboration between federal and SLTT agencies and volunteer organizations active in disasters. PHEs do not affect all people equally. Read the entire page →
From page 92... ... 92 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Bell, S Read the entire page →
From page 93... ... IPV AND PUBLIC HEALTH EMERGENCIES 93 COVIDSurg Collaborative. Read the entire page →
From page 94... ... 94 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Genovesi, A Read the entire page →
From page 95... ... IPV AND PUBLIC HEALTH EMERGENCIES 95 IFRC (International Federation of Red Cross and Red Crescent Societies) Read the entire page →
From page 96... ... 96 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Muldoon, K Read the entire page →
From page 97... ... IPV AND PUBLIC HEALTH EMERGENCIES 97 Rutkow, L., J Read the entire page →

From page 63...

... 3 Intimate Partner Violence and Public Health Emergencies PUBLIC HEALTH EMERGENCIES The committee defines a public health emergency (PHE) for the purposes of this report as a situation with health consequences whose scale, timing, or unpredictability threatens to overwhelm the routine capabilities of the affected geographic area.