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Disaster Health Management: Do Pharmacists Fit in the Team?

Published online by Cambridge University Press:  03 January 2019

Kaitlyn E. Watson Open the ORCID record for Kaitlyn E. Watson [Opens in a new window] ,
Vivienne Tippett ,
Judith A. Singleton  and
Lisa M. Nissen
Kaitlyn E. Watson*
Affiliation:
Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia
Vivienne Tippett
Affiliation:
Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia
Judith A. Singleton
Affiliation:
Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia
Lisa M. Nissen
Affiliation:
Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia
*
Correspondence: Kaitlyn Watson, B.Pharm (Hons) Queensland University of Technology Q block level 9, Gardens Point Campus Brisbane, QLD, Australia 4000 E-mail: [email protected]
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Abstract

Background

In addition to the traditional logistics role, pharmacists are undertaking important new roles in disasters. Despite this, little is known about the level of acceptance of these activities by other providers.

Problem

The aim of this study was to determine the international opinion of disaster and health professionals regarding the emerging roles of pharmacists in disasters.

Methods

Delegates at the World Association for Disaster and Emergency Medicine’s (WADEM; Madison, Wisconsin USA) 20th Congress in Toronto, Canada (April 2017) were invited to complete an anonymous survey posing eight questions regarding attitudes towards pharmacists’ roles in disasters. Quantitative data were analyzed using IBM (IBM Corp.; Armonk, New York USA) SPSS statistical software version 23, and qualitative data were manually coded.

Results

Of the 222 surveys handed out, 126 surveys were completed yielding a 56.8% response rate. Of the respondents, 96.8% (122/126) believed pharmacists had a role in disasters additional to logistics. Out of 11 potential roles pharmacists could perform in a disaster, provided on a 5-point Likert scale, eight roles were given a rating of “Agree” or “Strongly Agree” by 72.4% or more of the participants. Lack of understanding of a pharmacist’s roles and capabilities was the highest described barrier to pharmacists’ roles in disaster management.

Conclusions

This multi-disciplinary disaster health “community” agreed pharmacists have roles in disasters in addition to the established role in supply chain logistics. Participants accepted that pharmacists could possibly undertake numerous clinical roles in a disaster. Several barriers were identified that may be preventing pharmacists from being further included in disaster health management planning and response.

WatsonKE, TippettV, SingletonJA, NissenLM. Disaster Health Management: Do Pharmacists Fit in the Team?Prehosp Disaster Med. 2019;34(1):30–37.

Keywords

disasterdisaster medicinemedication therapy managementpharmacistscardiopulmonary resuscitationemergency departmentInternational Pharmaceutical Federationnon-communicable diseaseprevention/mitigation preparedness response and recoveryUnited KingdomWorld Association for Disaster and Emergency Medicine
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 34 , Issue 1 , February 2019 , pp. 30 - 37
Copyright
© World Association for Disaster and Emergency Medicine 2019 

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Footnotes

Conflicts of interest: none

References

1. Sauerborn, R, Ebi, K. Climate change and natural disasters-integrating science and practice to protect health. Global Health Action. 2012;5.Google Scholar
2. Webster, PJ, Holland, GJ, Curry, JA, Chang, H-R. Changes in tropical cyclone number, duration, and intensity in a warming environment. Science. 2005;309(5742):1844-1846.Google Scholar
3. Cavallo, A, Ireland, V. Preparing for complex interdependent risks: a system of systems approach to building disaster resilience. Int J Disaster Risk Reduct. 2014;9:181-193.Google Scholar
4. Schipper, L, Pelling, M. Disaster risk, climate change, and international development: scope for, and challenges to, integration. Disasters. 2006;30(1):19-38.Google Scholar
5. Curnin, S, Owen, C, Paton, D, Brooks, B. A theoretical framework for negotiating the path of emergency management multi-agency coordination. Appl Ergon. 2015;47:300-307.Google Scholar
6. Cook, J. The scientific consensus on climate change-combating a two-decade campaign attacking. Europhysics News. 2013;44(6):29-32.Google Scholar
7. Cook, J, Nuccitelli, D, Green, S, et al. Quantifying the consensus on anthropogenic global warming in the scientific literature. Environ Res Lett. 2013;8(2):024024.Google Scholar
8. Costello, A, Abbas, M, Allen, A, et al. Lancet and University College London Institute for Global Health Commission: managing the health effects of climate change. Lancet. 2009;373(9676):1693-1733.Google Scholar
9. United Nations Office for Disaster Risk Reduction (UNISDR). World Conference Adopts New International Framework for Disaster Risk Reduction After Marathon Negotiations. https://www.unisdr.org/archive/43289. Accessed March 15, 2018.Google Scholar
10. The United Nations Office for Disaster Risk Reduction (UNISDR). Sendai Framework for Disaster Risk Reduction 2015-2030. Geneva, Switzerland: United Nations Office for Disaster Risk Reduction (UNISDR); 2015: 32.Google Scholar
11. Keim, ME. Building human resilience: the role of public health preparedness and response as an adaptation to climate change. Am J Prev Med. 2008;35(5):508-516.Google Scholar
12. Steffen, W, Hughes, L. The critical decade 2013: climate change science, risks and response. Canberra: Climate Commission Secretariat; 2013.Google Scholar
13. Chan, EYY. Public Health Humanitarian Responses to Natural Disasters. United Kingdom: Taylor & Francis; 2017.Google Scholar
14. Mokdad, AH, Mensah, GA, Posner, SF, et al. When chronic conditions become acute: prevention and control of chronic diseases and adverse health outcomes during natural disasters. Prev Chronic Dis. 2005;2(Suppl 1):A04.Google Scholar
15. Cutter, S, Osman-Elasha, B, Campbell, J, et al. “Managing the risks from climate extremes at the local level.” In: Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation. A Special Report of Working Groups I and II of the Intergovernmental Panel on Climate Change. Cambridge, UK and New York, USA: Cambridge University Press; 2012: 291-338.Google Scholar
16. Queensland Government. People with Vulnerabilities in Disasters: A Framework for an Effective Local Response. Department of Communities CSaDS. 2016.Google Scholar
17. Horton, G, Hanna, L, Kelly, B. Drought, drying and climate change: emerging health issues for ageing Australians in rural areas. Australas J Ageing. 2010;29(1):2-7.Google Scholar
18. Patwardhan, A, Duncan, I, Murphy, P, Pegus, C. The value of pharmacists in health care. Popul Health Manag. 2012;15(3):157-162.Google Scholar
19. Tahaineh, LM, Wazaify, M, Albsoul-Younes, A, Khader, Y, Zaidan, M. Perceptions, experiences, and expectations of physicians in hospital settings in Jordan regarding the role of the pharmacist. Res Social Adm Pharm. 2009;5(1):63-70.Google Scholar
20. Paolini, N, Rouse, MJ. Scope of contemporary pharmacy practice: roles, responsibilities, and functions of pharmacists and pharmacy technicians executive summary. Am J Health Syst Pharm. 2010;67(12):1030-1031.Google Scholar
21. Lai, E, Trac, L, Lovett, A. Expanding the pharmacist’s role in public health. Univers J Public Health. 2013;1(3):79-85.Google Scholar
22. Mossialos, E, Naci, H, Courtin, E. Expanding the role of community pharmacists: policymaking in the absence of policy-relevant evidence? Health Policy. 2013;111(2):135-148.Google Scholar
23. Cooksey, JA, Knapp, KK, Walton, SM, Cultice, JM. Challenges to the pharmacist profession from escalating pharmaceutical demand. Health Aff (Millwood). 2002;21(5):182-188.Google Scholar
24. International Pharmaceutical Federation (FIP). 2009 FIP Global Pharmacy Workforce Report. The Hague, The Netherlands; 2009.Google Scholar
25. Jhung, MA, Shehab, N, Rohr-Allegrini, C, et al. Chronic disease and disasters. Medication demands of Hurricane Katrina evacuees. Am J Prev Med. 2007;33(3):207-210.Google Scholar
26. Babb, J, Downs, K. Fighting back: pharmacists’ roles in the federal response to the September 11 attacks. J Am Pharm Assoc. 2001;41(6):834-837.Google Scholar
27. Anderson, PD. Emergency management of chemical weapons injuries. J Pharm Pract. 2012;25(1):61-68.Google Scholar
28. Sheu, J-B, Pan, C. A method for designing centralized emergency supply network to respond to large-scale natural disasters. Transp Res Part B: Methodol. 2014;67:284-305.Google Scholar
29. AHC Media. Pharmacists rally to help Hurricane Katrina victims, set precedent. AHC Media, LLC; 2005. https://www.ahcmedia.com/articles/82695-pharmacists-rally-to-help-hurricane-katrina-victims-set-precedent. Accessed August 6, 2016.Google Scholar
30. Berod, T, Chan-ou-Teung, F. Pharmacist’s role in rescue efforts after plane crash in Indian Ocean. Am J Health Syst Pharm. 1997;54(9):1110.Google Scholar
31. Montello, MJ, Ostroff, C, Frank, EC, Haffer, A. 2001 anthrax crisis in Washington, DC: pharmacists’ role in screening patients and selecting prophylaxis. Am J Health Syst Pharm. 2002;59(12):1193-1199.Google Scholar
32. Velazquez, L, Dallas, S, Rose, L, et al. A PHS pharmacist team’s response to Hurricane Katrina. Am J Health Syst Pharm. 2006;63(14).Google Scholar
33. Young, D. Pharmacists play vital roles in Katrina response. More disaster-response participation urged. Am J Health Syst Pharm. 2005;62(21):2202-2216.Google Scholar
34. Bratberg, J. Hurricane Katrina: pharmacists making a difference: a Rhode Island pharmacist shares his Gulf Coast experiences as part of a disaster-relief team. J Am Pharm Assoc. 2005;45(6):654-658.Google Scholar
35. Feret, B, Bratberg, J. Pharmacist-based intervention to prepare residents of assisted-living facilities for emergencies. J Am Pharm Assoc. 2008;48(6):780-783.Google Scholar
36. Hogue, MD, Hogue, HB, Lander, RD, Avent, K, Fleenor, M. The non-traditional role of pharmacists after Hurricane Katrina: process description and lessons learned. Public Health Rep. 2009;217-223.Google Scholar
37. Apollonio, DE. Political advocacy in pharmacy: challenges and opportunities. Integr Pharm Res Pract. 2014;3:89-95.Google Scholar
38. Queensland Council of Social Service (QCOSS). APPENDIX 1: Consultation Summary, The Queensland Floods and The Community Sector: Contribution, Challenges and Lessons for The Future. QCOSS Submission to Floods Inquiry 2011.Google Scholar
39. International Pharmaceutical Federation (FIP). FIP Statement of Professional Standards. The Role of the Pharmacist in Crisis Management: Including Manmade and Natural Disasters and Pandemics. The Hague, The Netherlands; 2006.Google Scholar
40. Setlak, P. Bioterrorism preparedness and response: emerging role for health-system pharmacists. Am J Health Syst Pharm. 2004;61(11):1167.Google Scholar
41. Meyerson, BE, Ryder, PT, Richey-Smith, C. Achieving pharmacy-based public health: a call for public health engagement. Public Health Rep. 2013;128(3):140-143.Google Scholar
42. International Pharmaceutical Federation (FIP). Responding to Disasters: Guidelines for Pharmacy 2016. The Hague, The Netherlands; 2016.Google Scholar
43. Ford, H, Dallas, CE, Harris, C. Examining roles pharmacists assume in disasters: a content analytic approach. Disaster Med Public Health Prep. 2013;7(06):563-572.Google Scholar
44. Amerisource Bergen Drug Corporation Birmingham AD. Pharmacy Emergency Management Policy: The Children’s Hospital of Alabama. Birmingham, Alabama USA. 2011.Google Scholar
45. Austin, Z, Martin, JC, Gregory, PA. Pharmacy practice in times of civil crisis: the experience of SARs and “the blackout” in Ontario, Canada. Res Social Adm Pharm. 2007;3(3):320-335.Google Scholar
46. Mak, PW, Singleton, J. Burning questions: exploring the impact of natural disasters on community pharmacies. Res Social Adm Pharm. 2017;13(1):162-171.Google Scholar
47. Giberson, S, Yoder, S, Lee, MP. Improving Patient and Health System Outcomes through Advanced Pharmacy Practice. A Report to the US Surgeon General. Office of the Chief Pharmacist. US Public Health Service. 2011.Google Scholar
48. Inspector-General for Emergency Management (IGEM), Victorian Government. Review of Response to the Thunderstorm Asthma Event of 21-22 November 2016: Final Report. 2017.Google Scholar
49. Iversen, L, Mollison, J, MacLeod, TNN. Attitudes of the general public to the expanding role of community pharmacists: a pilot study. Fam Pract. 2001;18(5):534-536.Google Scholar
50. Adamcik, BA, Ransford, HE, Oppenheimer, PR, Brown, JF, Eagan, PA, Weissman, FG. New clinical roles for pharmacists: a study of role expansion. Soc Sci Med. 1986;23(11):1187-1200.Google Scholar
51. Ford, H, Trent, S, Wickizer, S. An assessment of state board of pharmacy legal documents for public health emergency preparedness. Am J Pharm Educ. 2016;80(2).Google Scholar
52. Morecroft, CW, Mackridge, AJ, Stokes, EC, et al. Emergency supply of prescription-only medicines to patients by community pharmacists: a mixed methods evaluation incorporating patient, pharmacist and GP perspectives. BMJ Open. 2015;5(7).Google Scholar