Monsters L2 SARS final

Toronto SARS Outbreak : 

Toronto SARS Outbreak Major legal issues Public and media response Leadership skills Other areas for improvement Discussion summaries

SARS Legal Constraints : 

SARS Legal Constraints Non-existent Acute Respiratory Infection Emergency Plan Inadequate statutes and regulations Outdated and unfamiliar isolation, quarantine, and confidentiality legislation Megan Fotheringham:

Law Enforcement: 

Law Enforcement Reporting and surveillance Travel regulation Isolation and quarantine Policy directives Employment protection

Jurisdictional Level: 

Jurisdictional Level Crossed jurisdictional lines International to local Local level handled majority of responsibilities and decisions Provincial level necessary for guidance, support, and cohesiveness

Public Response: 

Public Response Panic and confusion Hotline inundated with calls Bias and/or ignorance SARS associated with China and Chinese-Canadians Fear and non-compliance under quarantine Employment disruption, potential death, unmet needs

Media Coverage: Lessons Learned: 

Media Coverage: Lessons Learned Limit number of spokespeople Avoid over-reporting or saturation Provide focused, targeted messages Balance coverage to avoid over-assigned blame

Leadership skills: 

Leadership skills Employment of Incident Command System Mentoring of new and junior staff Limiting work shifts Recognizing accomplishments

Other areas for improvement: 

Other areas for improvement Leadership Planning Authority Communication Infrastructure / Expertise Staffing

Discussion: 

Discussion Objectivity of SARS readings and lecture Key role of the media Importance of health care workers Adequacy of planning

Monsters of Public HealthKathy Abode, Megan Fotheringham, Rob Lamme, Michelle Robinson, Christina Sweet, Angie Wood: 

Monsters of Public Health Kathy Abode, Megan Fotheringham, Rob Lamme, Michelle Robinson, Christina Sweet, Angie Wood References: Campbell, A. (2004, April 15). The SARS Commission Interim Report, SARS and Public Health in Ontario. Commission to investigate the introduction and spread of SARS in Ontario, pp 1-31. Rothstein, M.A., Alcalde, M.G., Elster, N.R., Majumder, M.A., Palmer, L.I., Stone, T.H., & Hoffman, R.E. (2003, November). Quarantine and isolation: lessons learned from SARS. Institute for Bioethics, Health Policy and Law, University of Louisville School of Medicine, pp 6-16. The Centers for Disease Control & The University of North Carolina at Chapel Hill (Producers). (2003, October 23). Public Health Grand Rounds - SARS: When a Global Outbreak Hits Home [Webcast]. Atlanta: Public Health Training Network. Gostin, L.O., Bayer, R., & Fairchild, A.L. (2003). Ethical and Legal Challenges Posed by Severe Acute Respiratory Syndrome. JAMA, 290, 3229-3237. Drache, D., Feldman, S., & Clifton, D. (2003, October 29). Media Coverage of the 2003 Toronto SARS Outbreak. Robarts Centre for Canadian Studies. Retrieved September, 2008, from http//www.yorku.ca/robarts/projects/global/papers/gcf_mediacoverageSARSto.pdf