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Health Security

Today health and global security are inextricably intertwined. The rapid transnational spread of new and emerging infectious diseases and their potential use as terrorist agents grab headlines, while in many parts of the world, economic, political, and social development is held back be-cause of poor health and poor health care. At the same time, health care represents an area of shared human values through which constructive engagement neutral to religion, culture, and politics is possible. RAND's Center for Domestic and International Health Security (CDIHS) conducts research to analyze, model, measure, and develop policy options for government and private-sector entities in the United States and around the world that address critical health secu-rity and public health issues. The RAND Center for Military Health Policy Research also con-ducts research to address health security and other policy issues relevant to the U.S. military. Current projects on health security topics are briefly described below.


Profiles of Current Research

Strengthening Public Health Preparedness

Pandemic Influenza Preparedness


Highlights of Recent Studies

Promoting Accountability in Public Health Emergency Preparedness— 2007

Commonly used approaches for measuring emergency preparedness are insufficient; exercise-based assessments that are "embedded" in routine activities should be part of a new approach.

How Schools Responded to Student Mental Health Needs Following Hurricanes Katrina and Rita— 2007

School experiences with the aftermath of hurricanes Katrina and Rita underscore the need for better planning and training to respond to the mental health dimension of natural disasters.

Models of Relief: Learning from Exemplary Practices in International Disaster Management — 2007

This study provides a new avenue for improving disaster management in the United State by identifying examples of good practice in disaster management from throughout the world.

Infectious Disease and National Security: Strategic Information Needs — 2006

The United States needs a new centralized system for collecting, analyzing, and disseminating information about infectious diseases.

Emergency Preparedness Is Stimulating Changes in Public Health Practice — 2006

New partnerships, changes in the workforce, new technologies, and evolving organizational structures are among the changes in public health practice stimulated by public health emergency preparedness.

Quality Improvement Methods Can Be Used to Improve Public Health Emergency Preparedness.— 2006

An examination of health departments found that, although no sites had comprehensive, fully functioning quality improvement (QI) processes for public health emergency preparedness, many sites had one or more components necessary for QI.

Bioterrorism Preparedness Training and Assessment Exercises for Local Public Health Agencies — 2005

RAND developed a manual of tabletop exercises that local public health agencies can customize and use to train public health workers in how to detect and respond to a bioterrorism event and assess preparedness over time.

Related Web Sites

RAND Center for Domestic and International Health Security

Public Health Preparedness Database

RAND Gulf States Policy Institute

Working with Congress

RAND's Washington Office of Congressional Relations (OCR) furthers RAND's mission to provide objective analysis and effective solutions by disseminating research results to Congress and federal agencies. The OCR publishes a monthly electronic newsletter featuring current work on health policy. Contact: Shirley Ruhe (Shirley_Ruhe@rand.org) or Kristy Anderson (kristy@rand.org).

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