Guardian of Public Health - March 2017

Bureau of EMS, Trauma & Preparedness

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News and Articles

Bill Gates: Bioterrorism could kill more than nuclear war — but no one is ready to deal with it

A genetically engineered virus is easier to make and could kill more people than nuclear weapons — and yet no country on Earth is ready for the threat, Bill Gates warned world leaders February 18, 2017.

No one on his panel at the Munich Security Conference argued with him.

“The next epidemic has a good chance of originating on a computer screen,” said Gates

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Training & Events

ICS 300 - Intermediate ICS for Expanding Incidents

Bureau of EMS, Trauma and Preparedness 

May 23-25, 2017

This 18 hour course provides training on resources for personnel who require advanced application of the Incident Command System (ICS).  Trainers from the National Emergency Response and Rescue Training Center will be providing the course. Must have completed FEMA ICS 100, 200, 700, and 800 courses prior to registering.  

To register, visit the MI-TRAIN at

Enter course ID 1029037 in the search box.

Michigan Rural Health Conference 

Soaring Eagle Casino & Resort Mt. Pleasant, Michigan 

May 4-5, 2017

The theme of this year’s conference is, "Refresh, Renew, Refocus." Participants will gain new knowledge of timely and effective methods to enhance their organization. Whether it's concentrating on improving clinical quality, leadership, managing staff, or focusing on patient satisfaction, participants will have the opportunity to learn from subject matter experts and rural health peers.

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Tools & Resources

European Centers for Disease Control (ECDC) releases its first mobile application: infectious disease threats on the go  

ECDC has released a new Threat Reports app, a free and open access application that gives you direct access to key updates and reports on communicable disease threats of concern to the EU on your mobile device.

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About the Guardian

The Guardian of Public Health is a monthly newsletter from the Bureau of EMS, Trauma, and Preparedness (BETP) within the Michigan Department of Health and Human Services (MDHHS). The Guardian aims to provide its readers with relevant content on topics that affect the public health of citizens and communities in Michigan. For questions or comments please contact Kerry Chamberlain at

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The Michigan Update

Facing the Challenge:  Explore Lab Science - K-12 Outreach Program

Teresa Miller - Chemical Threat Response Training Coordinator - MDHHS Bureau of Laboratories

Clinical laboratory professionals play a critical role in health care.  Many medical diagnoses are based on laboratory test results. These laboratory professionals seldom have direct patient contact and consequently, their critical role in health care is unnoticed. The United States is facing a severe and problematic shortage of qualified laboratory personnel due to the discontinuation of clinical laboratory educational programs, careers that offer higher salaries for the same amount of education, and an aging work force.

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Environmental and Social Change Drive the Explosive Emergence of Zika Virus in the Americas 

Since Zika virus (ZIKV) was detected in Brazil in 2015, it has spread explosively across the Americas and has been linked to increased incidence of microcephaly and Guillain-Barré syndrome (GBS). In one year, it has infected over 500,000 people (suspected and confirmed cases) in 40 countries and territories in the Americas. Along with recent epidemics of dengue (DENV) and chikungunya virus (CHIKV), which are also transmitted by Aedes aegypti and Ae. albopictus mosquitoes, the emergence of ZIKV suggests an ongoing intensification of environmental and social factors that have given rise to a new regime of arbovirus transmission. Here, researchers review hypotheses and preliminary evidence for the environmental and social changes that have fueled the ZIKV epidemic. Potential drivers include climate variation, land use change, poverty, and human movement. Beyond the direct impact of microcephaly and GBS, the ZIKV epidemic will likely have social ramifications for women’s health and economic consequences for tourism and beyond.

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What Do We Mean by ‘Community Resilience’? A Systematic Literature Review of How It Is Defined in the Literature

Researchers in PLoS Currents - Disaters conduct a literature review to help define community resilience.  They identified 80 papers through a systematic literature review.  Their review showed while there wasn't a common definition of community resilience, there were nine core elements common throughout all of them.  These elements include: local knowledge, community networks and relationships, communication, health, governance and leadership, resources, economic investment, preparedness, and mental outlook.  The researchers recommend addressing these elements rather than attempting a common definition.

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