National Disaster Medical System's Reliance on Civilian-Based Medical Response Teams in a Pandemic is Unsound

摘要

The world is threatened with a pandemic. Such an event, considered by many to be the greatest public health risk the world faces, has the potential to kill up to forty or fifty million people, sicken hundreds of millions, and significantly impact the global economy. Countries and health organizations throughout the world are monitoring the threat and developing strategic plans and systems to prepare for what many consider an inevitable and possibly imminent event. The United States has made it a national priority to develop strategic plans to coordinate preparedness and response efforts at the federal, state, and local levels. A relatively small but critical aspect of these plans calls for the utilization of the National Disaster Medical System's (NDMS) civilian-based medical teams, to assist state and local governments in the event of a pandemic. Generally, past deployments of these federal assets have had positive results; however, the reliance on these civilian-based medical teams for response in a pandemic is problematic. The medical professionals who primarily comprise the team may be more reluctant to participate in a pandemic due to the increased health risks to themselves and their families. Moreover, the hospitals and medical systems that employ these civilian responders may be unwilling or unable to allow their participation in the federal response system. The federal government should reconsider its reliance on this civilian-based resource in the event of a pandemic, and focus instead on enhancing existing state and local public health and medical capabilities and resources.