Lessons from the reestablishment of Public Health Laboratory activities in Puerto Rico after Hurricane Maria

Public Health Laboratories (PHLs) in Puerto Rico did not escape the devastation caused by Hurricane Maria. We implemented a quality management system (QMS) approach to systematically reestablish laboratory testing, after evaluating structural and functional damage. PHLs were inoperable immediately a...

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Autores principales: Hardy, Margaret C., Stinnett, Rita C., Kines, Kristine J., Rivera-Nazario, Danisha M., Lowe, David E., Mercante, Alexandra M., Gonzalez Jimenez, Nathalie, Cuevas Ruiz, Rosa I., Rivera Arbolay, Héctor I., Gonzalez Peña, Rafael L., Toro, Mayra, Trujillo, Alma A., Pappas, Claudia L., Llewellyn, Anna C., Candal, Francisco, Burgos Garay, María, Gomez, Gerardo A., Concepcion Acevedo, Jeniffer, Ansbro, Marisela, Moura, Hercules, Shaw, Michael W., Muehlenbachs, Atis, Romanoff, Lovisa C., Sunshine, Brittany J., Rose, Dale A., Patel, Anita, Shapiro, Craig N., Luna-Pinto, S. Carolina, Pillai, Satish K., O’Neill, Eduardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Perspective
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586791/
https://www.ncbi.nlm.nih.gov/pubmed/31221973
http://dx.doi.org/10.1038/s41467-019-10776-y
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author Hardy, Margaret C.
Stinnett, Rita C.
Kines, Kristine J.
Rivera-Nazario, Danisha M.
Lowe, David E.
Mercante, Alexandra M.
Gonzalez Jimenez, Nathalie
Cuevas Ruiz, Rosa I.
Rivera Arbolay, Héctor I.
Gonzalez Peña, Rafael L.
Toro, Mayra
Trujillo, Alma A.
Pappas, Claudia L.
Llewellyn, Anna C.
Candal, Francisco
Burgos Garay, María
Gomez, Gerardo A.
Concepcion Acevedo, Jeniffer
Ansbro, Marisela
Moura, Hercules
Shaw, Michael W.
Muehlenbachs, Atis
Romanoff, Lovisa C.
Sunshine, Brittany J.
Rose, Dale A.
Patel, Anita
Shapiro, Craig N.
Luna-Pinto, S. Carolina
Pillai, Satish K.
O’Neill, Eduardo
author_facet Hardy, Margaret C.
Stinnett, Rita C.
Kines, Kristine J.
Rivera-Nazario, Danisha M.
Lowe, David E.
Mercante, Alexandra M.
Gonzalez Jimenez, Nathalie
Cuevas Ruiz, Rosa I.
Rivera Arbolay, Héctor I.
Gonzalez Peña, Rafael L.
Toro, Mayra
Trujillo, Alma A.
Pappas, Claudia L.
Llewellyn, Anna C.
Candal, Francisco
Burgos Garay, María
Gomez, Gerardo A.
Concepcion Acevedo, Jeniffer
Ansbro, Marisela
Moura, Hercules
Shaw, Michael W.
Muehlenbachs, Atis
Romanoff, Lovisa C.
Sunshine, Brittany J.
Rose, Dale A.
Patel, Anita
Shapiro, Craig N.
Luna-Pinto, S. Carolina
Pillai, Satish K.
O’Neill, Eduardo
author_sort Hardy, Margaret C.
collection PubMed
description Public Health Laboratories (PHLs) in Puerto Rico did not escape the devastation caused by Hurricane Maria. We implemented a quality management system (QMS) approach to systematically reestablish laboratory testing, after evaluating structural and functional damage. PHLs were inoperable immediately after the storm. Our QMS-based approach began in October 2017, ended in May 2018, and resulted in the reestablishment of 92% of baseline laboratory testing capacity. Here, we share lessons learned from the historic recovery of the largest United States’ jurisdiction to lose its PHL capacity, and provide broadly applicable tools for other jurisdictions to enhance preparedness for public health emergencies.
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spelling pubmed-65867912019-06-24 Lessons from the reestablishment of Public Health Laboratory activities in Puerto Rico after Hurricane Maria Hardy, Margaret C. Stinnett, Rita C. Kines, Kristine J. Rivera-Nazario, Danisha M. Lowe, David E. Mercante, Alexandra M. Gonzalez Jimenez, Nathalie Cuevas Ruiz, Rosa I. Rivera Arbolay, Héctor I. Gonzalez Peña, Rafael L. Toro, Mayra Trujillo, Alma A. Pappas, Claudia L. Llewellyn, Anna C. Candal, Francisco Burgos Garay, María Gomez, Gerardo A. Concepcion Acevedo, Jeniffer Ansbro, Marisela Moura, Hercules Shaw, Michael W. Muehlenbachs, Atis Romanoff, Lovisa C. Sunshine, Brittany J. Rose, Dale A. Patel, Anita Shapiro, Craig N. Luna-Pinto, S. Carolina Pillai, Satish K. O’Neill, Eduardo Nat Commun Perspective Public Health Laboratories (PHLs) in Puerto Rico did not escape the devastation caused by Hurricane Maria. We implemented a quality management system (QMS) approach to systematically reestablish laboratory testing, after evaluating structural and functional damage. PHLs were inoperable immediately after the storm. Our QMS-based approach began in October 2017, ended in May 2018, and resulted in the reestablishment of 92% of baseline laboratory testing capacity. Here, we share lessons learned from the historic recovery of the largest United States’ jurisdiction to lose its PHL capacity, and provide broadly applicable tools for other jurisdictions to enhance preparedness for public health emergencies. Nature Publishing Group UK 2019-06-20 /pmc/articles/PMC6586791/ /pubmed/31221973 http://dx.doi.org/10.1038/s41467-019-10776-y Text en © This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Perspective
Hardy, Margaret C.
Stinnett, Rita C.
Kines, Kristine J.
Rivera-Nazario, Danisha M.
Lowe, David E.
Mercante, Alexandra M.
Gonzalez Jimenez, Nathalie
Cuevas Ruiz, Rosa I.
Rivera Arbolay, Héctor I.
Gonzalez Peña, Rafael L.
Toro, Mayra
Trujillo, Alma A.
Pappas, Claudia L.
Llewellyn, Anna C.
Candal, Francisco
Burgos Garay, María
Gomez, Gerardo A.
Concepcion Acevedo, Jeniffer
Ansbro, Marisela
Moura, Hercules
Shaw, Michael W.
Muehlenbachs, Atis
Romanoff, Lovisa C.
Sunshine, Brittany J.
Rose, Dale A.
Patel, Anita
Shapiro, Craig N.
Luna-Pinto, S. Carolina
Pillai, Satish K.
O’Neill, Eduardo
Lessons from the reestablishment of Public Health Laboratory activities in Puerto Rico after Hurricane Maria
title Lessons from the reestablishment of Public Health Laboratory activities in Puerto Rico after Hurricane Maria
title_full Lessons from the reestablishment of Public Health Laboratory activities in Puerto Rico after Hurricane Maria
title_fullStr Lessons from the reestablishment of Public Health Laboratory activities in Puerto Rico after Hurricane Maria
title_full_unstemmed Lessons from the reestablishment of Public Health Laboratory activities in Puerto Rico after Hurricane Maria
title_short Lessons from the reestablishment of Public Health Laboratory activities in Puerto Rico after Hurricane Maria
title_sort lessons from the reestablishment of public health laboratory activities in puerto rico after hurricane maria
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586791/
https://www.ncbi.nlm.nih.gov/pubmed/31221973
http://dx.doi.org/10.1038/s41467-019-10776-y
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