LM

Lisa M. Koonin

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

J. Carson Smith

University of Maryland, College Park

Hani K. Atrash

Emory University

Lilo T. Strauss

National Center for Chronic Disease Prevention and Health Promotion

Anita Patel

Children's National

Alison M. Spitz

Florida State University

Martin I. Meltzer

Centers for Disease Control and Prevention

Anita Patel

Centers for Disease Control and Prevention

Martín S. Cetron

Centers for Disease Control and Prevention

Robert J. Blendon

Harvard University

Herschel W. Lawson

Centers for Disease Control and Prevention

Cooperative Institutions

Centers for Disease Control and Prevention

National Center for Immunization and Respiratory Diseases

National Center for Emerging and Zoonotic Infectious Diseases

Center for Surveillance, Epidemiology, and Laboratory Services

National Center for Chronic Disease Prevention and Health Promotion

The Centers

CDC Foundation

Emory University

Epidemic Intelligence Service

AID Atlanta

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

A Conceptual Framework for Allocation of Federally Stockpiled Ventilators During Large-Scale Public Health Emergencies

Health Security (2016)

Stephanie Zaza Lisa M. Koonin Adebola Ajao Scott Nystrom Richard D. Branson

Some types of public health emergencies could result in large numbers of patients with respiratory failure who need mechanical ventilation. Federal public health planning has included needs assessment and stockpiling of ventilators. However, additional federal guidance is needed to assist states in further allocating federally supplied ventilators to individual hospitals to ensure that ventilators are shipped to facilities where they can best be used during an emergency. A major consideration in planning is a hospital's ability to absorb additional ventilators, based on available space and staff expertise. A simple pro rata plan that does not take these factors into account might result in suboptimal use or unused scarce resources. This article proposes a conceptual framework that identifies the steps in planning and an important gap in federal guidance regarding the distribution of stockpiled mechanical ventilators during an emergency. A large-scale public health emergency could result in many patients with respiratory failure who need mechanical ventilation. Federal planning has included stockpiling of ventilators, but additional guidance is needed to help states to allocate federally supplied ventilators to individual hospitals where they can best be used during an emergency. A major consideration in planning is a hospital's ability to absorb additional ventilators, based on available space and staff expertise. This article proposes a conceptual framework that identifies the steps in planning and an important gap in federal guidance for the distribution of stockpiled mechanical ventilators during an emergency.

Mechanical ventilator

10.1089/hs.2015.0043

Cite

Citations (19)

Building on Success Serving the Nation: Codifying Key Pharmacy Practice Authorities Beyond COVID-19

Health Security (2023)

Lisa M. Koonin S. Roszak Kayla M. McFeely

Preparedness

Atlanta

10.1089/hs.2023.0085

Cite

Citations (0)

Estimates of the Demand for Mechanical Ventilation in the United States During an Influenza Pandemic

Clinical Infectious Diseases (2015)

Martin I. Meltzer Anita Patel Adebola Ajao Scott Nystrom Lisa M. Koonin

An outbreak in China in April 2013 of human illnesses due to avian influenza A(H7N9) virus provided reason for US public health officials to revisit existing national pandemic response plans. We built a spreadsheet model to examine the potential demand for invasive mechanical ventilation (excluding "rescue therapy" ventilation). We considered scenarios of either 20% or 30% gross influenza clinical attack rate (CAR), with a "low severity" scenario with case fatality rates (CFR) of 0.05%–0.1%, or a "high severity" scenario (CFR: 0.25%–0.5%). We used rates-of-influenza-related illness to calculate the numbers of potential clinical cases, hospitalizations, admissions to intensive care units, and need for mechanical ventilation. We assumed 10 days ventilator use per ventilated patient, 13% of total ventilator demand will occur at peak, and a 33.7% weighted average mortality risk while on a ventilator. At peak, for a 20% CAR, low severity scenario, an additional 7000 to 11 000 ventilators will be needed, averting a pandemic total of 35 000 to 55 000 deaths. A 30% CAR, high severity scenario, will need approximately 35 000 to 60 500 additional ventilators, averting a pandemic total 178 000 to 308 000 deaths. Estimates of deaths averted may not be realized because successful ventilation also depends on sufficient numbers of suitably trained staff, needed supplies (eg, drugs, reliable oxygen sources, suction apparatus, circuits, and monitoring equipment) and timely ability to match access to ventilators with critically ill cases. There is a clear challenge to plan and prepare to meet demands for mechanical ventilators for a future severe pandemic.

Case fatality rate

Pandemic

Mechanical ventilator

Personal Protective Equipment

10.1093/cid/civ089

Cite

Citations (44)

Maternal Mortality in the United States, 1979???86

Survey of Anesthesiology (1991)

Hani K. Atrash Lisa M. Koonin Herschel W. Lawson A L Franks J. Carson Smith

ATRASH, H. K.; KOONIN, L. M.; LAWSON, H. W.; FRANKS, A. L.; SMITH, J. C. Author Information

10.1097/00132586-199106000-00015

Cite

Citations (35)

Novel coronavirus disease (COVID-19) outbreak: Now is the time to refresh pandemic plans

This article outlines practical steps that businesses can take now to prepare for a pandemic. Given the current growing spread of coronavirus disease 2019 (COVID-19) around the world, it is imperative that businesses review their pandemic plans and be prepared in case this epidemic expands and affects more people and communities. Preparing for a potential infectious disease pandemic from influenza or a novel corona virus is an essential component of a business continuity plan, especially for businesses that provide critical healthcare and infrastructure services. Although many businesses and organisations have a pandemic plan or address pandemic preparedness in their business continuity plans, few have recently tested and updated their plans. Pandemics can not only interrupt an organisation’s operations and compromise long-term viability of an enterprise, but also disrupt the provision of critical functions. Businesses that regularly test and update their pandemic plan can significantly reduce harmful impacts to the business, play a key role in protecting employees’ and customers’ health and safety, and limit the negative impact of a pandemic on the community and economy.

Pandemic

Preparedness

Contingency plan

10.69554/ggfg5840

Cite

Citations (120)

Flu on Call™: Improving Access to Antivirals During a Severe Pandemic

2015 AAAS Annual Meeting (12-16 February 2015) (2015)

Pandemic

Cite

Citations (0)

Abortion surveillance--United States, 1989.

Lisa M. Koonin J. Carson Smith M Ramick Herschel W. Lawson

Since 1980, the number of legal induced abortions reported to CDC has remained stable, varying each year by < 5%. In 1989, 1,396,658 abortions were reported--a 1.9% increase from 1988. The abortion ratio for 1989 was 346 legal induced abortions/1,000 live births, and the abortion rate was 24/1,000 women ages 15-44 years. The abortion ratio was highest for black women and women of other minority racial groups and for women < 15 years of age. Overall, women undergoing abortions tended to be young, white, and unmarried; to have had no previous live births; and to be having the procedure for the first time. Approximately half of all abortions were performed before the eighth week of gestation, and 87% were before the thirteenth week of gestation. Younger women tended to obtain abortions later in pregnancy than older women. This report also includes newly reported abortion-related deaths for 1986 and 1987, as well as an update on abortion-related deaths for the period 1978-1985. Ten deaths in 1986 and six deaths in 1987 were associated with legal induced abortion. The case-fatality rate in 1986 was 0.8 abortion-related deaths/100,000 legal induced abortions and 0.4/100,000 in 1987.

Induced Abortions

Case fatality rate

Cite

Citations (13)

MATERNAL MORTALITY IN THE UNITED STATES

The Medical Journal of Australia (1951)

Hani K. Atrash Lisa M. Koonin H W Lawson A L Franks J. C. Smith

To understand better the epidemiology and to describe the causes of maternal death, we reviewed all identified maternal deaths in the United States and Puerto Rico for 1979-1986. The overall maternal mortality ratio for the period was 9.1 deaths per 100,000 live births. The ratios increased with age and were higher among women of black and other minority races than among white women for all age groups. The causes of death varied for different outcomes of pregnancy; pulmonary embolism was the leading cause of death after a live birth. Unmarried women had a higher risk of death than married women. The risk of death increased with increasing live-birth order, except for primiparas. In order to develop strategies to reduce the risk of maternal death in the United States, future studies should include expanded information about each death, which will allow better understanding of factors associated with maternal mortality.

10.5694/j.1326-5377.1951.tb68150.x

Cite

Citations (157)

Table of Contents

American Journal of Preventive Medicine (2010)

R Soler Kimberly D. Leeks Sima Razi David P. Hopkins May Griffith

Table (database)

10.1016/s0749-3797(09)00932-5

Cite

Citations (0)

Leveraging Partnerships Among Community Pharmacists, Pharmacies, and Health Departments to Improve Pandemic Influenza Response

Biosecurity and Bioterrorism Biodefense Strategy Practice and Science (2014)

Sara E. Rubin Rachel M. Schulman Andrew R. Roszak Jack Herrmann Anita Patel

Response to public health emergencies requires coordination across multiple sectors and effective use of existing resources in communities. With the expanded role of community pharmacists in public health during the past decade, their participation in response to emergencies has become increasingly important. Local health departments play a lead role in local public health emergency responses, and their ability to develop and leverage partnerships has become increasingly vital given their funding and personnel shortages. This article offers insight and recommendations on how local health departments can most effectively develop and maintain relationships with community pharmacies and pharmacists that will allow for a more coordinated and resourceful public health response to emergencies, and specifically to pandemic influenza outbreaks. Additionally, state and local health departments should reach out to pharmacies in a synchronized way to incorporate them into their pandemic influenza planning and response efforts. As pharmacists continue to expand their role as part of the public health system, pharmacy staff can be active participants with public health agencies to improve community public health emergency response.

Pandemic

Influenza pandemic

Pandemic influenza

10.1089/bsp.2013.0082

Cite

Citations (38)