Are We Ready?: Public Health since 9/11 / Edition 1

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Overview

A contemporary history of a critical period, Are We Ready? analyzes the impact of 9/11, the anthrax attacks that followed, and preparations for a possible smallpox attack on the nation's public health infrastructure. David Rosner and Gerald Markowitz interviewed local, state, and federal officials to determine the immediate reactions of key participants in these events. The authors explore the extent to which these emergencies permanently altered the political, cultural, and organizational life of the country and consider whether the nation is now better prepared to withstand another potentially devastating attack. This well-reasoned and well-researched book presents compelling evidence that few with hands-on experience with disease and emergency preparedness believe that an adequate response to terrorism--whether biological, chemical, or radiological--is possible without a strong and vibrant infrastructure to provide everyday services as well as emergency responses.

Are We Ready? begins with an examination of the experiences of local New York officials who were the first responders to 9/11 and follows them as events unfolded and as state and national authorities arrived. It goes on to analyze how various states dealt with changing federal funding for a variety of public health services. Using oral histories of CDC and other federal officials, the book then focuses on the federal reaction to 9/11 and anthrax. What emerges is a picture of dedicated public servants who were overcome by the emotions of the moment yet who were able to react in ways that significantly reduced the public anxiety and public health threat. Despite the extraordinary opportunity to revitalize and reinvigorate the nation's public health infrastructure, the growing federal and state budget deficits, the refocusing of national attention on the war in Iraq, and the passage of time all combined to undermine many of the needed reforms to the nation's public health defenses.

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Editorial Reviews

Library Journal
Written by distinguished scholars Rosner (public health & history, Columbia Univ.) and Markowitz (history, John Jay Coll., CUNY Graduate Ctr.) and copublished by the respected Milbank Memorial Fund, Are We Ready? documents the public health response to the 9/11 terrorist attacks and the transformation of public health agencies in the tragedy's aftermath. Although firefighters are the best-recalled faces of 9/11, public health officers at all levels of government responded immediately, dealing with issues such as the control of rats fleeing damaged buildings and disposal of contaminated food from restaurants in blockaded areas. State and local public health personnel and facilities, reeling from years of budget cuts, were further challenged when threats of bioterrorism reached the press. Oral histories from state, local, and Centers for Disease Control staff and administrators who struggled through these crises yield important lessons, including the crucial role of mental health services and the urgent necessity for improved coordination of agencies at all levels. Completed before the creation of the Department of Homeland Security and before that department's infamous Hurricane Katrina response, this book may be part of a saga still in process, but medical and academic libraries will find it a useful addition.-Kathy Arsenault, Univ. of South Florida at St. Petersburg Lib. Copyright 2006 Reed Business Information.
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Product Details

Meet the Author


David Rosner is Professor of Public Health and History at Columbia University and Codirector of the Center for the History and Ethics of Public Health at Columbia's Mailman School of Public Health. Gerald Markowitz is Distinguished Professor of History at John Jay College and the Graduate Center of the City University of New York. They are coauthors of Deceit and Denial: The Deadly Politics of Industrial Pollution (UC Press).
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Table of Contents

Introduction : remembering the moment 1
1 September 11 and the shifting priorities of public and population health in New York City 6
2 Emergency preparedness, bioterrorism, and the states 55
3 Emergency preparedness, bioterrorism, and the CDC : federal involvement before and after 9/11 119
Conclusion : what lessons have we learned? 156
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