I live in the Minneapolis area, we have a convergence of a number of factors which could lead to a public health emergency, we have international travel, various immigrant populaces with limited English skills and healthcare access, and high population density (we recognize our immigrant health aspect as a concern area as a state and are working on it
http://www.health.state.mn.us/divs/idepc/refugee/topics/immhealthrp...). The scenario I am envisioning is that a previously unknown strain travels to our area via international travel and then incubates among a group with communication and healthcare barriers prior to making a rapid wide-scale jump to the high density surrounding populace. For the purpose of this I am imagining a virulent form of avian flu. The initial reports are delayed due to the barriers involving the impacted group and when the problem is defined it is already widespread. Health resources in the area are overwhelmed and the airborne nature of this emergency leaves us with serious issues in getting people to what treatment is available.
Ushahidi is meant to be a great way to enhance our data structure on the outbreak and help to organize and prioritize resources in an overwhelming need situation. We have seen before during our bridge collapse that cellphone access can be problematic in an emergency so for the sake of a worst case scenario I will put it as unreliable so the state will be recommending that it be limited to emergency personnel whenever possible to ensure reception. The Ushahidi will allow individuals to report their symptoms and outbreak so that they can receive followup communication, triage, and treatment. By having the locations and conditions of all the involved persons we can prioritize pickups or in house visits and ensure that appropriate triage is done remotely (which does not have the same limitations of personnel as it can be done by professionals around the world) and when possible utilizing webcams/audio streams on computers as they have less connection issues than cellphones.
By seeing the areas of the outbreaks we can appropriately limit travel and ensure those areas receive the supplies they need (food/water etc). The system can also help us to determine actual areas of outbreak and shut those down as needed (for instance when they give their everywhere they have been in the last 48 hours reports we can look for concurrences with others' travel). By having an "all clear" status associated with households we can identify those which have not yet responded and contact them to see what their status is (which can be done in many cases remotely and by non-public health professionals if need be when remote contact fails).
This will also allow us to keep visual track of those who are being treated as by adding an additional note as to who visited and an updated professional status we can ensure that we do not duplicate effort despite the huge numbers of victims.
This will also be a huge aid in the wrap-up phase as we can see when all cases have been resolved and it is appropriate to remove travel restrictions.
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