Nearly half of public health employees unlikely to work during pandemic.

In a survey of public health employees, over 40 percent said that they are unlikely to report to work during an influenza pandemic, according to researchers at the Johns Hopkins Bloomberg School of Public Health and Ben-Gurion University of the Negev in Israel. Local public health workers would play a vital role in responding to a pandemic, from monitoring the spread of illness to organizing the distribution of medications to communicating critical health information to the public. The survey, conducted in Maryland by the Bloomberg School's Center for Public Health Preparedness, also found that 66 percent of public health workers felt that they would put themselves at risk of infection if they were to report to work during a pandemic. The results of the survey are published in the April 2006 edition of the journal BMC Public Health.

The researchers surveyed 308 public health workers from three Maryland counties. The counties, Carroll, Dorchester, and Harford, were selected because their population sizes were comparable to those covered by 96 percent of the nation's public health departments serving communities of 500,000 people or fewer.

Clinical staff members, such as physicians and nurses, were more likely to say they would report for work. Technical or support staff, which included computer entry staff and clerical workers, were the least likely to say they would report to work. The willingness to report to work was strongest among employees who perceived an importance in their work and responsibilities during a pandemic. This perception was lowest among technical and support workers. Less than one-third of public health workers felt that they would have an important role in the response to a pandemic.

"Current preparedness plans account for some personnel shortages mainly due to illness from influenza," said Ran Balicer, M.D., M.P.H., lead author of the study and a member of the health sciences faculty in the Epidemiology Department at Ben-Gurion University. "But our results show that half of local public health workers would be unlikely to report during an extreme crisis. Three out of four technical and support workers don't even think they will be asked to report to work during a pandemic." Balicer conducted his research while working as an intern with the Bloomberg School's Center for Public Health Preparedness.

"The public health workforce will play a critical role in managing an influenza pandemic, but the workforce is not yet prepared for this crisis," said co-author Daniel J. Barnett, M.D., M.P.H., of the Center for Public Health Preparedness. "We need more training for public health workers, particularly for those in technical and support roles, so that they clearly understand the importance of their work in the event of a pandemic."

Additional authors of the study are Saad B. Omer, M.B.B.S., M.P.H., and George S. Everly, Jr., Ph.D., with the Johns Hopkins Center for Public Health Preparedness.

Funding for the study was provided by the Centers for Disease Control and Prevention.