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Chesapeake by James A. Michener

By James A. Michener

Once more James A. Michener brings historical past to existence with this 400-year saga of America's nice bay and its jap Shore. Following Edmund Steed and his striking relatives, who parallel the settling and forming of the kingdom, Chesapeake sweeps readers from the unspoiled global of the local american citizens to the voyages of Captain John Smith, the innovative battle, and correct as much as smooth occasions.

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A plane crash in the middle of Manhattan will put different information demands on policy makers, and have different potential sources of information than a pandemic incident. Even within the same incident, different personnel at different levels of response will have very different information needs. The HHS Secretary has different data needs during a pandemic than the EMT transporting flu patients, the emergency room physician receiving the patient, the incident commander of the hospital where the patient is admitted, or the patients themselves.

A study of the Denver Health Nurse line described by Colorado’s Bogdan found that a majority of callers trust the information they are given by the nurses, with 70 percent of them following the advice they were given. ” In other words, even if they ignore the nurse, they often do so by simply choosing not to go to a healthcare facility because they have a more informed opinion of their condition. A full 40 percent of callers were able to manage their illness at home, reducing the impact on the healthcare system.

As soon as you ask people: tell me how many ventilators you have, tell me how many beds you have, tell me how many nurses you have and you’re not the public health authority, people say, well, why are you asking? Are you going to take them? Do you want them? And we nudge up every time we try to get better in our situational awareness, we nudge up against command and control,” Biddinger said. However, control of information is control of the response, so it is important to establish strategies and systems that link situational awareness with the appropriate control authorities in the response so that people feel comfortable sharing the information and acting as a regional unit.

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