Report summary There is also anecdotal evidence that the CRI has improved responses to real incidents, the investigators found. For example, three sites said preparations for rapid dispensing helped them set up vaccination clinics during the 2009 flu pandemic. Improve performance feedback to jurisdictions and develop better tools to help them improve. RAND also found that TAR scores have improved consistently for both states and MSAs. The median for states rose from 85% in 2006-07 to 95% in 2009-10, while the MSA median climbed from 52 to 89 over the same period. The study relied primarily on the CDC’s existing CRI data collected over the years, including data from a standardized written assessment tool called the Technical Assistance Review (TAR) and self-reported data from program drills. The authors supplemented these sources by interviewing stakeholders in a few of the participating jurisdictions. The CDC has conducted TARs on state health departments and on local jurisdictions within the participating metro areas, the report explains. As of 2009-10, all the state health departments had overall TAR scores of at least 79%, the threshold of acceptability, and the average state score was 94%, the report says. “Although performance was strong across all functional areas, performance was somewhat lower in three particularly critical areas: coordination and guidance for dispensing, security, and distribution,” it adds. See also: The CDC hired RAND in 2010 to assess (1) the capability of CRI communities to meet the program goal of delivering medical countermeasures within 48 hours, and (2) whether the program has actually improved communities’ capability to meet that goal. Full text of report (76 pages) The CRI is a Centers for Disease Control and Prevention (CDC) program that was born in 2004. Its goal is to equip metropolitan areas to provide life-saving medications to their populations in the event of a major bioterrorist attack, natural disease outbreak, or other health emergency. As for test exercises, participating units conducted 1,364 drills in 2008-09 and 1,422 in 2009-10, but few have run large-scale exercises, the report says. For example, in 2009-10, only 32% of exercises that tested medication dispensing involved 500 clients or more. RAND report access page The assessment says the metropolitan areas and other units participating in the Cities Readiness Initiative (CRI) generally score well on performance capacity, but they could benefit from staging larger drills that more closely mimic real emergencies, among other steps. “The fact that greater ‘exposure’ to CRI is associated with considerable increases in TAR scores is consistent with CRI having an effect on preparedness,” the report states. “However, the absence of data from a representative comparison group makes it difficult to rule out the possibility that other factors drove the increases. Thus, the findings must be regarded as suggestive but not conclusive.” Consider encouraging states to collect more data on non-CRI communities to permit systematic comparisons between CRI and non-CRI areas. In other recommendations, the report suggests that the CDC should: They found that local scores varied more than state scores and that local performance “was lower in the critical areas of training, exercise, and evaluation; security; and dispensing.” MSAs in higher-scoring states with centralized public health systems performed better on the TAR than those in lower-scoring states with less centralization. Try to validate TAR scores, ie, determine whether they reflect real differences in communities’ preparedness. Conducting larger exercises is one of the report’s five recommendations. It says that larger drills, such as ones involving a jurisdiction’s entire point-of-dispensing volunteer list, would lead to more realistic assessments of capabilities. The TAR scores for local jurisdictions were aggregated to give a score for each federally defined Metropolitan Statistical Area (MSA). The average MSA scored 86% on the TARs, with a median of 89%, the RAND analysts found. The program currently includes 72 of the nation’s largest urban areas along with various “planning jurisdictions,” such as health departments and groups of cities within those areas, according to the report. All told, the program covers about 57% of the US population. Jun 7, 2012 (CIDRAP News) – A federal program designed to prepare communities to quickly distribute medications to the population to blunt a bioterrorist attack generally seems to be working well and making an impact, but there’s room for improvement, according to a new report from the RAND Corp. Assess the program’s cost-effectiveness.
Marc Hom/The CW (LOS ANGELES) — Two weeks after Luke Perry’s untimely death from a stroke at age 52, Riverdale‘s executive producer says the actor’s death will be addressed on the show. They’re just not yet quite certain how. At an Academy of Television Arts & Sciences event for the CW’s Chilling Adventures of Sabrina in Los Angeles on Sunday, Roberto Aguirre-Sacasa told Entertainment Tonight, “You know, honestly, we are I think all still in shock and are all still processing and grieving. We know that we have to address it in some way, but we’re giving ourselves a little bit of time and space before we figure out the best way to honor him.”Perry played Archie’s father, Fred Andrews, on Riverdale.“Luke was, is, and will always be a big part of Riverdale,” says Aguirre-Sacasa. “We’re kind of a family and when a loss like this happens, you carry it always. It changes and it hopefully becomes a little less painful as time goes by, but you’re changed.”“When I was with the crew, I said, ‘It will never be the same,’ and that’s true because Luke was such a part of the show,” he continued. “There are still a few more episodes that have Luke in them, so we’re glad to share those.”Adds Aguirre-Sacasa, “His spirit — which was so generous and wise and vivacious — we hope will infuse every episode, so in my mind, every episode for the rest of time on Riverdale will have a bit of Luke in it.”Riverdale airs Wednesdays at 8 p.m. ET on the CW.Copyright © 2019, ABC Radio. All rights reserved.