The protection of sensitive data and technologies is critical in preserving United States (U.S.) national security and minimizing economic losses. However, during a cyber attack, the operational capability to constrain the exfiltrations of sensitive data and technologies may not be available. A cyber preparedness methodology (CPM) can improve operational capability and cyber security. The CPM enables a corporation to (a) characterize cyber threats; (b) determine the level of preparedness necessary to ensure mission success; (c) facilitate strategic planning for cyber security (CS); and (d) establish priorities for CS investment planning and management decisions. The cyber preparedness framework (CPF) underlies the CPM. A corporation's leadership articulates its fundamental approach to risk management (RM) and mission assurance, and determines its target level of preparedness. Typically, corporations utilize the CPF to (a) characterize the caliber of the threat; (b) assess the technical and operational capabilities to counter the threat; and (c) develop the governance and processes necessary to achieve its cyber preparedness level. The problem that was investigated in this case study was how to construct a CPF for Lockheed Martin (LM) that works in conjunction with a risk management process (RMP). The goal was to extend the CPF into an RMP to construct a risk management framework (RMF) paradigm that can aid similarly large-sized private sector U.S. Government (USG) contractors in implementing the CPM. In this investigation, the author identified the corporate (a) security categorization, (b) cyber threats, (c) cyber threat level, (d) cyber preparedness level, (e) capabilities the corporation should utilize to counter cyber threats, and (f) governance and processes necessary to achieve the cyber preparedness level for a large-sized private sector USG contractor. The results of this investigation were organized in terms of RMP phases. Based on the results, the author constructed an RMF paradigm that can aid similarly large-sized USG contractors in implementing a CPM.

Use of skilled care during antenatal visits and delivery is recommended to address the burden of maternal mortality. However there are few facility deliveries and insufficient knowledge of danger signs, especially in rural Tanzania.  The aim of this thesis was to explore the perceptions and challenges that the community faces while preparing for childbirth and to evaluate an intervention of the Home Based Life Saving Skills education programme on knowledge of danger signs, facility delivery and male involvement when delivered by rural community health workers in Tanzania. In Paper I, Focus Group Discussions explored the perceptions and challenges that the community encounters while preparing for childbirth. Structured questionnaires assessed men’s knowledge of danger signs and birth preparedness and complication readiness in Paper II. The effect of the Home Based Life Saving Skills education programme in the community was assessed with a before-and-after evaluation in two districts; one intervention and one comparison. Paper III assessed the effect of the programme on knowledge of danger signs and birth preparedness and facility delivery among women, while Paper IV evaluated its effect on male involvement. The community perceived that all births must be prepared for and that obstetric complication demands hospital care; hence skilled care was favoured. Men’s knowledge of danger signs was limited; only 12% were prepared for childbirth and complications. Preparedness was associated with knowledge of obstetric complications (AOR=1.4 95% CI 1.8 – 2.6). The intervention showed women utilizing antenatal care (four visits) significantly more (43.4 vs 67.8%) with a net effect of 25.3% (95% CI: 16.9 – 33.2; p < .0001). The use of facility delivery improved in the intervention area (75.6 vs 90.2%; p = 0.0002), but with no significant net effect 11.5% (95% CI: -5.1 – 39.6; p = 0.123) when comparing the two districts. Male involvement improved (39.2% vs 80.9%) with a net intervention effect of 41.1% (CI: 28.5 – 53.8; p < .0001). Improvements were demonstrated in men’s knowledge level, in escorting partners for antenatal care and delivery, making birth preparations, and shared decision-making. The intervention, in educating this rural community, is effective in improving knowledge, birth preparedness, male involvement and use of skilled care.

Stockpiling resources is a pervasive way to handle demand uncertainty and future demand surges. However, stockpiling is subject to costs, including warehousing costs, inventory holding costs, and wastage of expired resources. Hence, how to stockpile in an economically efficient manner is an important topic to study. Furthermore, if the inventoried supply is insufficient for a surge in demand, how to best allocate available resources becomes a natural question to ask. In this dissertation, we consider three applications of stockpiling and resource allocation: (i) we stockpile ventilators both centrally and regionally for an influenza pandemic; (ii) we allocate limited vaccine doses of various types to target populations for an influenza pandemic; and, (iii) we investigate inventory needs for low cost, high usage (class C) parts in an engine assembly plant. First, we describe and analyze a model for estimating the number of ventilators that the Texas Department of State Health Services (DSHS), and eight health service regions in Texas, should stockpile for an influenza pandemic. Using a probability distribution governing peak-week demand for ventilators across the eight health service regions, an optimization model allows investigation of the tradeoff between the cost of the total stockpile and the expected shortfall of ventilators under mild, moderate, and severe pandemic scenarios. Our analysis yields the surprising result that there is little benefit to DSHS holding a significant stockpile, even when those centrally held ventilators can be dispatched to regions after observing the peak-week demand realization. Three factors contribute to this result: positively correlated regional demands, a relatively low coefficient of variation, and wastage of the central stockpile once it is dispatched to the regions. Second, we formulate an optimization model for allocating various types of vaccines to multiple priority groups in 254 counties in the state of Texas that DSHS can use to distribute its vaccines for an influenza pandemic. For reaching the public, vaccines are allocated to the state’s Registered Providers (RPs), Local Health Departments (LHDs), and Health Service Regions (HSRs). The first two allocations are driven by requests from RPs and LHDs while HSR allocation is at DSHS’s discretion. The optimization model aims to achieve proportionally fair coverage of priority groups across the 254 counties, as informed by user-specified weights on those priority groups, using the HSR doses. With proportional fairness as our primary goal, the optimal allocation also counts policy simplicity and regional equity. Sensitivity analysis on the portion of the state’s vaccines reserved for HSRs shows that a small portion can effectively shrink the gap of vaccination coverage between urban and rural counties. Finally, we derive short-cut formulae for estimating the extra inventory needed for managing class C parts in units of bins that an engine assembly plant can use to achieve a desired fill rate at workstations. The plant orders a class C part from its supplier based on the part’s aggregated next-day demand across all workstations. After receiving the part, the plant first stores the supply in the warehouse and delivers the part to workstations in bins whenever the line-side inventory at a workstation is empty. We study four cases of various information availability in the order quantity calculation and derive associated formulae for estimating the extra inventory needed due to demand aggregation and bin delivery. We demonstrate the performance of our short-cut formulae, showing the tradeoff between extra inventory needed and the associated risk of not satisfying all workstation requests. Our sensitivity analysis shows that workstation demand variation and bin size have little or no influence on the performance of our short-cut formulae. / text

There is a paucity of literature evaluating mass casualty systems and no clear 'gold standard' for measuring the efficacy of information decision support systems or triage systems that can be used in mass casualty events. The purpose of this research was the preliminary validation of a comprehensive conceptual model for a mass casualty continuum of care. This research examined key relationships among entities/factors needed to provide real-time visibility of data that track patients, personnel, resources and potential hazards that influence outcomes of care during mass casualty events.A modified Delphi technique was used to validate the proposed model using a panel of experts. The four research questions measured the extent to which experts agreed that the: 1) ten constructs represent appropriate predictors of outcomes of care during mass casualty events; 2) proposed relationships among the constructs provide valid representations of mass casualty triage; 3) proposed indicators for each construct represent appropriate measurements for the constructs; and 4) the proposed model is seen as useful to the further study of information and technology requirements during mass casualty events. The usefulness of the online Delphi process was also evaluated.A purposeful sample of 18 experts who work in the field of emergency preparedness/response was selected from across the United States. Computer, Internet and email applications were used to facilitate a modified Delphi technique through which experts provided initial validation for the proposed conceptual model. Two rounds of the Delphi process were needed to satisfy the criteria for consensus and/or stability related to the constructs, relationships and indicators in the model. Experts viewed the proposed model as relatively useful (Mean = 5.3 on a 7-point scale). Experts rated the online Delphi process favorably.Constructs, relationships and indicators presented in this model are viewed as preliminary. Future research is needed to develop the tools to measure the constructs and then test the model as a framework for studying effects and outcomes of mass casualty events. This study provides a foundation for understanding the complex context in which mass casualty events take place and the factors that influence outcomes of care.

Participation in risky behaviors is a common threat to an adolescent's health. Youth engagement (YE), a youth's meaningful and sustained participation in an activity, is a way to help reduce that threat. The Medical Reserve Corps (MRC), a public health emergency preparedness and response organization, has opportunities for engaging youth. However, few adolescents participate in MRC activities, signaling network-wide variations in working with youth. Furthermore, there is a gap in the literature exploring YE in emergency preparedness organizations, including the MRC. The purpose of this dissertation was to better understand youth engagement and development within organizations like these. With the MRC as the example and youth development theories as the lens, YE was examined as well as challenges and benefits of YE, needs, and use of YE strategies within the MRC. An exploratory sequential mixed-methods approach was used to assess YE in the MRC: Phase I- key informant interviews of youth (ages 14-18) and adults in and out of MRC (N=17); and Phase II- a nationwide web-based survey of adult MRC unit leaders (N=215). Qualitative data was analyzed with Microsoft Word and Excel; quantitative data analyzed with Stata 12.0. Results revealed common challenges experienced by MRC units working with youth, including liability concerns. Benefits found include preparation of the youth for future careers and giving youth a focus beyond themselves. A Spearman's correlation found a statistically significant association (r=0.30, N=52, p=0.0288) between the use of the core YE principles and the level of youth participation among the MRC units with youth membership, meaning use of these principles may be helpful in better involving youth. Furthermore, "Building Youth and Adult Capacity" was the top YE principle used among the MRC units that allow youth membership to engage youth. Despite noted challenges, engaging adolescents in the MRC still has many benefits with long-term public health and maternal and child implications for youth in emergency preparedness organizations. These include development of a responsible youth that protects their peers, families, and local communities from public health challenges, positively impacting the community. Recommendations for building student MRC programs across the nation have been provided.

The United States Department of Homeland Security has proposed that the nationâ s system of response to terrorism and catastrophic disasters would be more practical and efficient if handled on a regional basis throughout the country. Regionalization is one of three overall priorities under the National Preparedness Goal. The primary hypothesis is there is a mismatch between the federal governmentâ s expectations of regionalization and the understanding of it by state and local governments. This lack of understanding will negatively impact the expenditure of federal funds in the future. The author proposes that there are six major reasons regionalization may fail and that a change of policy by the federal government will be necessary to increase the chance of success. The reasons include a lack of definition for regionalization; the impact of federalism; the influence of risk-based funding on local interest in regionalization; the impact of home rule and local autonomy; risk and liability questions; and the lack of leadership. Three options are considered including maintaining the same program, creating a Regional Homeland Security Service Agency, and the Regional Council of Governments (RCG) approach.

Advisor name noted incorrectly on document as "Bordertsky". / The objective of this thesis is to review and analyze the current Command and Control communications used by the New Jersey Department of Health and Senior Services and provide best business practices of Emergency Preparedness and Response Systems capable of responding to all public health emergencies, act of terrorism and mass casualty incidents. Natural and man-made disasters, such as earthquakes, floods, plane crashes, high-rise building collapses, or major nuclear facility malfunctions, pose an ever-present danger challenge to public emergency services. In order to manage such disasters in a rapid and highly efficient and coordinated manner, the optimal provisions of information concerning any crisis situation is an essential pre-requisite. Local Police, Fire departments, Public Health Department, Civil Defense, Military and other emergency response organizations must react efficiently yet individually but most importantly, in a coordinated manner. These results in the necessity for both intra and inter organization coordination at several hierarchy levels. Since coordination requires current information, such information must be communicated within and between organizations in real-time, the need arises for an integrated communication and information system solely designated or disaster management that provides processing of relevant efficient, reliable and secure exchange of information.

This study aims at understanding the role of education in promoting disaster preparedness. Strengthening resilience to climate-related hazards is an urgent target of Goal 13 of the Sustainable Development Goals. Preparing for a disaster such as stockpiling of emergency supplies or having a family evacuation plan can substantially minimize loss and damages from natural hazards. However, the levels of household disaster preparedness are often low even in disaster-prone areas. Focusing on determinants of personal disaster preparedness, this paper investigates: (1) pathways through which education enhances preparedness; and (2) the interplay between education and experience in shaping preparedness actions. Data analysis is based on face-to-face surveys of adults aged 15 years [or older] in Thailand (N = 1,310) and the Philippines (N = 889, female only). Controlling for socio-demographic and contextual characteristics, we find that formal education raises the propensity to prepare against disasters. Using the KHB method to further decompose the education effects, we find that the effect of education on disaster preparedness is mainly mediated through social capital and disaster risk perception in Thailand whereas there is no evidence that education is mediated through observable channels in the Philippines. This suggests that the underlying mechanisms explaining the education effects are highly context-specific. Controlling for the interplay between education and disaster experience, we show that education raises disaster preparedness only for those households that have not been affected by a disaster in the past. Education improves abstract reasoning and anticipation skills such that the better educated undertake preventive measures without needing to first experience the harmful event and then learn later. In line with recent efforts of various UN agencies in promoting education for sustainable development, this study provides a solid empirical evidence showing positive externalities of education in disaster risk reduction.

Major hurricane landfalls are the most dangerous natural hazard threats experienced in the U.S. Television news is a primary sources of hurricane hazard information and has the ability to influence what viewers understand about and how they respond to these events. While it is understood that media plays a central role in communicating weather, it is unknown whether or not news media content communicates the recommended hurricane hazard adjustments that are needed for preparedness and protection. Thus this study supports prior research calling for a closer examination of the role and effects of visual information in media documents. Using the 2005 Atlantic hurricane season, the present research employs qualitative media analysis to explore the framing of hurricane preparedness through television newscasts covering Hurricane Katrina from August 23-29, 2005. Key findings from this study suggest that there are five common frames through which hurricane information is presented to viewers of the national news broadcasts surveyed in this study. Preparedness information was found to be mainly represented through visual content but sparsely mentioned in reporting. The study also found that more often visuals were used to aid story development instead of provide educational or instructional messages that model the adoption of hazard adjustments and have the potential to motivate protective actions and behaviors by helping to increase self-efficacy. The present study concludes by discussing underlying aspects of conflict present within the media frames and offering recommendations for better integration of media content into risk communication campaigns for severe weather.

Since the music requirement does rest with the teacher training institutions, the elementary education major is required, in most colleges and universities, to take six hours of music education. My problem is to develop an adequate course of study in music education to fit the musical needs of the elementary education major which will prepare her as well as possible in the allotted six hours to teach music in a classroom aided or unaided by supervision