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Dec 6, 2023
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Abstract This paper explores the far-reaching impact of pandemics, drawing parallels from historical
events like the 1918 influenza pandemic to elucidate their profound effects on healthcare systems,
economies, and daily life. It emphasizes the critical role of community-based organizations (CBOs),
exemplified by entities like the Centers for Disease Control and Prevention (CDC), in addressing public
health crises. Detailing the hierarchical, networked, and matrix management structures of the CDC, the
study underscores the collaborative approach essential for effective response to health threats. Goals
and objectives of CBOs in pandemic management, spanning from disease mitigation to employee well-
being and continuity of operations, are outlined alongside strategies like hygiene protocols, remote work
facilitation, and resource allocation. Moreover, the paper incorporates a personal development plan
focused on enhancing time management, communication skills, and aligning goals with practical
experiences, underscoring the importance of self-improvement in both personal and professional
spheres. 3 Introduction and Background According to the Centers for Disease Control and Prevention, a
pandemic is an epidemic that is more widespread over several countries or continents, with many of the
diseases posing great risks to humans and are caused by an infectious agent that can be spread from
person to person (CDC 2022). Pandemics are characterized as the widespread and rapid transmission of
a disease. Pandemics add challenges to healthcare systems, economies, and our daily lives. The influenza
pandemic of 1918 is an example of a pandemic that posed challenges to healthcare systems, economies,
and daily lives. The influenza pandemic of 1918 occurred following World War I, so many countries
around the world were trying to rebuild their economies following the war but were unable to do so
because the pandemic limited the production of many goods which limited output, in turn lessening the
economy of countries around the world. The influenza pandemic of 1918 also challenged the healthcare
system because many countries were not prepared for a pandemic, so there were limited mitigation
strategies at play, specifically pharmaceutical interventions like vaccines and antiviral agents. The
influenza pandemic of 1918 challenged daily lives because many people who contracted the virus were
unable to complete their regular activities, like going to school or work. Essentially, pandemics affect all
aspects of life and limited mitigation strategies make it harder to come out of the crisis. The relevance of
addressing this public health crisis is clear. Public health organizations such as a state’s public health
department have the role of being the primary source of support, information, and resources for
communities during a crisis. Being able to respond appropriately and efficiently to these issues will
ensure the well-being of our community and our resilience as a neighborhood. The organization should
have deep community connections and resources to further educate individuals about pandemics. A
community-based organization is 4 classified as an organization aimed at making advancements in a
community’s function and wellbeing. Some examples of community-based public health organizations
would be the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO),
and the Florida Department of Health. These organizations address health concerns in various areas by
delivering public health messages and serving as vaccine messengers. Community-based organizations
provide various approaches to public health that are tailored toward their specific community. The
Centers for Disease Control and Prevention (CDC) in the United States is a prime example of a
population-based public health agency. Its management structure aligns with contemporary
management theories to effectively carry out its mission of protecting public health and safety through
the control and prevention of disease, injury, and disability. The CDC operates with a hierarchical
structure. A hierarchical structure is one where there is a direct chain of command (AccountingTool
2023). It is led by a director who oversees various centers, such as the Center for Global Health and the
National Center for Immunization and Respiratory Diseases. Each center is further divided into offices
and divisions that focus on specific areas of public health. Given the diverse nature of public health
crises, the CDC often uses a matrix management approach. A matrix management approach is one
where companies are more streamlined and team members report to multiple executives (Indeed 2023).
Teams or task forces composed of experts from different centers collaborate on issues like infectious
diseases, chronic illness, and emergency preparedness. The CDC operates within a networked
environment, collaborating not only within its organizational structure but also with state and local
health departments, international health organizations, research institutions, and other stakeholders. 5
This networked approach is essential for information sharing, resource allocation, and coordinated
responses to health threats (Harvard Business Review 2007). The CDC has various administrative
processes which include identifying various health issues, data collection and analysis, Program planning
and evaluation, and resource management. They also have many partnership and collaboration and is
involved in community engagement. Goals and Objectives Some goals and objectives for those
community-based organizations when it comes to addressing pandemics can include the reduction of
transmission worldwide, expanding the knowledge and strengthening global public health leadership,
and improving long-term health security in middle and low-income countries. Additional goals would
include promoting and ensuring health equity among all populations. Since pandemics cause major
mental health issues for some people, the CBO's main objective will be to educate, inform, and support
the communities facing these unprecedented times. Organizational Goals One goal of CBOs would be
disease mitigation and control. This means to lessen the spread and impact of the pandemic in the
organization and the community. To lessen the spread of the pandemic, the organization would
implement strict hygiene measures, including hand sanitation stations throughout public buildings, mask
mandates, social distancing, and quarantine periods. A second goal for CBOs would be to protect the
health and well-being of employees and their families. Organizations can protect the health and well-
being of their employees by providing healthcare resources, giving mental health 6 support, and allowing
the option of remote work when possible. A third goal for CBOs would be ensuring the continuity of
essential operations while prioritizing employee safety. Organizations can ensure the continuity of
essential operations by implementing remote work options, establishing backup plans, and maintaining
communication channels. During a pandemic, it is important to implement strategies for a clean and safe
environment for corporations. The first strategy would be enhancing the cleaning protocol. This means
mandating more rigorous cleaning and disinfection of frequently touched areas and workplaces. This
would also include utilizing strong disinfectants frequently. The second strategy would be encouraging
personal protective equipment (PPE). This includes masks, gloves, and face shields. Doing this would
limit the passing of bacteria from person to person. The third strategy would be modifications of
workplaces. This includes social distancing, barriers, and improving ventilation systems. Having
separated workspaces for employees would limit the interactions between individuals, which limits the
spread of bacteria. Having place markers in stores separated by six feet each and a barrier between the
store employee and the customer limits the spread of disease as well. The fourth and final strategy
would be the promotion of hygiene. This would be done by conducting educational campaigns on the
proper way to wash one’s hands, etiquette for respiration, and overall hygiene practices. This would be
through posters placed in bathrooms over sinks that direct someone on how to properly wash their
hands, posters that inform individuals to cover their mouth and nose with a tissue when they cough or
sneeze, and instructing individuals to consistently use hand sanitizer with sanitations stations placed
around workplace buildings. Also, it is necessary for administrators to implement organizational
resources and programs to adapt to the rapid changes that would occur as a result of a pandemic. For 7
financial resources, an administrator would need to allocate budgets for acquiring PPE for employees
and implement safety measures, which include having face masks and gloves readily available to give to
employees who do not have them. Administrators would also need to be able to support remote work
infrastructure, which is a system that allows team members to work separately without any difficulties in
the working environment. For human resources, an administrator would need to mobilize the workforce
to support critical operations, which includes remote working, and training staff on safety protocols,
which would be meetings that inform the staff on proper methods to ensure the safety of themselves
and those around them. Administrators would also need to deploy health professionals when necessary.
Administrators would need to implement technology and tools to assist with remote work, contactless
operations, and platforms to communicate health information. This would include the distribution of
laptops and webcams, digitalizing many forms to limit the touching of surfaces by many people, and
utilizing virtual communication platforms like Slack or Workplace by Meta to get information shared at a
fast rate. Health programs and support would also need to be executed. This means establishing
employee wellness programs, offering mental health counseling services, and increasing access to
healthcare resources. Organizations would also need to collaborate with health authorities, local
governments, and healthcare providers for guidance on how to manage the workplaces, support for the
team members, and information sharing so the organization is up to date with the information being
shared regarding the crisis. 8 Self-Development Plan A personal development plan reflects your
strengths, weaknesses, and goals. The aim is to identify skills for personal improvement and then set
clear goals for each. Ideally, they should be time-bound, short-term goals that you can measure. My self-
development plan will include time management because I know that I struggle with prioritizing task,
But as my workload and life responsibilities increase I need to better develop my time management skills
both personally and professionally. My self-development plan will also include improving my
communication skills. Communication is a skill that will allow me to strengthen and maintain health
relationships, collaborate and socialize. To become a good communicator is a major skill for job readiness
and personal success. Since my Practicum will be at a State Health Department, my self-development
plan will be incorporated. My plan will include being able to reflect on strengths and weaknesses and
areas that need to be improved in the infection disease control sector. Also seeking guidance from the
person overseeing the practicum. Also setting S.M.A.R.T Goals that align with my practicum. I will also
ensure that whatever task I choose aligns with my goals to be able to educate the public more on
pandemics. Most importantly to incorporate small actions daily. Lastly, I will request feedback from my
mentors or supervisor to ensure I have made some progress. The benefits of a personal development
plan are all largely about goal setting which is key to self-development. By understanding your
weaknesses and which areas of development you need to improve, you will be able to improve your
skills and knowledge which will benefit both my personal and professional life. 9 Appendix: Budget,
Schedule, and Funding Source To date, CDC received COVID-19 supplemental funding through:
Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123): P.L. 116-
123 provided $2.2 billion to CDC to prevent, prepare for and respond to COVID-19 domestically and
internationally.
Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136): P.L. 116-136
provided CDC $4.3 billion and ATSDR $12.5 million to prevent, prepare for and respond to COVID-19
domestically and internationally.
Paycheck Protection Program and Health Care Enhancement Act (P.L.
116-139): P.L. 116-139 provided $1.0 billion to CDC transferred from the Public Health Social Services
Emergency Fund (PHSSEF) to support surveillance, epidemiology, laboratory capacity expansion, contact
tracing, public health data surveillance, and analytics infrastructure modernization, disseminating
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information about testing, and workforce support necessary to expand and improve COVID–19 testing.
In addition, $10.25 billion from the PHSSEF was awarded to health departments through the CDC
Epidemiology and Laboratory Capacity program for testing and contact tracing.
Coronavirus Response
and Relief Supplemental Appropriations Act, 2021 (P.L. 116-260): P.L. 116-260 provided $8.75 billion to
CDC to plan, prepare for, promote, distribute, administer, monitor, and track coronavirus vaccines to
ensure broad-based distribution, access, and vaccine coverage. On behalf of HHS, $19.11 billion from the
PHSSEF was awarded to health departments through the CDC Epidemiology and Laboratory Capacity
program for testing and contact tracing.
American Rescue Plan Act of 2021 (P.L. 117-2): P.L. 117-2
provided $11.52 billion to CDC to plan, prepare for, promote, distribute, administer, monitor, and track
vaccines; strengthen vaccine confidence in the US, provide information and education, and improve rates
of vaccination; strengthen and expand activities and workforce related to genomic sequencing, analytics,
and disease surveillance; combat COVID and other emerging infectious disease threats, global health
security, global disease detection and response, global health protection, global immunization, and
coordination; support surveillance and analytics infrastructure modernization initiatives and an early
warning system; and encourage primary prevention of mental and behavioral health conditions for
health care professionals. On behalf of HHS, the CDC will provide $10 billion from the PHSSEF to states to
support COVID-19 screening testing for teachers, staff, and students to assist schools in reopening safely
for in-person instruction.