Browsing by Subject "Florida"
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Item Critical public infrastructure underwater: The flood hazard profile of Florida hospitals(Springer Nature, 2023-05) Sun, Pin; Entress, Rebecca; Tyler, Jenna; Sadiq, Abdul-Akeem; Noonan, Douglas; School of Public and Environmental AffairsHospitals play a critical role during disasters where they provide critical medical care to disaster victims and help the community to respond more effectively and recover quicker. However, hospitals face risks from the natural environment, such as flood risks. Amid the increasing flood risks due to climate change, it is essential to examine hospitals’ risk exposure. Motivated by this, this paper aims to answer four specific questions related to hospitals in Florida: (1) Are hospitals located in flood zones? (2) What is the relationship between hospital network size and flood hazard? (3) To what extent does hospital flood hazard vary by hospital attributes? (4) How do hospitals’ flood hazards differ from other public structures’ flood hazards? By leveraging two micro-level datasets, we found that approximately 12% of Florida hospitals are in flood zones, and that hospitals’ flood hazard is not influenced by hospital network size or hospital attributes. We also found that hospitals are one of the most flood-prone public structures in our sample, raising questions about public infrastructure in flood management. We conclude by offering recommendations for improving hospital resilience to future flood disasters.Item Daily Situational Brief, December 10, 2014(MESH Coalition, 12/10/14) MESH CoalitionItem Exploring the host-Guest interaction in tourism crisis communication(Taylor and Francis, 2020-09-10) Liu-Lastres, Bingjie; Cahyanto, Ignatius P.The purpose of this study was to explore the host–guest interaction in tourism crisis communication. Guided by a practice-based approach, our study used the recent event of the 2018 Florida Red Tide as the context. It explored both visitors’ and residents’ information-acquiring and sharing practices in crisis communication. A total of 969 potential visitors and 460 Florida residents were surveyed, respectively. The findings of our study show that visitors preferred residents as their primary information sources in the crisis communication process. Repeat visitors who have no children and are the primary decision-maker are more likely to rely on residents for risk information than first-time visitors. The results further indicate that most respondents in the resident sample have shared Red Tide information with visitors through various channels. Knowledge and social identity influenced their information-sharing behaviour. The findings suggest that residents can act as risk insiders in tourism crisis communication. A new research direction involving the guest–host interaction in tourism crisis management is proposed. This study offers practical implications for promoting effective risk and crisis communication in destinations and incorporating residents in tourism crisis communication and management.Item Florida physicians' reported use of AFIX-based strategies for human papillomavirus vaccination(Elsevier, 2018-11) Kasting, Monica L.; Christy, Shannon M.; Sutton, Steven K.; Lake, Paige; Malo, Teri L.; Roetzheim, Richard G.; Schechtman, Tommy; Zimet, Gregory D.; Walkosz, Barbara J.; Salmon, Daniel; Kahn, Jessica A.; Giuliano, Anna R.; Vadaparampil, Susan T.; Pediatrics, School of MedicineHPV vaccination rates in Florida are low. To increase rates, the CDC recommends clinics adhere to components of their evidence-based quality improvement program, AFIX (Assessment, Feedback, Incentives, and eXchange of information). We explored factors associated with engaging in HPV-specific AFIX-related activities. In 2016, we conducted a cross-sectional survey of a representative sample of 770 pediatric and family medicine physicians in Florida and assessed vaccination practices, clinic characteristics, and HPV-related knowledge. Data were analyzed in 2017. The primary outcome was whether physicians' clinics engaged in ≥1 AFIX activity. We stratified by physician specialty and developed multivariable models using a backward selection approach. Of the participants in the analytic sample (n = 340), 52% were male, 60% were White of any ethnicity, and 55% were non-Hispanic. Pediatricians and family medicine physicians differed on: years practicing medicine (p < 0.001), HPV-related knowledge (p < 0.001), and VFC provider status (p < 0.001), among others. Only 39% of physicians reported engaging in ≥1 AFIX activity. In the stratified multivariable model for pediatricians, AFIX activity was significantly associated with HPV-related knowledge (aOR = 1.33;95%CI = 1.08–1.63) and provider use of vaccine reminder prompts (aOR = 3.61;95%CI = 1.02–12.77). For family medicine physicians, HPV-related knowledge was significant (aOR = 1.57;95%CI = 1.20–2.05) as was majority race of patient population (non-Hispanic White vs. Other: aOR = 3.02;95%CI = 1.08–8.43), daily patient load (<20 vs. 20–24: aOR = 9.05;95%CI = 2.72–30.10), and vaccine administration to male patients (aOR = 2.98;95%CI = 1.11–8.02). Fewer than half of Florida pediatric and family medicine physicians engaged in any AFIX activities. Future interventions to increase AFIX engagement should focus on implementing and evaluating AFIX activities in groups identified as having low engagement in AFIX activities.Item Giving in Florida(IU Lilly Family School of Philanthropy, 2022-03) Osili, Una O.; Pruitt, Anna; Bergdoll, Jonathan; Kou, Xiaonan; Daniels, Diantha; Davis Kalugyer, AdrieneGiving in Florida aims to increase the understanding of philanthropy and provide the region’s nonprofit sector, donors, and policy makers with valuable research allowing them to understand the motives and incentives behind individuals’ charitable giving behavior. The study also provides analysis of how giving and volunteering patterns change with different donor demographics with the goal of encouraging the nonprofit sector to better connect with a wider range of donors.Item Giving in Florida [Infographic](IU Lilly Family School of Philanthropy, 2022-03) IU Lilly Family School of PhilanthropyGiving in Florida provides an in-depth examination of the charitable giving patterns, priorities, and attitudes of Florida households. The report serves as a benchmark of Florida’s philanthropic climate and can help educate donors, nonprofit leaders and board members how best to reach their constituents.Item Hunter Accidentally Stumbles Upon Leprosy in West Florida(American College of Physicians: 2021 National Conference, 2021-05-14) Lugo, Adrian; Studsrud, Taylor; Lugo, Yulie; Beliveau-Ficalora, Margaret; DeMaio, JamesLeprosy is caused by acid-fast bacilli of the M. leprae complex, which includes M. leprae and M. lepromatosis. Transmission in the U.S. is rare, but has been documented in hunters who handle wild nine-banded armadillo. The origins of M. leprae infection among armadillos, the geographic range of the infected animals, and the potential risks infected armadillos present to people have been topics of concern. The infection originated amongst armadillos decades before they were ever used in leprosy research, and numerous surveys have confirmed that armadillos in the southern United States are a large natural reservoir for M. leprae; its prevalence exceeds 20% in some locales. In this case report, we highlight a rare case of leprosy and the importance of keeping leprosy in the differential diagnosis of a pruritic, urticarial rash. A 54-year-old male with no significant past medical history or foreign travel history presented to the clinic with a diffuse, pruritic rash. Patient is a wild boar hunter who handled fresh armadillo carcasses without the use of gloves. Patient was born in Pennsylvania and moved to Florida at 6 months of age, no history of overseas travel or recent travel outside of Florida. PCR was positive for M. leprae and negative for M. lepromatosis. A skin biopsy was positive for borderline lepromatous leprosy with an early type 2 erythema nodosum leprosum reaction. This case report demonstrates how a rare zoonotic infection was inadvertently acquired by a human host in West Florida by handling nine-banded armadillos without proper equipment. Most of the leprosy cases reported in the U.S. came primarily from Southern states, but 93% of the cases reported in the Americas came from Brazil. In the U.S., approximately 200 cases of leprosy are reported each year, and about 175 of those cases are diagnosed for the first time. Florida contributes a small number of these, but recent data is showing an increasing incidence. Studies from other southern U.S. states demonstrate infection with the same strain of Mycobacterium leprae, thus confirming the nine-banded armadillo as the main risk factor. Because of this bacteria’s rarity in the region and the nonspecific symptoms that manifest in a new host, this case report highlights the importance of including leprosy in the differential diagnosis in patients with a high exposure to wildlife in Florida.Item Risk perception, media exposure, and visitor’s behavior responses to Florida Red Tide(Taylor and Francis, 2020) Cahyanto, Ignatius P.; Liu-Lastres, BingjieFlorida’s Red Tide outbreak, a major environmental disturbance in 2018, not only garnered nationwide attention but also affected both in-state and out-of-state visitors. Guided by the Social Amplification of Risk Framework (SARF), this study examined the relationships between media exposure, risk perception, and visitors’ behavioral responses. Data were gathered from two surveys in late 2018. The findings validate the practicality of applying SARF to the current context. This study also found that both perceived consequences and access to the community are significant predictors of visitor behavior. This study further discussed how to market destinations during turbulent times.