Perception of Hurricane and COVID-19 Risks for Household Evacuation and Shelter Intentions

The COVID-19 pandemic presented new challenges for scholars and government officials to predict people's evacuation decisions under a conflicting natural disaster. In this study, we examined households' evacuation and shelter intentions given the potential conflicts between the perceived risks from a hurricane and the coexisting public health crisis. We surveyed households living inside hurricane evacuation zones in Florida during the 2020 hurricane season. Data were first used to examine the evacuation and shelter intentions before and during the pandemic. We then measured respondents' hurricane and COVID-19 risk perception, respectively. The impacts of both risk perceptions on respondents' hurricane evacuation intentions were explored. We found that when people felt unsafe to stay home for a Category 2, 3, or 4 hurricane, their intended evacuation was about the same before and during the pandemic regardless of their COVID-19 risk perception. The COVID-19 risk perception, however, significantly lowered the evacuation intention for a Category 1 hurricane. It also significantly influenced evacuees' preference for nontraditional shelters such as government-contracted hotels. The results of our study have practical implications for emergency management and public health governance. Our study also provides insights into decision-making under the conflict between natural hazards and infectious diseases. (English) [ FROM AUTHOR] La pandemia del COVID-19 planteó nuevos retos a los eruditos y funcionarios gubernamentales para predecir las decisiones de evacuación de la gente sometida a un desastre natural conflictivo. En este estudio, examinamos la evacuación e intenciones de albergue de familias teniendo en cuenta potenciales conflictos entre los riesgos percibidos de un huracán y las crisis coexistentes en la salud pública. Encuestamos a las familias que residían en las zonas de evacuación por huracanes de la Florida durante la temporada de huracanes del 2020. Los datos se usaron primero para examinar las intenciones de evacuación y de refugio antes y durante la pandemia. Después, medimos la percepción del riesgo de afectaciones por huracanes y COVID-19 de los encuestados, respectivamente. Se exploraron los impactos de ambos tipos de percepciones de riesgo en las intenciones de evacuación, por encuestado. Hallamos que cuando la gente se siente insegura de permanecer en casa frente a huracanes de las categorías 2, 3 y 4, su evacuación intencionada era más o menos la misma de antes y durante la pandemia, sin importar la percepción del riesgo de COVID-19. No obstante, la percepción del riesgo de COVID-19 redujo de manera significativa la evaluación de la intención de evacuación para un huracán de categoría 1. Eso también influyó significativamente en la preferencia de los evacuados por refugios no tradicionales, como los hoteles contratados por el gobierno. Los resultados de nuestro estudio tienen implicaciones prácticas en el manejo de las emergencias y la gobernanza de la salud pública. También proporciona nuestro estudio nuevas visiones en lo que concierne a toma de decisiones bajo condiciones de conflicto entre las catástrofes naturales y la enfermedades contagiosas. (Spanish) [ FROM AUTHOR] 新冠肺炎流行病与其它自然灾害相互冲突, 给专家和政府预测人群的疏散决定提出了新的挑战。我们探讨了家庭疏散和避难的意愿, 考虑了飓风的感知风险与公共卫生危机之间的潜在冲突。我们调查了2020年飓风季节美国佛罗里达州飓风疏散区内的家庭。首先, 基于数据探讨了流行病之前和期间的疏散和避难意愿。然后, 我们分别度量了受访者对飓风和新冠肺炎的风险感知。探讨了这两种风险感知对受访者飓风疏散意愿的影响。我们发现, 在2、3或4级飓风中, 当人们认为居家危险时, 不管如何感知新冠肺炎风险, 人们在新冠肺炎流行之前和期间的疏散意愿大致相同。然而, 新冠肺炎风险感知显著降低了1级飓风的撤离意愿。它还显著影响了疏散者对非传统庇护所（如, 政府指定酒店）的偏好。我们的研究结果, 对应急管理和公共卫生治理具有实际意义。我们的研究, 还为自然灾害和传染病相互冲突情况下的决策提供了见解。 (Chinese) [ FROM AUTHOR] Copyright of Professional Geographer is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Death managers, public health, and COVID-19: An exploratory study

The ongoing COVID-19 pandemic has exacerbated cracks in the United States' healthcare systems-along with its deathcare systems. The pandemic as an ongoing mass fatality incident highlights the need to understand the public servants engaged in deathcare work, as they are a vital part of the emergency response equation. This exploratory, descriptive study focuses on the ways in which medical examiners and coroners (ME/Cs) in the United States provide core emergency management services to communities, relying on findings from interviews with 18 ME/Cs throughout the country. Findings indicate how COVID-19 cases are counted is difficult, the pandemic changed how ME/Cs operate in response, and burnout is eminent for these public servants.

Immersive Technologies - The future for tracheostomy education?

Introduction: The need for standardised education on tracheostomy care is well recognised.1 Staff frequently report a lack of confidence in caring for those with tracheostomies, as well as the management of adverse events as they occur.2 Over the past decade, healthcare providers have developed strategies to educate staff, however, the covid-19 pandemic has severely hampered the ability to provide this necessary training due to restrictions on access to training rooms, the need for social distancing and the significant clinical demands placed on both trainers and trainees.3 The potential for immersive technologies to augment healthcare training is gaining interest exponentially.4 However, its effectiveness is yet to be clearly understood and as such it is not yet common within healthcare education.5 Based on the above, we aimed to explore the potential of these immersive technologies to overcome the current challenges of tracheostomy education, and to develop future strategies to use immersive technology in healthcare education. Method(s): We received a 400,000 grant from Cardiff Capital Region (CCR) to undertake a rapid innovation project overseen by the SBRI centre of excellence. The project consisted of 3 main phases: 1) feasibility;2) development;and 3) testing. The project was officially launched in April 2021 and lasted 12 months. Project governance was provided via the SBRI for clinical excellence, a project board with representation from Welsh Government, Cardiff University and Cardiff and Vale UHB, and a project team with clinical expertise in both the delivery of tracheostomy education and the provision of simulation training in healthcare. Result(s): Phase 1: During phase one 4 industries were successful and received up to 30,000 to explore the feasibility of immersive technology to support tracheostomy education. The industries were Rescape, TruCorp, Aspire2Be and Nudge Reality. During the feasibility phase all industries focused on the emergency management process utilising existing NHS Wales tracheostomy education resources and the national tracheostomy safety programme. Phase 2: For phase 2, Rescape and Nudge Reality were chosen to develop the technology. These industries continued to work in conjunction with the project team to capture the core elements of tracheostomy care, including multi-user emergency management scenarios. Additional content was also added for bronchoscopy and insertion of intercostal drains. Phase 3: Testing of both solutions was undertaken over an 8-week period, across 6 Health Boards in NHS Wales. The results of the testing will be analysed and available for presentation in due course. Provision findings demonstrate good face and content validity with high levels of user satisfaction. Discussion / Conclusion(s): The provision of essential tracheostomy education has been severely affected by the covid-19 pandemic. Evolving immersive technologies have the potential to overcome these challenges and improve the effectiveness and efficiency of education packages in tracheostomy care and wider. Through this CCR grant, in conjunction with industry, we have developed two solutions with the potential for widescale procurement and future research on the use of immersive technologies within healthcare.

Managing systemic risk in emergency management, organizational resilience and climate change adaptation

PurposeThis paper applies the theory of cascading, interconnected and compound risk to the practice of preparing for, managing, and responding to threats and hazards. Our goal is to propose a consistent approach for managing major risk in urban systems by bringing together emergency management, organisational resilience, and climate change adaptation.Design/methodology/approachWe develop a theory-building process using an example from the work of the Greater London Authority in the United Kingdom. First, we explore how emergency management approaches systemic risk, including examples from of exercises, contingency plans and responses to complex incidents. Secondly, we analyse how systemic risk is integrated into strategies and practices of climate change adaptation. Thirdly, we consider organisational resilience as a cross cutting element between the approaches.FindingsLondon has long been a champion of resilience strategies for dealing with systemic risk. However, this paper highlights a potential for integrating better the understanding of common points of failure in society and organisations, especially where they relate to interconnected domains and where they are driven by climate change.Originality/valueThe paper suggests shifting toward the concept of operational continuity to address systemic risk and gaps between Emergency Management, Organizational Resilience and Climate Change Adaptation.

Knowledge, Attitude, Practice and Preparedness toward COVID-19 Pandemic among Healthcare Workers in Designated COVID Hospitals of a North-Eastern State of India.

The knowledge, attitude, and practice (KAP) of healthcare workers (HCW) toward the COVID-19 pandemic influence their preparedness to accept the preventative measures. This study investigates KAP toward COVID-19 among the HCWs working in two designated COVID hospitals. It was a cross-sectional study. The overall KAP scores were calculated, and the difference in mean scores among various demographic and other variables was tested using t-test and one-way ANOVA. The participants were knowledgeable about transmission modes and disease symptoms and were aware of the preventive measures like hand sanitisations for 96% and 91% for wearing masks. Among the knowledgeable group, 87% were aware of the control measures of COVID-19 infection like isolation and treatment of the infected; quarantine of their close contacts; and 92% had the acquaintance about the avoidance of public transport and crowded places as a safety measure. The HCWs also showed a positive attitude toward keeping distance and staying at home (81.13% strongly agreed) and regularly washing hands (agreed 91%). The mean knowledge, attitude, and practice scores of the study participants were 19.67(±1.85), 27.95(1.81) and 4.61(0.51), respectively. Nurses were found to have significantly better knowledge, attitude, and practice toward COVID-19 than laboratory technicians and pharmacists. HCWs having higher education levels were also found to have better knowledge about COVID-19. The majority of the HCWs who participated in the study also strongly agreed that the referred hospitals are well prepared for infection prevention and control (IPC). Better knowledge, attitude and practices toward COVID-19 may considerably decrease the risk of getting the disease.

Evidence of policy learning in emergency declarations as communication tools in Australia.

Emergency declarations are important legal tools for the state to protect itself and its citizens during times of crisis. State of emergency declarations provide for extraordinary powers to be exercised to address an emergency or disaster. Emergency declarations present an opportunity to examine policy learning in crises, through the ability to examine emergency declaration instruments and the detail of post-emergency inquiries and reviews. This research briefly examines Australian law that provides for emergency declarations and places it in the context of theories of policy learning and change. Examination of two case studies reveals evidence of policy learning in emergency declaration practice in Australia. Evidence is uncovered of an emerging practice of using emergency declarations primarily or purely as tools to communicate the seriousness of an emergency situation. This policy learning has occurred both within and between jurisdictions, including the federal government. This paper also explores opportunities for future research on policy learning and emergency legislation, especially in the context of the COVID-19 pandemic.

Barriers and Enablers to Using an Emergency Operations Center in Public Health Emergency Management: A Scoping Review.

OBJECTIVES: The aim of this study was to review the role of public health emergency operations centers in recent public health emergencies and to identify the barriers and enablers influencing the effective use of a public health emergency operations center (PHEOC) in public health emergency management. METHODS: A systematic search was conducted in 5 databases and selected grey literature websites. RESULTS: Forty-two articles, consisting of 28 peer-reviewed studies and 14 grey literature sources matched the inclusion criteria. Results suggest that PHEOCs are used to prepare and respond to a range of public health emergencies, including coronavirus disease (COVID-19). Factors found to influence the use of a PHEOC include the adoption of an incident management system, internal and external communications, data management, workforce capacity, and physical infrastructure. CONCLUSIONS: PHEOCs play an important role in public health emergency management. This review identified several barriers and enablers to using a PHEOC in public health emergency management. Future research should focus on addressing the barriers to using a PHEOC and looking at ways to evaluate the impact of using a PHEOC on public health emergency outcomes.

COVID-19 Pandemic, Crisis Responses and the Changing World: Perspectives in Humanities and Social Sciences

This book comprehensively analyzes COVID-19 and its impact as well as the response from the perspectives of humanities and social sciences. This book covers topics ranging from geopolitical relations to regional integration, public health governance and even the evolution of professional practices in the time of COVID-19. It constitutes a precious and timely interdisciplinary reference for anyone aspiring not only to grasp the origins and dynamics of the present challenge, but also to identify future opportunities for further growth and holistic progress for humanity. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2021.

Policies to Stimulate Industrial Innovation by Small and Medium-Sized Enterprises: Lessons Learned from the Public Procurement of Innovation during Emergencies

Since the outbreak of COVID-19, Small and Medium-sized Enterprises (SMEs) have faced a heavy economic burden and uncertainty due to a contraction in resources and markets. As the world returns to normal conditions, we aim to synthesise key lessons from the pandemic and discuss which emergency actions should become routine to prevent or minimise the negative economic impact of future crises on SMEs and their innovation power. This paper reviews academic and non-academic literature on how governments can stimulate industrial innovation in SMEs based on experiences from public procurement of innovation during the pandemic. Our findings indicate that public procurement of innovation is a crucial tool to stimulate both the economy and new ideas. Against this backdrop, we propose the implementation of three related procurement policies: inter-agency and inter-governmental collaboration in the public procurement of innovation, cooperation partnerships between the government and firms, and the adoption of practices that encourage SME participation in the procurement of public innovation contracts. © 2023, Lexxion Verlagsgesellschaft mbH. All rights reserved.

Policy recommendations on strengthening the core role of the Centers for Disease Control and Prevention in the response to major epidemics.

The Centers for Disease Control and Prevention (CDC), is an elite force for disease prevention and control, serving as the core force for blocking and contain the epidemic. Which plays a central role in fighting COVID-19 epidemic in China. However, during the process, its also exposed some problems: lack of comprehensive capacity building program, fragmented knowledge and skills, epidemiological investigation instrument is outdated, insufficient training on emergency management ability, emphasize investment in infrastructure, equipment and techniques but pay less attention to constantly updating the risk monitoring and alerting system as well as other important coordinating mechanisms, which will affect the well functioning of CDC system. In order to effectively curb the possible rebound of this epidemic and prevent the recurrence of new infectious diseases, we urgently need to reflect and summarize the experience and lessons of this outbreak response, and put forward more targeted policy options for future improvement.Copyright © 2020 Chinese Medical Association. All rights reserved.

COVID-19, school closures, and remote teaching: The response time of Brazilian education systems.

With the COVID-19 pandemic, physical distancing strategies entered the list of recommended non)pharmaceutical measures to inhibit the spread of the virus. In educational institutions, these measures resulted in the suspension of face-to-face classes, a process known as school closures. However, states with less capacity to face the consequences of the pandemic ended up transfiguring this transitional measure into a permanent condition, exacerbating existing educational inequalities. This was the case in Brazil, which, during a crisis of the federal pact, triggered fragmented and uncoordinated remote teaching programs. It is precisely to Brazil that this article refers, which characterizes the response time to the closure of schools in the federal education network, in the form of the Federal Institutes of Education, Science and Technology (Institutos Federais de Educação, Ciência e Tecnologia), in comparison with the state network. This is an exploratory and descriptive study that uses quantitative and qualitative methods, based on document analysis. It examines the interval between school closures, the disclosure of a contingency plan, the implementation of remote teaching, and the return to face-to-face activities. It finds that, on average, the Institutes took 114 days to publish a contingency plan, in contrast to 34 days for state networks. The article posits the hypothesis that such differences are related to the autonomy of the Institutes in relation to the federal government and the polarization that resulted from president Bolsonaro's administration, aggravated by his denialist stance. (English) [ FROM AUTHOR] El distanciamiento físico implementado para evitar la propagación de la covid-19 supuso la suspensión de las clases presenciales, o sea, el cierre de las escuelas. Estados con menor capacidad para enfrentar las consecuencias de la pandemia transformaron esa medida transitoria en permanente, lo cual exacerbó las desigualdades. Ese fue el caso de Brasil que, en medio de una crisis del pacto federativo, acudió a programas de enseñanza remota fragmentados y desordenados. En este artículo se compara el tiempo de respuesta ante el cierre de las escuelas de la red federal de educación –en la figura de los Institutos Federales de Educación, Ciencia y Tecnología– con el de la red estatal. El texto se basa en un estudio exploratorio y descriptivo fundamentado en métodos cuanti cualitativos y el análisis documental. Se analiza el tiempo entre el cierre de las unidades, la divulgación de un plan de contingencia, la implementación de la enseñanza remota y el regreso a las actividades presenciales. Se constata que, en promedio, los institutos federales tardaron 114 días para divulgar un plan de contingencia frente a los 34 días que requirieron las redes estatales. Se concluye con la siguiente hipótesis: las diferencias están relacionadas con la autonomía de los institutos respecto al Gobierno federal y la polarización que generó la gestión presidencial de Bolsonaro, empeorada con su postura negacionista. (Spanish) [ FROM AUTHOR] Copyright of Íconos. Revista de Ciencias Sociales is the property of FLACSO Ecuador (Facultad Latinoamericana de Ciencias Sociales) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

The Kaiser Permanente Northern California COVID-19 physician redeployment experience: Redeploying physicians to meet the demands of the pandemic

This paper describes a redeployment programme developed by Kaiser Permanente Northern California (KP NCAL) to meet physician staffing needs during five COVID-19 surges in Northern California. By leveraging two existing programmes, creating a flexible system of redeployment levels, and supporting the system with a robust training programme, the physician redeployment programme effectively addressed physician staffing needs, maximised excellent patient care, and supported KP NCAL physicians during the pandemic. The programme delivered care to over 131,000 outpatients with COVID-19 infection and redeployed physicians into more than 800 inpatient shifts. © Henry Stewart Publications, 1749–9216.

COVID-19 and continuity planning: One university's perspective

In 2018, New York University shifted from conventional continuity of operations planning to what the team has dubbed ‘continuity for action'. Prior to 2018, business continuity efforts at the university were decentralised. Now, however, the university uses a relational database that allows data to be accessed quickly to meet the needs of an emergency. The migration of plans into this database has taken time, but the COVID-19 pandemic has demonstrated the utility of the approach. This paper describes the university's adoption of the ‘continuity for action' approach and offers insights into how business continuity planning data plays a critical role in speeding an organisation from response into recovery. © Henry Stewart Publications, 1749–9216.

Botswana's response to the outbreak of the Coronavirus (COVID-19): Lessons for disaster preparedness and management introduction

The success of any government's efforts to sustainably reduce the risk of and/or manage disasters depends to a large extent on the people's knowledge, beliefs, attitudes and perceptions of the risk posed by the disaster. This study assessed the government and communities of Botswana's response to the outbreak of coronavirus (COVID-19). The survey utilised a stratified three-stage probability sampling design to select respondents according to strata constituting primary sampling units (PSUs). Kruskal–Wallis tests were used to evaluate differences between respondents' knowledge, beliefs, attitudes and perceptions of COVID-19 according to their localities (urban, villages and rural areas). Results show that even though Botswana was not prepared for a national public health disaster of the magnitude of COVID-19, its timely adoption of the disease preventive strategy seems to have weathered the storm for some time (66% urban, 64.9% villages, 37.1% remote areas;p < 0.003). [ FROM AUTHOR] Copyright of Development Southern Africa is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

What Makes NPOs Sustainable in an Emergency? Examining the Effect of Person-Organization Fit and Generation on Volunteer Activities During the COVID-19 Pandemic.

Purpose: Despite the unprecedented challenges caused by the COVID-19 pandemic, nonprofit organizations (NPOs) continued providing services, thereby contributing to overcoming the pandemic. What enabled NPOs to sustain their service provision during this global emergency? This study attempts to answer this question by focusing on one of the essential pillars supporting the operation of NPOs: volunteers. More specifically, we aim to investigate how person-organization (P-O) fit and generation, particularly the Millennial generation, are related to engagement in voluntary activities during the COVID-19 pandemic. Methods: We collected data through an online survey conducted in March 2021. This US national survey was completed by 2307 respondents, yielding the US Census balanced data regarding gender, age, race, education, and income. To analyze the data, we employed the two-stage Heckman selection model. Results: Relying on P-O fit theory and generational theory, the study identifies what led existing volunteers to continue engaging in volunteer activities at their NPO during the COVID-19 pandemic despite the risks. We found that P-O fit mattered in volunteers' decision to continue engaging. In addition, our study uncovered that when existing volunteers were Millennials, the relationship between P-O fit and engagement in voluntary activities strengthened during the pandemic. Conclusion: This study contributes to expanding the explanatory power of the P-O fit theory by testing it in an emergency and extends the generational theory by clarifying under what conditions Millennials (aka Generation Me) transform themselves into Generation We. In addition, linking NPO management and emergency management, this study provides NPO managers with practical implications for securing reliable volunteers who will sustain the capacity of the NPO in a crisis.

Pausing the Pandemic: Understanding and Managing Traveler and Community Spread of COVID-19 in Hawaii.

In the absence of a vaccine, nonpharmaceutical interventions such as social distancing and travel reductions were the only strategies for slowing the spread of the COVID-19 pandemic. Using survey data from Hawaii (n = 22,200) collected in March through May of 2020 at the onset of the pandemic, the differences between traveler spreaders who brought the disease into the state and community spreaders were investigated. In addition to describing the demographic attributes and comparing them with attributes of those who were vulnerable to COVID-19, logit models explaining travel behaviors were developed and tested. Traveler spreaders were likely to be male, younger, and returning students. Community spreaders were more likely to be male, essential workers, first responders, and medical personnel at the highest risk of exposure. Using spatial statistics, clusters and hotspot locations of high-risk individuals were mapped. As transportation researchers are in a position to combine their critical analytical capabilities and experience with relevant databases on mobility and the spread of infectious diseases, this analysis could support efforts to respond to and slow the spread of the pandemic.

Ten Takeaways from the COVID-19 Pandemic for Transportation Planners.

The COVID-19 pandemic has created significant challenges but also unprecedented opportunities for transportation researchers and practitioners. In this article, the major lessons and gaps in knowledge for those working in the transportation sector are identified, including the following: (1) integration between public health and transportation; (2) technology to support contact tracing and tracking of travelers; (3) focus on vulnerable, at-risk operators, patrons, and underserved members of society; (4) re-engineering of travel demand models to support social distancing, quarantine, and public health interventions; (5) challenges with Big Data and information technologies; (6) trust relationships between the general public, government, private sector, and others in disaster management; (7) conflict management during disasters; (8) complexities of transdisciplinary knowledge and engagement; (9) demands for training and education; and (10) transformative change to support community resilience. With a focus on transportation planning and community resilience, the lessons from the pandemic need to be shared and customized for different systems, services, modalities, and users. While many of the interventions during the pandemic have been based on public health, the management, response, recovery, adaptation, and transformation of transportation systems resulting from the crisis require multi-disciplinary, multi-jurisdictional communications and coordination, and resource sharing. Further research to support knowledge to action is needed.

Disaster Collaborative Exercises for Healthcare Teamwork in a Saudi Context

This study aimed to evaluate the development of healthcare teamwork during and after the collaboration tabletop exercises, through observation and interview methods. Integration and maturity theoretical models were employed to explain the collaborative challenges in teams that may suffer from unequally distributed power, hierarchies, and fragmentation. Using three-level collaboration tabletop exercises and the Command and control, Safety, Communication, Assessment, Treatment, Triage, Transport (CSCATTT) instrument, 100 healthcare workers were observed during each step in the implementation of the CSCATTT instrument using two simulated scenarios. The results show a lack of integration and team maturity among participants in the first scenario, leading to the delayed start of the activity, task distribution, and decision making. These shortcomings were improved in the second scenario. In-depth interviews with 20 participants in the second phase of the study revealed improved knowledge and practical skills, self-confidence, and ability in team building within trans-professional groups in the second scenario, which in concordance with the integration theory, was due to the attempts made in the first scenario. Additionally, there was an improvement in the team's maturity, which in concordance with the maturity theory, was due to the knowledge and practical skills during scenario plays. These results indicate the importance of continuous tabletop training, and the use of CSCATTT as a collaborative instrument, to promote the development of collaboration and to test the concept of preparedness.

How Governance Shapes Emergency Management: China's Mixed Records in Responding to COVID-19

A nation's governing system shapes its capacity for emergency preparedness and management. Designed to maintain the central government's absolute authority, China's governing system limits local governments' initiative and capacity in responding to mass emergencies. By examining China's fight against COVID-19, this essay dynamically demonstrates how the country's governing regime constrains the initial response of local officials and other non-state entities to the virus but facilitated large-scale mobilization once the crisis was recognized by the central leadership. Four essential factors for an adaptive emergency management system are identified: 1) raising the central government's ability to recognize mass emergencies, 2) changing political incentives of local cadres, 3) creating a flexible and efficient ad-hoc resource allocation mechanism, and 4) embracing the participation of non-governmental actors. This study provides insights into how political realities explain the disparity in pandemic control performance across nations. It also shows how the resilience of a mass emergency management system can be enhanced within the constraints of existing governing institutions.

Policy-making, policy-taking, and policy-shaping: Local government responses to the COVID-19 pandemic

The COVID-19 pandemic has challenged nations states across the world. They have implemented lockdown and social distancing and with the development of vaccines have gone to great lengths to build herd immunity for their populations. As place managers, local government has played a variety of roles supporting central government edicts related to social distancing and supporting local businesses impacted by lockdowns. The research reported here comparing the role local government has played in Australia, Canada, Italy, and New Zealand shows that they have at different times and for different issues been policy takers from central government, policy shapers, and policy makers adapting national strategies. Local government plays an important complementary role with central governments in both unitary and federal systems of government. The paper contributes to the literature on multi-level governance, place-based decision-making, and disaster and emergency management by offering a framework for analysing municipal roles in crises management both in their relationship with higher layers of government and in their acting as locally placed organisations. Points for practitioners: Cross-national study: Australia, Canada, Italy, and New Zealand. Examination of local government responses to COVID-19 pandemic as policy makers, takers, or shapers. Comparison of federal and unitary states. © 2023 The Authors. Australian Journal of Public Administration published by John Wiley & Sons Australia, Ltd on behalf of Institute of Public Administration Australia.